Profiles and seasonal distribution of airborne fungi in indoor and outdoor environments at a French hospital

A one-year prospective survey of fungal air contamination was conducted in outdoor air and inside two haematological units of a French hospital. Air was sampled with a portable Air System Impactor. During this period of survey, the mean viable fungal load was 122.1 cfu/m³ in outdoor air samples, and 4.1 and 3.9 cfu/m³ in samples from adult and pediatric haematology units, respectively. In outdoor samples, Cladosporium was the dominant genus (55%) while in the clinical units, Penicillium sp. (23 to 25%), Aspergillus sp. (15 to 23%) and Bjerkandera adusta (11 to 13%) were the most frequently recovered airborne fungi. The outdoor fungal load was far higher in autumn (168 cfu/m³), spring (110 cfu/m³) and summer (138 cfu/m³) than in winter (49 cfu/m³). In indoor air, fungal concentrations were significantly lower in winter (2.7 to 3.1 cfu/m³) than in summer (4.2 to 5.0 cfu/m³) in both haematology units. In the outdoor environment, Penicillium sp. and Aspergillus sp. were more abundant in winter while the levels of Cladosporium were lowest during this season. In the haematological units, the presence of Aspergillus sp. was stable during the year (close to 20%), Bjerkandera sp. was particularly abundant in winter (close to 30%); levels of Penicillium sp. were highest in autumn while levels of Cladosporium sp. were highest in spring and summer.     

Onset and remission of rhinitis among students in relation to the home and school environment—A cohort study from Northern China

Few prospective studies exist on indoor and outdoor air pollution in relation to adolescent rhinitis. We studied associations between onset and remission of rhinitis among junior high school students in relation to the home and school environment. A 2‐year questionnaire cohort study was performed among 1325 students (11‐15 years) in eight schools in Taiyuan, Northern China. Climate and air pollution were measured by direct reading instruments and passive samplers inside and outside the schools at baseline. Associations were calculated by multilevel logistic regression. Two‐year onset of rhinitis and weekly rhinitis were 26.7% and 13.1%, respectively. RH (P < 0.001), CO₂ (P < 0.01) and PM₁₀ (P < 0.01) in the classrooms, PM₁₀ (P < 0.01) and NO₂ (P < 0.05) outside the schools, and redecoration (OR = 2.25) and dampness/indoor mold at home (OR = 2.04) were associated with onset of weekly rhinitis. RH (P < 0.05) and CO₂ (P < 0.05) in the classroom and dampness/indoor mold (OR = 0.67) and environmental tobacco smoke (ETS) at home (OR = 0.63) reduced remission of rhinitis. In conclusion, dampness/mold and chemical emissions from new materials at home can increase onset of rhinitis and ETS and dampness/mold can reduce the remission. PM₁₀, RH, CO₂, and NO₂ at school can increase the onset, and RH and CO₂ can reduce the remission of rhinitis.     

Microbiological consequences of indoor composting

Recycling of organic waste appeals to more and more people. The aim of this study was to evaluate the microbiological contamination around organic waste bins at three distances over a 12‐month period. Contamination near the customary trash of control households was evaluated at the beginning to ensure that there is no recruitment bias. Air samples using the MAS 100 impactor were carried out in 38 dwellings that do household waste composting and in 10 dwellings of controls. Collection of particles by CIP 10 rotating cup sampler and dust samples collected by electrostatic dust collector cloths were acquired in dwellings that do household waste composting. Samples were analyzed by culture and by real‐time quantitative PCR. Information about dwelling characteristics and inhabitant practices was obtained by a standardized questionnaire. The genera most often isolated were Penicillium, Aspergillus, Cladosporium and Streptomyces. Near the organic waste bins, bioaerosol samples showed an increase of Acarus siro (P = 0.001). Sedimented dust analyses highlighted an increase of A. siro, Wallemia sebi, Aspergillus versicolor, and Cladosporium sphaerospermum concentrations after a 12‐month survey compared to the beginning. Composting favors microorganism development over time, but does not seem to have an effect on the bioaerosol levels and the surface microbiota beyond 0.5 m from the waste bin.     

