Probable Aerosol Transmission of SARS-CoV-2 through Floors and Walls of Quarantine Hotel, Taiwan, 2021

We investigated a cluster of SARS-CoV-2 infections in a quarantine hotel in Taiwan in December 2021. The cluster involved 3 case patients who lived in nonadjacent rooms on different floors. They had no direct contact during their stay. By direct exploration of the space above the room ceilings, we...

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Main Authors: Hsin-Yi Wei, Cheng-Ping Chang, Ming-Tsan Liu, Jung-Jung Mu, Yu-Ju Lin, Yu-Tung Dai, Chia-ping Su
Format: Article
Language:English
Published: Centers for Disease Control and Prevention 2022-12-01
Series:Emerging Infectious Diseases
Subjects:
Online Access:https://wwwnc.cdc.gov/eid/article/28/12/22-0666_article
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author Hsin-Yi Wei
Cheng-Ping Chang
Ming-Tsan Liu
Jung-Jung Mu
Yu-Ju Lin
Yu-Tung Dai
Chia-ping Su
author_facet Hsin-Yi Wei
Cheng-Ping Chang
Ming-Tsan Liu
Jung-Jung Mu
Yu-Ju Lin
Yu-Tung Dai
Chia-ping Su
author_sort Hsin-Yi Wei
collection DOAJ
description We investigated a cluster of SARS-CoV-2 infections in a quarantine hotel in Taiwan in December 2021. The cluster involved 3 case patients who lived in nonadjacent rooms on different floors. They had no direct contact during their stay. By direct exploration of the space above the room ceilings, we found residual tunnels, wall defects, and truncated pipes between their rooms. We conducted a simplified tracer-gas experiment to assess the interconnection between rooms. Aerosol transmission through structural defects in floors and walls in this poorly ventilated hotel was the most likely route of virus transmission. This event demonstrates the high transmissibility of Omicron variants, even across rooms and floors, through structural defects. Our findings emphasize the importance of ventilation and integrity of building structure in quarantine facilities.
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spelling doaj.art-a785a805f3c34a708191136887a6e2f02022-12-22T04:39:52ZengCenters for Disease Control and PreventionEmerging Infectious Diseases1080-60401080-60592022-12-0128122374238210.3201/eid2812.220666Probable Aerosol Transmission of SARS-CoV-2 through Floors and Walls of Quarantine Hotel, Taiwan, 2021Hsin-Yi WeiCheng-Ping ChangMing-Tsan LiuJung-Jung MuYu-Ju LinYu-Tung DaiChia-ping Su We investigated a cluster of SARS-CoV-2 infections in a quarantine hotel in Taiwan in December 2021. The cluster involved 3 case patients who lived in nonadjacent rooms on different floors. They had no direct contact during their stay. By direct exploration of the space above the room ceilings, we found residual tunnels, wall defects, and truncated pipes between their rooms. We conducted a simplified tracer-gas experiment to assess the interconnection between rooms. Aerosol transmission through structural defects in floors and walls in this poorly ventilated hotel was the most likely route of virus transmission. This event demonstrates the high transmissibility of Omicron variants, even across rooms and floors, through structural defects. Our findings emphasize the importance of ventilation and integrity of building structure in quarantine facilities. https://wwwnc.cdc.gov/eid/article/28/12/22-0666_articleCOVID-19aerosol transmissionquarantine hotelSARS-CoV-2coronavirus diseasesevere acute respiratory syndrome coronavirus 2
spellingShingle Hsin-Yi Wei
Cheng-Ping Chang
Ming-Tsan Liu
Jung-Jung Mu
Yu-Ju Lin
Yu-Tung Dai
Chia-ping Su
Probable Aerosol Transmission of SARS-CoV-2 through Floors and Walls of Quarantine Hotel, Taiwan, 2021
Emerging Infectious Diseases
COVID-19
aerosol transmission
quarantine hotel
SARS-CoV-2
coronavirus disease
severe acute respiratory syndrome coronavirus 2
title Probable Aerosol Transmission of SARS-CoV-2 through Floors and Walls of Quarantine Hotel, Taiwan, 2021
title_full Probable Aerosol Transmission of SARS-CoV-2 through Floors and Walls of Quarantine Hotel, Taiwan, 2021
title_fullStr Probable Aerosol Transmission of SARS-CoV-2 through Floors and Walls of Quarantine Hotel, Taiwan, 2021
title_full_unstemmed Probable Aerosol Transmission of SARS-CoV-2 through Floors and Walls of Quarantine Hotel, Taiwan, 2021
title_short Probable Aerosol Transmission of SARS-CoV-2 through Floors and Walls of Quarantine Hotel, Taiwan, 2021
title_sort probable aerosol transmission of sars cov 2 through floors and walls of quarantine hotel taiwan 2021
topic COVID-19
aerosol transmission
quarantine hotel
SARS-CoV-2
coronavirus disease
severe acute respiratory syndrome coronavirus 2
url https://wwwnc.cdc.gov/eid/article/28/12/22-0666_article
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