Probable Evidence of Aerosol Transmission of SARS-COV-2 in a COVID-19 Outbreak of a High-Rise Building

Although it is well established that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can be transmitted through aerosols, the mode of long-range aerosol transmission in high-rise buildings remains unclear. In this study, we analyzed an outbreak of coronavirus disease 2019 (COVID-19) tha...

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Main Authors: Xiaoman Jiang, Chenlu Zhao, Yuezhu Chen, Xufang Gao, Qinlong Zhang, Zhenhua Chen, Changxiong Li, Xiaoyan Zhao, Zhijian Liu, Weiwei Huang, Wenjun Xie, Yong Yue
Format: Article
Language:English
Published: SAGE Publishing 2023-07-01
Series:Environmental Health Insights
Online Access:https://doi.org/10.1177/11786302231188269
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author Xiaoman Jiang
Chenlu Zhao
Yuezhu Chen
Xufang Gao
Qinlong Zhang
Zhenhua Chen
Changxiong Li
Xiaoyan Zhao
Zhijian Liu
Weiwei Huang
Wenjun Xie
Yong Yue
author_facet Xiaoman Jiang
Chenlu Zhao
Yuezhu Chen
Xufang Gao
Qinlong Zhang
Zhenhua Chen
Changxiong Li
Xiaoyan Zhao
Zhijian Liu
Weiwei Huang
Wenjun Xie
Yong Yue
author_sort Xiaoman Jiang
collection DOAJ
description Although it is well established that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can be transmitted through aerosols, the mode of long-range aerosol transmission in high-rise buildings remains unclear. In this study, we analyzed an outbreak of coronavirus disease 2019 (COVID-19) that occurred in a high-rise building in China. Our objective was to investigate the plausibility of aerosol transmission of SARS-CoV-2 by testing relevant environmental variables and measuring the dispersion of a tracer gas in the drainage system of the building. The outbreak involved 7 infected families, of which 6 were from vertically aligned flats on different floors. Environmenìtal data revealed that 3 families’ bathrooms were contaminated by SARS-CoV-2. In our tracer experiment, we injected tracer gas (CO 2 ) into the dry floor drains and into water-filled toilets in the index case’ s bathroom. Our findings showed that the gas could travel through vertical pipes by the dry floor drains, but not through the water of the toilets. This indicates that dry floor drains might facilitate the transmission of viral aerosols through the sewage system. On the basis of circumstantial evidence, long-range aerosol transmission may have contributed to the community outbreak of COVID-19 in this high-rise building. The vertical transmission of diseases through aerosols in high-rise buildings demands urgent attention.
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spelling doaj.art-ffe5855218844b1383cc9b7c04be001d2023-07-27T01:06:55ZengSAGE PublishingEnvironmental Health Insights1178-63022023-07-011710.1177/11786302231188269Probable Evidence of Aerosol Transmission of SARS-COV-2 in a COVID-19 Outbreak of a High-Rise BuildingXiaoman Jiang0Chenlu Zhao1Yuezhu Chen2Xufang Gao3Qinlong Zhang4Zhenhua Chen5Changxiong Li6Xiaoyan Zhao7Zhijian Liu8Weiwei Huang9Wenjun Xie10Yong Yue11Chengdu Center for Disease Control and Prevention, Chengdu, ChinaChengdu Center for Disease Control and Prevention, Chengdu, ChinaChengdu Center for Disease Control and Prevention, Chengdu, ChinaChengdu Center for Disease Control and Prevention, Chengdu, ChinaChengdu Center for Disease Control and Prevention, Chengdu, ChinaChengdu Center for Disease Control and Prevention, Chengdu, ChinaChengdu Center for Disease Control and Prevention, Chengdu, ChinaChenghua Center for Disease Control and Prevention, Chengdu, ChinaChenghua Center for Disease Control and Prevention, Chengdu, ChinaChengdu Center for Disease Control and Prevention, Chengdu, ChinaChengdu Center for Disease Control and Prevention, Chengdu, ChinaChengdu Center for Disease Control and Prevention, Chengdu, ChinaAlthough it is well established that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) can be transmitted through aerosols, the mode of long-range aerosol transmission in high-rise buildings remains unclear. In this study, we analyzed an outbreak of coronavirus disease 2019 (COVID-19) that occurred in a high-rise building in China. Our objective was to investigate the plausibility of aerosol transmission of SARS-CoV-2 by testing relevant environmental variables and measuring the dispersion of a tracer gas in the drainage system of the building. The outbreak involved 7 infected families, of which 6 were from vertically aligned flats on different floors. Environmenìtal data revealed that 3 families’ bathrooms were contaminated by SARS-CoV-2. In our tracer experiment, we injected tracer gas (CO 2 ) into the dry floor drains and into water-filled toilets in the index case’ s bathroom. Our findings showed that the gas could travel through vertical pipes by the dry floor drains, but not through the water of the toilets. This indicates that dry floor drains might facilitate the transmission of viral aerosols through the sewage system. On the basis of circumstantial evidence, long-range aerosol transmission may have contributed to the community outbreak of COVID-19 in this high-rise building. The vertical transmission of diseases through aerosols in high-rise buildings demands urgent attention.https://doi.org/10.1177/11786302231188269
spellingShingle Xiaoman Jiang
Chenlu Zhao
Yuezhu Chen
Xufang Gao
Qinlong Zhang
Zhenhua Chen
Changxiong Li
Xiaoyan Zhao
Zhijian Liu
Weiwei Huang
Wenjun Xie
Yong Yue
Probable Evidence of Aerosol Transmission of SARS-COV-2 in a COVID-19 Outbreak of a High-Rise Building
Environmental Health Insights
title Probable Evidence of Aerosol Transmission of SARS-COV-2 in a COVID-19 Outbreak of a High-Rise Building
title_full Probable Evidence of Aerosol Transmission of SARS-COV-2 in a COVID-19 Outbreak of a High-Rise Building
title_fullStr Probable Evidence of Aerosol Transmission of SARS-COV-2 in a COVID-19 Outbreak of a High-Rise Building
title_full_unstemmed Probable Evidence of Aerosol Transmission of SARS-COV-2 in a COVID-19 Outbreak of a High-Rise Building
title_short Probable Evidence of Aerosol Transmission of SARS-COV-2 in a COVID-19 Outbreak of a High-Rise Building
title_sort probable evidence of aerosol transmission of sars cov 2 in a covid 19 outbreak of a high rise building
url https://doi.org/10.1177/11786302231188269
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