Airborne and dust borne microorganisms in selected Polish libraries and archives

The aims of this work were to quantitatively and qualitatively study culturable fungi and bacteria in the air and settled dust in the storerooms of five Polish libraries and archives as well as to estimate the effect of water intrusion on the microbial air quality indoors. In all studied storerooms, the total bioaerosol concentrations at the workplaces ranged from 100 to 1000 cfu/m³. The most prevalent part of the storerooms’ bioaerosol consisted of bacteria, mainly Staphylococcus spp. and Micrococcus spp., followed by filamentous fungi. In four of the studied premises, fungal aerosol concentrations were below 100 cfu/m³. The only exception was observed in the fifth storeroom, which has been periodically flooded with rainwater and where significantly higher concentrations of fungal aerosol were measured. Among the identified fungal species, those of the genus Penicillium were the most numerous. Moreover, Trichothecium laxicephalum and Alternaria tenuis were present in all of the examined storerooms.     

Airborne microbiological characteristics in public buildings of Korea

Characteristics of airborne bacteria and fungi were surveyed in the public buildings regulated in Korea, with the six-stage cascade impactor. The total concentrations of airborne bacteria and fungi were averaged to 404 and 382 cfu m⁻³ in hospital, 931 and 536 cfu m⁻³ in kindergarten, 294 and 334 cfu m⁻³ in elderly welfare facility, and 586 and 371 cfu m⁻³ in postpartum nurse center. Mean respirable concentrations of airborne bacteria and fungi were 194 and 292 cfu m⁻³ in hospital, 358 and 347 cfu m⁻³ in kindergarten, 134 and 266 cfu m⁻³ in elderly welfare facility, and 254 and 289 cfu m⁻³ in postpartum nurse center, respectively. Based on this results, total and respirable concentrations of airborne bacteria and fungi were significantly highest in kindergarten and lowest in elderly welfare facility (p<0.05$p<0.05$). The ratios of indoor and outdoor concentration for airborne bacteria and fungi were below 1.0 in all the investigated public buildings regardless of size distribution. The dominant genera identified in the public buildings were Staphylococcus spp., Micrococcus spp., Corynebacterium spp., and Bacillus spp., for airborne bacteria and Penicillium spp., Cladosporium spp., and Aspergillus spp., for airborne fungi, respectively. Size distributions of airborne bacteria and fungi in terms of the dominant genera were not observed consistently except for Staphylococcus spp., which was detected mainly on the first stage (>7.0 μm) and second stage(4.7–7.0 μm), and Penicillium spp., and Cladosporium spp., showing the highest collection rate at stage 3 (3.3–4.7 μm) regardless of the kind of the public buildings.     

Volatile organic compounds in 169 energy-efficient dwellings in Switzerland

Exposure to elevated levels of certain volatile organic compounds (VOCs) in households has been linked to deleterious health effects. This study presents the first large-scale investigation of VOC levels in 169 energy-efficient dwellings in Switzerland. Through a combination of physical measurements and questionnaire surveys, we investigated the influence of diverse building characteristics on indoor VOCs. Among 74 detected compounds, carbonyls, alkanes, and alkenes were the most abundant. Median concentration levels of formaldehyde (14 μg/m³), TVOC (212 μg/m³), benzene (<0.1 μg/m³), and toluene (22 μg/m³) were below the upper exposure limits. Nonetheless, 90% and 50% of dwellings exceeded the chronic exposure limits for formaldehyde (9 μg/m³) and TVOC (200 μg/m³), respectively. There was a strong positive correlation among VOCs that likely originated from common sources. Dwellings built between 1950s and 1990s, and especially, those with attached garages had higher TVOC concentrations. Interior thermal retrofit of dwellings and absence of mechanical ventilation system were associated with elevated levels of formaldehyde, aromatics, and alkanes. Overall, energy-renovated homes had higher levels of certain VOCs compared with newly built homes. The results suggest that energy efficiency measures in dwellings should be accompanied by actions to mitigate VOC exposures as to avoid adverse health outcomes.     

