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ASHRAE publishes updated health care facility ventilation standard

ATLANTA, Georgia, 11 May 2021: ASHRAE has released an updated edition of ANSI/ASHRAE/ASHE Standard 170, Ventilation of Health Care FacilitiesMaking the announcement through a Press release, ASHRAE said the standard offers guidance, regulation and mandates to designers of health care facilities.

The 2021 edition, ASHRAE said, delivers critical guidance for designers and operators of these front-line facilities and incorporates 17 addenda to the 2017 edition of the standard.

According to ASHRAE, changes include:

  • Expanded requirements to allow airborne infectious isolation room exhaust discharge to general exhaust under certain conditions
  • Revised scope, with improved guidance on thermal comfort conditions
  • Extensive modifications to address the Outpatient and Residential sections
  • Extensive revisions to air filtration requirements
  • Addition of new columns in the ventilation tables to prescribe filtration requirement and designate unoccupied turndown
  • Expanded guidance on separation distance requirements for varied intake and exhaust arrangements, coordinating with related ASHRAE Standard 62.1 data
  • Improved guidance related to behavioral and mental health

ASHRAE Epidemic Task Force releases updated airborne transmission guidance

ATLANTA, Georgia, 5 April 2021: The ASHRAE Epidemic Task Force released an updated, unequivocal statement on the airborne transmission of SARS-CoV-2 in buildings, ASHRAE said through a Press release.

ASHRAE released the following statement: “Airborne transmission of SARS-CoV-2 is significant and should be controlled. Changes to building operations, including the operation of heating, ventilating, and air-conditioning systems, can reduce airborne exposures.”

ASHRAE said the statement replaces its April 2020 statement, which said airborne transmission was “sufficiently likely” that airborne precautions should be taken. At that time both, ASHRAE said, the World Health Organization (WHO) and the Centers for Diseases Control (CDC) contended that transmission of SARS-CoV-2 was by droplet and fomite modes, not airborne. Subsequently, both have acknowledged the risk of airborne transmission indoors, ASHRAE added.

“This may seem like a small step, but we feel it is important to leave no doubt about our position, given the muted support for ventilation and filtration as important tools in the effort to stop the pandemic, from some organizations that should be leading more strongly,” said William P Bahnfleth, Chair, ASHRAE Epidemic Task Force.

According to ASHRAE, the Task Force has been developing and disseminating guidance for the control of airborne transmission of SARS-CoV-2 since its formation in March 2020.  “ASHRAE volunteers have played a huge role in evaluating evidence and developing detailed guidance to improve indoor environmental quality,” Bahnfleth said. “The public, globally, is benefitting from the volunteer efforts of some of the most knowledgeable scientists and engineers in our field and this updated guidance is proof of it.”

To view the complete airborne transmission statement and other COVID-19 resources, ASHRAE suggested visiting ashrae.org/COVID-19.

ASHRAE Epidemic Task Force releases updated Building Readiness Guide

ATLANTA, Georgia, 02 February 2021: With the performance of many HVAC systems in buildings still being evaluated, the ASHRAE Epidemic Task Force has updated its reopening guidance for HVAC systems to help mitigate the transmission of SARS-CoV-2, ASHRAE said through a Press release.

“The Building Readiness Guide includes additional information and clarifications to assist designers and commissioning providers in performing pre- or post-occupancy flush calculations to reduce the time and energy to clear spaces of contaminants between occupancy periods,” said Wade Conlan, Lead, ASHRAE Epidemic Task Force Building Readiness team. “New information includes the theory behind the use of equivalent outdoor air supply, method for calculating the performance of filters and air cleaners in series, and filter droplet nuclei efficiency that help evaluate the systems’ ability to flush the building.”

