[Transmission of Sars-Cov-2 and ventilation of indoor environments. Technical notes and preventive measures].

Igiene e sanita pubblica Pub Date : 2020-03-01
Romina Sezzatini, Martina Sapienza, Floriana D'Ambrosio, Umberto Moscato, Patrizia Laurenti
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Abstract

Knowledge about the new infectious disease COVID-19, which first spread in the city of Wuhan in China, in December 2019, is based on the evidence retrieved from coronaviruses previously known to humans. The main transmission ways of the new SARS-CoV-2 virus are respiratory droplets and direct and close contact with infected individuals and contaminated surfaces. To date, some scientific publications provide initial evidence that SARS-CoV-2 can be detected in the air, thus assuming a further route of infection, that airborne, although these results are to be considered preliminary and they need careful interpretation. In support of this hypothesis, ventilation systems, aimed to improve indoor air, could represent an easy way to spread and promote the virus infection especially in hospitals and in all health facilities where the presence of infected individuals is potentially high as well as the possibility of infection by air. Indeed, by generating jets of air at different speeds, they can interfere with the mission of respiratory particles and determine an environmental diffusion of the potentially contaminating droplet. Therefore, ventilation systems could provide a potential transmission channel for the viral load able to spread out in indoor air. Nonetheless, good management, technical and operational practices may lead to a low risk of contagion, both in community and health environments.

[新冠病毒的传播与室内环境的通风。]技术说明和预防措施]。
新型传染病COVID-19于2019年12月首次在中国武汉市传播,有关这种疾病的知识是基于从人类已知的冠状病毒中提取的证据。新型SARS-CoV-2病毒的主要传播途径是呼吸道飞沫和与感染者和污染表面的直接和密切接触。迄今为止,一些科学出版物提供了初步证据,表明SARS-CoV-2可以在空气中检测到,从而假设了空气中的进一步感染途径,尽管这些结果被认为是初步的,需要仔细解释。为了支持这一假设,旨在改善室内空气的通风系统可能是传播和促进病毒感染的一种简单方式,特别是在医院和所有卫生设施中,受感染个体的存在可能很高,并且有可能通过空气感染。事实上,通过产生不同速度的气流,它们可以干扰呼吸颗粒的任务,并决定潜在污染液滴的环境扩散。因此,通风系统可以为能够在室内空气中扩散的病毒载量提供潜在的传播渠道。尽管如此,良好的管理、技术和操作做法可能导致在社区和卫生环境中传染的风险较低。
本文章由计算机程序翻译,如有差异,请以英文原文为准。
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