Exposure to culturable airborne bioaerosols during noodle manufacturing in central Taiwan

Biological hazards associated with the manufacturing of noodles have not been well characterized in Taiwan. This is an issue that flour workers can be exposed to bioaerosols (airborne fungi and bacteria) resulting flour-induced occupational asthma or allergic diseases. This study is to survey the species and concentrations of bioaerosols at different sites within a noodle factory for one year, and to investigate the effects of environmental factors on concentrations of bioaerosols. Air samples were taken twice a day, one day each month using a MAS-100 bioaerosol sampler.Nine species of culturable fungi were identified, with the main airborne fungi being Cladosporium, Penicillium, Aspergillus spp., non-sporing isolates and yeasts. Cladosporium, Penicillium and Aspergillus were the dominant fungal isolates in the indoor and outdoor air samples. Micrococcus spp. and Staphylococcus xylosus were the dominant bacterial isolates. Peak fungal and bacterial concentrations occurred at the crushing site, with mean values of 3082 and 12,616 CFU/m³. Meanwhile, the most prevalent fungi and bacteria at the crushing site were in ranges of 2.1-1.1 μm and 1.1-0.65 μm, respectively. Significant seasonal differences in total bacterial concentration were observed at all sampling sites (?P < 0.05). Moreover, significant seasonal differences were observed for most of the fungal genera except Fusarium. Levels of Aspergillus and Rhizopus differed significantly during the two sampling times, as did levels of Micrococcus spp. and Staphylococcus arlettae.Regarding the same operation procedures, relative humidity affected fungi levels more than temperature did. However, crushing generated the highest concentration of bioaerosols among all operation procedures. Furthermore, levels of bacteria at sites fitted with ventilation systems were lower than at sites without ventilation systems, especially at the crushing site. Therefore, we recommend these workers at the crushing site wear breathing protection and improve the local ventilation systems to minimize the biological hazards.     

Building and environmental factors that influence bacterial and fungal loading on air conditioning cooling coils

We investigated bacterial and fungal concentrations on cooling coils of commercial AC units and quantified associations between microbial loads and AC unit or building operational parameters. A field campaign was conducted to sample 25 AC units in the humid, subtropical climate of Southern CT, USA and 15 AC units in the hot‐summer Mediterranean climate of Sacramento, CA, USA. Median concentrations (with interquartile range) of bacteria and fungi on the cooling coils were 1.2 × 10⁷ (5.1 × 10⁶‐3.9 × 10⁷) cells/m² and 7.6 × 10⁵ (5.6 × 10⁴‐4.4 × 10⁶) spore equivalents (SE)/m², respectively. Concentrations varied among units with median unit concentrations ranging three orders of magnitude for bacteria and seven orders of magnitude for fungi. Controlled comparisons and multivariable regressions indicate that dominant factors associated with AC coil loading include the nominal efficiency of upstream filters (P = .008 for bacteria and P < .001 for fungi) and coil moisture, which was reflected in fungal loading differences between top and bottom halves of the AC coils in Southern CT (P = .05) and the dew points of the two climates considered (P = .04). Environmental and building characteristics explained 42% (P < .001) of bacterial concentration variability and 66% (P < .001) of fungal concentration variability among samples.     