According to ASHRAE, major updates to the building readiness guidance include the following:

  • Pre- or post-flushing strategy methodology: The strategy has been updated to include the use of filter droplet nuclei efficiency, which is the overall efficiency of filter, based on viable virus particle sizes in the air, to assist in determining the impact of the filter on the recirculated air on the equivalent outdoor air. This allows the filter efficiency as a function of particle size, using ASHRAE Standard 52.2 test results, to be estimated based on the expected size distribution of virus-containing particles in the air. This calculation is currently based on Influenza A data and will be updated as peer-reviewed research becomes available for the distribution of particle sizes that contain a viable SARS-CoV-2 virus. Additionally, a chart has been added to help determine the time to achieve 90%, 95% or 99% contaminant reduction, if the equivalent outdoor air changes per hour is known.
  • Flushing time calculator: There is now a link to a view-only Google Sheet that can be downloaded for use, to help determine the available equivalent outdoor air changes and time to perform the flush. This sheet is based on a typical mixed AHU with filters, cooling coil, with potential for in-AHU air cleaner (UVC is noted in the example), and in-room air cleaning devices. Provided efficiencies of MERV-rated filters are based on the performance of over 200 actual filters from MERV 4 through 16, but the tool also allows users to enter custom characteristics for specific filters.
  • The sheet also calculates the filter droplet nuclei efficiency, based on the cited research but allows a user to adjust the anticipated distribution of virus, as desired. It also allows specification of the zone (room) air distribution effectiveness from ASHRAE Standard 62.1 to account for the impact of the HVAC system air delivery method on the degree of mixing. Default calculations assume perfect mixing. Finally, the tool allows for the target air changes to be adjusted if an owner wants to achieve a different per cent removal in lieu of the recommended 95%. 
  • Heating season guidance: The guide now includes data to consider for heating of outdoor air and the potential impact on pre-heat coils in systems.
  • Adjustments to align with Core Recommendations: The Core Recommendations were released in January 2021, and this guidance document needed to be updated to ensure that the information provided aligned with the intent of those recommendations. This included minimum outdoor air supply and filter efficiency requirements and their role in an equivalent outdoor air supply-based risk mitigation strategy.

According to ASHRAE, the guidance still addresses the tactical commissioning and systems analysis needed to develop a Building Readiness Plan, increased filtration, air cleaning strategies, domestic and plumbing water systems, and overall improvements to a system’s ability to mitigate virus transmission.

ASHRAE releases core recommendations for reducing airborne infectious aerosol exposure

ATLANTA, Georgia, 14 January 2021: The ASHRAE Epidemic Task Force has released new guidance to address control of airborne infectious aerosol exposure and recommendations for communities of faith buildings, ASHRAE said through a Press release.

An infectious aerosol is a suspension in air of fine particles or droplets containing pathogens, such as the SARS-CoV-2 virus, which can cause infections when inhaled, ASHRAE said. They can be produced by breathing, talking, sneezing and other as well as by flushing toilets and by certain medical and dental procedures, it added.

ASHRAE’s Core Recommendations for Reducing Airborne Infectious Aerosol Exposure concisely summarize the main points found in the detailed guidance documents produced by the ASHRAE Epidemic Task Force, it said. They are based on the concept that ventilation, filtration and air cleaners can be combined flexibly to achieve exposure reduction goals, subject to constraints that may include comfort, energy use and costs, it added.

“This guidance outlines a clear approach for lessening the risk of infectious aerosol exposure for building occupants that can be applied in a wide range of applications, from homes to offices, to mobile environments, such as vehicles and ships,” said William Bahnfleth, Chair, ASHRAE Epidemic Task Force. “ASHRAE’s Core Recommendations are based on an equivalent clean air supply approach that allows the effects of filters, air cleaners, and other removal mechanisms to be added together to achieve an exposure reduction target.”

