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Position paper of the Gesellschaft für Aerosolforschung on understanding the role of aerosol particles in SARS-CoV-2 infection

  • Many studies have already shown that viruses can spread via aerosol particles. An aerosol is a mixture of air with solid or liquid particles dispersed in it. To understand the role of aerosol particles as a transmission path of SARS-CoV-2, knowledge of the different processes in an Aerosol is therefore of particular importance. With this paper, GAeF would like to contribute to a better understanding of the term “aerosol” and the relevant aerosol processes. In the context of this paper only the essential basics will be discussed. For a deeper understanding of the partly complex processes, please refer to the literature mentioned at the end of the paper. The paper summarises a large number of studies on the formation of virus-laden aerosol particles and their spread. Based on this, it can be concluded that exhaled aerosol particles may play a prominent role in the spread of viruses in the corona pandemic. Finally, this paper discusses possible measures to reduce the spread of aerosolMany studies have already shown that viruses can spread via aerosol particles. An aerosol is a mixture of air with solid or liquid particles dispersed in it. To understand the role of aerosol particles as a transmission path of SARS-CoV-2, knowledge of the different processes in an Aerosol is therefore of particular importance. With this paper, GAeF would like to contribute to a better understanding of the term “aerosol” and the relevant aerosol processes. In the context of this paper only the essential basics will be discussed. For a deeper understanding of the partly complex processes, please refer to the literature mentioned at the end of the paper. The paper summarises a large number of studies on the formation of virus-laden aerosol particles and their spread. Based on this, it can be concluded that exhaled aerosol particles may play a prominent role in the spread of viruses in the corona pandemic. Finally, this paper discusses possible measures to reduce the spread of aerosol particles. The measures discussed are based on the current public debate including ventilation, air purifiers, HVAC systems and masks. Advice is given on the correct and sensible use of these measures. An aerosol is always dynamic, as particles are newly formed, transported in or with the air, removed from the air or change in the airborne state. Aerosol particles have sizes between approx. 0.001 and several 100 micrometres (and not < 5 μm as currently defined in many publications) and spread relatively quickly with air currents, even over longer distances. Larger aerosol particles sink to the ground, depending on their size and density, while small aerosol particles can remain in the air for a very long time (see Section 3). Every person emits liquid aerosol particles of various sizes through breathing and when speaking, coughing and sneezing (see Section 4). If a person is infected with a virus, such as SARS-CoV-2, these aerosol particles can contain viruses that can be released into the air and inhaled by other people. SARS-CoV-2 has a size of 0.06 to 0.14 micrometres, but the exhaled liquid aerosol particles are larger. The liquid aerosol particles can shrink by evaporation, depending on the ambient conditions (see Section 3.3). Particle size is relevant for particle transport and particle separation. The highest risk of infection exists in closed indoor spaces, as aerosol particles can accumulate there. Here in particular, appropriate measures must be taken to reduce the concentration of aerosol particles (see Section 5). Against the background of aerosol science, the GAeF classifies the current measures to contain the pandemic as follows: • In principle, no measure can work on its own! According to the current state of knowledge, the interaction of the most varied measures is the best way to minimise the risk of infection. • Keeping distance is important, because with increasing distance, directly exhaled viruses are diluted and the probability of infection decreases. The often prescribed minimum distance can be used as a guide, but it should be increased and supplemented by other measures (see below), especially for longer meetings and also indoors with reduced air movement. • Masks help to filter some of the exhaled particles (and viruses). This reduces the concentration of exhaled particles (and viruses) in a room and thus the risk of infection. It should be noted here that the exhaled aerosol particles are relatively large due to adhering moisture and can therefore also be efficiently retained by simple masks. However, since these particles shrink with longer dwell