Coughed droplet dispersion pattern in hospital ward under stratum ventilation

2021 ◽  
pp. 108602
Author(s):  
Yalin Lu ◽  
Zhang Lin
1989 ◽  
Vol 34 (1) ◽  
pp. 43-50 ◽  
Author(s):  
Jack D. Edinger ◽  
Steven Lipper ◽  
Bobbie Wheeler

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Christopher Martin ◽  
Stuart McDonald ◽  
Steve Bale ◽  
Michiel Luteijn ◽  
Rahul Sarkar

Abstract Background This paper describes a model for estimating COVID-19 related excess deaths that are a direct consequence of insufficient hospital ward bed and intensive care unit (ICU) capacity. Methods Compartmental models were used to estimate deaths under different combinations of ICU and ward care required and received in England up to late April 2021. Model parameters were sourced from publicly available government information and organisations collating COVID-19 data. A sub-model was used to estimate the mortality scalars that represent increased mortality due to insufficient ICU or general ward bed capacity. Three illustrative scenarios for admissions numbers, ‘Optimistic’, ‘Middling’ and ‘Pessimistic’, were modelled and compared with the subsequent observations to the 3rd February. Results The key output was the demand and capacity model described. There were no excess deaths from a lack of capacity in the ‘Optimistic’ scenario. Several of the ‘Middling’ scenario applications resulted in excess deaths—up to 597 deaths (0.6% increase) with a 20% reduction compared to best estimate ICU capacity. All the ‘Pessimistic’ scenario applications resulted in excess deaths, ranging from 49,178 (17.0% increase) for a 20% increase in ward bed availability, to 103,735 (35.8% increase) for a 20% shortfall in ward bed availability. These scenarios took no account of the emergence of the new, more transmissible, variant of concern (b.1.1.7). Conclusions Mortality is increased when hospital demand exceeds available capacity. No excess deaths from breaching capacity would be expected under the ‘Optimistic’ scenario. The ‘Middling’ scenario could result in some excess deaths—up to a 0.7% increase relative to the total number of deaths. The ‘Pessimistic’ scenario would have resulted in significant excess deaths. Our sensitivity analysis indicated a range between 49,178 (17% increase) and 103,735 (35.8% increase). Given the new variant, the pessimistic scenario appeared increasingly likely and could have resulted in a substantial increase in the number of COVID-19 deaths. In the event, it would appear that capacity was not breached at any stage at a national level with no excess deaths. it will remain unclear if minor local capacity breaches resulted in any small number of excess deaths.


Author(s):  
Lip Huat Saw ◽  
Bey Fen Leo ◽  
Norefrina Shafinaz Md Nor ◽  
Chee Wai Yip ◽  
Nazlina Ibrahim ◽  
...  
Keyword(s):  

Toxics ◽  
2021 ◽  
Vol 9 (7) ◽  
pp. 172
Author(s):  
Laura Fantozzi ◽  
Nicoletta Guerrieri ◽  
Giovanni Manca ◽  
Arianna Orrù ◽  
Laura Marziali

We present the first assessment of atmospheric pollution by mercury (Hg) in an industrialized area located in the Ossola Valley (Italian Central Alps), in close proximity to the Toce River. The study area suffers from a level of Hg contamination due to a Hg cell chlor-alkali plant operating from 1915 to the end of 2017. We measured gaseous elemental Hg (GEM) levels by means of a portable Hg analyzer during car surveys between autumn 2018 and summer 2020. Moreover, we assessed the long-term dispersion pattern of atmospheric Hg by analyzing the total Hg concentration in samples of lichens collected in the Ossola Valley. High values of GEM concentrations (1112 ng m−3) up to three orders of magnitude higher than the typical terrestrial background concentration in the northern hemisphere were measured in the proximity of the chlor-alkali plant. Hg concentrations in lichens ranged from 142 ng g−1 at sampling sites located north of the chlor-alkali plant to 624 ng g−1 in lichens collected south of the chlor-alkali plant. A north-south gradient of Hg accumulation in lichens along the Ossola Valley channel was observed, highlighting that the area located south of the chlor-alkali plant is more exposed to the dispersion of Hg emitted into the atmosphere from the industrial site. Long-term studies on Hg emission and dispersion in the Ossola Valley are needed to better assess potential impact on ecosystems and human health.


Atmosphere ◽  
2021 ◽  
Vol 12 (5) ◽  
pp. 580
Author(s):  
Eyal Fattal ◽  
Hadas David-Saroussi ◽  
Ziv Klausner ◽  
Omri Buchman

The accumulated particulate matter concentration at a given vertical column due to traffic sources in urban area has many important consequences. This task, however, imposes a major challenge, since the problem of realistic pollutant dispersion in an urban environment is a very demanding task, both theoretically and computationally. This is mainly due to the highly inhomogeneous three dimensional turbulent flow regime in the urban canopy roughness sublayer, which is far from “local equilibrium” between shear production and dissipation. We present here a mass-consistent urban Lagrangian stochastic model for pollutants dispersion, where the flow field is modeled using a hybrid approach by which we model the surface layer based on the typical turbulent scales, both of the canopy and in the surface layer inertial sub-layer. In particular it relies on representing the canopy aerodynamically as a porous medium by spatial averaging the equations of motion, with the assumption that the canopy is laterally uniform on a scale much larger than the buildings but smaller than the urban block/neighbourhood, i.e., at the sub-urban-block scale. Choosing the spatial representative averaging volume allows the averaged variables to reflect the characteristic vertical heterogeneity of the canopy but to smooth out smaller scale spatial fluctuations caused as air flows in between the buildings. This modeling approach serves as the base for a realistic and efficient methodology for the calculation of the accumulated concentration from multiple traffic sources for any vertical column in the urban area. The existence of multiple traffic sources impose further difficulty since the computational effort required is very demanding for practical uses. Therefore, footprint analysis screening was introduced to identify the relevant part of the urban area which contributes to the chosen column. All the traffic sources in this footprint area where merged into several areal sources, further used for the evaluation of the concentration profile. This methodology was implemented for four cases in the Tel Aviv metropolitan area based on several selected summer climatological scenarios. We present different typical behaviors, demonstrating combination of source structure, urban morphology, flow characteristics, and the resultant dispersion pattern in each case.


2021 ◽  
pp. 116675
Author(s):  
Ying Wang ◽  
Yan-Bin Li ◽  
Meng-Jun Su ◽  
Guang-Wen Chu ◽  
Bao-Chang Sun ◽  
...  

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