Factors Affecting Indoor Air against the Transmission Risk of Coronavirus Disease 2019: Systematic Review and Policy Analysis

Mustika Marwah, B. Wispriyono, D. Susanna, A. Kusuma, Eli Djulejic
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Abstract

BACKGROUND:Coronavirus disease 2019 (COVID-19) is thought to be transmitted primarily through droplets and contaminated surfaces through aerosols. AIM: Therefore, this study aims to identify the risk of COVID-19 agents in aerosol form and how indoor air control technique plays a role in the risk of disease transmission. It also examines the existing policies as administrative controls in managing the risk of COVID-19 transmission through indoor air control techniques. METHODS: This is a systematic review and policy study carried out in line with the preferred reporting item for systematic review and meta-analysis guidelines using ProQuest, PubMed, ScienceDirect, and Scopus databases. Furthermore, the search strategy was carried out using keywords with the Boolean AND and OR operations, namely, “COVID-19 AND (Transmission OR Spread) AND (aerosol OR airborne OR microdroplet) AND (Indoor OR Indoor Air OR Ventilation). RESULTS: In the policy review, the analysis unit was obtained from the official websites of the Indonesian Government and World Health  Organization in the form of regulations, recommendations, guidelines, or other protocols that regulate indoor activities during the pandemic. There is a risk of COVID-19 agents from aerosols in indoor air. Meanwhile, the control of indoor air techniques plays a role in reducing the risk of transmission through aerosols by (1) increasing the exchange of indoor with outdoor air, (2) using air purifiers, and (3) paying attention to the layout of ventilation devices, airflow direction and distribution, as well as the flow of clean and dirty air in a room. CONCLUSION: Based on the results, the existing policies are still minimal in preventing transmission risk through indoor aerosols; hence, policy development is needed.
影响室内空气对抗2019冠状病毒疾病传播风险的因素:系统回顾和政策分析
背景:2019冠状病毒病(新冠肺炎)被认为主要通过飞沫传播,并通过气溶胶传播受污染的表面。目的:因此,本研究旨在确定气溶胶形式的新冠肺炎制剂的风险,以及室内空气控制技术如何在疾病传播风险中发挥作用。它还审查了现有政策,作为通过室内空气控制技术管理新冠肺炎传播风险的行政控制措施。方法:这是一项系统综述和政策研究,根据系统综述和荟萃分析指南的首选报告项目,使用ProQuest、PubMed、ScienceDirect和Scopus数据库进行。此外,使用具有布尔AND和OR运算的关键字来执行搜索策略,即,“新冠肺炎与(传播或传播)与(气雾剂或空气传播或微滴)与(室内或室内空气或通风)结果:在政策审查中,分析单位是从印度尼西亚政府和世界卫生组织的官方网站上以法规、建议、指南或其他协议的形式获得的,这些法规、建议或协议规范了疫情期间的室内活动。室内空气中的气溶胶有感染新冠肺炎病原体的风险。同时,室内空气技术的控制通过(1)增加室内外空气的交换,(2)使用空气净化器,以及(3)注意通风设备的布局、气流方向和分布,以及房间内清洁和污浊空气的流动,在降低气溶胶传播风险方面发挥了作用。结论:根据研究结果,现有政策在预防室内气溶胶传播风险方面仍然很小;因此,需要制定政策。
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来源期刊
自引率
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发文量
1225
期刊介绍: Open Access Macedonian Journal of Medical Sciences (OAMJMS) [formerly known as Macedonian Journal of Medical Sciences] is a top-tier open access medical science journal published by the ID Design 2012/DOOEL Skopje, Rajko Zhinzifov No 48, 1000 Skopje, Republic of Macedonia. OAMJMS is an international, modern, general medical journal covering all areas in the medical sciences, from basic studies to large clinical trials and cost-effectiveness analyses. We publish mostly human studies that substantially enhance our understanding of disease epidemiology, etiology, and physiology; the development of prognostic and diagnostic technologies; trials that test the efficacy of specific interventions and those that compare different treatments; and systematic reviews. We aim to promote translation of basic research into clinical investigation, and of clinical evidence into practice. We publish occasional studies in animal models when they report outstanding research findings that are highly clinically relevant. Our audience is the international medical community as well as educators, policy makers, patient advocacy groups, and interested members of the public around the world. OAMJMS is published quarterly online version. The Open Access Macedonian Journal of Medical Sciences (OAMJMS) publishes Medical Informatics, Basic Science, Clinical Science, Case Report, Brief Communication, Public Health, Public Policy, and Review Article from all fields of medicine and related fields. This journal also publishes, continuously or occasionally, the bibliographies of the members of the Society, medical history, medical publications, thesis abstracts, book reviews, reports on meetings, i­n­formation on future meetings, important events and dates, and various headings which contribute to the development of the corresponding scientific field.
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