Air travel appears as particularly hazardous in a pandemic situation, since infected people can travel worldwide and could cause new breakouts in remote locations. The confined space conditions in the aircraft cabin necessitate a small physical distance between passengers and hence may boost virus transmissions. In our contribution, we implemented a transmission model in a virtual aircraft environment to evaluate the individual interactions between passengers during aircraft boarding and deboarding. Since no data for the transmission is currently available, we reasonably calibrated our model using a sample case from 2003. The simulation results show that standard boarding procedures create a substantial number of possible transmissions if a contagious passenger is present. The introduction of physical distances between passengers decreases the number of possible transmissions by approx. 75% for random boarding sequences, and could further decreased by more strict reduction of hand luggage items (less time for storage, compartment space is always available). If a second door is used for boarding and deboarding, the standard boarding times could be reached. Individual boarding strategies (by seat) could reduce the transmission potential to a minimum, but demand for complex pre-sorting of passengers. Our results also exhibit that deboarding consists of the highest transmission potential and only minor benefits from distance rules and hand luggage regulations.
Usefulness and Problems of Intraosseous Infusion with the Bone Injection Gun™ Using Simulators Under Confined Space Conditions
