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通风不良加剧呼吸道传染病的短距离空气传播。

Poor ventilation worsens short-range airborne transmission of respiratory infection.

机构信息

Department of Mechanical Engineering, The University of Hong Kong, Hong Kong SAR, China.

出版信息

Indoor Air. 2022 Jan;32(1):e12946. doi: 10.1111/ina.12946. Epub 2021 Oct 27.

Abstract

To explain the observed phenomenon that most SARS-CoV-2 transmission occurs indoors whereas its outdoor transmission is rare, a simple macroscopic aerosol balance model is developed to link short- and long-range airborne transmission. The model considers the involvement of exhaled droplets with initial diameter ≤50 µm in the short-range airborne route, whereas only a fraction of these droplets with an initial diameter within 15 µm or equivalently a final diameter within 5 µm considered in the long-range airborne route. One surprising finding is that the room ventilation rate significantly affects the short-range airborne route, in contrast to traditional belief. When the ventilation rate in a room is insufficient, the airborne infection risks due to both short- and long-range transmission are high. A ventilation rate of 10 L/s per person provides a similar concentration vs distance decay profile to that in outdoor settings, which provides additional justification for the widely adopted ventilation standard of 10 L/s per person. The newly obtained data do not support the basic assumption in the existing ventilation standard ASHRAE 62.1 (2019) that the required people outdoor air rate is constant if the standard is used directly for respiratory infection control. Instead, it is necessary to increase the ventilation rate when the physical distance between people is less than approximately 2 m.

摘要

为了解释大多数 SARS-CoV-2 传播发生在室内而其室外传播罕见的观察现象,开发了一个简单的宏观气溶胶平衡模型,将短程和远程空气传播联系起来。该模型考虑了初始直径≤50 µm 的呼出飞沫在短程空气传播途径中的参与,而只有初始直径在 15 µm 或等效的最终直径在 5 µm 范围内的这些飞沫的一部分在远程空气传播途径中被考虑。一个令人惊讶的发现是,房间通风率显著影响短程空气传播途径,这与传统观念相反。当房间内的通风率不足时,由于短程和远程传播,空气传播感染的风险都很高。每人 10 L/s 的通风率提供了与室外设置相似的浓度与距离衰减曲线,这为广泛采用的每人 10 L/s 的通风标准提供了额外的依据。新获得的数据不支持现有通风标准 ASHRAE 62.1(2019)的基本假设,即如果直接将该标准用于呼吸道感染控制,则所需的人员室外空气率是恒定的。相反,如果人与人之间的物理距离小于约 2 m,则需要增加通风率。

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