 According to ASHRAE, specific recommendations include the following:

  • Public health guidance
    • Follow all regulatory and statutory requirements and recommendations.
  • Ventilation, filtration, air cleaning 
    • Outdoor airflow rates guidance for ventilation, as specified by applicable codes and standards.
    • Recommendations on filters and air cleaners that achieve MERV 13 or better levels of performance.
    • The use of air cleaners.
    • Control options that provide desired exposure reduction while minimizing associated energy penalties.
    • Air distribution.
    • Promote the mixing of space air.
  • HVAC system operation
    • Maintain temperature and humidity design set points.
    • Maintain equivalent clean air supply required for design occupancy.
    • Operate systems for a time required to achieve three air changes of equivalent clean air supply.
    • Limit re-entry of contaminated air.
  • System commissioning
    • Verify that HVAC systems are functioning as designed.

 According to ASHRAE, the task force’s Communities of Faith Buildings guidance offers recommendations on conducting worship services under epidemic conditions. 

Rick Karg, ASHRAE Epidemic Task Force member, said: “The intent of the Communities of Faith guidance is to offer those who operate and care for buildings used for worship a plan for implementing short- and long-term HVAC strategies to reduce the possibilities of transmission of the SARS-CoV2-2 virus. The document also helps communities move toward a new ‘normal’ operation after this public health emergency nears an end.”

According to ASHRAE, recommendations for Communities of Faith include the following:

  • Identify HVAC system characteristics. Compile and review operation and maintenance manuals and schedules.
  • Verify HVAC systems are well maintained and operating as intended. For maintenance, follow the requirements of ASHRAE Standard 180 – 2018, Standard Practice for the Inspection and Maintenance of Commercial HVAC Systems.
    • Consider PPE when maintaining HVAC systems, including filters, coils and drain pans.
  • Operate HVAC systems, if present, with system fan set to run continuously when building is occupied for services or cleaning.
  • Operate the system for a time required to achieve three equivalent air changes of outdoor air (effect of outdoor air, filtration and air cleaners) before the first daily occupancy and between occupied periods, if appropriate. Three equivalent air changes can be calculated using ASHRAE’s Building Readiness Guide.

 To view the complete ASHRAE Core Recommendations For Reducing Airborne Infectious Aerosol Exposure and Communities of Faith Building guidance, ASHRAE suggested visiting ashrae.org/COVID-19.

How to kill enveloped viruses in just 30 minutes

Poor ventilation in closed indoor environments is associated with increased transmission of respiratory infections. There have been numerous SARS-CoV-2 transmission events associated with closed spaces, including some from pre-symptomatic cases. The role of ventilation in preventing SARS-CoV-2 transmission is not well-defined – that is, by preventing dispersal of infectious particles in small waterdrops to minimise the risk of transmission or preventing transfer of an infectious dose to susceptible individuals.

SARS-CoV-2 is thought to be primarily transmitted through large respiratory droplets; however, an increasing number of outbreak reports implicate the role of aerosols in SARS-CoV-2 outbreaks. Aerosols consist of small droplets and droplet nuclei, which remain in the air for longer than large droplets. Studies indicate that SARS-CoV-2 particles can remain infectious on various materials, such as air conditioning surfaces in air ducts and air handlers, as well as in aerosols in indoor environments, with the duration of infectivity depending on temperature and humidity.

While HVAC coatings are often the most cost-efficient insurance for the longevity of your air-handling system, there’s much more to them than just increasing your building systems’ lifespan. The rising demand for antimicrobial coatings was triggered by the COVID-19 pandemic and tenants worried about their wellbeing from airborne diseases. In the same category, antimicrobial coatings can make a huge difference for indoor air quality and occupant safety. There are a number of HVAC coatings that drive energy savings, primarily desiccant-coatings.

Found on AHU heat exchangers, coils and in duct systems, they enable recovering heat and moisture, which then helps building owners to save on operational cost. Recent studies have uncovered an extreme antimicrobial effect of desiccant coating systems, in high relative humidity, as present in air conditioning systems. It appears the surfactants can break the exterior protein of a virus or bacteria strain. Once the protein is destroyed, the virus cannot attach to cells and transfer or alter human ribonucleic acid (RNA).

