Important update: Healthcare facilities
CDC has updated select ways to operate healthcare systems effectively in response to COVID-19 vaccination. Learn more
UPDATE
Given new evidence on the B.1.617.2 (Delta) variant, CDC has updated the guidance for fully vaccinated people. CDC recommends universal indoor masking for all teachers, staff, students, and visitors to K-12 schools, regardless of vaccination status. Children should return to full-time in-person learning in the fall with layered prevention strategies in place.
UPDATE
The White House announced that vaccines will be required for international travelers coming into the United States, with an effective date of November 8, 2021. For purposes of entry into the United States, vaccines accepted will include FDA approved or authorized and WHO Emergency Use Listing vaccines. More information is available here.

Ventilation in Buildings

Ventilation in Buildings
Updated May 12, 2023

Summary of Recent Changes

DEFINITION

Ventilation

Ventilation is a term with different meanings to different people. For the purpose of this webpage, “ventilation” includes:

  • Indoor air movement and dilution of viral particles through mechanical or nonmechanical (also called natural) means.
  • Filtration through central heating, ventilation and air conditioning (HVAC) systems and/or in-room air cleaners (portable or permanently mounted).*
  • Air treatment with Ultraviolet Germicidal Irradiation (UVGI) systems (also called Germicidal Ultraviolet or GUV).*

* These air cleaning techniques are sometimes referred to as “equivalent ventilation.” They are not a substitute for meeting minimum outdoor air delivery requirements that may be specified in national, state, and local building codes.

What You Need to Know

  • An important principle to remember when contemplating mitigation strategies is to “First do no harm.” Building owners and operators should strongly consider seeking expert consultation when considering mitigation strategies if they lack knowledge and experience in implementing those strategies.
  • Airborne viral particles spread between people more readily indoors than outdoors. Indoors, the concentration of viral particles is often higher than outdoors. Protective indoor ventilation practices can reduce the airborne viral concentrations and the overall viral exposure to occupants.
  • Ventilation system upgrades or improvements can increase the delivery of clean air and dilute potential contaminants. Buildings that provided healthy, code-compliant indoor air quality prior to the pandemic can be improved for pandemic and post-pandemic occupancy using less costly interventions.
  • While the mitigation strategies can be universally applied across many indoor environments, applying them to different building types, occupancies, and activities under environmental and seasonal changes can be challenging. The building owner or operator should identify which strategies are appropriate for each building throughout the year.
  • Implementing multiple building-level mitigation strategies at the same time is consistent with CDC’s layered approach and will increase overall effectiveness of ventilation interventions.
  • Building owners and operators can participate in the Clean Air in Building Challenge to improve indoor air quality and protect public health.
  • Get answers to Frequently Asked Questions below about ventilation and safe building practices during and after the COVID-19 pandemic.

Ventilation Mitigation Strategies

When indoors, ventilation mitigation strategies can help reduce viral particle concentration. The lower the concentration, the less likely viral particles can be inhaled into the lungs (potentially lowering the inhaled dose); contact eyes, nose, and mouth; or fall out of the air to accumulate on surfaces.  Although it isn’t known exactly how much the concentration of viral particles in air needs to be reduced to start reducing risk of viral infection, ventilation mitigation strategies still provide a reasonable approach to reducing risk.  Not all interventions will work in all scenarios and their selection must be carefully evaluated prior to adoption.

These ventilation interventions can reduce the spread of disease, but they will not eliminate risk completely. These interventions are intended to lower transmission risk by lowering the concentration of infectious aerosols in a room.  However, the overall transmission reduction is less likely to apply to people who are very close (e.g. face-to-face) to the infectious source. Some of the following interventions are based on COVID-19 Technical Resources published by ASHRAE (a professional organization formerly known as the American Society of Heating, Refrigerating, and Air Conditioning Engineers).

The Clean Air in Buildings Challenge is a national call to action that highlights a range of recommendations and resources available to assist with reducing risks from airborne viruses and other indoor contaminants. Create your clean indoor air action plan today.

In addition to buildings, vehicles – including public transportation such as buses, subways, trains, school buses, carpools, and rideshares – are also areas where ventilation improvements can be applied to reduce the spread of airborne viruses and lower the risk of exposure.

