China CDC Key Laboratory of Environment and Population Health, National Institute of Environmental Health, Chinese Center for Disease Control and Prevention, Beijing, China.
Changchun Center for Disease Control and Prevention, Changchun, Jilin, China.
Front Public Health. 2023 Jan 12;10:1052610. doi: 10.3389/fpubh.2022.1052610. eCollection 2022.
During the COVID-19 pandemic, many buildings in northeast China have had clusters of infected cases in the vertical layout. There is speculation that vertical aerosol transmission occurs. The houses in northeast China are airtight, and range hoods may be used for a long period of time when cooking. The pathway and factors influencing vertical aerosol transmission are worth studying. To elucidate a viral aerosol transmission pathway, we selected a multistory apartment and a high-rise building in Changchun city, Jilin province, China, to conduct an in-depth investigation and on-site simulation experiments. According to epidemiological investigation information on infected cases, building structures, drainage, ventilation, etc., we used fluorescent microspheres to simulate the behaviors of infected people, such as breathing and flushing the toilet after defecation, to discharge simulated viruses and track and monitor them. The field simulation experiment confirmed the transmission of fluorescent microsphere aerosols to other rooms in two types of buildings using a vertical aerosol transmission pathway of toilet flush-sewage pipe-floor drain without a water seal. Our study showed that, in the absence of a -shaped trap or floor drain water seal whether in a multistory apartment or high-rise residential building, there is a transmission pathway of "excretion of virus through feces-toilet flushing-sewage pipe-floor drain without water seal," which will cause the vertical transmission of viral aerosol across floors during the COVID-19 pandemic. Moreover, the negative pressure generated by turning on the range hood when closing doors and windows increase aerosol transmission. Based on this negative pressure, prevention and control measures for residential buildings in northeast China during the COVID-19 pandemic were proposed.
在新冠疫情期间,中国东北地区的许多建筑物都出现了垂直布局的感染病例集群,有人推测存在垂直气溶胶传播。中国东北地区的房屋密封性较好,且在烹饪时可能会长时间使用抽油烟机。垂直气溶胶传播的途径和影响因素值得研究。为了阐明病毒气溶胶传播途径,我们选择了中国吉林省长春市的一栋多层公寓楼和一栋高层住宅楼进行深入调查和现场模拟实验。根据感染病例的流行病学调查信息、建筑结构、排水、通风等情况,我们使用荧光微球模拟感染者如呼吸和便后冲厕等行为,排出模拟病毒并对其进行跟踪和监测。现场模拟实验证实,通过垂直气溶胶传播途径——马桶冲水-污水管-无存水弯的地漏,两种类型的建筑物中的荧光微球气溶胶可传播到其他房间。我们的研究表明,在多层公寓楼或高层住宅建筑中,即使没有 U 形存水弯或地漏存水弯,也存在“粪便排出病毒-马桶冲水-污水管-无存水弯”的传播途径,这将导致新冠疫情期间病毒气溶胶跨楼层垂直传播。此外,当门窗关闭时,抽油烟机的运行会产生负压,从而增加气溶胶的传播。基于此负压,我们提出了中国东北地区在新冠疫情期间住宅建筑的防控措施。