Search Results (163)

Determining the transmission routes of pathogens in indoor environments is challenging, with most studies limited to specific case analyses and pilot experiments. When pathogens are instantaneously released by a patient in an indoor environment, the peak infection risk may not occur immediately but may instead appear at a specific moment during the pathogen’s spread. We developed a concise model to describe the temporal crest of infection risk. The model incorporates the transmission and degradation characteristics of aerosols and surface particles to predict infection risks via air and surface routes. Only four real-world outbreaks met the criteria for validating this phenomenon. Based on the available data, norovirus is likely to transmit primarily via surface touch (i.e., the fomite route). In contrast, crests of infection risk were not observed in outbreaks of respiratory diseases (e.g., SARS-CoV-2), suggesting a minimal probability of surface transmission in such cases. The new model can serve as a preliminary indicator for identifying different indoor pathogen transmission routes (e.g., food, air, or fomite). Further analyses of pathogens’ transmission routes require additional evidence. Full article

Background: Influenza viruses are major pathogens responsible for respiratory infections and pose significant risks to densely populated urban areas. RT-qPCR has made substantial contributions in controlling virus transmission during previous COVID-19 epidemics, but it faces challenges in terms of detection time for large sample sizes and susceptibility to nucleic acid contamination. Methods: Our study designed loop-mediated isothermal amplification primers for three common influenza viruses: A/H3N2, A/H1N1, and B/Victoria, and utilized a 4-channel microfluidic chip to achieve simultaneous detection. The chip initiates amplification by centrifugation and allows testing of up to eight samples at a time. Results: By creating a closed amplification system in the microfluidic chip, aerosol-induced nucleic acid contamination can be prevented through physically isolating the reaction from the operating environment. The chip can specifically detect A/H1N1, A/H3N2, and B/Victoria and has no signal for other common respiratory viruses. The testing process can be completed within 1 h and can be sensitive to viral RNA at concentrations as low as 10⁻³ ng/μL for A/H1N1 and A/H3N2 and 10⁻¹ ng/μL for B/Victori. A total of 296 virus swab samples were further analyzed using the microfluidic chip method and compared with the classical qPCR method, which resulted in high consistency. Conclusions: Our chip enables faster detection of influenza virus and avoids nucleic acid contamination, which is beneficial for POCT establishment and has lower requirements for the operating environment. Full article

Avian influenza viruses (AIVs) pose significant risks to occupational populations engaged in poultry farming, livestock handling, and live poultry market operations due to frequent exposure to infected animals and contaminated environments. This review synthesizes evidence on AIV exposure patterns and risk factors through a comprehensive analysis of viral characteristics, host dynamics, environmental influences, and human behaviors. The main routes of transmission include direct animal contact, respiratory contact during slaughter/milking, and environmental contamination (aerosols, raw milk, shared equipment). Risks increase as the virus adapts between species, survives longer in cold/wet conditions, and spreads through wild bird migration (long-distance transmission) and live bird trade (local transmission). Recommended control measures include integrated animal–human–environment surveillance, stringent biosecurity measures, vaccination, and education. These findings underscore the urgent need for global ‘One Health’ collaboration to assess risk and implement preventive measures against potentially pandemic strains of influenza A viruses, especially in light of undetected mild/asymptomatic cases and incomplete knowledge of viral evolution. Full article

The growing demands for sanitary regulations in medical facilities, particularly operating rooms, highlight the importance of ensuring high air quality and minimizing airborne hospital-acquired infections. Improperly designed ventilation systems may lead to contamination of up to 90–95% of patients, especially in light of evolving threats, such as COVID-19. This study focuses on enhancing the energy efficiency and performance of air conditioning and ventilation systems for cleanrooms, where air recirculation is not permissible. A novel energy-efficient direct-flow air treatment scheme is proposed, integrating a heat pump system with adjustable thermal output. A computational fluid dynamics CFD model of a clean operating room was developed to assess the impact of inlet air velocity on aerosol particle removal and airflow stabilization time. The model also considers the effect of personnel movement. The results supported optimized air distribution, reducing microbial contamination risks, with less than 10 CFU/m³, and improved thermal performance. The proposed system was evaluated for energy and cost efficiency compared to conventional setups. Findings can inform the design and operation of cleanroom ventilation in surgical environments and other high-tech applications. This research contributes to improving indoor air quality and reducing infection risks while enhancing sustainability in healthcare infrastructure. Full article

