REP‐PCR tracking of the origin and spread of airborne Staphylococcus aureus in and around chicken house

Abstract Staphylococcus aureus was used as an indicator to study the origin and spread of microbial aerosol in and around chicken houses. Air samples indoor, upwind (10 and 50 m), and downwind (10, 50, 100, 200, and 400 m) of four chicken houses were collected using Andersen‐6 stages sampler. The concentrations of S. aureus were determined for every sample site. Isolation of S. aureus from chicken feces was performed according to the standard method. The genetic relationship among the isolates was determined by profiles of PCR‐amplified repetitive extragenic palindromic (REP‐PCR) elements. The results showed that the concentrations of S. aureus indoor of four chicken houses were higher than those upwind and downwind sites (P < 0.05 or P < 0.01), but there were no significant concentration differences among downwind sites (P > 0.05). The fingerprints and the phylogenetic tree indicated that a part of the S. aureus (55.6%, 10/18) isolates from indoor air had the same REP‐PCR fingerprints as feces isolates. Consequently, most isolates (57.1%, 20/35) from downwind 10, 50, 100, 200, even 400 m had the same REP‐PCR fingerprints as those from indoor or feces. These data indicated that some isolates from downwind and indoor originated from the chicken feces. However, those isolates from upwind had low similarity (similarity index 0.6–0.87) to those from indoor or feces. Therefore, the isolates upwind were not from the chicken feces or indoor. These results suggest that microbes in chicken feces can be aerosolized and spread indoor and outdoor, especially to downwind of the chicken houses. It should have an important epidemiological and public health significance.

Practical Implications

Thus, the use of S. aureus as an indicator to study the origin and spread of airborne pathogens from chicken houses is potentially useful for enhancing public health and understanding the airborne epidemiology of this pathogen. Meanwhile it can provide evidence for studying the spreading model of airborne pathogens.

     

Assessing allergenic fungi in house dust by floor wipe sampling and quantitative PCR

Abstract In the present study, we modified an existing surface wipe sampling method for lead and other heavy metals to create a protocol to collect fungi in floor dust followed by real‐time quantitative PCR (qPCR)‐based detection. We desired minimal inconvenience for participants in residential indoor environmental quality and health studies. Accuracy, precision, and method detection limits (MDLs) were investigated. Overall, MDLs ranged from 0.6 to 25 cell/cm² on sampled floors. Overall measurement precisions expressed as the coefficient of variation because of sample processing and qPCR ranged 6–63%. Median and maximum fungal concentrations in house dust in study homes in Visalia, Tulare County, California, were 110 and 2500 cell/cm², respectively, with universal fungal primers (allergenic and nonallergenic species). The field study indicated samplings in multiple seasons were necessary to characterize representative whole‐year fungal concentrations in residential microenvironments. This was because significant temporal variations were observed within study homes. Combined field and laboratory results suggested this modified new wipe sampling method, in conjunction with growth‐independent qPCR, shows potential to improve human exposure and health studies for fungal pathogens and allergens in dust in homes of susceptible, vulnerable population subgroups.

Practical Implications

Fungi are ubiquitous in indoor and outdoor environments, and many fungi are known to cause allergic reactions and exacerbate asthma attacks. This study established—by modifying an existing—a wipe sampling method to collect fungi in floor dust followed by real‐time quantitative PCR (qPCR)‐based detection methodologies. Results from this combined laboratory and field assessment suggested the methodology’s potential to inform larger human exposure studies for fungal pathogens and allergens in house dust as well as epidemiologic studies of children with asthma and older adults with chronic respiratory diseases.

