Hospital ventilation could cause viruses to spread

Equipment designed to mitigate the spread of viral infections in hospitals could cause viral particles to move around more, according to a new study from UCL and UCLH.

The clinic where the experiments took place consisted of a large central waiting room (154m3, split into A and B for the purpose of the study), eight surrounding consulting rooms and a nurses’ station (all approximately 35m3). The clinic was connected via a permanently open passageway to a corridor leading to the rest of the hospital. Experiments took place at night and weekends when no staff or patients were present
The clinic where the experiments took place consisted of a large central waiting room (154m3, split into A and B for the purpose of the study), eight surrounding consulting rooms and a nurses’ station (all approximately 35m3). The clinic was connected via a permanently open passageway to a corridor leading to the rest of the hospital. Experiments took place at night and weekends when no staff or patients were present - AdobeStock

In the study, researchers investigated the effect of using built-in mechanical ventilation and portable air cleaners (PACs) on the spread of airborne particles, which are similar to those breathed out by a person with a viral respiratory infection. Their work is detailed in Aerosol Science & Technology.

The team tracked the movement of airborne particles around a typical hospital outpatients’ clinic at UCLH in central London using an aerosol generator and particle counters. A variety of scenarios were simulated, including particle movement to a neighbouring room, throughout the whole clinic, and from one room to another room at the far side of the clinic.

They also tested whether factors such as closing doors, or the position of ventilation and PACs within a room, influenced the spread of particles.

The researchers found that while use of built-in ventilation and PACs can reduce particle spread in some scenarios, in some experiments the use of PACs increased aerosol spread by up to 29 per cent between neighbouring rooms. Built-in ventilation potentially increased aerosol migration across the clinic by up to 5.5 times more than if no ventilation was used.

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