Background: Dental professionals were thought to have the most significant risk of coronavirus infection during the pandemic. Since the first Coronavirus Disease 2019 (COVID-19) patient was detected in Japan in January 2020, Japan has faced several waves of Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) infections. However, no cluster of SARS-CoV-2 infections associated with dental procedures has been reported in Japan. In this study, we aimed to investigate the actual status of SARS-CoV-2 infection during the pandemic through antibody testing for dental professionals. We further investigated saliva and oral management-related aerosol to estimate the risk of virus transmission during dental procedures. Methods: SARS-CoV-2 antibody titer in the blood of dental professionals and their families was determined during the pre-vaccinated period of the SARS-CoV-2 wave to see the history of infection in Japan. Viral loads in saliva and in the aerosol generated during the oral management of COVID-19 patients were detected by RT-qPCR. Results: The antibody testing of dental healthcare providers during the early phases of the pandemic in Japan revealed low antibody positivity, which supported the low incidence of infection clusters among dental clinics. The aerosol generated during dental procedures may contain trace levels of SARS-CoV-2, indicating the risk of transmission through dental procedures is limited. Therefore, SARS-CoV-2 did not spread through dental clinics. Conclusions: Very few SARS-CoV-2 infections were observed in dental professionals who took appropriate infection control measures in the early period of the pandemic. Performing dental procedures using standard precautions seems to be sufficient to prevent SARS-CoV-2 infections. Full article

Healthcare providers performing aerosol-generating procedures (AGPs) face significant infection risks, emphasizing the critical need for effective aerosol containment systems. In this study, we developed and validated a negative pressure chamber enhanced with an innovative aerodynamic cap structure designed to optimize aerosol containment. Initially, computational fluid dynamics (CFD) simulations were performed to evaluate multiple structural improvement ideas, including air curtains, bidirectional suction, and aerodynamic cap structures. Among these, the aerodynamic cap was selected due to its superior predicted containment performance, practical feasibility, and cost-effectiveness. The CFD analyses employed realistic transient boundary conditions, precise turbulence modeling using the shear stress transport (SST) k–ω model, and detailed droplet evaporation dynamics under realistic humidity conditions. A full-scale prototype incorporating the selected aerodynamic cap was fabricated and evaluated using physical polyalphaolefin (PAO) particle leakage tests and biological aerosol validation with aerosolized Bacillus subtilis. For the physical leakage tests, the chamber opening was divided into nine sections, and the aerosol dispersion was tested in three distinct directions: ceiling-directed, toward the suction hole, and opposite the suction hole. These tests demonstrated significantly stabilized airflow and substantial reductions in aerosol leakage, consistently maintaining containment levels below the critical threshold of 0.3%, especially under transient coughing conditions. The biological aerosol experiments, conducted in a simulated emergency department environment, involved aerosolizing bacteria continuously for one hour. The results confirmed the effectiveness of the aerodynamic cap structure in achieving at least a one millionth (10⁻⁶) reduction in the aerosolized bacterial leakage compared to the control conditions. These findings highlight the importance and effectiveness of advanced CFD modeling methodologies in accurately predicting aerosol dispersion and improving containment strategies. Although further studies assessing the structural durability, long-term operational ease, and effectiveness against pathogenic microorganisms are required, the aerodynamic cap structure presents a promising, clinically practical infection control solution for widespread implementation during aerosol-generating medical procedures. Full article

