ASHRAE D RP397 198507 Airbone Bacteria in Schools

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    FINAL RETORT - RP-397

    THE.

    EFFECT OP VENTILATION AND RELATIVE HUMIDITY

    UPON AIRBORNE BACTERIA UJ SCHOOLS

    G.E. Green, Dept. of Mechanical Engineering

    University of Saskatchewan

    Saskatoon, Saskatchewan S7N OWO

    K. Sareen, KS Engineering Inc.

    Saskatoon, Saskatchewan

    A.D.

    Osborne, Dept. of Veterinary Microbiology

    University of Saskatchewan

    Saskatoon, Saskatchewan S7N OWO

    ABSTRACT

    It is hypothesized that the increase in respiratory diseases in

    winter is caused by the reduced indoor relative humidity increasing

    the survival time of airborne bacteria *and viruses. This paper

    reports the effect of ventilation and relatives, humidity upon the

    number of airborne colony forming units per m (cfu/m ) in six

    schools.

    The airborne bacteria found were mainly non-pathogenic with

    a few pathogenic bac^ria appearing in December, January and February.

    The number of cfu/ra were mainly a function of occupancy. In

    non-occupied periods the number of cfu/m were in the range of 40 to

    70,this increased to 300 to 700 as soon as the students entered the

    classroom. The average level of the cfu/m was largely a function of

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    FINAL REPORT - RP-397

    THE EFFECT OF INDOOR RELATIVE HUMIDITY ON SURVIVAL

    OF AIRBORNE MICROORGANISMS AND RELATED ABSENTEEISM

    IN SCHOOLS AND HOSPITALS

    G.H. GREEN

    DEPT.

    OF MECHANICAL ENGINEERING

    UNIVERSITY OF SASKATCHEWAN

    SASKATOON, SASKATCHEWAN, CANADA S7N 0W0

    INTRODUCTION

    Airborne infections are caused by bacteria and virus that survive

    their transport through the air, find a favorable landing site, and

    cause an infection. Survival depends upon a number of factors, and

    this reports the investigation of two of them, indoor relative

    humidity and ventilation. Relative humidity affects the survival of

    airborne microorganisms, and the general rule seems to be that the

    midrange of relative humidity is the most lethal. A number of

    investigators attribute the increase in respiratory infections in

    winter to the lower indoor relative humidity of that season permitting

    an increased survival of airborne infectious microorganisms. Studies

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    2

    MEASUHEMENTS AM) METHODS - SCHOOLS

    A preliminary investigation began in March 1983 with measurement

    in 12 schools taken randomly with respect to time of day and class

    occupancy. Twelve schools were selected because it would have

    provided a large enough sample of students for statistical significant

    test.

    However, it was noted that the airborne bacteria counts were a

    function of the time of day. Airborne bacteria counts in the schools

    increased rapidly up to the recess period, decreased, then increased

    until noon, and decreased rapidly during the noon hour. The airborne

    counts were obviously a function of the number of students, so daily

    hour readings had to be taken, which was not possible for 12 schools.

    Therefore, the study was reduced to the six schools whose heating and

    ventilation characteristics are shown in Table 1. A more extensive

    measurement study was undertaken of school (HC) for more detailed

    analysis of airborne counts.

    The increased number of measurements six to ten for each school

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    3

    taken before the class started08:30,then repeated at09:30, 10:00,

    11:00, 11:30, 12:15, 12:40,and12:35.

    Relative humidity was measured with an aspirating psychometer

    with readings taken during the microbial sampling period.

    The airborne bacteria counts were made with an Andersen sampler

    that collects air at 28.3 L/min through six stage with decreasing

    diamter holes in each succeeding plate. As the jet velocity increases

    with the decreasing diameters of the holes, smaller particles are

    recovered at each successive stage. Below each plate, a surface

    containing the nutrient agar receives the airborne particles separated

    according to their aerodynamic dimensions. Samples were taken for

    5-15 minutes, then the petri plates were removed, incubated, and the

    colonies counted by the 'positive hole' method.

    The reproducibility of the Andersen sampler was confirmed by

    using two additional samplers side by side. The results were within

    3

    10%

    over the entire range of up to 2200 colony-forming units/m

    (cfu/m

    3

    ).