Indoor exposure levels of bacteria and fungi in residences,schools, and offices in China: A systematic review

Microbes in buildings have attracted extensive attention from both the research community and the general public due to their close relationship with human health. However, there still lacks comprehensive information on the indoor exposure level of microbes in China. This study systematically reviews exposure levels, the community structures, and the impact factors of airborne bacteria and fungi in residences, schools, and offices in China. We reviewed the major literature databases between 1980 and 2019 and selected 55 original studies based on a set of criteria. Results show that the concentration of indoor bacteria varies from 72.5 to 7500 CFU/m³, with a median value of 1000 CFU/m³, and the concentration of fungi varies from 12 to 9730 CFU/m³, with a median value of 526 CFU/m³. The concentration level of microbes varies in different climate zones, with higher bacterial concentrations in the severe cold zone, and higher fungal concentrations in the hot summer and warm winter zone. Among different buildings, classrooms have the highest average bacteria and fungi levels. This review reveals that a unified assessment system based on health effects is needed for evaluating the exposure levels of bacteria and fungi.     

Indoor air quality assessment in dwellings with different ventilation strategies in Nunavik and impacts on bacterial and fungal microbiota

Indoor air quality is a major issue for public health, particularly in northern communities. In this extreme environment, adequate ventilation is crucial to provide a healthier indoor environment, especially in airtight dwellings. The main objective of the study is to assess the impact of ventilation systems and their optimization on microbial communities in bioaerosols and dust in 54 dwellings in Nunavik. Dwellings with three ventilation strategies (without mechanical ventilators, with heat recovery ventilators, and with energy recovery ventilators) were investigated before and after optimization of the ventilation systems. Indoor environmental conditions (temperature, relative humidity) and microbiological parameters (total bacteria, Aspergillus/Penicillium, endotoxin, and microbial biodiversity) were measured. Dust samples were collected in closed face cassettes with a polycarbonate filter using a micro-vacuum while a volume of 20 m³ of bioaerosols were collected on filters using a SASS3100 (airflow of 300 L/min). In bioaerosols, the median number of copies was 4.01 × 10³ copies/m³ of air for total bacteria and 1.45 × 10¹ copies/m³ for Aspergillus/Penicillium. Median concentrations were 5.13 × 10⁴ copies/mg of dust, 5.07 × 10¹ copies/mg, 9.98 EU/mg for total bacteria, Aspergillus/Penicillium and endotoxin concentrations, respectively. The main microorganisms were associated with human occupancy such as skin-related bacteria or yeasts, regardless of the type of ventilation.     

Fine and ultrafine particle exposures on 73 trips by car to 65 non‐smoking restaurants in the San Francisco Bay Area

A number of studies indicate cooking is a major source of exposure to particulate matter, but few studies have measured indoor air pollution in restaurants, where cooking predominates. We made 73 visits by car to 65 different non‐smoking restaurants in 10 Northern California towns while carrying portable continuous monitors that unobtrusively measured ultrafine (down to 10 nm) and fine (PM_2.5) particles to characterize indoor restaurant exposures, comparing them with exposures in the car. The mean ultrafine number concentrations in the restaurants on dinner visits averaging 1.4 h was 71 600 particles/cm³, or 4.3 times the mean concentration on car trips, and 12.3 times the mean background concentration in the residence. Restaurants that cooked dinner in the same room as the patrons had higher ultrafine concentrations than restaurants with separate kitchens. Restaurant PM_2.5 mass concentrations averaged 36.3 μg/m³, ranging from 1.5 to 454 μg/m³, but were relatively low on most visits: 43% of the indoor means were below 10 μg/m³ and 66% were below 20 μg/m³, with 5.5% above 100 μg/m³. Exposure to fine and ultrafine particles when visiting a restaurant exceeded the exposure a person received while traveling by car to and from the restaurant.     

