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A Risk Assessment Scheme of Infection Transmission Indoors Incorporating the Impact of Resuspension

机译:结合重悬影响的室内感染传播风险评估方案

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摘要

A new risk assessment scheme was developed to quantify the impact of resuspension to infection transmission indoors. Airborne and surface pathogenic particle concentration models including the effect of two major resuspension scenarios (airflow-induced particle resuspension [AIPR] and walking-induced particle resuspension [WIPR]) were derived based on two-compartment mass balance models and validated against experimental data found in the literature. The inhalation exposure to pathogenic particles was estimated using the derived airborne concentration model, and subsequently incorporated into a dose-response model to assess the infection risk. Using the proposed risk assessment scheme, the influences of resuspension towards indoor infection transmission were examined by two hypothetical case studies. In the case of AIPR, the infection risk increased from 0 to 0.54 during 0-0.5 hours and from 0.54 to 0.57 during 0.5-4 hours. In the case of WIPR, the infection risk increased from 0 to 0.87 during 0-0.5 hours and from 0.87 to 1 during 0.5-4 hours. Sensitivity analysis was conducted based on the design-of-experiments method and showed that the factors that are related to the inspiratory rate of viable pathogens and pathogen virulence have the most significant effect on the infection probability under the occurrence of AIPR and WIPR. The risk assessment scheme could serve as an effective tool for the risk assessment of infection transmission indoors.
机译:开发了一种新的风险评估方案,以量化重新悬浮对室内感染传播的影响。基于两室质量平衡模型,得出了包括两个主要重悬场景(气流引起的颗粒重悬[AIPR]和步行引起的颗粒重悬[WIPR])影响的机载和表面病原性颗粒浓度模型,并针对实验数据进行了验证在文学中。使用派生的空气传播浓度模型估算致病性颗粒的吸入暴露,然后将其纳入剂量反应模型以评估感染风险。使用拟议的风险评估方案,通过两个假设的案例研究,研究了悬浮对室内感染传播的影响。对于AIPR,感染风险在0-0.5小时内从0增加到0.54,在0.5-4小时内从0.54增加到0.57。对于WIPR,感染风险在0-0.5小时内从0增加到0.87,在0.5-4小时内从0.87增加到1。根据实验设计方法进行了敏感性分析,结果表明,在AIPR和WIPR发生的情况下,与活病原体吸气率和病原体毒力有关的因素对感染可能性的影响最大。该风险评估方案可以作为室内感染传播风险评估的有效工具。

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