time in the room air, simple mouth-nose masks are less efficient for self-protection. Respiratory masks are required for this purpose, which show a high degree of separation even for fine particles, e.g. of classes FFP2, N95 or KN95. These are efficient for both self-protection and protection of others unless they have an exhalation valve. Masks with an exhalation valve, on the other hand, are only for self-protection and therefore contradict the solidarity concept that fellow human beings are protected by collective mask wearing. Face shields which are used without additional masks are largely useless with regard t• aerosol particles, as the air with particles (and viruses) flows unfiltered around the shields. In everyday clinical practice, facial shields are worn in addition to masks to prevent droplet infection via the mucous membranes of the eyes. Mobile or permanently installed Plexiglas barriers are also largely ineffective against the spread of aerosols indoors. These can only prevent the smallscale spread of an aerosol in the short term, e.g. in the checkout area of a supermarket, but offer no protection in the longer term. Face shields and Plexiglas panels essentially serve as spit and splash protection against large droplets. • Outdoors, there are practically no infections caused by aerosol transmission. However, droplet infections can still occur, especially in crowds, if minimum distances are not observed and/or masks are not worn. In closed rooms, ventilation is essential to replace the exhaled air in a room with fresh air from outside. Frequent airing and cross-ventilation is just as effective as leaving the window open all the time. From an energy point of view, however, it is more efficient to ventilate the room, especially in winter. CO2 monitors can help to monitor indoor air quality. They indicate when it is necessary to ventilate and when the air in a room has been sufficiently changed during ventilation. However, they can only be used as an indicator and even if the proposed CO2 limit concentrations are met, they do not prevent direct infection by people in the immediate vicinity. • Air purifiers can make a useful contribution to reducing the concentration of particles and viruses in a room. When procuring air purifiers, care must be taken to ensure that they are adequately dimensioned for the room and application in question in order to significantly reduce the particle and virus load. The air throughput of the unit is more important than the pure efficiency of the filter. For energy and cost reasons, the use of highly efficient filters can even be counterproductive. Permanently installed ventilation systems can also be useful, provided they filter the air to reduce the particle and virus load in a room. To avoid infections, it is advisable to operate them with 100 % fresh air if possible. From the point of view of the Gesellschaft für Aerosolforschung, there is a considerable need for research, especially at the interdisciplinary borders to research fields of epidemiology, infectiology, virology, ventilation technology and fluid mechanics. The implementation of targeted studies should be made possible at short notice with special funding and research programmes. This paper was written originally in German by members of the Gesellschaft für Aerosolforschung and is supported by a large number of international aerosol experts. Both the English and German version as well as all images in the paper are available for free download at the following link: https://www.info.gaef.de/positionspapier. The “Gesellschaft für Aerosolforschung e. V.” must be named as the source, whenever an image is used.zeige mehrzeige weniger

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Autor*innen:C. Asbach, A. Held, A. Kiendler-Scharr, G. Scheuch, H.-J. Schmid, S. Schmitt, S. Schumacher, B. Wehner, E. Weingartner, B. Weinzierl, Harald Bresch, Stefan SeegerORCiD, u.a.
Dokumenttyp:Sonstiges
Veröffentlichungsform:Graue Literatur
Sprache:Englisch
Jahr der Erstveröffentlichung:2021
Organisationseinheit der BAM:4 Material und Umwelt
4 Material und Umwelt / 4.2 Material-Mikrobiom Wechselwirkungen
Verlag:Association for Aerosol Research
Verlagsort:Köln
Erste Seite:1
Letzte Seite:48
DDC-Klassifikation:Technik, Medizin, angewandte Wissenschaften / Ingenieurwissenschaften / Sanitär- und Kommunaltechnik; Umwelttechnik
Freie Schlagwörter:Aerosol; COVID; Corona; GAeF; SARS
Themenfelder/Aktivitätsfelder der BAM:Umwelt
DOI:10.5281/zenodo.4350494
URL:https://www.info.gaef.de/_files/ugd/fab12b_d8d88393f90240cdbea63c88c09887ef.pdf
Verfügbarkeit des Dokuments:Datei im Netzwerk der BAM verfügbar ("Closed Access")
Datum der Freischaltung:09.12.2021
Referierte Publikation:Nein
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