Корона вирус и HEPA филтри
Corona Virus and Air Filters
Session objectives
Let’s approach this as a mutual learning exercise
After the presentation you should have:
- Background information on SARS-CoV-2 (COVID-19) including safe guard measures
- Understanding on Aerosol and droplet transmission mechanism through air
- HVAC System Operational system and spreading of virusses
- Captured Virus by Filter Efficiency together with the amount of recirculation's per hour
- Knowhow on the correct filter selection to obtain a safe environment
But with some etiquette rules …
- Please put your voice on mute to avoid sound interference
- Questions can be mailed (or in the chat when there is enough time available) and will be assembled and answered
HEPA filters provide quite good protection.
In general: The minimum deposition (or maximum penetration) of particles in HEPA filters is in the size range of around 0,1-0,2 μm for glass media, for ePTFE/eFRMit’s a little bit below. Towards smaller particles as well as towards larger particles the deposition is larger!
This fact, which at first glance seems astonishing, is based on the interaction of various physical effects.
For details see here in section mechanism:
https://en.wikipedia.org/wiki/HEPA
Please keep in mind that airborne transmission is not the only route for infections. If a person has e.g. viruses contaminated hands (by droplet deposition) and touches own mucous membranes (mouth, nose, eyes etc.) the infection can be transferred as well.
Survival ofCOVID-19 outside thebody.
Currently there is no common scientifically accepted information on the survival of COVID-19 virus outside the body. According to current news it was assumed that the time scale is minutes. Others are talking of hours or even days.
Background information:
https://www.health.harvard.edu/blog/as-coronavirus-spreads-many-questions-and-some-answers-2020022719004#q5 or https://news.trust.org/item/20200228215640-n07fz
In general: “… such viruses tend to survive the longest in low-temperature, low-humidity environments, that is why you see lots of respiratory viruses during the winter." https://news.trust.org/item/20200228215640-n07fz
Nofit – No protection!
Crucial is the facemask fit: No fit –No Protection!
Background information:
https://www.hse.gov.uk/respiratory-protective-equipment/fit-testing-basics.htm
https://www.3m.com.au/3M/en_AU/safety-centers-of-expertise-au/respiratory-protection/fit-testing/
COVID-19 – Protection against infection
1. Hygiene
The RKI recommends good hand hygiene, cough and sneeze etiquette as well as keeping a distance from the sick in regions with disease complaints due to the new corona virus. However, these steps are also advisable everywhere and at all times because of the flu wave.
For handling on site, the VDBW generally recommends the same rules of conduct that also apply to normal influenza. The most important thing is hygiene: "The corona virus requires more hygiene awareness in the population -both in public and in personalspace," emphasizes Dr. Wolfgang Panter, President of the VDBW. You should often wash your hands and use disinfectant in case of contact with infectious material. You could meet business partners, but you shouldn't shake hands.
In high-risk areas, it is essential to avoid large crowds of people, which also means taking the subway or bus, where people areclose together. Apart from the risk of infection if someone coughs or sneezes, the pathogen can also be transmitted by droplet infection when exhaling purely (see “Breathing Mask").
Important for everyone: Good hand hygiene, i.e. regular washing with soap, a safe distance of one to two meters from sick people, as well as coughing and sneezing in the crook of the arm or in a clean, disposable handkerchief. Breathing masks are not necessary for healthy people, says Prof. Oliver Witzke, director of the Clinic for Infectious Diseases at the University Medical Center in Essen. And also constant disinfection of the hands is superfluous.
Source:
https://www.lungenaerzte-im-netz.de/krankheiten/covid-19/schutz-vor-ansteckung/
This is a German website –Please use translation mode in Google Chrome
COVID-19 – Protection against infection
2. Breathing Mask
Infection with diseases that are primarily transmitted by droplets -for example, loud speaking, calling or coughing within two meters –can be avoided by wearing a breathing mask. Such masks can also prevent a potential smear infection by preventing you from gripping your mouth and nose with dirty hands. "A breathing mask is useful because the droplet infection is transmittedthrough the mouth and nose," explains the Vice President of the Association of German Company and Works Physicians. V., Dr. Anette Wahl-Wachendorf. However, the wearer should ensure that the mask is properly seated so that pathogens cannot penetrate from the side. And depending on how much you speak and how wet your mask gets, you should change it at least two to three times a day.