The recommendations presented here are not intended to replace guidance that may already exist in national, state, and local standards and guidelines.  For example, some healthcare spaces have specified ventilation requirements intended to prevent and control infectious diseases. For spaces where existing standards and guidelines specify lower ventilation rates than the recommendations presented here, building owners and managers are encouraged to consider adoption of the more protective guidance.

Important: For interventions listed below that are marked with “**,” consulting with professionals experienced in the proper selection, implementation, and commissioning of HVAC improvements is strongly encouraged.  Their experience should preferably include the building, system, and occupancy types under evaluation.  Other interventions may require similar consultation, depending upon the knowledge and experience of the individuals responsible for implementing changes to the building.

Improving Air Circulation

1
If you do nothing else, ensure existing HVAC systems are providing at least the minimum outdoor air ventilation requirement in accordance with ventilation design codes.
  • Applicable codes are based on the year of building construction or latest renovation and intended building occupancy.
  • Preferably, upgrade HVAC system performance to meet current ventilation code requirements at current occupancy levels.**
  • This will develop a strong and lasting baseline upon which further interventions can be implemented.
2
Increase the introduction of outdoor air beyond code-minimum requirements.

This measure will potentially increase energy costs. Use of an energy recovery ventilator (ERV) can lessen the potential energy and system implications of increased outdoor air.

  • Open the outdoor air dampers on your HVAC equipment beyond minimum settings to reduce or eliminate HVAC air recirculation. In mild weather, this will not affect thermal comfort or indoor humidity. However, this may be difficult to do in cold, hot, or humid weather.**
  • Open windows and doors, when weather conditions allow, to increase outdoor air flow. Even a slightly open window can introduce beneficial outdoor air.
  • Do not open windows and doors if doing so poses a safety or health risk (e.g., risk of falling, triggering asthma symptoms) to building occupants. Use caution in highly polluted areas when increasing outdoor air ventilation.
3
Use fans to increase the effectiveness of open windows.
  • To safely achieve this, fan placement is important and will vary based on room configuration.
  • Avoid placing fans in a way that could potentially cause contaminated air to flow directly from one person to another (see FAQ #11 below on indoor use of fans).
  • One helpful strategy is to use a window fan, placed safely and securely in a window, to exhaust room air to the outdoors. This will help draw outdoor air into the room via other open windows and doors without generating strong room air currents. Similar results can be established in larger facilities using other fan systems, such as gable fans and roof ventilators.
4
Rebalance or adjust HVAC systems to increase total airflow to occupied spaces when possible.
  • Increase total airflow to increase room air mixing and reduce viral particle concentration and subsequent exposure potential.**
  • Turn off any demand-controlled ventilation (DCV) controls that reduce air supply based on occupancy or temperature during occupied hours.**
  • In homes and buildings where the HVAC fan operation can be controlled at the thermostat, set the fan to the “on” position instead of “auto,” which will operate the fan continuously, even when heating or air conditioning is not required.
  • Ensure restroom exhaust fans are functional and operating at full capacity when the building is occupied.
  • Inspect and maintain exhaust ventilation systems in areas such as kitchens, cooking areas, etc. Operate these systems any time these spaces are occupied. Operating them even when the specific space is not occupied will increase overall ventilation within the occupied building.
  • In non-residential settings where an infectious source was not known to have been present, run the HVAC system at maximum outside airflow for 2 hours, or until the building has achieved at least 3 air changes, after the building is no longer occupied. If an infectious source was present, see FAQ #2.
  • Generate clean-to-less-clean air movement by evaluating and repositioning as necessary, the supply louvers, exhaust air grilles, and/or damper settings.** See FAQ #4 below on Directional Airflow. This recommendation is easier to accomplish when the supply and exhaust points are included as part of a “drop ceiling.”