     

A chamber study of secondary organic aerosol formation by limonene ozonolysis

Abstract Limonene ozonolysis was examined under conditions relevant to indoor environments in terms of temperatures, air exchange rates, and reagent concentrations. Secondary organic aerosols (SOA) produced and particle‐bound reactive oxygen species (ROS) were studied under situations when the product of the two reagent concentrations was constant, the specific concentration combinations play an important role in determining the total SOA formed. A combination of concentration ratios of ozone/limonene between 1 and 2 produce the maximum SOA concentration. The two enantiomers, R‐(+)‐limonene and S‐(?)‐limonene, were found to have similar SOA yields. The measured ROS concentrations for limonene and ozone concentrations relevant to prevailing indoor concentrations ranged from 5.2 to 14.5 nmol/m³ equivalent of H₂O₂. It was found that particle samples aged for 24 h in freezer lost a discernible fraction of the ROS compared to fresh samples. The residual ROS concentrations were around 83–97% of the values obtained from the analysis of samples immediately after collection. The ROS formed from limonene ozonolysis could be separated into three categories as short‐lived, high reactive, and volatile; semi‐volatile and relatively stable; non‐volatile and low‐reactive species based on ROS measurements under various conditions. Such chemical and physical characterization of the ROS in terms of reactivity and volatility provides useful insights into nature of ROS.

Practical Implications

A better understanding of the formation mechanism of secondary organic aerosol generated from indoor chemistry allows us to evaluate and predict the exposure under such environments. Measurements of particle‐bound ROS shed light on potential adverse health effect associated with exposure to particles.

     

Review and comparison between the Wells–Riley and dose-response approaches to risk assessment of infectious respiratory diseases

Abstract Infection risk assessment is very useful in understanding the transmission dynamics of infectious diseases and in predicting the risk of these diseases to the public. Quantitative infection risk assessment can provide quantitative analysis of disease transmission and the effectiveness of infection control measures. The Wells–Riley model has been extensively used for quantitative infection risk assessment of respiratory infectious diseases in indoor premises. Some newer studies have also proposed the use of dose‐response models for such purpose. This study reviews and compares these two approaches to infection risk assessment of respiratory infectious diseases. The Wells–Riley model allows quick assessment and does not require interspecies extrapolation of infectivity. Dose‐response models can consider other disease transmission routes in addition to airborne route and can calculate the infectious source strength of an outbreak in terms of the quantity of the pathogen rather than a hypothetical unit. Spatial distribution of airborne pathogens is one of the most important factors in infection risk assessment of respiratory disease. Respiratory deposition of aerosol induces heterogeneous infectivity of intake pathogens and randomness on the intake dose, which are not being well accounted for in current risk models. Some suggestions for further development of the risk assessment models are proposed.

Practical Implications

This review article summarizes the strengths and limitations of the Wells–Riley and the dose‐response models for risk assessment of respiratory diseases. Even with many efforts by various investigators to develop and modify the risk assessment models, some limitations still persist. This review serves as a reference for further development of infection risk assessment models of respiratory diseases. The Wells–Riley model and dose‐response model offer specific advantages. Risk assessors can select the approach that is suitable to their particular conditions to perform risk assessment.

     

The effectiveness of stand alone air cleaners for shelter-in-place

Stand-alone air cleaners may be efficient for rapid removal of indoor fine particles and have potential use for shelter-in-place (SIP) strategies following acts of bioterrorism. A screening model was employed to ascertain the potential significance of size-resolved particle (0.1-2 microm) removal using portable high efficiency particle arresting (HEPA) air cleaners in residential buildings following an outdoor release of particles. The number of stand-alone air cleaners, air exchange rate, volumetric flow rate through the heating, ventilating and air-conditioning (HVAC) system, and size-resolved particle removal efficiency in the HVAC filter were varied. The effectiveness of air cleaners for SIP was evaluated in terms of the outdoor and the indoor particle concentration with air cleaner(s) relative to the indoor concentration without air cleaners. Through transient and steady-state analysis of the model it was determined that one to three portable HEPA air cleaners can be effective for SIP following outdoor bioaerosol releases, with maximum reductions in particle concentrations as high as 90% relative to conditions in which an air cleaner is not employed. The relative effectiveness of HEPA air cleaners vs. other removal mechanisms was predicted to decrease with increasing particle size, because of increasing competition by particle deposition with indoor surfaces and removal to HVAC filters. However, the effect of particle size was relatively small for most scenarios considered here. PRACTICAL IMPLICATIONS: The results of a screening analysis suggest that stand-alone (portable) air cleaners that contain high efficiency particle arresting (HEPA) filters can be effective for reducing indoor fine particle concentrations in residential dwellings during outdoor releases of biological warfare agents. The relative effectiveness of stand-alone air cleaners for reducing occupants' exposure to particles of outdoor origin depends on several factors, including the type of heating, ventilating and air-conditioning (HVAC) filter, HVAC operation, building air exchange rate, particle size, and duration of elevated outdoor particle concentration. Maximum particle reductions, relative to no stand-alone air cleaners, of 90% are predicted when three stand-alone air cleaners are employed.     