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    4

    air-change rate was determined by using N

    2

    0 as a tracer gas. A

    predetermined quantity of N

    2

    0 was released into the air and additional

    mixing was created in empty classrooms with two 24-inch propeller

    fans. After a mixing period, a sample was taken every five minutes by

    pumping the room air into a sample bag for later analysis. Five

    samples were taken in each test. Analysis of the gas was made with an

    infrared analysis instrument. Results were consistent and checked

    with measured airflow quantities from the diffusers. The combined

    room air-change rate resulting from the infiltration and recirculation

    will be referred to as the recirculation rate, as the air is mostly

    recirculated in the study of the school, HC.

    Since the natural death of airborne bacteria is a logorithmic

    function (described in the next

    section),

    the decay rate of viable

    bacteria in an empty classroom was determined by taking samples at

    3

    selected time intervals. These cfu/m were plotted on semilog paper

    to determine the equivalent air change rate of the decay of the

    viables.

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    5

    each of the three hospitals under investigation. To limit the

    readings, the levels in the intensive care unit in each of three

    hospitals were taken once per month with readings every hour from 8:00

    am to 12:30 pm.

    The hospitals were: Hospital A was cooled in the summer with

    central air conditioning and the same system ventilated and humidified

    the rooms in winter. Heating in the winter season was done with

    radiators.

    The windows were of the double pane non-opening type.

    Hospital B and C were not air conditioned, not humidified, and the

    windows and storm windows were openable. Hospital A had 185 staff,

    and hospitals B and C, 650 and 1560 respectively.

    It was not possible to measure ventilation rates in the hospitals

    as their duct systems were too extensive and the hospitals much too

    large to conduct a tracer gas technique for air change rates for this

    investigation.

    More extensive readings wwould have to be taken in hospitals to

    justify a paper on the results.

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    6

    bacteria relationship between airborne counts and absenteeism, and (2)

    the airborne pathogens and their relationship to relative humidity.

    The trends of absenteeismas a measure of illness^-and airborne

    bacteria concentration shown in Figures 1 and 2 of this report may be

    of great significance but is not considered reliable because it was

    obtained from six classes of 20 students each which is too small for

    statistically significant results.

    3

    Figure 1 shows an increase in absenteeism with increase in cfu/m

    3

    (colony forming units per meter ) . Figure 2 shows the same

    absenteeism data plotted versus airchange or recirculation rate and

    the one point Q.E. stands out. There is reason to believe that the

    discharge rate determined with the room unoccupied is not the correct

    value for the occupied state of this classroom. (Air change rates

    were done on unoccupied rooms because N

    2

    0 was used as the tracer gas.)

    The trend of the data would suggest there is a relationship between

    the number of monthly non-pathogenic cfu/m measured in this

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    7

    other pathogens and since they appear in very low numbers, it may be

    difficult or impossible with the known methods.

    RESULTS HOPITALS

    The concentration of non-pathogenic airborne bacteria in the

    intensive care units of the hospitals for the period August to

    September, 1983, are shown in Figures 3,4 and 5. The counts are low

    compared to schools, occurring in the range of 30 to 200 cfu/m . High

    readings were found wwhen activities took place in the ICU. The data

    of Hospital C shows what happened when workmen began repairs to the

    mechanical systems in the ceiling space. People entering the unit

    also caused excursions from the basic levels. The reduction on the

    3

    cfu/m with reduction in relative humidity was similar to the schools

    and no pathogens were found in the hospitals.

    CONCLUSIONS

    Schools

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    8

    3. Ordinary filters with high air recirculation rates are highly

    effective in removing airborne bacteria from rooms. They may

    constitute a means for protecting building occupants from

    bacterial pathogens produced by sprays, humidifiers and other

    conditioning equipment that could produce illness causing airborne

    bacteria.

    4.

    A decrease of indoor relative humidity reduced the number of

    3

    cfu/fri in the air. Other studies that show the opposite did not

    take into account the variation in number of occupants and the

    effect of ventilation air recirculation.

    5. This study did not substantiate the hypothesis that the rediction

    in absenteeism and respiratory illnesses in winter with increased

    indoor relative humidity is caused by the reduction in lowered

    survival time of airborne micro-organisms with increased humidity.

    6. Pathogenic bacteria were only found in the mid-winter season.

    While this investigation revealed many aspects of airborne

    bacterial contamination in schools that may be significant to all

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    9

    microorganisms generated in the classroom of R.P. 397 can be used to

    study the airborne microorganism removal of filters in the field,

    examining individual filters sealing and other practical problems.