Improving Air Cleanliness

1
Upgrade central HVAC filter efficiency to a Minimum Efficiency Reporting Value (MERV)-13 or better. When compatible with your HVAC system, increased filtration efficiency is especially helpful when enhanced outdoor air delivery options are limited.
2
Inspect HVAC systems.
  • Ensure ventilation systems operate properly and are up to date on maintenance.
  • Make sure air filters are properly sized and within their recommended service life.
  • Inspect filter housing and racks to ensure appropriate filter fit and minimize air that flows around, instead of through, the filter.
3
Use portable or built-in high-efficiency particulate air (HEPA) fan/filtration systems (also called air cleaners or air purifiers).
  • Use HEPA systems to enhance air cleaning (especially in higher risk areas such as a medical office or areas frequently inhabited by people with a higher likelihood of having COVID-19 and/or an increased risk of getting COVID-19). See FAQ #5 below on HEPA filters and in-room HEPA air cleaners.
  • In-room air cleaners that use filters less efficient than HEPA filters also exist and can contribute to room air cleaning. However, they should be clearly labeled as non-HEPA units.
  • Some air cleaners/air purifiers use technologies other than filtration. See FAQ #8 for a detailed discussion of factors to consider before using these other technologies.
4
Use UVGI (also called GUV) as a supplemental treatment to inactivate airborne viruses, such as SARS-CoV-2. UVGI can be effective in many spaces, but it is especially useful as an additional layer of protection to reduce infectious particles in indoor spaces that host large gatherings or where the risk of disease transmission is high. It is also helpful when options for increasing room ventilation and filtration beyond code requirements are limited.**
  • Upper-room UVGI systems can be used to provide air treatment within occupied spaces.
  • In-duct UVGI systems can help enhance air cleaning inside central ventilation systems.
  • See detailed discussion in FAQs #6 and #7.

How Much Ventilation Is Enough?

Aim for 5 Air Changes per Hour (ACH)

When possible, aim for 5 or more air changes per hour (ACH) of clean air to help reduce the number of germs in the air.

This can be achieved through any combination of central ventilation system, natural ventilation, or additional devices that provide equivalent ACH (eACH) to your existing ventilation.  Supplying or exhausting an amount of air (use the larger of the two values but do not add them together) that is equal to all the air in a space is called an air change.  Multiplying that amount by 5 and delivering it over one hour results in 5 ACH.

To calculate the ACH (or eACH):

  1. Determine (or measure) the airflow through the system in cubic feet per minute (cfm).
  2. Determine the area of the room = length (ft) x width (ft)
  3. Determine the height of the room (ft).
  4. Calculate ACH:

ACH = cfm × 60 Area×Height

  1. When multiple strategies are used, repeat the ACH calculation for each system then add together for a total ACH value (which could be compared to the minimum 5 ACH recommendation).

Note: See FAQ #2 and FAQ #5 for examples on how the ACH calculation may be applied.

While there is insufficient science to identify an optimum ventilation strategy for all spaces, 5 ACH is what portable air cleaners provide (as eACH) when properly sized following the Environmental Protection Agency’s guidance [2.9 MB, 7 pages] on the selection of portable air cleaners. Five ACH will not guarantee totally safe air in any space, but it reduces the risk of exposure to germs and other harmful air contaminants. 

Rather than a hard-and-fast rule, the 5 ACH target provides a rough guide to air change levels likely to be helpful in reducing infectious particles. For example, increasing ventilation from 2 to 5 ACH substantially reduces the time to remove airborne contaminants.

  • Large volume spaces with very few occupants (e.g., a warehouse) may not require 5 ACH and spaces with high occupancy or higher-risk occupants may need higher than 5 ACH.
  • While ACH levels higher than 5 (e.g., those used in airborne isolation rooms in hospitals) may reduce infectious aerosols further, the potential benefits of increased ventilation should be balanced with the additional upfront, periodic maintenance, and energy costs that may be incurred.
  • Some limited studies have demonstrated this protective benefit of increased ACH, although an optimum number remains uncertain.
  • A Lancet Commission Report [249 KB, 33 pages] that draws on available scientific evidence proposes ACH levels of 4 as “Good,” 6 as “Better,” and >6 as “Best,” underscoring that ACH (to include eACH) represents a continuum.
  • It is unknown exactly how much this will reduce the risk of getting a viral infection in an indoor space.
  • However, the improvements are reasonable for indoor environments when additional protection is desired. More research is needed to evaluate the influence of central ventilation, portable air cleaning, and UV air treatment on respiratory infectious disease transmission.

