Association of regional Covid-19 mortality with indicators of indoor ventilation, including temperature and wind: insights into the upcoming winter (original) (raw)

COVID-19 is in the air: Why are we still ignoring the importance of ventilation?

Ingeniería e Investigación, 2021

The main transmission mechanism of the SARS-CoV-2 virus is airborne, particularly in poorly ventilated indoor environments. Recognizing the importance of this mechanism has taken a long time, despite the evidence generated by aerosol scientists from an early stage of the pandemic. Hence, measures applied more widely by the population have focused on the disinfection of surfaces, often in an exaggerated way, while measures focused on reducing the concentration of aerosols in indoor environments, such as adequate ventilation and air filtration, have been timidly promoted. In addition to the progress of the National Vaccination Plan, it is necessary to intensify transmission prevention measures for a safer reopening of the economy. It is therefore urgent, to educate and generate clear guidelines for the evaluation and improvement of ventilation in indoor spaces.

Effects of Air Temperature on COVID-19 Case Fatality Rate

Contemporary Economics, 2021

The aim of this study was to assess the case fatality rate (CFR) of COVID-19 by performing a meta-analysis according to the air temperature and to determine if the temperature modifies the pandemic duration to the peak day for CFR of the COVID-19. A novel coronavirus spread began in December 2019 in Wuhan, China, and half a year after, more than 9 million total cases were confirmed worldwide. Therefore, knowing the conditions favorable for the spread of the virus (including weather conditions) is crucial from the perspective of the entire population. Using information from the World Health Organization, subgroup meta-analysis by temperature was performed. Survival analysis using the Kaplan-Meier estimates and the Cox proportional hazards models was conducted. Based on the conducted analysis we can conclude that in countries with temperature equal or lower than 14.8°C the pooled CFR of COVID-19 is higher than in countries with temperature greater than 14.8°C. Besides, in countries with lower temperature the peak of the CFR appears after a longer time from the first case of the novel coronavirus than in countries with higher temperature.

Impact of Covid-19 on Heating, Ventilation and Air - Conditioning Systems

TEM Journal

People spend much of their lives indoors, so air quality is particularly important to their health, ability to work, and well-being. The COVID -19 pandemic has heightened people's awareness of the importance of maintaining high indoor air quality. Such an emergency has underscored the need for adequate heating, ventilation and air conditioning systems that can provide a good indoor air quality, especially ventilation systems as important players in preventing and reducing the risk of airborne infections. In this paper, we review natural and mechanical ventilation and their roles in dealing with coronavirus, focusing on key factors for healthy indoor air. Two pillars are critical for ventilation: increased air exchange rate and air filtration in ventilation systems.

Ventilation for Residential Buildings: Critical Assessment of Standard Requirements in the COVID-19 Pandemic Context

Frontiers in Built Environment, 2021

After the arrival of a new airborne virus to the world, science is aiming to develop solutions to withstand the spread and contagion of SARS-CoV-2. The most severe among the adopted measures is to remain in home isolation for a significant number of hours per day, to avoid the spreading of the infection in an uncontrolled way through public spaces. Recent literature showed that the primary route of transmission is via aerosols, especially produced in poorly ventilated inner spaces. Spain has reached very high levels concerning contagion rates, accumulated incidence, or number of hospitalizations due to COVID-19. Therefore, this article aims to develop a quantitative and qualitative analysis of the requirements established in Spain, with respect to the European framework in reference to ventilation parameters indoors. The different parameters that serve as calculation for the ventilation flow in homes are analyzed to this aim. Results show that the criteria established in the applica...

Effects of environmental factors on severity and mortality of COVID-19

2020

ABSTRACTBackgroundMost respiratory viruses show pronounced seasonality, but for SARS-CoV-2 this still needs to be documented.MethodsWe examined the disease progression of COVID-19 in 6,914 patients admitted to hospitals in Europe and China. In addition, we evaluated progress of disease symptoms in 37,187 individuals reporting symptoms into the COVID Symptom Study application.FindingsMeta-analysis of the mortality risk in seven European hospitals estimated odds ratios per one day increase in the admission date to be 0.981 (0.973-0.988, p<0.001) and per increase in ambient temperature of one degree Celsius to be 0.854 (0.773-0.944, p=0.007). Statistically significant decreases of comparable magnitude in median hospital stay, probability of transfer to Intensive Care Unit and need for mechanical ventilation were also observed in most, but not all hospitals. The analysis of individually reported symptoms of 37,187 individuals in the UK also showed the decrease in symptom duration and...

ICU admissions and in-hospital deaths linked to covid-19 in the Paris region are correlated with previously observed ambient temperature

2020

OBJECTIVE To study the effect of weather on severity indicators of coronavirus disease 2019 (covid-19). DESIGN Ecological study. SETTING Paris region. POPULATION Severely ill patients with covid-19. MAIN OUTCOME MEASURES Daily covid-19-related intensive care unit (ICU) admission and in-hospital deaths in the Paris region, and the daily weather characteristics of Paris midtown. RESULTS Daily ICU admissions and in-hospital deaths were strongly and negatively correlated to ambient temperatures, with a time lag. The highest Pearson correlation coefficients and statistically significant P values were found 8 days before occurrence of ICU admissions and 15 days before deaths. CONCLUSIONS The study findings show a strong effect of previously observed ambient temperature that has an effect on severity indicators of covid-19.

The Prevalence of COVID-19 Among Health Care Personnel in a University Hospital by the End of 2020, and Ambient Air CO2 in Hospital Rooms Ventilated by Window-Opening in 2021/22

Strojniški vestnik - Journal of Mechanical Engineering

In autumn and winter 2020/21 and again in 2021/22 Slovenia has ranked among countries with the highest incidence of COVID-19 per million inhabitants and high excess mortality over the average of previous years. Many patients on non-COVID-19 hospital wards were in fact infected by SARS-CoV-2. Health care personnel at the University Medical Centre Ljubljana (UMCL) were falling ill by Covid-19 in large numbers despite wearing surgical masks and eye protection when dealing with patients. We compared the prevalence of COVID-19 among health care personnel of the Division of Internal Medicine, UMCL by the end of December 2020 with the national average of Slovenia. After instructions had been issued to increase room ventilation by opening windows every hour for at least 10 minutes, ambient air CO2 was measured in an intensive care room and in an outpatient clinic room during a 10-month period, from April 2021 to February 2022. The prevalence of COVID-19 by the end of December 2020 was 42 % ...