In the course of the Sarsepidemic 2002/2003, some studies aimed to suggest a protective effect for so-called filter particle masks (FFP3 masks). But these were not normal masks like those seen on the street in Asia or in our operating room, but rather special fine particle masks that are hardly practical for everyday use because you cannot walk around for long. "Of course, an FFP3 mask provides better protection, but even simple mask models can intercept viruses , provided that they close tightly," adds Prof. Dieter Köhler, former medical director of the lung clinic at Grafschaftin Schmallenberg.
So-called surgical face masks are supposed to ensure that no potentially infectious droplets enter the surgical area from the respiratory tract of surgeons. In this respect, it makes sense to wear a mask to protect other people, for example, as a flu patient. "When it comes to avoiding that an infected patient infects other people, his respirator mask must not contain any valves," emphasizes Prof. Köhler.
In pictures from the regions of China affected by the corona virus, people often wear face masks or respiratory masks, which most people in this country have known primarily from the dentist or from the operating room. In China, masks are worn very often anyway, especially because of air pollution, says Salzberger, Vice President of the Robert Koch Institute (RKI). In Asia, it was in some way an act of courtesy to put on a mask as a sick person in order to spread fewer pathogens.
Source:
https://www.lungenaerzte-im-netz.de/krankheiten/covid-19/schutz-vor-ansteckung/
This is a German website –Please use translation mode in Google Chrome
COVID-19 – Protection against infection
3. Vaccination
In the fight against the new lung disease Covid-19, the World Health Organization (WHO) wants to speed up the search for a vaccine and effective medication. There are four possible candidates for a vaccine, two of which I hope will prove promising,says WHO chief scientist Soumya Swaminathan. One of the most pressing tasks is the development of simpler tests for the detection of infections.
According to Swaminathan, the first vaccine tests on humans could begin in three to four months (as of February 2020). A certified vaccine for widespread use will probably only be available in 18 months. Several existing drugs are currently beingtested to see if they can help Covid19 patients. The WHO would develop guidelines for this as soon as possible.
Source:
https://www.lungenaerzte-im-netz.de/krankheiten/covid-19/schutz-vor-ansteckung/
This is a German website –Please use translation mode in Google Chrome
COVID-19 –Official safeguards:
According to the Robert Koch Institute (RKI) in Berlin, a strategy of containment is currently recommended in this country. Attempts are made to identify infected people as early as possible. As a precaution, their contact persons should spend 14 days in quarantine. Even if not all sufferers and their contacts were found in time, these steps slowed down the spread of the pathogen in the population.
Official protection measures focus primarily on flights from China. For example, the pilots will be able to inform the tower about the state of health of the passengers on board before landing in Germany. Travelers from China should use forms to indicate how they can be reached within the next 30 days. This should be available to the airlines over this period in order to be able to find contact persons in the event of infection -including who was sitting next to whom. Fever measurements at airports will not stop the spread, says Federal Health Minister Jens Spahn(CDU), who discussed these new measures with the federal states.
According to this, clinics should report suspected cases to RKI centrally in the future, and not only as previously confirmed cases. There is a coordination office in the federal RKI, which also coordinates with the federal states. There is also exchange with other EU countries and the World Health Organization (WHO).
Other official protective measures are fundamentally possible. The local health department assesses whether they are necessary according to the specific circumstances of the individual case, as the ministry explains. The Infection Protection Act stipulates, for example, that state authorities can restrict or prohibit events and other large gatherings of people. Bathing establishments and community facilities such as schools, day-care centers, asylums and holiday camps can be closed in whole or in part. Authorities can order quarantine for people who are ill, suspect, or suspect to be infected. They can be prohibited from performing certain professional activities. In principle, the competent authority can also oblige people not to leave the place where they are or to not enter certain places until the necessary protective measures have been taken. In this respect, fundamental rights of freedom of the person, freedom of assembly and the inviolability of the home could in principle also be restricted. But: A healing treatment may not be ordered, the law says.