Investigation of bacterial and fungal communities in indoor and outdoor air of elementary school classrooms by 16S rRNA gene and ITS region sequencing

The advent of high-throughput sequencing methods allowed researchers to fully characterize microbial community in environmental samples, which is crucial to better understand their health effects upon exposures. In our study, we investigated bacterial and fungal community in indoor and outdoor air of nine classrooms in three elementary schools in Seoul, Korea. The extracted bacterial 16S rRNA gene and fungal ITS regions were sequenced, and their taxa were identified. Quantitative polymerase chain reaction for total bacteria DNA was also performed. The bacterial community was richer in outdoor air than classroom air, whereas fungal diversity was similar indoors and outdoors. Bacteria such as Enhydrobacter, Micrococcus, and Staphylococcus that are generally found in human skin, mucous membrane, and intestine were found in great abundance. For fungi, Cladosporium, Clitocybe, and Daedaleopsis were the most abundant genera in classroom air and mostly related to outdoor plants. Bacterial community composition in classroom air was similar among all classrooms but differed from that in outdoor air. However, indoor and outdoor fungal community compositions were similar for the same school but different among schools. Our study indicated the main source of airborne bacteria in classrooms was likely human occupants; however, classroom airborne fungi most likely originated from outdoors.     

Molecular comparison of the sampling efficiency of four types of airborne bacterial samplers

In the present study, indoor and outdoor air samples were collected using four types of air samplers often used for airborne bacterial sampling. These air samplers included two solid impactors (BioStage and RCS), one liquid impinger (BioSampler), and one filter sampler with two kinds of filters (a gelatin and a cellulose acetate filter). The collected air samples were further processed to analyze the diversity and abundance of culturable bacteria and total bacteria through standard culture techniques, denaturing gradient gel electrophoresis (DGGE) fingerprinting and quantitative polymerase chain reaction (qPCR) analysis.The DGGE analysis indicated that the air samples collected using the BioStage and RCS samplers have higher culturable bacterial diversity, whereas the samples collected using the BioSampler and the cellulose acetate filter sampler have higher total bacterial diversity. To obtain more information on the sampled bacteria, some gel bands were excised and sequenced. In terms of sampling efficiency, results from the qPCR tests indicated that the collected total bacterial concentration was higher in samples collected using the BioSampler and the cellulose acetate filter sampler.In conclusion, the sampling bias and efficiency of four kinds of air sampling systems were compared in the present study and the two solid impactors were concluded to be comparatively efficient for culturable bacterial sampling, whereas the liquid impactor and the cellulose acetate filter sampler were efficient for total bacterial sampling.     