Presence and variability of culturable bioaerosols in three multi-family apartment buildings with different ventilation systems in the Northeastern US

Bioaerosol concentrations in residential buildings located in the Northeastern US have not been widely studied. Here, in 2011-2015, we studied the presence and seasonal variability of culturable fungi and bacteria in three multi-family apartment buildings and correlated the bioaerosol concentrations with building ventilation system types and environmental parameters. A total of 409 indoor and 86 outdoor samples were taken. Eighty-five percent of investigated apartments had indoor-outdoor (I/O) ratios of culturable fungi below 1, suggesting minimal indoor sources of fungi. In contrast, 56% of the apartments had I/O ratios for culturable bacteria above 1, indicating the prominence of indoor sources of bacteria. Culturable fungi I/O ratios in apartments serviced by central heating, ventilation, and air-conditioning (HVAC) system were lower than those in apartments with window AC. The type of ventilation system did not have a significant effect on the presence of indoor culturable bacteria. A significant positive association was determined between indoor dew point (DP) levels and indoor culturable fungi (P < .001) and bacteria (P < .001), regardless of ventilation type. Also, residents in apartments with central HVAC did not experience extreme DP values. We conclude that building ventilation systems, seasonality, and indoor sources are major factors affecting indoor bioaerosol levels in residential buildings.     

Levels and sources of volatile organic compounds in homes of children with asthma

Many volatile organic compounds (VOCs) are classified as known or possible carcinogens, irritants, and toxicants, and VOC exposure has been associated with the onset and exacerbation of asthma. This study characterizes VOC levels in 126 homes of children with asthma in Detroit, Michigan, USA. The total target VOC concentration ranged from 14 to 2274 μg/m³ (mean = 150 μg/m³; median = 91 μg/m³); 56 VOCs were quantified; and d‐limonene, toluene, p, m‐xylene, and ethyl acetate had the highest concentrations. Based on the potential for adverse health effects, priority VOCs included naphthalene, benzene, 1,4‐dichlorobenzene, isopropylbenzene, ethylbenzene, styrene, chloroform, 1,2‐dichloroethane, tetrachloroethene, and trichloroethylene. Concentrations varied mostly due to between‐residence and seasonal variation. Identified emission sources included cigarette smoking, solvent‐related emissions, renovations, household products, and pesticides. The effect of nearby traffic on indoor VOC levels was not distinguished. While concentrations in the Detroit homes were lower than levels found in other North American studies, many homes had elevated VOC levels, including compounds that are known health hazards. Thus, the identification and control of VOC sources are important and prudent, especially for vulnerable individuals. Actions and policies to reduce VOC exposures, for example, sales restrictions, improved product labeling, and consumer education, are recommended.     

Indoor concentrations of nitrogen dioxide and sulfur dioxide from burning solid fuels for cooking and heating in Yunnan Province,China

The Chinese national pollution census has indicated that the domestic burning of solid fuels is an important contributor to nitrogen dioxide (NO₂) and sulfur dioxide (SO₂) emissions in China. To characterize indoor NO₂ and SO₂ air concentrations in relation to solid fuel use and stove ventilation in the rural counties of Xuanwei and Fuyuan, in Yunnan Province, China, which have among the highest lung cancer rates in the nation, a total of 163 participants in 30 selected villages were enrolled. Indoor 24‐h NO₂ and SO₂ samples were collected in each household over two consecutive days. Compared to smoky coal, smokeless coal use was associated with higher NO₂ concentrations [geometric mean (GM) = 132 μg/m³ for smokeless coal and 111 μg/m³ for smoky coal, P = 0.065] and SO₂ [limit of detection = 24 μg/m³; percentage detected (%Detect) = 86% for smokeless coal and 40% for smoky coal, P < 0.001]. Among smoky coal users, significant variation of NO₂ and SO₂ air concentrations was observed across different stove designs and smoky coal sources in both counties. Model construction indicated that the measurements of both pollutants were influenced by stove design. This exposure assessment study has identified high levels of NO₂ and SO₂ as a result of burning solid fuels for cooking and heating.     