In an emergency, the nationwide Infection Protection Act (IfSG) regulates the essentials. A spokesman for the Bavarian Ministry of Health summarized: "If necessary, important fundamental rights such as freedom of the person, freedom of assembly or inviolability of the apartment as well as the right to physical integrity can be restricted.“ Authorities may request blood samples and smears from skin and mucous membranes, according to Stephan Rixen, a lawyer from Bayreuth. A suspect of illness and contagion -as the law puts it -can also be imposed on a professional ban. To protect others, people could also be segregated in a suitable hospital or in another suitable manner, the law says.
Source:
https://www.lungenaerzte-im-netz.de/krankheiten/covid-19/schutz-vor-ansteckung/
This is a German website –Please use translation mode in Google Chrome
COVID-19 –Official safeguards:
1. Suspected cases
If there is a suspicion, certain criteria have to be checked first: Does someone show signs of a respiratory illness such as coughing or pneumonia? And has he been in a risk area in the past 14 days? Or has he had contact with a sick person in the past 14 days? If so, the patient is examined by a doctor, including hygiene measures such as protection over the mouth and nose. The reason for the 14-day period is that the incubation period -the span between infection and onset of symptoms -can probably be 2 to 14 days.
Anyone who has had contact with infected people should report to their health department regardless of the symptoms. The same applies to travelers from high-risk areas with symptoms. All others contact the office or the family doctor, who can arrange for a laboratory examination if Sars-CoV-2 is suspected. However, those affected should definitely call there before going to the doctors office -similar to suspected flu, because there is also a great risk of catching other patients in the waiting room. Then, in practice, precautions can be taken against further infections and hygiene measures.
Ideally, a sample is taken from the lower and upper airways during the examination. The virus is detectable in the cough expectoration. The evaluation takes almost five hours, plus the time for courier transports to the laboratory.
Anyone who has reasonable suspicion that they are infected with Sars-CoV-2 should avoid unnecessary contacts and stay at home –just like with flu. Also important, for everyone: Good hand hygiene, i.e. regular washing with soap, a safe distance of one to two meters from sick people, and coughing and sneezing in the crook of the arm. Or in a clean, disposable handkerchief. Breathing masks are not necessary for healthy people, says Prof. Oliver Witzke, director of the Clinic for Infectious Diseases at the University Medical Center in Essen. And constant disinfection of the hands is superfluous.
Source:
https://www.lungenaerzte-im-netz.de/krankheiten/covid-19/schutz-vor-ansteckung/
This is a German website –Please use translation mode in Google Chrome
COVID-19 –Official safeguards:
2. Home quarantine
So far, it is usually not necessary to stay in a clinic if you are infected with the novel corona virus. Because the vast majority of those infected either do not fall ill at all or only slightly as with a cold. If you have symptoms, you can make an appointment with your family doctor by telephone.
According to previous experience, the Sars-CoV-2 virus is highly contagious. In order to reliably interrupt infection chains, the Robert Koch Institute demonstrably recommends infected people to be placed in "home quarantine“. For a period of 14 days, which corresponds to the maximum duration of the previously known incubation period, the following rules should apply:
- Individual accommodation in a well ventilated room.
- Limiting contacts with other people, especially if they belong to a risk group. This primarily includes people with a weakened immune system , chronically ill people, the elderly and pregnant women.
- Roommates and family members should generally be in other rooms or keep a minimum distance of at least one to two meters.
- The use of shared spaces should be kept to a minimum and should be separated, time-wise, as far as possible. These rooms, especially the kitchen and bathroom, must be cleaned regularly and well ventilated.
- Regular thorough washing of hands before and after preparing food, before eating, after using the toilet. It is best to use disposable paper towels to dry.
- When coughing or sneezing, cover your mouth and nose with disposable handkerchiefs or use the crook of the arm -and sneeze in a different direction.
- Daily contact with doctor and health department to act quickly in case symptoms occur.
Source:
https://www.lungenaerzte-im-netz.de/krankheiten/covid-19/schutz-vor-ansteckung/
This is a German website –Please use translation mode in Google Chrome
COVID-19 –Official safeguards:
3. Quarantine
The authorities take care to identify possible cases early, isolate them and take hygiene measures to prevent them from spreading further.
If a person suffers from the new corona virus, they must be isolated. There are different levels. Affected patients could in principle be isolated in every hospital, said the spokesman for the German hospital association, Holger Mages. All you need is asingle room. Some clinics have special isolation rooms that can be entered through a double door system. But that is not absolutely necessary. It is important that basic hygiene measures such as hand disinfection and mouth protection are observedand that the staff wear protective clothing as soon as they have close contact with the patient.