    It was not possible in R.P. 397 to determine if there was a

    relationship between he number of non-pathogenic airborne bacteria

    and illness, but the trend of reduced illness with reduced

    non-pathogenic airborne microorganisms is of sufficient importance to

    warrant further studies.

    The apparent higher level of airborne microorganisms that

    occurred in the one school with a high nap carpet warrants further

    studies.

    Schools because of their high occupancy generates high levels of

    non-pathogenic airborne bacteria and assuming that this is a

    reflection of pathogens, it indicates that schools may be a good type

    of building to investigate the transmission of airborne diseases.

    Hospitals

    The large size and diverse characteristics of the various

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    10

    UTILIZATION OF HP-397

    The Effect of Ventilation and Relative Humidity upon Airborne

    Bacteria in Schools

    1. This research is related to:

    a) Fundamentals Volume/ Chapter 8, Physiological Principles,

    Comfort and Health, Section indoor Climate and Health; Chapter

    11,Air Contaminants Section, Airborne Microorganism.

    b) Equipment Volume, Chapter 10 , Air Cleaners, Section Filters.

    c) Application Volume, Chapter 6, Education Facilities Ventilation

    Requirement; Chapter 7, Health Facilities.

    2. This research extends our present knowledge of the levels of

    non-pathogentic bacteria in schools. It was demonstrated that the

    filter was quite effective in removing bacteria from the air and

    that the classroom recirculation air change rate through the

    filter was the greatest factor in lowering airborne bacteria

    levels.

    Our knowledge of the effect of relative humidity upon the

    life of airborne bacteria was increased.

    3. This work bears out the recirculation concept in hospital

    operating room prevented by, Luciano, J.R., New Concept in French

    Hospital Operating Room HVAC Systems, ASHRAE Journal, Feb. 1984,

    p.

    3 0, and suggests a new approach in the chapter Health

    Facilities in the application volume.

    4. Further investigations suggested by RP 397 are:

    a) The place of filters in removing airborne legionella bacteria

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    .

    JU-USLE

    J.

    School Heating and Ventilating Systans

    p -

    School

    C

    HC

    KG

    NP

    QE

    W

    Heating System

    Natural Gas

    Warm - Air

    Natural Gas

    Warm - Air

    Steam Radiators

    Hot Water

    Radiators

    Unit Ventilators

    Unit Ventilators

    Humidifying

    System

    Air Washer

    Air Washer

    Air Washer

    None

    None

    None

    Outdoor Air

    Per Person

    1.5 L/sec

    3 cfm

    1.5 L/sec.

    3 cfm

    5.0 L/sec

    100 cfm

    1.5 L/sec

    3 cfm

    *

    *

    Recirculation

    Rate Ac/Mr

    2.6

    3.0

    All Fresh Air

    1.22

    3.00

    0.63

    0.63

    Room Vol .

    Per Student

    15

    8.2

    15

    13

    13.6

    15

    525

    287

    525

    455-

    476

    527

    * Uni t ventilator controls we re set with minimum fresh air whe n heating was re quired

    opening to admit outdoor air as cooling was required.

    + 20 students was average in all schools

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    No.2887(R P-397)

    The Effect of Venti lation

    and Relative H um idity

    upon Airborne Bacter ia in Schools

    G.H.

    Green K. S areen A .D. Osborne

    ASHRAE Fellow

    ABSTRACT

    It is hypothesized that the increase in respiratory diseases in winter is caused by the

    reduced indoor relative humidity increasing the survival tine o f airborne bacteria and

    viruses. This paper report s the effect o f ven tilation and relative hu midity upon the number

    of airborne colony-forming unitsper m (cfu/m ) in sixschools. Th e airborne bacte ria found

    were mainly nonpathogenic with.a fe w pathoge nic bacteria appearing in December, Januar y, and

    February. The number o f cfu/m were mainly a function o f occupancy: in noncccupied per iods,

    the numberso f cfu/m were in the range of 40 to 70, which increased to 300 to 700 as scon a s

    the studen ts enteredthe cla ssroom. Th e average level of the cfu/m w as largely a function o f

    theair recirculation rat e, becauset h e filter remove d 90% of the airborne bacte ria. Ordinary

    filters

    a re

    very effective

    in

    removing bacteria from

    air and

    could

    b e

    used

    a s a

    protection

    from sources disseminating pathogenic bacteria in ventilating system s. Th e number o f

    classroom airborne bacteria w a s reduc ed slightly a s the relative humidity de crea sed, which

    doesn ot support the hypoth esis proposed for the increase o f respiratory illnessesin winter.

