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      Airborne concentrations of SARS-CoV-2 in indoor community environments in Italy

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          Abstract

          COVID-19 pandemic raised a debate regarding the role of airborne transmission. Information regarding virus-laden aerosol concentrations is still scarce in community indoors and what are the risks for general public and the efficiency of restriction policies. This work investigates, for the first time in Italy, the presence of SARS-CoV-2 RNA in air samples collected in different community indoors (one train station, two food markets, one canteen, one shopping centre, one hair salon, and one pharmacy) in three Italian cities: metropolitan city of Venice (NE of Italy), Bologna (central Italy), and Lecce (SE of Italy). Air samples were collected during the maximum spread of the second wave of pandemic in Italy (November and December 2020). All collected samples tested negative for the presence of SARS-CoV-2, using both real-time RT-PCR and ddPCR, and no significant differences were observed comparing samples taken with and without customers. Modelling average concentrations, using influx of customers’ data and local epidemiological information, indicated low values (i.e. < 0.8 copies m −3 when cotton facemasks are used and even lower for surgical facemasks). The results, even if with some limitations, suggest that the restrictive policies enforced could effectively reduce the risk of airborne transmissions in the community indoor investigated, providing that physical distance is respected.

          Supplementary Information

          The online version contains supplementary material available at 10.1007/s11356-021-16737-7.

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          Most cited references42

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          Air, Surface Environmental, and Personal Protective Equipment Contamination by Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-CoV-2) From a Symptomatic Patient

          This study documents results of SARS-CoV-2 polymerase chain reaction (PCR) testing of environmental surfaces and personal protective equipment surrounding 3 COVID-19 patients in isolation rooms in a Singapore hospital.
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            Aerodynamic analysis of SARS-CoV-2 in two Wuhan hospitals

            The ongoing outbreak of coronavirus disease 2019 (COVID-19) has spread rapidly on a global scale. Although it is clear that severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) is transmitted through human respiratory droplets and direct contact, the potential for aerosol transmission is poorly understood1-3. Here we investigated the aerodynamic nature of SARS-CoV-2 by measuring viral RNA in aerosols in different areas of two Wuhan hospitals during the outbreak of COVID-19 in February and March 2020. The concentration of SARS-CoV-2 RNA in aerosols that was detected in isolation wards and ventilated patient rooms was very low, but it was higher in the toilet areas used by the patients. Levels of airborne SARS-CoV-2 RNA in the most public areas was undetectable, except in two areas that were prone to crowding; this increase was possibly due to individuals infected with SARS-CoV-2 in the crowd. We found that some medical staff areas initially had high concentrations of viral RNA with aerosol size distributions that showed peaks in the submicrometre and/or supermicrometre regions; however, these levels were reduced to undetectable levels after implementation of rigorous sanitization procedures. Although we have not established the infectivity of the virus detected in these hospital areas, we propose that SARS-CoV-2 may have the potential to be transmitted through aerosols. Our results indicate that room ventilation, open space, sanitization of protective apparel, and proper use and disinfection of toilet areas can effectively limit the concentration of SARS-CoV-2 RNA in aerosols. Future work should explore the infectivity of aerosolized virus.
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              Airborne transmission of SARS-CoV-2: the world should face the reality

              Hand washing and maintaining social distance are the main measures recommended by the World Health Organization (WHO) to avoid contracting COVID-19. Unfortunately, these measured do not prevent infection by inhalation of small droplets exhaled by an infected person that can travel distance of meters or tens of meters in the air and carry their viral content. Science explains the mechanisms of such transport and there is evidence that this is a significant route of infection in indoor environments. Despite this, no countries or authorities consider airborne spread of COVID-19 in their regulations to prevent infections transmission indoors. It is therefore extremely important, that the national authorities acknowledge the reality that the virus spreads through air, and recommend that adequate control measures be implemented to prevent further spread of the SARS-CoV-2 virus, in particularly removal of the virus-laden droplets from indoor air by ventilation.
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                Author and article information

                Contributors
                d.contini@isac.cnr.it
                Journal
                Environ Sci Pollut Res Int
                Environ Sci Pollut Res Int
                Environmental Science and Pollution Research International
                Springer Berlin Heidelberg (Berlin/Heidelberg )
                0944-1344
                1614-7499
                1 October 2021
                : 1-12
                Affiliations
                [1 ]GRID grid.435667.5, ISNI 0000 0000 9466 4203, Istituto di Scienze dell’Atmosfera e del Clima (ISAC-CNR), ; Str. Prv. Lecce-Monteroni km 1.2, Lecce, Italy
                [2 ]Istituto di Scienze Polari (ISP-CNR), Via Torino (Mestre), 155 Venice, Italy
                [3 ]GRID grid.7240.1, ISNI 0000 0004 1763 0578, Dipartimento di Scienze Ambientali, Informatica e Statistica, , Università Ca’ Foscari di Venezia, ; Via Torino (Mestre), 155 Venezia, Italy
                [4 ]GRID grid.508082.7, ISNI 0000 0004 1755 4106, Istituto Zooprofilattico Sperimentale della Puglia e della Basilicata (IZSPB), ; Via Manfredonia, 20 Foggia, Italy
                [5 ]GRID grid.435667.5, ISNI 0000 0000 9466 4203, Istituto di Scienze dell’Atmosfera e del Clima (ISAC-CNR), ; Via Gobetti, 101 Bologna, Italy
                Author notes

                Responsible Editor: Diane Purchase

                Author information
                http://orcid.org/0000-0003-4454-0642
                Article
                16737
                10.1007/s11356-021-16737-7
                8486635
                34599449
                d7282310-c4bf-4284-aae2-9ede267bb351
                © The Author(s), under exclusive licence to Springer-Verlag GmbH Germany, part of Springer Nature 2021

                This article is made available via the PMC Open Access Subset for unrestricted research re-use and secondary analysis in any form or by any means with acknowledgement of the original source. These permissions are granted for the duration of the World Health Organization (WHO) declaration of COVID-19 as a global pandemic.

                History
                : 29 July 2021
                : 22 September 2021
                Categories
                Research Article

                General environmental science
                sars-cov-2,covid-19,airborne transmission,coronavirus,indoor,pcr
                General environmental science
                sars-cov-2, covid-19, airborne transmission, coronavirus, indoor, pcr

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