† Some air cleaning and air treatment devices do not bring in outdoor air. Instead, they clean or treat the indoor air to reduce the concentration of infectious particles. Thus, they give eACH without the need or expense of conditioning outdoor air. Note that eACH depends on the contaminant. An air treatment device that provides eACH for particles may not be effective against other contaminants such as gases and vapors.

Cost Considerations

The ventilation interventions listed above come with a range of initial costs and operating costs, which, along with risk assessment factors – such as community incidence rates and the adoption of other interventions – may affect the selection of ventilation mitigation strategies. The following are examples of cost estimates for different strategies:

Intervention Strategy

Intervention Strategy

Intervention Strategy

Up-front Cost

Up-front Cost

Up-front Cost

Ongoing Daily Interaction

Ongoing Daily Interaction

Ongoing Daily Interaction

Ongoing Maintenance Requirements and Incremental Energy Usage

Ongoing Maintenance Requirements and Incremental Energy Usage

Ongoing Maintenance Requirements and Incremental Energy Usage

Opening windows

Intervention Strategy

Opening windows

No

Up-front Cost

No

Yes

Ongoing Daily Interaction

Yes

  • No ongoing maintenance requirements
  • Incremental energy usage varies, depending on ambient outdoor conditions
Ongoing Maintenance Requirements and Incremental Energy Usage
  • No ongoing maintenance requirements
  • Incremental energy usage varies, depending on ambient outdoor conditions

Expanded operation of dedicated exhaust ventilation

Intervention Strategy

Expanded operation of dedicated exhaust ventilation

No

Up-front Cost

No

No

Ongoing Daily Interaction

No

  • Periodic preventive maintenance required
  • Incremental energy usage varies, depending on exhaust system capacity and ambient outdoor conditions
Ongoing Maintenance Requirements and Incremental Energy Usage
  • Periodic preventive maintenance required
  • Incremental energy usage varies, depending on exhaust system capacity and ambient outdoor conditions

Repositioning HVAC outdoor air dampers

Intervention Strategy

Repositioning HVAC outdoor air dampers

No

Up-front Cost

No

No

Ongoing Daily Interaction

No

  • Periodic preventive maintenance required
  • Incremental energy usage varies, depending on HVAC system capacity and ambient outdoor conditions
Ongoing Maintenance Requirements and Incremental Energy Usage
  • Periodic preventive maintenance required
  • Incremental energy usage varies, depending on HVAC system capacity and ambient outdoor conditions

Switching thermostats from “Auto” to “On” or adjusting building HVAC control systems to disable Demand Controlled Ventilation (DCV)

Intervention Strategy

Switching thermostats from “Auto” to “On” or adjusting building HVAC control systems to disable Demand Controlled Ventilation (DCV)

No

Up-front Cost

No

No

Ongoing Daily Interaction

No

  • Periodic preventive maintenance required
  • Incremental energy usage varies, depending upon fan energy consumption
Ongoing Maintenance Requirements and Incremental Energy Usage
  • Periodic preventive maintenance required
  • Incremental energy usage varies, depending upon fan energy consumption

Using fans to increase effectiveness of open windows

Intervention Strategy

Using fans to increase effectiveness of open windows

< $100

Up-front Cost

< $100

Yes

Ongoing Daily Interaction

Yes

  • No ongoing maintenance requirements
  • Incremental energy usage varies, depending on HVAC system capacity and ambient outdoor conditions
Ongoing Maintenance Requirements and Incremental Energy Usage
  • No ongoing maintenance requirements
  • Incremental energy usage varies, depending on HVAC system capacity and ambient outdoor conditions

Repositioning supply/exhaust diffusers to create directional airflow

Intervention Strategy

Repositioning supply/exhaust diffusers to create directional airflow

< $100

Up-front Cost

< $100

No

Ongoing Daily Interaction

No

  • No ongoing maintenance requirements
  • No incremental energy usage
Ongoing Maintenance Requirements and Incremental Energy Usage
  • No ongoing maintenance requirements
  • No incremental energy usage

Adding in-room HEPA fan/filter systems

Intervention Strategy

Adding in-room HEPA fan/filter systems

$500 (approximately)

Up-front Cost

$500 (approximately)

Yes

Ongoing Daily Interaction

Yes

  • Must inspect/replace HEPA filter per manufacturer instructions
  • Low incremental energy usage
Ongoing Maintenance Requirements and Incremental Energy Usage
  • Must inspect/replace HEPA filter per manufacturer instructions
  • Low incremental energy usage