    They we re, however, mainly nonpathogenic,and the pathogens may have a different survival

    pattern with relative humidity. In general, t he level o f airborne bac ter ia in the classroom

    wa s mainlya function of occupancy and air recirculation rate through a filte r.

    INTHTPCTIOW

    Airborne infectionsa re caused by bacteria and virus that survive their transpor t thr ough the

    air , finda favorable landing site, an d cause a n infection. Survival dep end s upo n a number o f

    factors,a nd this paper investigates t w o of them, indoor relative humidity and ventilation.

    Relative humidity affectsthe survival of airborne microorgan isms,and the general rule seems

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    the results must be considered tentat ive.

    The objective of this study is to investigate the effect of relative humidity and

    vent ilation rates on the concentrat ion of airborne bacte ria in eleme ntary schoo ls.

    MEASUREMENTS AND METHODS

    With the objective of getting random samples of airborne bacteria and relative humidity, the

    study began with measurements of airborne bacteria, relative humidity, dust, and surface

    bacteria in 12 schools. A single classroom in each school of about 20 Grade 3 students of

    ages 7, 8 , or 9 was select ed.

    It was noted that the airborne bacteria counts were a function of the time of day (Figure

    6 Airborne bacteria counts in the schools increased rapidly up to the recess period,

    dec reased, then increased until noon, and decreased rapidly during the noon hou r. The

    airborne counts were obviously a function of the number of student s, so daily hourly readings

    had t o be taken, which was not possible for 12 schools. Therefore, th e study wa s reduced to

    the six schools whose heating and ventilation characteristics are shown in Table 2. A more

    extensive measurement study was undertaken of school (EC) for more detailed analysis of

    airborne co unts.

    Readings of relative humidity, dust, and airborne counts were taken before the class

    started 08:30, then repeated at 09:30, 10:00, 11:00, 11 :30, 12:1 5, 12: 40, and 12:35. A

    typical plot of the results is shown in (Figure 6 ).

    Relative humidity was measured with an aspirating psychometer w ith re adings taken during

    the micro bial sampling period.

    The airborne bacteria coun ts were mad e with an Andersen sampler that col lec ts air at 28.3

    I/minthrough six stages with decreasing diameter ho les in each succeeding p lat e. As the jet

    velo city increases with the decreasing diamet ers of the ho les, smaller par ticles a re recovered

    at ea ch successive stage. Below each plate , a surface containing the nutrient agar r eceives

    the airborne particles separated according to their aerodynamic dime nsions. Samples were

    taken for 5-15 minutes, then the petri plates were remo ved, incubated, and the colonies

    counte d by the 'positive hol e' method (Andersen1968).

    The reproducibility of the Anderson sampler was confirmed by using two additional

    samplers side by side^ The ^results were within 1 0% over the entire r ange o f up to 2200

    colo ny-forming units/m (cfu/ra ) .

    Airborne du st samples were taken simultaneously, with the airborne bacteria collection

    with th e sampler. A respirable aerosol mass monitor was used to determ ine the respirable mass

    cont ent of the air. Mass content of the air was registered in Mg/m by a piezoelectric

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    same school.

    The mechanism of the death of viable particles, which have been studied in an aerosol

    chamber, has shown two slopes: the initial dec ay, ^ , and a later decay constant, K_. In

    this study, a mean de cay wa s determined because of t he length of time required for airborne

    bacte ria sampling.

    The loss of viable a irborne bacteria in the air is considered as the sum of the dilut ion

    loss due to the recirculated air rate and the decay l oss due to the natural occurring deat h in

    the air, which has been shown to be a function of a number o f factor s, one of which is

    rel ative hum idity, which h as a significant effect (Akers and Dimnick1 969).

    The study of the separate effect of air changes per hour and relative humidity was

    carried out by determining the slope, K, of the decay curve s. In Figure 8, a study of the

    effect of air-change rate in a single school at a constant relative humidity is shown. The

    test began at 11:55, so the cfu/m are at a maximum; then the students leave, so the occupancy

    is zero. Curves A was are obtained by turning off the ventilation fans so that the dec ay

    repre sents the lowest air-change rate, caused by infiltration onl y, wh ich was found with

    tracer-gas decay equ al t o, 0.30 AC/hr. -At the same time, samples of air we re taken with the

    sampler to find the decay ra te of cfu/m with no occu pancy . This slope is given by Curve A'

    equ al to 1.80 AC/hr. The loss of viability due to biological deat h is represented by the

    difference in slopes between A and A'. The deca y rate was equivalent t o 1.5 = (1.8-0.3)

    AC/hr. Repeating the test with th e ventilation fans on , Curve B is the decay r ate repr esented

    by the dilution of the ventilation air and Curves B' are the combined effect o f ven tilation

    and biological death.- The biological decay rate of curve B is 5.62 - 3.0 = 2.6 2 AC/hr .

