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. 2021 Sep 18;132(2):1435–1448. doi: 10.1111/jam.15273

TABLE 4.

QMRA laundry single user event scenarios

Event tree—nonenveloped, respiratory virus, rhinovirus Wash Detergent Other
Original concentration Die‐off during hamper storage Cold Hot Regular Advanced Machine dry/cold wash Chlorine bleach rinse/cold wash Machine dry/hot wash Chlorine bleach rinse/hot wash
1.00E+07 3.16E+02 3.16E‐02 3.16E‐02 3.16E‐04 1.26E‐04 3.16E‐03 3.16E‐08 3.16E‐03 3.16E‐08
Transfer to hands 5.22E+00 5.22E‐04 5.22E‐04 5.22E‐06 2.08E‐06 5.22E‐05 5.22E‐10 5.22E‐05 5.22E‐10
Transfer to face/orifice 1.77E+00 1.77E‐04 1.77E‐04 1.77E‐06 7.04E‐07 1.77E‐05 1.77E‐10 1.77E‐05 1.77E‐10
Dose concentration 1.77E+00 1.77E‐04 1.77E‐04 1.77E‐06 7.04E‐07 1.77E‐05 1.77E‐10 1.77E‐05 1.77E‐10
Infection risk (single event) 1.40E‐01 2.16E‐05 2.16E‐05 2.16E‐07 8.60E‐08 2.16E‐06 2.16E‐11 2.16E‐06 2.16E‐11
Transfer to face/orifice w/hand hygiene intervention 1.77E‐06 1.77E‐10 1.77E‐10 1.77E‐12 7.04E‐13 1.77E‐11 1.77E‐16 1.77E‐11 1.77E‐16
Dose concentration w/hand hygiene intervention 1.77E‐06 1.77E‐10 1.77E‐10 1.77E‐12 7.04E‐13 1.77E‐11 1.77E‐16 1.77E‐11 1.77E‐16
Infection risk w/hand hygiene intervention 2.16E‐07 2.16E‐11 2.16E‐11 2.16E‐13 8.59E‐14 2.16E‐12 0.00E+00 2.16E‐12 0.00E+00
Event tree—nonenveloped enteric virus, rotavirus Wash Detergent Other
Original concentration Die‐off during hamper storage Cold Hot Regular Advanced Machine dry/cold wash Chlorine bleach rinse/cold wash Machine dry/hot wash Chlorine bleach rinse/hot wash
1.00E+11 1.00E+11 1.32E+08 2.51E+05 1.78E+09 3.72E+05 6.31E+07 3.98E+03 1.20E+05 7.59E+00
Transfer to hands 1.65E+09 2.18E+06 4.14E+03 2.93E+07 6.13E+03 1.04E+06 6.57E+01 1.98E+03 1.25E‐01
Transfer to face/orifice 5.59E+08 7.37E+05 1.41E+03 9.95E+06 2.08E+03 3.53E+05 2.23E+01 6.72E+02 4.24E‐02
Dose concentration 5.59E+08 7.37E+05 1.41E+03 9.95E+06 2.08E+03 3.53E+05 2.23E+01 6.72E+02 4.24E‐02
Infection risk (single event) 9.90E‐01 9.48E‐01 7.47E‐01 9.73E‐01 7.71E‐01 9.37E‐01 3.21E‐01 6.96E‐01 1.73E‐03
Transfer to face/orifice w/hand hygiene intervention 1.41E+04 1.85E+01 3.53E‐02 2.50E+02 5.22E‐02 8.87E+00 5.59E‐04 1.69E‐02 1.07E‐06
Dose concentration w/hand hygiene intervention 1.41E+04 1.85E+01 3.53E‐02 2.50E+02 5.22E‐02 8.87E+00 5.59E‐04 1.69E‐02 1.07E‐06
Infection risk w/hand hygiene intervention 8.59E‐01 2.96E‐01 1.44E‐03 6.10E‐01 2.13E‐03 2.02E‐01 2.29E‐05 6.91E‐04 4.37E‐08
Event tree—enteric bacteria, Salmonella spp. Wash Detergent Other
Original concentration Die‐off during hamper storage Cold Hot Regular Advanced Machine dry/cold wash Chlorine bleach rinse/cold wash Machine dry/hot wash Chlorine bleach rinse/hot wash
1.00E+10 1.00E+10 7.94E+07 3.98E+03 1.12E+09 1.00E+07 1.17E+03 7.94E+03 5.89E‐02 3.98E‐01
Transfer to hands 1.65E+08 1.31E+06 6.57E+01 1.85E+07 1.65E+05 1.94E+01 1.31E+02 9.72E‐04 6.57E‐03
Transfer to face/orifice 5.59E+07 4.44E+05 2.23E+01 6.28E+06 5.59E+04 6.57E+00 4.44E+01 3.29E‐04 2.23E‐03
Dose concentration 5.59E+07 4.44E+05 2.23E+01 6.28E+06 5.59E+04 6.57E+00 4.44E+01 3.29E‐04 2.23E‐03
Infection risk (single event) 9.46E‐01 8.52E‐01 7.47E‐02 9.15E‐01 7.71E‐01 2.57E‐02 1.25E‐01 1.39E‐06 9.39E‐06
Transfer to face/orifice w/hand hygiene intervention 1.12E+03 8.87E+00 4.44E‐04 1.25E+02 1.12E+00 1.31E‐04 8.87E‐04 6.57E‐09 4.44E‐08
Dose concentration w/hand hygiene intervention 1.12E+03 8.87E+00 4.44E‐04 1.25E+02 1.12E+00 1.31E‐04 8.87E‐04 6.57E‐09 4.44E‐08
Infection risk w/hand hygiene intervention 4.84E‐01 3.38E‐02 1.87E‐06 2.32E‐01 4.64E‐03 5.53E‐07 3.74E‐06 2.77E‐11 1.87E‐10

Inline graphic meets acceptable risk threshold of ≥1.0 × 10−4; Inline graphic meets acceptable risk threshold of ≥1.0 × 10−6.