Adding upper room UVGI

[Typical classroom requires 2-3 fixtures]

Intervention Strategy

Adding upper room UVGI

[Typical classroom requires 2-3 fixtures]

< $1500 (approx. per fixture)

Up-front Cost

< $1500 (approx. per fixture)

No (unless manual activation)

Ongoing Daily Interaction

No (unless manual activation)

  • Must clean/inspect/replace UVGI lamps per manufacturer instructions
  • Low incremental energy usage
Ongoing Maintenance Requirements and Incremental Energy Usage
  • Must clean/inspect/replace UVGI lamps per manufacturer instructions
  • Low incremental energy usage

Adding in-duct UVGI to treat moving air

Intervention Strategy

Adding in-duct UVGI to treat moving air

Varied, more cost-effective (<$0.25/cfm) with larger systems

Up-front Cost

Varied, more cost-effective (<$0.25/cfm) with larger systems

No

Ongoing Daily Interaction

No

  • Must clean/inspect/replace UVGI lamps per manufacturer instructions
  • Low incremental energy usage
Ongoing Maintenance Requirements and Incremental Energy Usage
  • Must clean/inspect/replace UVGI lamps per manufacturer instructions
  • Low incremental energy usage

Ventilation Frequently Asked Questions

Some SARS-CoV-2 viral particles might travel from one space to another through an HVAC system. However, this is not known to be a significant risk for disease transmission.

While airflow distribution within an occupied space is an important factor worth evaluation (see FAQ #11), outbreak investigations have predominantly found that COVID-19 transmission occurs between an infected person and uninfected persons in the same space. Viral RNA has reportedly been found on return air grilles, in return air ducts, and on heating, ventilation, and air conditioning (HVAC) filters, but detecting viral RNA alone does not imply that the virus was capable of transmitting disease. One research group reported that the use of a new air-sampling method allowed them to find viable viral particles within a COVID-19 patient’s hospital room with good ventilation, filtration and ultraviolet (UV) treatment (at distances as far as 16 feet from the patient). However, the concentration of viable virus detected was believed to be too low to cause disease transmission. There may be some implications for HVAC systems associated with these findings, but it is too early to conclude that with certainty. While airflows within a particular space may help spread disease among people in that space, there is no definitive evidence to date that viable virus has been transmitted through an HVAC system to result in disease transmission to people in other spaces served by the same system.

Healthcare facilities have ventilation requirements in place to help prevent and control infectious diseases that are associated with some healthcare environments. For more information, see the CDC Guidelines for Environmental Infection Control in Health-Care Facilities.

Non-healthcare (e.g., businesses and schools) building owners and managers should, at a minimum, maintain building ventilation systems according to state and local building codes and applicable guidelines. Ensuring appropriate outdoor air and ventilation rates is a practical step to ensure good indoor air quality. However, these codes do not address infection prevention in non-healthcare buildings and code minimum ventilation may be insufficient to protect indoor occupants under some circumstances (e.g., high incidence rates, occupants near one another, crowded spaces, etc.).

The time required for dilution will depend on room ventilation airflow and its effectiveness.

While large droplets (100 micrometers [µm] and larger) will settle to surrounding surfaces within seconds, smaller particles can stay suspended in the air for much longer. It can take several minutes for particles 10 µm in size to settle, while particles 5 µm and smaller may not settle for hours or even days. Dilution ventilation and particle filtration are commonly used to remove these smaller particles from the air. Larger particles can also be removed using these strategies, but since they fall out of the air quickly, they might not have a chance to get captured by filtration systems.

Delivering (or exhausting) an amount of air that is equal to a room’s volume is called an “air change.”  Delivering this amount of air over a 60-minute period is called an “air change per hour” (ACH).  The time required to remove airborne particles from a space can be estimated using Table B.1 in the CDC’s Guidelines for Environmental Infection Control in Health-Care Facilities (2003). The estimates assume the source of infectious particles is no longer present in the space.  The estimates in the table are based upon the rate that particle-free air is delivered to the room and the desired removal efficiency (99% or 99.9%). The particle-free air, measured in air changes per hour (ACH), can be uncontaminated supply air or the clean exhaust from a High Efficiency Particulate Air (HEPA) fan/filtration system [See HEPA filtration discussion below].