    The increase in cfu/m resulting from a reduc tion in recircu lation ra te is shown in

    Figur e 9.

    Figure 10 shows the reduction in the cfu/m that occurred in one school with reduct ion in

    indoor humidity. All the data showed the same trend , that is, a reduction in indoor relat ive

    humidity resulted in a reduc tion of viable airborne bacter ia.

    Several species of the non-pathogenic airborne viables from the schools were grown in

    cultu re so they could be atomized into the air of a chamber that could be kept at a selected

    relative humidity. Samples taken at time intervals established th e viability of the bacter ia

    at various humidities. The tests showed that the survival time of bacteria decreased with

    lowered relative humidity.

    Respirable dust level s of 10 micron or l ess showed a relationship to the cfu/m increased

    as the duct content increased as shown in Figure U . Whether

    the bacteria and their

    associated skin cells contributed to the dust cou nt or vice versa is not kno wn.

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    3. Ordinary filters with high air recirculation rates are highly effective in removing

    airborne bacteria from rooms. They may constitute a means for protecting building occupants

    from bacterial pathogens produced by sprays, humidifiers, and other conditioning equipment

    that could produce illness by causing airborne bacteria.

    4.

    A decrease in indoor relative humidity reduced the number of cfu/m in the air.

    Other studies that showed the opposite did not take into account the variation in number of

    occupants and the effect of ventilation and air recirculation.

    5. This study did not substantiate the hypothesis that the reduction in absenteeism and

    respiratory illnesses in winter with increased indoor relative humidity is caused by the

    reduction in airborne microorganisms with increased humidity.

    6. Pathogenic bacteria were only found in the midwinter season.

    Vfliile this investigation revealed many aspects of airborne bacterial contamination in

    schools that may be significant to all buildings, further investigations will have to be

    undertaken to substantiate the findings.

    Andersen, A.A., New Sampler for the Collection, Sizing, and Enumeration of Viable Airborne

    Particles, Journal of Bacterilogy, V. 76 , 1968, p.

    471-84.

    Akers, A.B.; and Dimmick, R.L., An Introduction to Experimental Areobiology, Wiley, 1969, p.

    280.

    Dang, V.B.; Guberan, E. ; and Sweetman P.M., L'humidification de L'air des Locant Previent

    elle les Maladies Respiratoires Pendant L'hiver, Schweizerische Medizinische

    Wbchenschrift, 108, No . 22, 1978.

    Druett,

    H.A., The Inhalation and Retention of Particles in the Human Respiratory System,

    Airborne Microbes, in P.H. Gregory and J.L. Montieth, eds., 17th Symposium of Society

    for General Microbiology, London, Cambridge Univ. Press, 1967.

    Green,

    G.H., The Positive and Negative Effects of Building Humidification, ASHRAE Trans.,

    1982,Vol. 88., Pti 1.

    Green, G.H., Winter Humidities and the Related Absenteeism in Canadian Hospitals, Digest of

    the 3rd CMBES Canadian Clinical Engineering Conference, Sept. 1981, Saskatoon,

    Saskatchewan.

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    TABLE

    2

    School

    Heating and Ventilating Systems

    School

    C

    HC

    KG

    NP

    QE

    .

    Heating System

    Natural Gas

    Warm - Air

    Natural Gas

    Warm - Air

    Steam Radiators

    Hot Water

    Radiators

    Unit Ventilators

    Unit Ventilators

    Humidifying

    System

    Air Washer

    Air Washer

    Air Washer

    None

    None

    None

    Outdoor Air

    Per Person

    l.S L/sec

    3 cfm

    l.S L/sec

    3 cfm

    5.0 L/sec

    100 cfm

    l.S L/sec

    3 cfm

    *

    *

    Recirculation

    Rate Ac/Mr

    2.6

    3.0

    All Fresh Air

    1.22

    3.00

    0.63

    0.63

    Room Vol.

    Per Student

    _ 3

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    S2 7

    V )

    m