Achieving 'excellent' indoor air quality in commercial offices equipped with air-handling unit--respirable suspended particulate

A study was carried out to investigate the feasibility of achieving ultra low respirable suspended particulates (RSP) in commercial offices without major modification of existing ventilation systems by enhancing the particulates removal efficiency of existing central ventilation systems. Four types of filters which include pre-filters, cartridge filters, bag filters and high efficiency particulates air (HEPA) filters were tested in a commercial building in Causeway Bay. The results show that an RSP objective of <20 microg/m3 could be met by removing RSP from both the return air and outdoor air supply simultaneously. This level of performance is classed as 'excellent' by the Hong Kong Government, Environmental Protection Department. Filters with efficiency that exceed 80% placed both in the return air and outdoor air were sufficient to meet the objective. It is not necessary to install HEPA filters to achieve the 'excellent' class. The outdoor air filter has great influence on the steady state indoor RSP concentration while the effective cleaning rate is governed by the return air filter. Higher efficiency filters increased the static drop but the volume flow of the air fan was not affected significantly. The additional cost incurred was <5% of the existing operation cost. PRACTICAL IMPLICATIONS: This paper reports a field study of RSP control for an indoor office environment. The results are directly applicable to building service engineering in the design of ventilation systems using air-handling units. Field observations indicated that indoor RSP in an office environment could be suppressed below 20 microg/m3 within 1 h by the simultaneous filtration of outdoor air and return air. Outdoor air filtration has a great influence on the steady state indoor concentration and return air filtration governs the cleaning rate. It is believed that the results of this study could be extended to the cleaning of other indoor pollutants such as volatile organic compounds.     

Particle removal efficiency of the portable HEPA air cleaner in a simulated hospital ward

Use of a HEPA (high efficiency particulate air) filter in a room is believed to assist in reducing the risk of transmission of infectious diseases through removing the particles or large droplets to which pathogens may be attached. Use of a portable HEPA filter(s) in hospital wards is hypothesized to increase the effective ventilation rate (for particles only). Use of a portable HEPA filter is also hypothesized to increase the effective airflow rate of the general ward to the standard of an isolation ward for emerging infection diseases. This may be a good solution for housing patients when the number of beds in an isolation ward is insufficient. An experiment was conducted in a full scale experimental ward with a dimension of 6.7 m × 6 m × 2.7 m and 6 beds to test these hypotheses for a portable HEPA filter. The removal efficiency for different size particles was measured at different locations. The influence of the portable HEPA air cleaner on the airflow pattern was also studied through smoke visualization and computational fluid dynamics (CFD) simulations. Results show that the HEPA filter can effectively decrease the particle concentration level. The effective air change rate achieved by the HEPA filter (for particle removal only) is from 2.7 to 5.6 ACH in the ward. The strong supply air jet from the portable HEPA filter interacted with the room airflow pattern and became dominate, introducing global airflow mixing in the room. Background noise levels were also measured and noise level in the room increased when the maximum airflow of the filter was used.     

Combined use of an electrostatic precipitator and a high‐efficiency particulate air filter in building ventilation systems: Effects on cardiorespiratory health indicators in healthy adults

High‐efficiency particulate air (HEPA) filtration in combination with an electrostatic precipitator (ESP) can be a cost‐effective approach to reducing indoor particulate exposure, but ESPs produce ozone. The health effect of combined ESP‐HEPA filtration has not been examined. We conducted an intervention study in 89 volunteers. At baseline, the air‐handling units of offices and residences for all subjects were comprised of coarse, ESP, and HEPA filtration. During the 5‐week long intervention, the subjects were split into 2 groups, 1 with just the ESP removed and the other with both the ESP and HEPA removed. Each subject was measured for cardiopulmonary risk indicators once at baseline, twice during the intervention, and once 2 weeks after baseline conditions were restored. Measured indoor and outdoor PM_2.5 and ozone concentrations, coupled with time‐activity data, were used to calculate exposures. Removal of HEPA filters increased 24‐hour mean PM_2.5 exposure by 38 (95% CI: 31, 45) μg/m³. Removal of ESPs decreased 24‐hour mean ozone exposure by 2.2 (2.0, 2.5) ppb. No biomarkers were significantly associated with HEPA filter removal. In contrast, ESP removal was associated with a ?16.1% (?21.5%, ?10.4%) change in plasma‐soluble P‐selectin and a ?3.0% (?5.1%, ?0.8%) change in systolic blood pressure, suggesting reduced cardiovascular risks.     

