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Health care facility ventilation design greatly affects disease transmission by aerosols. The desire to control infection in hospitals and at the same time to reduce their carbon footprint motivates the use of unconventional solutions for building design and associated control measures. This paper considers indoor sources and types of infectious aerosols, and pathogen viability and infectivity behaviors in response to environmental conditions. Aerosol dispersion, heat and mass transfer, deposition in the respiratory tract, and infection mechanisms are discussed, with an emphasis on experimental and modeling approaches. Key building design parameters are described that include types of ventilation systems (mixing, displacement, natural and hybrid), air exchange rate, temperature and relative humidity, air flow distribution structure, occupancy, engineered disinfection of air (filtration and UV radiation), and architectural programming (source and activity management) for health care facilities. The paper describes major findings and suggests future research needs in methods for ventilation design of health care facilities to prevent airborne infection risk.

Biomass combustion in cookstoves has a substantial impact on human health, affects CO2 levels in the atmosphere, and black carbon (BC) and organic carbon (OC) affect the earth's radiative balance. Various initiatives propose to replace traditional fires with "improved" (nontraditional) cookstoves to offset negative local and global effects. In this laboratory study, we compared the size, composition, and morphology of ultrafine particulate emissions from a "three-stone" traditional fire to those from two improved stove designs (one "rocket", one "gasifier"). Measurement tools included a scanning mobility particle sizer, PTFE and quartz filter samples, and transmission electron microscopy. In the improved stoves, particulate mass (PM) emissions factors were much lower although median particle size was also lower: 35 and 24 nm for the rocket and gasifier, respectively, vs 61 nm for the three-stone fire. Particles from improved stoves formed clearly defined chain agglomerates and independent spheres with little evidence of volatile matter and had a higher proportion of BC to total PM, although overall BC emissions factors were fairly uniform. The 3-fold increase in quantities of sub-30 nm particles from improved cookstoves warrants further consideration by health scientists, with due consideration to the higher combustion efficiencies of improved cookstoves.

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Particle mass, mobility, volatile mass fraction, effective density, mass concentration, mass-mobility exponent, and particle morphology were measured from soot generated from a premixed flame (McKenna burner) and an inverted diffusion flame over a range of equivalence ratios. It was found that the mass fraction of volatile material on the soot from the McKenna burner could be up to 0.83 at a high equivalence ratio, but there was no measurable volatile material on the soot from the inverted burner. The inverted burner can produce soot at different mass-mobility exponents, ranging from 2.23 to 2.54, over a range of global equivalence ratios of 0.53-0.67, while the mass-mobility exponent ranges from 2.19 to 2.99 for fresh soot and 2.19 to 2.81 for denuded soot for the McKenna burner at equivalence ratios of 2.0-3.75. Transmission electron microscopy analysis of inverted burner soot shows that a range of particle morphologies is present at a given global equivalence ratio, likely due to different local equivalence ratios and flame conditions in the diffusion flame. Primary particle diameter tends to increase with aggregate size, which could contribute to the mass-mobility exponent being well above 2.

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