{"id":3885,"date":"2021-04-01T13:09:18","date_gmt":"2021-04-01T13:09:18","guid":{"rendered":"http:\/\/thales.mit.edu\/bush\/?p=3885"},"modified":"2021-04-28T01:40:40","modified_gmt":"2021-04-28T01:40:40","slug":"beyond-six-feet-a-guideline-to-limit-indoor-airborne-transmission-of-covid-19","status":"publish","type":"post","link":"http:\/\/thales.mit.edu\/bush\/index.php\/2021\/04\/01\/beyond-six-feet-a-guideline-to-limit-indoor-airborne-transmission-of-covid-19\/","title":{"rendered":"New COVID-19 indoor safety guideline"},"content":{"rendered":"\n<div class=\"wp-block-cover alignwide has-subtle-background-color has-background-dim\"><div class=\"wp-block-cover__inner-container is-layout-flow wp-block-cover-is-layout-flow\">\n<figure class=\"wp-block-image size-large is-style-twentytwentyone-border\"><img loading=\"lazy\" decoding=\"async\" width=\"1041\" height=\"463\" src=\"http:\/\/thales.mit.edu\/bush\/wp-content\/uploads\/2021\/03\/guideline.jpg\" alt=\"\" class=\"wp-image-4219\"\/><figcaption>S<em>afety guideline applied to classrooms and nursing homes makes clear the importance of ventilation and mask use.<\/em><\/figcaption><\/figure>\n\n\n\n<p class=\"has-text-align-left tw-text-wide has-small-font-size\">The current revival of the world\u2019s economy is being predicated on social distancing, specifically the Six-Foot Rule, a guideline that offers little protection from pathogen-bearing aerosol droplets sufficiently small to be continuously mixed through an indoor space. The importance of airborne transmission of COVID-19 is now widely recognized. While tools for risk assessment have recently been developed, no safety guideline has been proposed to protect against it. We here build upon models of airborne disease transmission in order to derive an indoor safety guideline that would impose an upper bound on the \u201ccumulative exposure time\u201d, the product of the number of occupants and their time in an enclosed space. We demonstrate how this bound depends on the rates of ventilation and air filtration, dimensions of the room, breathing rate, respiratory activity and face-mask use of its occupants, and infectiousness of the respiratory aerosols. By synthesizing available data from the best characterized indoor spreading events with respiratory drop-size distributions, we estimate an infectious dose on the order of ten aerosol-borne virions. The new virus is thus inferred to be an order of magnitude more infectious than its forerunner (SARS-CoV), consistent with the pandemic status achieved by COVID-19. Case studies are presented for class-rooms and nursing homes, and a spreadsheet and online app are provided to facilitate use of our guideline. Implications for contact tracing and quarantining are considered, appropriate caveats enumerated. Particular consideration is given to respiratory jets, which may substantially elevate risk when face masks are not worn.<br><br>See paper:  <a href=\"https:\/\/www.pnas.org\/content\/118\/17\/e2018995118\" target=\"_blank\" rel=\"noreferrer noopener\">Bazant, M.Z. and Bush, J.W.M.  Guideline to Limit Indoor Airborne Transmission of COVID-19, PNAS (2021)<\/a><br><br>SELECT PRESS : <\/p>\n\n\n\n<p class=\"has-text-align-left\" style=\"font-size:17px\"><\/p>\n\n\n\n<p class=\"has-text-align-left\" style=\"font-size:17px\"><a href=\"https:\/\/noticias.r7.com\/saude\/mascara-reduz-em-6-vezes-risco-de-aluno-contrair-covid-19-na-escola-16042021\" target=\"_blank\" rel=\"noreferrer noopener\">M\u00e1scara reduz em 6 vezes risco de aluno contrair covid-19 na escola<\/a>, R7, Brazil, April 16, 2021.<br><a href=\"https:\/\/news.mit.edu\/2021\/covid-19-risks-indoor-0415\">A method to assess Covid-19 transmission risks in indoor settings<\/a>, MIT News, April 15, 2021.<br><a href=\"https:\/\/www.ihrsa.org\/improve-your-club\/mit-app-helps-businesses-quantify-covid-19-risk-safety\/\" target=\"_blank\" rel=\"noreferrer noopener\">MIT App Helps Businesses Quantify COVID-19 Risk, Safety<\/a>, IHRSA, Jan. 22, 2021.                                                                                                 <br><a href=\"https:\/\/www.wnycstudios.org\/podcasts\/radiolab\/articles\/covid-christmas-special\" target=\"_blank\" rel=\"noreferrer noopener\">A Terrible COVID Christmas Special<\/a>, Radiolab, New York Public Radio, Dec. 23, 2020.<br><a href=\"https:\/\/www.newsweek.com\/mit-professors-launch-website-estimate-risks-contracting-covid-indoors-scenarios-require-1551921\" target=\"_blank\" rel=\"noreferrer noopener\">MIT Professors Launch Website to Estimate Risks of Contracting COVID Indoors<\/a>, Newsweek, Dec. 2, 2020.<br><a href=\"https:\/\/www.fastcompany.com\/90580290\/one-person-in-the-room-with-you-has-covid-19-heres-how-long-it-takes-to-get-infected\" target=\"_blank\" rel=\"noreferrer noopener\">One person in the room with you has COVID-19. Here&#8217;s how long it takes to get infected<\/a>, Fast Company, Nov. 30, 2020.<br><a href=\"https:\/\/scitechdaily.com\/aerodynamics-of-infectious-disease-airflow-studies-reveal-strategies-to-reduce-indoor-transmission-of-covid-19\/\" target=\"_blank\" rel=\"noreferrer noopener\">Aerodynamics of Infectious Disease: Airflow Studies Reveal Strategies to Reduce Indoor Transmission of COVID-19<\/a>, SciTechDaily, Nov. 22, 2020.<br><a href=\"https:\/\/www.statnews.com\/2020\/10\/21\/covid19-winter-dry-indoor-air-helps-coronavirus-spread\/\" target=\"_blank\" rel=\"noreferrer noopener\">Covid-19&#8217;s wintry mix: As we move indoors, dry air will help the coronavirus spread<\/a>, STAT News (Boston Globe), October 21, 2020.<br><a href=\"https:\/\/www.thecosmictreehouse.com\/post\/covid-19-is-in-the-air-clearing-the-smoke-on-aerosol-transmission\">COVID-19 is in the air: Clearing the smoke on aerosol transmission<\/a> , The Cosmic Treehouse, Oct.3, 2020.<br><a href=\"https:\/\/www.nytimes.com\/2020\/09\/27\/health\/coronavirus-transmission-indoors.html\" target=\"_blank\" rel=\"noreferrer noopener\">How to Keep the Coronavirus at Bay Indoors<\/a>, New York Times, September 27, 2020. <br><a href=\"https:\/\/www.washingtonpost.com\/health\/2021\/04\/27\/mit-study-indoor-transmission-airborne\/\">Social distancing indoors may provide \u2018false sense of security,\u2019 covid transmission study finds<\/a>,  The Washington Post, April 27, 2021.<\/p>\n\n\n\n<p><\/p>\n\n\n\n<p class=\"has-text-align-left tw-text-wide has-small-font-size\"><br><\/p>\n<\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":5,"featured_media":5565,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[17,19],"tags":[],"class_list":["post-3885","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-pandemic","category-recent-work","entry"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v16.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>New COVID-19 indoor safety guideline - John W. 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