Legionella bacterium has the aquatic environment as its natural reservoir. In humans, it can cause a form of interstitial pneumonia called legionellosis which can be transmitted by inhalation of contaminated water aerosols. Legionella infection occurs more frequently in certain more susceptible population groups, including smokers, alcoholics, men, the elderly, as well as people with acquired immunodeficiency syndrome, hematological cancers, and diabetes mellitus. This study aimed to evaluate the effectiveness of the new Italian National Guidelines for the prevention of Legionella colonization in water systems application by analyzing the environmental monitoring data of Legionella carried out in healthcare facilities in the Campania region from 2019 to 2022. The secondary objectives were to estimate the most observed serogroups of L. pneumophila and to analyze the possible link between water temperature and the presence of Legionella, respectively. From our data, it emerged that in 2019, 41.1% of the examined facilities were contaminated by the Legionella genus; in 2020, the contamination percentage was 42.9%; in 2021, it was 54.5%; in 2022, it was 45.5%. Instead, the Legionella positivity rate decreased from 2019 (54.3%) to 2022 (52.4%), suggesting a possible positive influence of more restrictive prevention and control measures. The prevalent species was Legionella pneumophila, particularly serogroup 1; water temperature was the risk factor implicated in Legionella contamination. Full article

Amid the COVID-19 pandemic, understanding airborne pathogen transmission within confined spaces became critically important. The release of infectious aerosols through activities such as breathing, speaking, and coughing poses significant health risks, especially in confined spaces like airplane cabins. This study addresses gaps in the research by evaluating the impact of air changes per hour (ACH) on pathogen transmission in an aircraft cabin using computational fluid dynamics (CFD) simulations. A detailed computer-aided design (CAD) model representing half of a four-row section of a Boeing 737 cabin was developed, utilising symmetry boundary conditions to optimise the computational resources while maintaining accuracy. Using ANSYS Fluent 2024, four scenarios were simulated at ACH rates of 15, 20, 25, and 30, with 4 µm pathogens injected into the cabin from a single infector. Airflow patterns and pathogen residence times were analysed for each case. The results indicate that ACH 15 presents the highest risk of pathogen transmission, while increasing the ACH to 20 significantly reduces this risk, with diminishing returns observed beyond ACH 20. Thus, this study underscores the importance of balancing ventilation efficiency, energy consumption, and passenger comfort. The findings provide valuable insights into optimising the ventilation systems to mitigate the airborne transmission in aircraft cabins. Future research should explore higher ACH rates, validate their impact, and conduct a comprehensive optimisation study to further improve the infection control measures. Full article

The COVID-19 pandemic has highlighted the significant infection risks posed by aerosol generating procedures (AGPs). We developed a hood that covers the patient’s respiratory area, incorporating a negative pressure system to contain aerosols. This study analyzed the movement and containment of aerosols within a developed negative pressure isolation chamber. Using particle image velocimetry (PIV) technology, in the optimized design, the characteristics of aerosols were analyzed under both negative and non-negative pressure conditions. The results demonstrated that in the absence of negative pressure, droplets dispersed widely, with diffusion angles ranging from 26.9° to 34.2°, significantly increasing the risk of external leakage. When negative pressure was applied, the diffusion angles narrowed to 20.0–35.1° and inward airflow effectively directed droplets away from the chamber boundary, preventing external dispersion. Additionally, sensor data measuring particle concentrations confirmed that droplets smaller than 10 µm were fully contained under negative pressure, strongly supporting the chamber’s effectiveness. The strong agreement between PIV flow patterns and sensor measurements underscores the reliability of the experimental methodology. These findings highlight the chamber’s ability to suppress external leakage while offering superior flexibility and portability compared to conventional isolation systems, making it ideal for emergency responses, mobile healthcare units, and large-scale infectious disease outbreaks. Full article