Enteric pathogens in stool samples of Chicago-area water recreators with new-onset gastrointestinal symptoms

Background

Characterizing pathogens responsible for recreational waterborne gastrointestinal illness is important in estimating risk and developing management strategies to prevent infection. Although water recreation is associated with sporadic cases of gastrointestinal illness, pathogens responsible for such illness are not well characterized.

Methods

A prospective cohort study was conducted enrolling non-water recreators (such as cyclists and joggers) and two groups of limited-contact waters recreators (such as boaters and kayakers): those on an effluent-dominated urban waterway and those on general use waters. Stool samples were collected from participants who developed gastrointestinal symptoms during a three-week follow-up period. Samples were analyzed for bacterial, viral, and protozoan pathogens. Logistic regression models were used to identify associations between water recreation and the presence of pathogens in stool samples.

Results

Among 10,998 participants without gastrointestinal symptoms at baseline, 2,429 (22.1%) developed at least one symptom during 21 days of follow-up. Of those, 740 (30.5%) provided at least one stool sample, of which 76 (10.3%) were positive for a pathogen. Rotavirus, found primarily among adults, accounted for 53 of the 76 (70%) infections. Among participants with symptoms, pathogen presence was not associated with water recreation or the extent of water exposure. The range of pathogens that could be identified and sample size limitations may have contributed to this lack of association.

Conclusions

We did not find specific pathogens or groups of pathogens associated with recreational waterborne gastrointestinal illness. Although pathogens responsible for outbreaks of waterborne gastrointestinal illness have been described, microbes that cause sporadic cases remain poorly defined.     

Stenotrophomonas,Mycobacterium, and Streptomyces in home dust and air: associations with moldiness and other home/family characteristics

Respiratory illnesses have been linked to children's exposures to water‐damaged homes. Therefore, understanding the microbiome in water‐damaged homes is critical to preventing these illnesses. Few studies have quantified bacterial contamination, especially specific species, in water‐damaged homes. We collected air and dust samples in twenty‐one low‐mold homes and twenty‐one high‐mold homes. The concentrations of three bacteria/genera, Stenotrophomonas maltophilia, Streptomyces sp., and Mycobacterium sp., were measured in air and dust samples using quantitative PCR (QPCR). The concentrations of the bacteria measured in the air samples were not associated with any specific home characteristic based on multiple regression models. However, higher concentrations of S. maltophilia in the dust samples were associated with water damage, that is, with higher floor surface moisture and higher concentrations of moisture‐related mold species. The concentrations of Streptomyces and Mycobacterium sp. had similar patterns and may be partially determined by human and animal occupants and outdoor sources of these bacteria.     

High temporal variability in airborne bacterial diversity and abundance inside single‐family residences

Our homes are microbial habitats, and although the amounts and types of bacteria in indoor air have been shown to vary substantially across residences, temporal variability within homes has rarely been characterized. Here, we sought to quantify the temporal variability in the amounts and types of airborne bacteria in homes, and what factors drive this variability. We collected filter samples of indoor and outdoor air in 15 homes over 1 year (approximately eight time points per home, two per season), and we used culture‐independent DNA sequencing approaches to characterize bacterial community composition. Significant differences in indoor air community composition were observed both between homes and within each home over time. Indoor and outdoor air community compositions were not significantly correlated, suggesting that indoor and outdoor air communities are decoupled. Indoor air communities from the same home were often just as different at adjacent time points as they were across larger temporal distances, and temporal variation correlated with changes in environmental conditions, including temperature and relative humidity. Although all homes had highly variable indoor air communities, homes with the most temporally variable communities had more stable, lower average microbial loads than homes with less variable communities.     

