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. 2020 Dec 10;193:110612. doi: 10.1016/j.envres.2020.110612

Table 1.

The main characteristics of the studies reviewed in this SR.

Study ID The main objective Study Design Meteorology Parameters
The main key finding Recommendations
PM RH Tem
(Santarpia et al., 2020a), USA Detection of the virus in air and surface Experimental N* N N Viral contamination confirmed in all samples During curing for COVID-19 patients, airborne isolation precautions were recommended.
(Masoumbeigi et al., 2020), Iran Detection of the virus in hospital indoor air Experimental N R R The occurrence of the virus in hospital air samples was not confirmed. Due to the close contact with patients, the protection of medical staff and healthcare workers must be considered according to international and national strict guidelines.
(Santarpia et al., 2020b), USA Transmission potential of SARS-CoV-2 in Viral Shedding Experimental N N N Air samples and toilet facilities had evidence of viral contamination Indirect contact through airborne transmission played a role in the spread of disease, therefore the use of airborne isolation precautions was supported
(Kim et al., 2020), Korea Detection of SARS-CoV-2 in hospital indoor air Experimental N N N There is no positive results for the SARS-CoV-2 RNA in the indoor air samples They suggest that remote air transmission (more than 2 m) of SARS-CoV-2 from hospitalized COVID-19 patient is uncommon.
(Liu et al., 2020), China Detection of SARS-CoV-2 in two
Hospitals
Experimental N N N SARS-CoV-2 RNA was detected in isolation wards, ventilated patient rooms, toilet areas, and medical staff areas. Room ventilation, open space, sanitization of protective apparel, and proper use and disinfection of toilet areas can effectively limit the concentration of SARS-CoV-2 RNA in aerosols
(Faridi et al., 2020), Iran Detection of SARS-CoV-2 in indoor air environment of hospital Experimental R* R R All indoor air samples were negative. Implement in vivo experiments using actual patient cough, breath, and sneeze aerosols to evaluate the possibility of production of the airborne size carrier aerosols and the viability fraction of the embedded virus in these carrier aerosols.
(Kenarkoohi et al., 2020), Iran The monitoring of hospital indoor air environment for the detection of SARS-CoV-2 virus Experimental R R R They indicated two viral RNA positive air samples in the indoor air environment of the hospital were found. More studies and quantitative analysis are required to determine the role of actual cough mechanisms in the emission of airborne size carrier aerosols.
(Razzini et al., 2020), Italy Detection of SARS-CoV-2 RNA in hospital indoor air Experimental N N N The results showed that all the indoor air samples collected from the ICU and the corridor as a contaminated area, were positive. The authors recommended that strict disinfection precautions, protective measures and hand hygiene be taken for medical personnel and isolation from airborne transmission.
(Chia et al., 2020), Singapore Detection of SARS-CoV-2 in indoor air environment of hospital rooms of infected patients Experimental R R R Detection of SARS- CoV-2 PCR-positive particles of sizes more than 4 μm and 1–4 μm in two rooms. Although particles in this size range have the potential to remain in the air longer. Detailed epidemiological studies of the outbreak are required to determine the relative contribution of various routes of transmission and their correlation with factors at the patient-level. Implement experiments to collect more data on virus viability and infectivity to confirm potential airborne spread of the virus.
(Stadnytskyi et al., 2020), Philadelphia Potential importance of small speech droplets in SARS-CoV-2 airborne transmission Experimental N N N The normal speaking could be a substantial probability that causes airborne virus transmission in confined environments
(Orenes-Piñero et al., 2020), Spain Evidences of SARS-CoV-2 virus air transmission indoors Experimental N N N Surfaces could not be touched by patients or health workers, so viral spreading was unequivocally produced by air transmission. These data support the recommendation to carry out frequent disinfection of the surfaces of hospitalized patients.
(Wang and Yoneda, 2020), Japan Determination of the optimal penetration factor for evaluating the invasion process of aerosols Simulation R N N The penetration mechanism was explored by the proposed optimal penetration factor and the error analysis of each method. They also provided a rapid and accurate assessment method for preventing and controlling the spread of the epidemic.
(Buonanno et al., 2020), Italy Estimation of airborne SARS-CoV-2 emission Simulation N N N Proper ventilation was a key role in the containment of the virus in indoor environments
(Vuorinen et al., 2020), Finland Simulation aerosol transport for SARS-CoV-2 transmission in inhalation indoors Simulation N N N The exposure time to inhale O(100) aerosols could range from O(1 s) to O(1 min) or even to O(1 h) depending on the situation

N*= Not reported R*=Reported.