Importance of ventilation and occupancy to Mycobacterium tuberculosis transmission rates in congregate settings

dc.contributor.authorDeol, A. K.
dc.contributor.authorShaikh, N.
dc.contributor.authorMiddelkoop, K.
dc.contributor.authorMohlamonyane, M.
dc.contributor.authorWhite, R. G.
dc.contributor.authorMcCreesh, N.
dc.date.accessioned2025-02-25T12:39:58Z
dc.date.available2025-02-25T12:39:58Z
dc.date.issued2022-09-19
dc.date.updated2022-09-25T06:59:10Z
dc.description.abstractAbstract Background Ventilation rates are a key determinant of the transmission rate of Mycobacterium tuberculosis and other airborne infections. Targeting infection prevention and control (IPC) interventions at locations where ventilation rates are low and occupancy high could be a highly effective intervention strategy. Despite this, few data are available on ventilation rates and occupancy in congregate locations in high tuberculosis burden settings. Methods We collected carbon dioxide concentration and occupancy data in congregate locations and public transport on 88 occasions, in Cape Town, South Africa. For each location, we estimated ventilation rates and the relative rate of infection, accounting for ventilation rates and occupancy. Results We show that the estimated potential transmission rate in congregate settings and public transport varies greatly between different settings. Overall, in the community we studied, estimated infection risk was higher in minibus taxis and trains than in salons, bars, and shops. Despite good levels of ventilation, infection risk could be high in the clinic due to high occupancy levels. Conclusion Public transport in particular may be promising targets for infection prevention and control interventions in this setting, both to reduce Mtb transmission, but also to reduce the transmission of other airborne pathogens such as measles and SARS-CoV-2.
dc.identifier.apacitationDeol, A. K., Shaikh, N., Middelkoop, K., Mohlamonyane, M., White, R. G., & McCreesh, N. (2022). Importance of ventilation and occupancy to Mycobacterium tuberculosis transmission rates in congregate settings. http://hdl.handle.net/11427/41011en_ZA
dc.identifier.chicagocitationDeol, A. K., N. Shaikh, K. Middelkoop, M. Mohlamonyane, R. G. White, and N. McCreesh "Importance of ventilation and occupancy to Mycobacterium tuberculosis transmission rates in congregate settings." (2022) http://hdl.handle.net/11427/41011en_ZA
dc.identifier.citationBMC Public Health. 2022 Sep 19;22(1):1772
dc.identifier.ris TY - Journal Article AU - Deol, A. K. AU - Shaikh, N. AU - Middelkoop, K. AU - Mohlamonyane, M. AU - White, R. G. AU - McCreesh, N. AB - Abstract Background Ventilation rates are a key determinant of the transmission rate of Mycobacterium tuberculosis and other airborne infections. Targeting infection prevention and control (IPC) interventions at locations where ventilation rates are low and occupancy high could be a highly effective intervention strategy. Despite this, few data are available on ventilation rates and occupancy in congregate locations in high tuberculosis burden settings. Methods We collected carbon dioxide concentration and occupancy data in congregate locations and public transport on 88 occasions, in Cape Town, South Africa. For each location, we estimated ventilation rates and the relative rate of infection, accounting for ventilation rates and occupancy. Results We show that the estimated potential transmission rate in congregate settings and public transport varies greatly between different settings. Overall, in the community we studied, estimated infection risk was higher in minibus taxis and trains than in salons, bars, and shops. Despite good levels of ventilation, infection risk could be high in the clinic due to high occupancy levels. Conclusion Public transport in particular may be promising targets for infection prevention and control interventions in this setting, both to reduce Mtb transmission, but also to reduce the transmission of other airborne pathogens such as measles and SARS-CoV-2. DA - 2022-09-19 DB - OpenUCT DP - University of Cape Town KW - Tuberculosis KW - Airborne transmission KW - Ventilation KW - Infection control KW - South Africa LK - https://open.uct.ac.za PY - 2022 T1 - Importance of ventilation and occupancy to Mycobacterium tuberculosis transmission rates in congregate settings TI - Importance of ventilation and occupancy to Mycobacterium tuberculosis transmission rates in congregate settings UR - http://hdl.handle.net/11427/41011 ER - en_ZA
dc.identifier.urihttps://doi.org/10.1186/s12889-022-14133-5
dc.identifier.urihttp://hdl.handle.net/11427/41011
dc.identifier.vancouvercitationDeol A K, Shaikh N, Middelkoop K, Mohlamonyane M, White R G, McCreesh N. Importance of ventilation and occupancy to Mycobacterium tuberculosis transmission rates in congregate settings. 2022; http://hdl.handle.net/11427/41011.en_ZA
dc.language.rfc3066en
dc.rights.holderThe Author(s)
dc.subjectTuberculosis
dc.subjectAirborne transmission
dc.subjectVentilation
dc.subjectInfection control
dc.subjectSouth Africa
dc.titleImportance of ventilation and occupancy to Mycobacterium tuberculosis transmission rates in congregate settings
dc.typeJournal Article
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