Microbial and antibiotic resistant constituents associated with biological aerosols and poultry litter within a commercial poultry house

Poultry are known to harbor antibiotic resistant and pathogenic bacteria, and as such poultry litter and poultry house air can be contaminated with these bacteria. However, the presence of antibiotic resistant bacteria in biological aerosols and litter is largely not understood. The purpose of this study was to determine the amount of aerosolized bacteria and endotoxin, particularly fecal indicators, staphylococci, and enterococci, associated with poultry house and outdoor air. Aerosol samples were collected at multiple locations on the farm and in the house. Antibiotic resistance was investigated using the Kirby Bauer method on selected isolates using twelve different antibiotics spanning both narrow to broad spectrums of effectiveness. Overall there was a cyclical increase in bacterial concentrations as flocks progressed from pre-flock to late-flock, with > 2 orders magnitude lower concentration during pre-flock periods (no chickens), in both the litter and aerosol samples. The house environment provided for significantly concentrated bacterial and endotoxin levels. It was estimated that Staphylococcus bacteria accounted for at least 90% of cultured aerobic bacteria and culture-independent 16S rRNA analyses demonstrated that significant population changes occurred from pre- to late-flock. Rarely was an isolate resistant to more than 4 antibiotic classes; however there was a trend upwards in overall resistance of enterococci as the flock cycle progressed. It appears that although levels of antibiotic resistant bacteria were highly concentrated within the house, levels were much lower outside of the house, and very little house escape occurred.     

Shotgun metagenomics of dust microbiome from flight deck and cabin in civil aviation aircraft

Microbial exposure is related to the health of passengers on commercial aircraft, but no studies characterized the microbial composition at the species level and identified their ecological determinants. We collected vacuum dust from floor and seat surfaces in flight decks and cabins of 18 aircraft, and amplification-free shotgun metagenomics was conducted to characterize the microbial composition. In total, 7437 microbial taxa were identified. The relative abundance for bacteria, eukaryote, viruses, and archaea was 96.9%, 1.8%, 0.3%, and 0.03%, respectively. The top bacterial species mainly derived from outdoor air and human skin included Sphingomonas, Corynebacterium, Micrococcus luteus, Variovorax paradoxus, Paracoccus dentrificans, and Propionibacterium acnes. The abundance of NIAID-defined pathogens was low, accounted for only 0.23% of total microbes. The microbial species and functional composition were structured by the indoor surface type (R² = 0.38, Adonis), followed by the manufacturer of the aircraft (R² = 0.12) and flight duration (R² = 0.07). Indoor surfaces affected species derived from different habitats; the abundance of dry skin and desiccated species was higher on textile surfaces, whereas the abundance of moist and oily skin species was higher on leather surfaces. The growth rates for most microbes were stopped and almost stopped.     

Occupants’ interactions with windows in 8 residential apartments in Beijing and Nanjing,China

Occupants’ interactions with windows influence both building energy consumption and exposure to airborne pollutants indoors. Occupants’ window opening behavior varies from region to region due to physical environmental factors and social reasons. China is now confronting severe atmospheric pollution, which may affect occupants’ window opening behaviors. A field study was conducted in 8 naturally ventilated residential apartments in Beijing and Nanjing, China. This involved periodically monitoring window states of eight residential apartments within each season from October 2013 to December 2014 by magnetic induction devices (TJHY, CKJM-1). Relationships between the probability of window opening (p) and explanatory variables, including outdoor air temperature (t _o), outdoor relative humidity (RH), outdoor wind speed (V _s), and ambient PM2.5 (particles with aerodynamic diameter less than 2.5 microns) concentrations (C _p), were analyzed. Stochastic models of occupants’ interactions with windows in monitored residences were established via univariate and multivariate linear logistic regression for both cities. According to the results, t _o is the most important explanatory variable affecting occupants’ interactions with windows in monitored residences. The best multivariate linear logistic model result from the “backward selection” procedure based on “Akaike Information Criterion” (AIC) includes t _o, RH, V _s and C _p as explanatory variables, which implied that outdoor air quality, represented by C _p, has become a concern affecting Chinese residents’ interactions with windows.     

