The vaccination threshold for SARS-CoV-2 depends on the indoor setting and room ventilation

Abstract Background Effective vaccines are now available for SARS-CoV-2 in the 2nd year of the COVID-19 pandemic, but there remains significant uncertainty surrounding the necessary vaccination rate to safely lift occupancy controls in public buildings and return to pre-pandemic norms. The aim of th...

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Autores principales: A. Mikszewski, L. Stabile, G. Buonanno, L. Morawska
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Lenguaje:EN
Publicado: BMC 2021
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Acceso en línea:https://doaj.org/article/946540fb94b24765badc3e860c09e212
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spelling oai:doaj.org-article:946540fb94b24765badc3e860c09e2122021-11-28T12:41:58ZThe vaccination threshold for SARS-CoV-2 depends on the indoor setting and room ventilation10.1186/s12879-021-06884-01471-2334https://doaj.org/article/946540fb94b24765badc3e860c09e2122021-11-01T00:00:00Zhttps://doi.org/10.1186/s12879-021-06884-0https://doaj.org/toc/1471-2334Abstract Background Effective vaccines are now available for SARS-CoV-2 in the 2nd year of the COVID-19 pandemic, but there remains significant uncertainty surrounding the necessary vaccination rate to safely lift occupancy controls in public buildings and return to pre-pandemic norms. The aim of this paper is to estimate setting-specific vaccination thresholds for SARS-CoV-2 to prevent sustained community transmission using classical principles of airborne contagion modeling. We calculated the airborne infection risk in three settings, a classroom, prison cell block, and restaurant, at typical ventilation rates, and then the expected number of infections resulting from this risk at varying percentages of occupant immunity. Results We estimate the setting-specific immunity threshold for control of wild-type SARS-CoV-2 to range from a low of 40% for a mechanically ventilation classroom to a high of 85% for a naturally ventilated restaurant. Conclusions If vaccination rates are limited to a theoretical minimum of approximately two-thirds of the population, enhanced ventilation above minimum standards for acceptable air quality is needed to reduce the frequency and severity of SARS-CoV-2 superspreading events in high-risk indoor environments.A. MikszewskiL. StabileG. BuonannoL. MorawskaBMCarticleSARS-CoV-2Airborne transmissionVentilationVaccinationInfectious and parasitic diseasesRC109-216ENBMC Infectious Diseases, Vol 21, Iss 1, Pp 1-9 (2021)
institution DOAJ
collection DOAJ
language EN
topic SARS-CoV-2
Airborne transmission
Ventilation
Vaccination
Infectious and parasitic diseases
RC109-216
spellingShingle SARS-CoV-2
Airborne transmission
Ventilation
Vaccination
Infectious and parasitic diseases
RC109-216
A. Mikszewski
L. Stabile
G. Buonanno
L. Morawska
The vaccination threshold for SARS-CoV-2 depends on the indoor setting and room ventilation
description Abstract Background Effective vaccines are now available for SARS-CoV-2 in the 2nd year of the COVID-19 pandemic, but there remains significant uncertainty surrounding the necessary vaccination rate to safely lift occupancy controls in public buildings and return to pre-pandemic norms. The aim of this paper is to estimate setting-specific vaccination thresholds for SARS-CoV-2 to prevent sustained community transmission using classical principles of airborne contagion modeling. We calculated the airborne infection risk in three settings, a classroom, prison cell block, and restaurant, at typical ventilation rates, and then the expected number of infections resulting from this risk at varying percentages of occupant immunity. Results We estimate the setting-specific immunity threshold for control of wild-type SARS-CoV-2 to range from a low of 40% for a mechanically ventilation classroom to a high of 85% for a naturally ventilated restaurant. Conclusions If vaccination rates are limited to a theoretical minimum of approximately two-thirds of the population, enhanced ventilation above minimum standards for acceptable air quality is needed to reduce the frequency and severity of SARS-CoV-2 superspreading events in high-risk indoor environments.
format article
author A. Mikszewski
L. Stabile
G. Buonanno
L. Morawska
author_facet A. Mikszewski
L. Stabile
G. Buonanno
L. Morawska
author_sort A. Mikszewski
title The vaccination threshold for SARS-CoV-2 depends on the indoor setting and room ventilation
title_short The vaccination threshold for SARS-CoV-2 depends on the indoor setting and room ventilation
title_full The vaccination threshold for SARS-CoV-2 depends on the indoor setting and room ventilation
title_fullStr The vaccination threshold for SARS-CoV-2 depends on the indoor setting and room ventilation
title_full_unstemmed The vaccination threshold for SARS-CoV-2 depends on the indoor setting and room ventilation
title_sort vaccination threshold for sars-cov-2 depends on the indoor setting and room ventilation
publisher BMC
publishDate 2021
url https://doaj.org/article/946540fb94b24765badc3e860c09e212
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