Survey Results of Combustible Contents and Floor Areas in Canadian Multi-Family Dwellings

This paper presents the results of a survey of floor areas and combustible contents in multi-family dwellings such as semi-detached houses, town houses and low-rise apartments. The survey was primarily based on measurements and photographic information obtained from real-estate websites. This is a novel method, which reduces the effort required to conduct fire load surveys in residential buildings. In addition to quantifying combustible contents, an important objective of the survey was to determine the similarities in combustible contents and configurations of these dwellings, which could be used in designing fire experiments. The survey provided an insight into the types and quantity of combustible contents found in the dwellings, as well as the types of floor configurations and other information that are pertinent to fire issues. Typical furnishings that constituted a significant portion of the movable fire load were identified and possible values of fire load densities were calculated for rooms such as: kitchens, dining rooms, living rooms and bedrooms. The average fire load densities in various rooms were estimated to be: kitchens—807 MJ/m²; dining rooms—393 MJ/m²; living rooms—412 MJ/m²; basement living rooms—288 MJ/m²; primary bedrooms—534 MJ/m²; and, secondary bedrooms—594 MJ/m². Although kitchens had the highest fire load densities the actual fire load (heat content) was found to be lower than bedrooms, which have a higher fire load due to the presence of mattresses, clothing and carpeting.     

Phthalate metabolites in urine samples from Beijing children and correlations with phthalate levels in their handwipes

Little attention has been paid to dermal absorption of phthalates even though modeling suggests that this pathway may contribute meaningfully to total uptake. We have concurrently collected handwipe and urine samples from 39 Beijing children (5–9 years) for the purpose of measuring levels of five phthalates in handwipes, corresponding concentrations of eight of their metabolites in urine, and to subsequently assess the contribution of dermal absorption to total uptake. In summer sampling, DEHP was the most abundant phthalate in handwipes (median: 1130 μg/m²), while MnBP was the most abundant metabolite in urine (median: 232 ng/ml). We found significant associations between the parent phthalate in handwipes and its monoester metabolite in urine for DiBP (r = 0.41, P = 0.01), DnBP (r = 0.50, P = 0.002), BBzP (r = 0.48, P = 0.003), and DEHP (r = 0.36, P = 0.03). Assuming that no dermal uptake occurred under clothing‐covered skin, we estimate that dermal absorption of DiBP, DnBP, BBzP, and DEHP contributed 6.9%, 4.6%, 6.9%, and 3.3%, respectively, to total uptake. Assuming that somewhat attenuated dermal uptake occurred under clothing‐covered skin, these estimates increase to 19%, 14%, 17%, and 10%. The results indicate that absorption from skin surfaces makes a meaningful contribution to total phthalate uptake for children and should be considered in future risk assessments.     

Chronic exposure to biomass fuel smoke and markers of endothelial inflammation

Indoor smoke exposure may affect cardiovascular disease (CVD) risk via lung‐mediated inflammation, oxidative stress, and endothelial inflammation. We sought to explore the association between indoor smoke exposure from burning biomass fuels and a selected group of markers for endothelial inflammation. We compared serum concentrations of amyloid A protein, E‐selectin, soluble intercellular adhesion molecule 1 (ICAM‐1) and VCAM‐1, von Willebrand factor (vWF), and high‐sensitivity C‐reactive protein (hs‐CRP) in 228 biomass‐exposed vs. 228 non‐exposed participants living in Puno, Peru. Average age was 56 years (s.d. = 13), average BMI was 26.5 kg/m² (s.d. = 4.4), 48% were male, 59.4% completed high school, and 2% reported a physician diagnosis of CVD. In unadjusted analysis, serum levels of soluble ICAM‐1 (330 vs. 302 ng/ml; P < 0.001), soluble VCAM‐1 (403 vs. 362 ng/ml; P < 0.001), and E‐selectin (54.2 vs. 52.7 ng/ml; P = 0.05) were increased in biomass‐exposed vs. non‐exposed participants, respectively, whereas serum levels of vWF (1148 vs. 1311 mU/ml; P < 0.001) and hs‐CRP (2.56 vs. 3.12 mg/l; P < 0.001) were decreased, respectively. In adjusted analyses, chronic exposure to biomass fuels remained positively associated with serum levels of soluble ICAM‐1 (P = 0.03) and VCAM‐1 (P = 0.05) and E‐selectin (P = 0.05), and remained negatively associated with serum levels of vWF (P = 0.02) and hs‐CRP (P < 0.001). Daily exposure to biomass fuel smoke was associated with important differences in specific biomarkers of endothelial inflammation and may help explain accelerated atherosclerosis among those who are chronically exposed.     