In the post-COVID era, international business and tourism are quickly recovering from the global lockdown, with people and products traveling faster at higher frequency. This boosts the economy while facilitating the spread of pathogens, causing waves of COVID aftershock with new variants like Omicron XBB. Hence, continuous disinfection of our living environments becomes our first priority. Autonomous disinfection robots provide an efficient solution to this issue. Compared to human cleaners, disinfection robots are able to operate tirelessly in harsh environments without increasing the risk of cross-infection. In this paper, we propose the design of a new generation of the Smart Cleaner disinfection robot, which is equipped with both an Ultraviolet-C (UVC) light tower and a hydrogen peroxide (HP) aerosol dispenser. The safety of an autonomous disinfection robot has been a persistent problem, especially when they work in complex environments. To tackle this problem, Hamilton–Jacobi (HJ) reachability is adopted to construct a safety filter for motion control, which guarantees that the disinfection path taken by the robot is collision-free without severely compromising the optimality of control actions. The effectiveness of the developed robot has been demonstrated by conducting extensive experimental studies. Full article

Although natural ventilation can effectively control the indoor air quality and thermal comfort, the single-sided natural ventilation in isolation hotels may lead to the transmission of virus-laden aerosols between windows on the same façade but on different floors near the pollution source. Hereinafter, this kind of transmission is referred to as inter-flat transmission. The configuration of the building façade is a key factor influencing this risk. This study took into account various façade attachment scenarios including flat façades (with no attachments), outdoor units only, awnings only, and a combination of outdoor units and awnings. A model based on a real isolation hotel was developed, and computational fluid dynamics (CFD) simulations were carried out to investigate the inter-flat transmission of aerosols under these façade conditions. The study analyzed the risk of gaseous pollutant transmission caused by single-sided natural ventilation and quantified the effects of different outdoor wind speeds and indoor–outdoor temperature differences on this transmission route. When the indoor–outdoor temperature difference was 5 °C, the mass fraction of gaseous pollutants in the receptor rooms above the source first increased and then decreased as the outdoor wind speed increased, reaching a peak at 1 m/s. When the outdoor wind speed was 2 m/s, the mass fraction of pollutants in the receptor rooms increased with the increase in the indoor–outdoor temperature difference. Compared with the flat façade, the presence of outdoor units reduced the air exchange rate of natural ventilation, resulting in a slight increase in the infection risk. A 1 m-long awning reduced the infection risk associated with inter-flat transmission by 46%. Buildings equipped with both a 1 m-long awning and outdoor units achieved a 68% reduction in infection risk. These findings provide valuable insights for mitigating inter-flat transmission and inform the development of relevant policies. Full article

Infectious diseases have profoundly impacted global health and daily life. To control virus transmission, countries worldwide have implemented various preventive measures. A critical pathway for infection spread is cross-infection within households, especially among family members in the same or adjacent rooms. This study uses numerical simulations to examine aerosol transmission characteristics in adjacent spaces in home settings and assess associated infection risks. The study evaluated the effects of factors such as outdoor wind speed, door gap leakage, and door opening actions on aerosol concentration and infection risk across various areas. Key conclusions include the following: Under prolonged lack of ventilation, aerosol leakage through the door gap is minimal, with the average aerosol concentration outside the bedroom remaining low (<0.04). In the absence of ventilation, aerosol accumulation primarily occurs within the bedroom. Under ventilated conditions, door gap leakage may increase infection risk in adjacent areas, suggesting a stay duration of no more than 75 min to keep infection risk below 30%. The findings provide practical recommendations for airtight design and activity area selection within residential spaces, offering valuable guidance for effective infection control measures. Full article