People who have had close contact with those affected must be informed and monitored by the responsible health authority. They would first be registered by name, asked about symptoms, and if necessary, laboratory tests would also be carried out, explains Berlin-based virologist Christian Drosten. The RKI also recommends isolation in the hospital until it is clear whether a person classified as suspected has the virus. If the test result is positive, the insulation would remain.
The Ministry of Health points out that such measures worked in 2002/2003 for Sars'lung disease, which also originated in Asia. This could have prevented the spread of the Sarspathogen.
Source:
https://www.lungenaerzte-im-netz.de/krankheiten/covid-19/schutz-vor-ansteckung/
This is a German website –Please use translation mode in Google Chrome
Corona Virus and Air Filters - HOW TO REDUCE VIRAL CARRIERS IN THE AIR FLOW
New SARS-CoV-2 (COVID-19) Research
Viable SARS-CoV-2 found detectable in aerosols
SARS-CoV-2 is now the official name for the virus that causes the coronavirus disease COVID-19.
- Causes acute respiratory disease andgastrointestinaldisease
- Survivability rates per new study inThe New England Journal of Medicine, authored by scientists from National Institutes of Health, CDC, UCLA, and Princeton University:
- 3 hours = Aerosol
- 4 hours = Copper
- 24 hours = Cardboard
- 2-3 days = Plastic/Steel
Sources:
New Coronavirus Stable For Hours on Surfaces
https://www.nih.gov/news-events/news-releases/new-coronavirus-stable-hours-surfaces
The Species Severe Acute Respiratory Syndrome-related Coronavirus : Classifying 2019-ncov and Naming It Sars-cov-2
https://www.nature.com/articles/s41564-020-0695-z
Transmission Mechanisms
1. Smear infection due to contact with contaminated surfaces such as mucous membranes, doorknobs, cell phones, computer keyboards and mice, contaminated protective equipment and filters etc.
Wash you’re hands and reduce touching your face!
https://www.wetter.com/news/so-wird-eine-grippe-uebertragen_aid_565fec1bcebfc0634a8b4571.html
https://www.netdoktor.at/krankheit/schmierinfektion-6937673
Transmission Mechanisms
STUDY RESULTS SUGGEST THAT VIABLE SARS-COV-2 MAY BE LOCALLY AEROSOL TRANSPORTED WHICH COULD EXPLAIN TRANSMISSION IN COMMUNITY SETTINGS.
2. Droplet infection from nasal mucus or sputum when coughing and sneezing; main transmission mechanism; “larger” droplets of nasal mucus and coughing sputum >10 μm can fly several meters; the smaller they are, the more they fly.
Keep distance, the further the better!Wear mask to protect others!
https://doi.org/10.1017/jfm.2014.88
https://www.youtube.com/watch?v=piCWFgwysu0
Transmission Mechanisms
STUDY RESULTS SUGGEST THAT VIABLE SARS-COV-2 MAY BE LOCALLY AEROSOL TRANSPORTED WHICH COULD EXPLAIN TRANSMISSION IN COMMUNITY SETTINGS.
3. Airborne transmission; even if viruses usually do not fly around freely, they can still be carried on carrier particles, e.g. airborne droplets <10μm, this is still not 100% proven for SARS-CoV-2 but can be assumed.
Keep more distance, social isolation! Wear mask to protect yourself!
http://www.simaonlus.it/wpsima/wpcontent/uploads/2020/03/COVID_19_position-paper_ENG.pdf
https://www.youtube.com/watch?v=K5kR1zhVjAc
HVAC System Operational Assumptions
- HVAC equipment will circulate the air in rooms, heat/cool the air, and then re-circulate to the room.
- Given an air change rate of approx. 7 times per hour*, living viruses (assuming 3-hour life) can be carried by particlesand circulate 21 timesand spread throughout the building within the ducts.
Captured Virus Carriers by Filter Efficiency
Supply Air (SUP) Categories
Selecting filter efficiency
Reduce Virus-Carrier Sized Particles with High Efficiency Filters
- Initial pressure drop may increase. cycle should stay the same as existing filter.
- The above mentioned efficiencies can be obtained by single filter or filter combination is the several filter stages of the air handling unit.
Combination of Filters