Kerosene lighting contributes to household air pollution in rural Uganda

The literature on the contribution of kerosene lighting to indoor air particulate concentrations is sparse. In rural Uganda, kitchens are almost universally located outside the main home, and kerosene is often used for lighting. In this study, we obtained longitudinal measures of particulate matter 2.5 microns or smaller in size (PM_2.5) from living rooms and kitchens of 88 households in rural Uganda. Linear mixed‐effects models with a random intercept for household were used to test the hypotheses that primary reported lighting source and kitchen location (indoor vs outdoor) are associated with PM_2.5 levels. During initial testing, households reported using the following sources of lighting: open‐wick kerosene (19.3%), hurricane kerosene (45.5%), battery‐powered (33.0%), and solar (1.1%) lamps. During follow‐up testing, these proportions changed to 29.5%, 35.2%, 18.2%, and 9.1%, respectively. Average ambient, living room, and kitchen PM_2.5 levels were 20.2, 35.2, and 270.0 μg/m³. Living rooms using open‐wick kerosene lamps had the highest PM_2.5 levels (55.3 μg/m³) compared to those using solar lighting (19.4 μg/m³; open wick vs solar, P=.01); 27.6% of homes using open‐wick kerosene lamps met World Health Organization indoor air quality standards compared to 75.0% in homes using solar lighting.     

Acute effects of exposure to vapors of 3‐methyl‐1‐butanol in humans

The secondary alcohol 3‐methyl‐1‐butanol (3MB, isoamyl alcohol) is used, for example, as a solvent in a variety of applications and as a fragrance ingredient. It is also one of the microbial volatile organic compounds (MVOCs) found in indoor air. There are little data on acute effects. The aim of the study was to assess the acute effects of 3MB in humans. Thirty healthy volunteers (16 men and 14 women) were exposed in random order to 1 mg/m³ 3MB or clean air for 2 h at controlled conditions. Ratings with visual analogue scales revealed slightly increased perceptions of eye irritation (P = 0.048, Wilcoxon) and smell (P < 0.0001) compared with control exposure. The other ratings were not significantly affected (irritation in nose and throat, dyspnea, headache, fatigue, dizziness, nausea, and intoxication). No significant exposure‐related effects were found in blinking frequency, tear film break‐up time, vital staining of the eye, nasal lavage biomarkers, lung function, and nasal swelling. In conclusion, this study suggests that 3MB is not a causative factor for health effects in damp and moldy buildings.     

Probable aerosol transmission of SARS-CoV-2 in a poorly ventilated courtroom

There is increasing evidence of SARS-CoV-2 transmission via aerosol; the number of cases of transmission via this route reported in the literature remains however limited. This study examines a case of clustering that occurred in a courtroom, in which 5 of the 10 participants were tested positive within days of the hearing. Ventilation loss rates and dispersion of fine aerosols were measured through CO₂ injections and lactose aerosol generation. Emission rate and influencing parameters were then computed using a well-mixed dispersion model. The emission rate from the index case was estimated at 130 quanta h⁻¹ (interquartile (97–155 quanta h⁻¹). Measured lactose concentrations in the room were found relatively homogenous (n = 8, mean 336 µg m⁻³, SD = 39 µg m⁻³). Air renewal was found to play an important role for event durations greater than 0.5 h and loss rate below 2–3 h⁻¹. The estimated emission rate suggests a high viral load in the index case and/or a high SARS-CoV-2 infection coefficient. High probabilities of infection in similar indoor situations are related to unfavorable conditions of ventilation, emission rate, and event durations. Source emission control appears essential to reduce aerosolized infection in events lasting longer than 0.5 h.