In many circumstances, once microbes have begun to proliferate on a painted surface, constant cleaning and disinfecting is required to keep growth under control, which is highly unwanted inside an air conditioning system. Recognising that the ability to clean constantly is unreasonable in most air conditioning systems, the best weapon against corrosion and microbial growth is an antimicrobial paint that prevents growth of, or eliminates, bacteria and viruses. Both the coating and the possible active ingredient should not produce any environmental, safety or health issues during application. Any off-gas from the film is unwanted, because ideally, the coating must be applied to air conditioning systems in operation without any concern of release of poisonous additives.

Antimicrobial efficacy based on silver ions

Generally, an antimicrobial surface contains an additive, like Agion, which inhibits the antimicrobial property that is composed primarily of silver ions, which have been proven in antimicrobial use throughout history. It incorporates silver ions inside a zeolite carrier, providing an area for these ions to exchange with other positively charged ions – often sodium – from the moisture in the environment.

Once exchanged, these now “free” silver ions are attracted to oppositely charged hydrogen ions, commonly found in most bacteria and microbes. The bacteria and microbes’ respiration and growth are now abruptly halted, since the hydrogen ions are no longer available. Silver based antimicrobial coatings contain a pesticide additive that evaporates slowly from the coating surface and raises questions on the durability of discharge. In Europe and North America, these coatings require a registration by the government authorities.

Antimicrobial efficacy based on desiccation

Enveloped viruses, like the H1N1 influenza virus, Corona (COVID-19) and bacteria have membranes of protein and enzymes to protect the infecting contents. The spreading of the viruses and bacteria in closed spaces and air conditioning systems is carried out by smaller aerosols. Alternative antimicrobial functionality is based on desiccation, a physical process to extract the moisture from the virus and bacteria particles. This approach may seem relatively primitive; however, it is extremely effective in slowing down or even preventing microbes from spreading and transmission. This method is similar to other physical treatments, such as UV irradiation, filtering and heating.

Desiccant coatings inactivate a wide variety of microbes that adhere to the surface through their hydrophilic surface properties. The antiviral functionality of the coating has been tested on the Phi6 virus, which is commonly used as surrogate for enveloped Corona viruses.

 

 

 

Studies

A recent study shows that a desiccant coating can have an extremely quick kill-rate of enveloped viruses after just 30 minutes.

Further studies have proven that strong antimicrobial working was additionally confirmed. Surface activity results in full kill-rates of > 99,99%, which were confirmed on the following micro-organism strains:

  • Salmonella
  • Legionella
  • E-Coli
  • MRSA
  • Klebsiella Pneumoniae

 

An important note should be added to this paper: No claim or assertion should be made that the antimicrobial properties in the coating will improve air quality or eliminate the threat of disease-causing microbes in the air supply system. A healthy indoor air system is highly dependent on a combination of design, maintenance and cleaning measurements that are incorporated in the air conditioning system and facility management procedures.

  1. Knibbs LD, Morawska L, Bell SC, Grzybowski P. Room ventilation and the risk of airborne infection transmission in 3 health care settings within a large teaching hospital. Am J Infect Control. 2011 Dec;39(10):866-72.
  2. Lu J, Gu J, Li K, Xu C, Su W, Lai Z, et al. COVID-19 Outbreak Associated with Air Conditioning in Restaurant, Guangzhou, China, 2020. Emerg Infect Dis. 2020 Apr 2;26(7).
  3. Rothe C, Schunk M, Sothmann P, Bretzel G, Froeschl G, Wallrauch C, et al. Transmission of 2019-nCoV Infection from an Asymptomatic Contact in Germany. N Engl J Med. 2020 Mar 5;382(10):970-1.
  4. World Health Organization (WHO). Natural Ventilation for Infection Control in Health-Care Settings. 2009 [updated 4 May 2020].
  5. Ong SWX, Tan YK, Chia PY, Lee TH, Ng OT, Wong MSY, et al. Air, surface environmental, and personal protective equipment contamination by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) from a symptomatic patient. Jama. 2020;323(16):1610-2.
  6. Bahl P, Doolan C, de Silva C, Chughtai AA, Bourouiba L, MacIntyre CR. Airborne or droplet precautions for health workers treating COVID-19? The Journal of Infectious Diseases. 2020.
  7. Dietz L, Horve PF, Coil DA, Fretz M, Eisen JA, Van Den Wymelenberg K. 2019 Novel Coronavirus (COVID19) Pandemic: Built Environment Considerations To Reduce Transmission. mSystems. 2020 Apr 7;5(2):e00245-20.

