The severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2), a new zoonotic agent that emerged in December 2019, causes coronavirus disease 2019 (COVID-19). This infection can be spread by asymptomatic, presymptomatic, and symptomatic carriers. SARS-CoV-2 spreads primarily via respiratory droplets during close person-to-person contact in a closed space, especially a building. This article summarizes the environmental factors involved in SARS-CoV-2 transmission, including a strategy to prevent SARS-CoV-2 transmission in a building environment. SARS-CoV-2 can persist on surfaces of fomites for at least 3 days depending on the conditions. If SARS-CoV-2 is aerosolized intentionally, it is stable for at least several hours. SARS-CoV-2 is inactivated rapidly on surfaces with sunlight. Close-contact aerosol transmission through smaller aerosolized particles is likely to be combined with respiratory droplets and contact transmission in a confined, crowded, and poorly ventilated indoor environment, as suggested by some cluster cases. Although evidence of the effect of aerosol transmission is limited and uncertainty remains, adequate preventive measures to control indoor environmental quality are required, based on a precautionary approach, because COVID-19 has caused serious global damages to public health, community, and the social economy. The expert panel for COVID-19 in Japan has focused on the “3 Cs,” namely, “closed spaces with poor ventilation,” “crowded spaces with many people,” and “close contact.” In addition, the Ministry of Health, Labour and Welfare of Japan has been recommending adequate ventilation in all closed spaces in accordance with the existing standards of the Law for Maintenance of Sanitation in Buildings as one of the initial political actions to prevent the spread of COVID-19. However, specific standards for indoor environmental quality control have not been recommended and many scientific uncertainties remain regarding the infection dynamics and mode of SARS-CoV-2 transmission in closed indoor spaces. Further research and evaluation are required regarding the effect and role of indoor environmental quality control, especially ventilation.
Information on airconditioning and ventilation has been continuously disseminated in response to the Japanese Government's announcement of the need for appropriate ventilation measures against the new coronavirus disease (COVID-19), and the issuing of an emergency presidential discourse by the presidents of Engineering Societies. In this paper, we add to the information the latest knowledge on the behavior of SARS-CoV-2 in air, describe its diffusion characteristics in the built environment, and summarize the effects of temperature and humidity on the virus. Then we recommend varying approaches of airconditioning control for facility type.
Contact behavior in a public space influences the risk of contact infection because public spaces have many environmental surfaces contaminated with pathogens. It is useful for risk reduction to examine the factor of infection risk among behaviors. In the present study, a video monitoring survey was conducted in a simulated cabin of a commuter train, we had built, to investigate the relationship between face-touching frequencies and individual attributes. As a result, the average face-touching frequency was 17.8 times per hour. Of all face touches, mucosal contact was 42.2%. Focusing on the sex, the face-touching frequency was significantly higher for the males than for the females. Focusing on the skin condition, the face-touching frequency of those who did not wear makeup was significantly higher than that of those who did. The significant sex differences may depend on the makeup. Focusing on pollution awareness, higher pollution awareness related to lower frequency. Thus, by improving pollution awareness of the environmental surfaces in public spaces, it is possible to reduce effectively face-touching frequency and, hence, infection risk.
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