Comparison of mold concentrations quantified by MSQPCR in indoor and outdoor air sampled simultaneously

Mold specific quantitative PCR (MSQPCR) was used to measure the concentrations of the 36 mold species in indoor and outdoor air samples that were taken simultaneously for 48 h in and around 17 homes in Cincinnati, Ohio. The total spore concentrations of 353 per m(3) of indoor air and 827 per m(3) of outdoor air samples were significantly different (por=0.5). These results suggest that interpretation of the meaning of short-term (<48 h) mold measurements in indoor and outdoor air samples must be made with caution.     

Impact of different frequencies in the entrapment of bacterial pathogens from drinking water using dielectrophoretic phenomena

The article has investigated the removal of water borne pathogens using dielectrophoresis (DEP) filter which is energized by varying the frequency of the applied potential from 10 kHz to 2 MHz with different voltage levels of 5; 10; 15 and 20 V. Separate experiments are conducted in artificially contaminated water samples with Escherichia coli, Staphylococcus aureus and Vibrio cholerae up to 2 h. The impact of signal frequency and voltages on DEP based water treatment system has been analyzed statistically. Results have demonstrated that an AC signal of 20 V with frequency range of 500 kHz to 2 MHz is suitable to remove the tested bacterial population and the rate of removal of E. coli is the highest with a dielectrophoretic filtration efficiency of 77.1%.     

Airborne particles and microorganisms in a dental clinic: Variability of indoor concentrations,impact of dental procedures,and personal exposure during everyday practice

This study presents for the first time comprehensive measurements of the particle number size distribution (10 nm to 10 μm) together with next-generation sequencing analysis of airborne bacteria inside a dental clinic. A substantial enrichment of the indoor environment with new particles in all size classes was identified by both activities to background and indoor/outdoor (I/O) ratios. Grinding and drilling were the principal dental activities to produce new particles in the air, closely followed by polishing. Illumina MiSeq sequencing of 16S rRNA of bioaerosol collected indoors revealed the presence of 86 bacterial genera, 26 of them previously characterized as potential human pathogens. Bacterial species richness and concentration determined both by qPCR, and culture-dependent analysis were significantly higher in the treatment room. Bacterial load of the treatment room impacted in the nearby waiting room where no dental procedures took place. I/O ratio of bacterial concentration in the treatment room followed the fluctuation of I/O ratio of airborne particles in the biology-relevant size classes of 1–2.5, 2.5–5, and 5–10 μm. Exposure analysis revealed increased inhaled number of particles and microorganisms during dental procedures. These findings provide a detailed insight on airborne particles of both biotic and abiotic origin in a dental clinic.     

Assessment of airborne bacteria and fungi in food courts

A study was undertaken to determine the effect of variations in temperature, relative humidity, occupancy density and location (indoor/outdoor) on the concentrations of viable airborne bacterial and fungal spores at an air-conditioned and a non air-conditioned food stall in Singapore. Typically, bioaerosols consisted of 50.5% bacteria and 49.5% fungi in the indoor environment. In contrast, for the outdoor environment, bacteria on an average only accounted for 20.6% of culturable airborne microorganisms whereas fungal concentrations were 79.4%. Results on bioaerosol size distributions revealed that 67% of indoor bacteria and 68% of outdoor bacteria, 85% of indoor fungi and 68% of outdoor fungi were associated with fine mode particulates (<3.3 μm). Occupant density was the key factor that affected indoor airborne bacteria concentrations while concentrations of outdoor airborne bacteria depended strongly on ambient temperature. Indoor fungal concentration was positively correlated to relative humidity whereas outdoor fungal concentration was positively correlated to relative humidity and negatively correlated to temperature. The study also compared the biological air quality between a non air-conditioned food stall (Stall A) and an air-conditioned food stall (Stall B). The dining area of the former had lower bacterial concentrations as compared to the latter, while fungal spore’s concentrations showed a reverse trend. The dominant airborne bacteria genera were Staphylococcus, Pseudomonas, Alcaligens, and Corynebacterium whereas Penicillium, Aspergillus and Cladosporium were the most common fungal genera and groups in both food stalls.