Crimean–Congo hemorrhagic fever (CCHF) is a serious tick-borne disease with a wide geographical distribution. Classified as a level 4 biosecurity risk pathogen, CCHF can be transmitted cross-species due to its aerosol infectivity and ability to cause severe hemorrhagic fever outbreaks with high morbidity and mortality. However, current methods for detecting anti-CCHFV antibodies are limited. This study aimed to develop a novel luciferase immunosorbent assay (LISA) for the detection of CCHFV-specific IgG antibodies. We designed specific antigenic fragments of the nucleoprotein and evaluated their sensitivity and specificity in detecting IgG in serum samples from mice and horses. In addition, we compared the efficacy of our LISA to a commercial enzyme-linked immunosorbent assay (ELISA). Our results demonstrated that the optimal antigen for detecting anti-CCHFV IgG was located within the stalk cut-off domain of the nucleoprotein. The LISA exhibited high specificity for serum samples from indicated species and significantly higher sensitivity (at least 128 times) compared with the commercial ELISA. The proposed CCHFV-LISA has the potential to facilitate serological diagnosis and epidemiological investigation of CCHFV in natural foci, providing valuable technical support for surveillance and early warning of this disease. Full article

Resuspended particles from human activities can contribute to pathogen exposure via airborne fomite contamination in built environments. Studies investigating the dissemination of resuspended viruses are limited. The goal of this study was to explore viral dissemination after aerosolized resuspension via human activities on indoor flooring. Nylon carpet or wood flooring was seeded with virus (MS2) or virus laden dust then evaluated after activities, i.e., walking and vacuuming. Statistically significant differences were found in dispersal of virus laden dust after vacuuming carpet (p-value = 5.8 × 10⁻⁶) and wood (p-value = 0.003, distance > 12 in/30 cm). Significant differences were also found between floor materials and virus laden dust dispersal vacuuming (p = 2.09 × 10⁻⁵) and walking (p = 2.68 × 10⁻²). A quantitative microbial risk assessment (QMRA) scenario using Norovirus and a single fomite touch followed by a single hand-to-mouth touch indicated a statistically significant difference associated with virus laden dust particles and vacuuming carpet(p < 0.001). Infection risks were 1 to 5 log₁₀ greater for dust exposure. The greatest risk reductions from fomites were seen across vacuuming carpet no-dust scenarios for surfaces <30 cm from flooring. More research is needed to determine the role resuspension plays in exposure and transmission of potentially infectious agents. Full article

Given the potential risks of unknown and emerging infectious respiratory diseases, prioritizing an appropriate ventilation strategy is crucial for controlling aerosol droplet dispersion and mitigating cross-infection in hospital wards during post-epidemic periods. This study optimizes the layout of supply diffusers and exhaust outlets in a typical two-bed ward, employing a downward-supply and bottom-exhaust airflow pattern. Beyond ventilation, implementing strict infection control protocols is crucial, including regular disinfection of high-touch surfaces. CO₂ serves as a surrogate for exhaled gaseous pollutants, and a species transport model is utilized to investigate the airflow field under various configurations of vents. Comparisons of CO₂ concentrations at the respiratory planes of patients, accompanying staff (AS), and healthcare workers (HCWs) across nine cases are reported. A discrete phase model (DPM) is employed to simulate the spatial-temporal dispersion characteristics of four different particle sizes (3 μm, 12 μm, 20 μm, and 45 μm) exhaled by the infected patient (Patient 1) over 300 s. Ventilation effectiveness is evaluated using indicators like contaminant removal efficiency (CRE), suspension rate (SR), deposition rate (DER), and removal rate (RR) of aerosol droplets. The results indicate that Case 9 exhibits the highest CRE across all respiratory planes, indicating the most effective removal of gaseous pollutants. Case 2 shows the highest RR at 50.3%, followed by Case 1 with 40.4%. However, in Case 2, a significant portion of aerosol droplets diffuse towards Patient 2, potentially increasing the cross-infection risk. Balancing patient safety with pollutant removal efficacy, Case 1 performs best in the removal of aerosol droplets. The findings offer novel insights for the practical implementation of ventilation strategies in hospital wards, ensuring personnel health and safety during the post-epidemic period. Full article