8 Evaluation of Phi6 Persistence and Suitability as an Enveloped Virus Surrogate Aquino de Carvalho, Nathalia; Stachler, Elyse N.; Cimabue, Nicole; Bibby, Kyle Environmental Science & Technology (2017), 51 (15), 8692-8700CODEN: ESTHAG; ISSN:0013-936X. (American Chemical Society)

Recent outbreaks involving enveloped viruses, such as Ebola virus and SARS COVID-2, have raised questions regarding the persistence of enveloped viruses in the water environment. Efforts have been made to find enveloped virus surrogates due to

challenges investigating viruses that require biosafety-level 3 or 4 handling. In this study, the enveloped bacteriophage Phi6 was evaluated as a surrogate for enveloped waterborne viruses. The persistence of Phi6 was tested in aq. conditions chosen based on previously published viral persistence studies. Our results demonstrated that the predicted T90 (time for 90% inactivation) of Phi6 under the 12 evaluated conditions varied from 24 minutes to 117 days depending on temperature, biological activity, and aq. media compn. Phi6 persistence was then compared with persistence values from other enveloped viruses reported in the literature. The apparent suitability of Phi6 as an enveloped virus surrogate was dependent on the temperature and compn. of the media tested. Of evaluated viruses, 33%, including all conditions considered, had T90 values greater than the 95% confidence interval for Phi6. Ultimately, these results highlight the variability of enveloped virus persistence in the environment and the value of working with the virus of interest for environmental persistence studies.

  • The use of bacteriophages of the family Cystoviridae as surrogates for H5N1 highly pathogenic avian influenza viruses in persistence and inactivation studies

Adcock, Noreen J.; Rice, Eugene W.; Sivaganesan, Mano; Brown, Justin D.; Stallknecht, David E.; Swayne, David E.

Journal of Environmental Science and Health, Part A: Toxic/Hazardous Substances & Environmental Engineering (2009), 44 (13), 1362-1366CODEN: JATEF9; ISSN:1093-4529. (Taylor & Francis, Inc.)

Two bacteriophages, .vphi.6 and .vphi.8, were investigated as potential surrogates for H5N1 highly pathogenic avian influenza virus in persistence and chlorine inactivation studies in water. In the persistence studies, .vphi.6 and .vphi.8 remained infectious at least as long as the H5N1 viruses at both 17 and 28 degrees C in fresh water, but results varied in salinated water. The bacteriophage .vphi.6 also exhibited a slightly higher chlorine resistance than that of the H5N1 viruses. Based upon these findings, the bacteriophages may have potential for use as surrogates in persistence and inactivation studies in fresh water.

  • Systematic Review and Meta-Analysis of the Persistence and Disinfection of Human Coronaviruses and Their Viral Surrogates in Water and Wastewater, Andrea I. Silverman and Alexandria B. Boehm, April 2020
  • Determination of the Antiviral Activity of Water-Based Coating for Air Conditioning Applications against phi6 Bacteriophage using a Method Based on ISO 21702:2019, the laboratories of Industrial Microbiological Services Ltd at Pale Lane Hartley Wintney, Hants, RG27 8DH, UK. December 2020

The writer is with Aqua Aero Coatings and may be contacted at wouter@aquaaero.net

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