Although there are some highly contagious airborne diseases (like measles) where CDC provides specific guidance for 99.9% clearance wait times, the general recommendation in CDC’s Guidelines for Environmental Infection Control in Health-Care Facilities is to wait to allow for a 99% reduction of any generated airborne particles before re-entering the room.

In the absence of guidance specifying a longer wait period for COVID-19, the wait time associated with 99% clearance is an appropriate target for healthcare and other spaces where an infectious occupant is reasonably anticipated to be present. Regardless of whether the 99% or 99.9% column on Table B.1 is used, the value in the table is usually an under-estimation of the actual dilution clearance time as noted in the table’s footnotes which include the following statement: “The times given assume perfect mixing of the air within the space (i.e., mixing factor = 1). However, perfect mixing usually does not occur. Removal times will be longer in rooms or areas with imperfect mixing or air stagnation.” Appropriate use of Table B.1 to establish clearance times from any space requires multiplying the time in the table by a mixing factor (k) that ranges between 1 and 10. This factor represents how well the ventilation system mixes and dilutes the concentration of airborne particles within the room.

As a rule of thumb, rooms with higher airflow rates (6 ACH and higher) and good placement of supply and exhaust grilles (hospital airborne infection isolation rooms) are considered to have “good” mixing and thus a mixing factor of k = 3 is often used for these spaces. In that case, the time identified from Table B.1 should be multiplied by 3 to determine the actual clearance time prior to re-entry. Nonventilated or poorly ventilated spaces have typical values of k ranging from 8 to 10. Increased ACH generally leads to reductions in k, although k can also be reduced by the use of a fan in the space, which does not have an impact on ACH. Ultimately, wait times can be reduced by increasing ACH, reducing k, or a combination of both.

Example 1.  Given: A room measuring 12 feet x 10 feet with a ceiling height of 10 feet is served with a 100% outdoor air ventilation system that delivers 65 cubic feet per minute (cfm) of supply air (Qs = 65 cfm) and exhausts 80 cfm of air from the room (Qe = 80 cfm). The room has average air mixing, so assign k = 5.

Question: How much time is required to reduce the airborne concentration by 99 percent?

Solution: Since Qe is larger than Qs by 15 cfm, the heating, ventilation, and air conditioning (HVAC) system is pulling 15 cfm of air into the room from adjacent areas (i.e., the room is under negative pressure). For this example, the 15 cfm of transfer air is assumed to be free of infectious airborne particles. The clean volumetric air flow rate (Q) is the larger value between Qs and Qe, so Q = 80 cfm. Calculate the air changes per hour:

ACH = [Q x 60] / (room volume) = (80 cfm x 60) / (12’ x 10’ x 10’) = 4800/1200 = 4.0 ACH

Using Table B.1 the perfect mixing wait time based on 4 ACH and a 99% reduction of airborne particles is 69 minutes.

Using the mixing factor of 5, the estimated wait time for 99% reduction of airborne contaminants in the room is 5 x 69 = 345 minutes or 5 hours and 45 minutes.

Note: Determining the true value of the mixing factor is difficult and requires special equipment to measure air flows and conduct tracer gas decay testing. Thus, conservative estimates of k are often used (as described above). Also, the addition of an air cleaning device (e.g., an in-room HEPA filtration unit) within the same room will reduce the wait time. The flow rate from the air cleaning device can be added to Q determined above, which will increase the overall ACH in the room. The air movement created by the air cleaning device can also decrease the value of k. Together, the increased ACH and decreased k can help substantially reduce wait times. See Example 2 at the bottom of FAQ #5 for more information, including an example of the calculations.

Yes, filters with higher collection efficiencies can provide significant reductions in viral particle concentrations.

Filters for use in heating, ventilation, and air conditioning (HVAC) systems are generally tested under procedures outlined in ANSI/ASHRAE Standard 52.2-2017-Method of Testing General Ventilation Air-Cleaning Devices for Removal Efficiency by Particle Size. This standard was developed by ASHRAE, a global society focused on building systems, indoor air quality, and sustainability in the built environment. Based on the filtration efficiency determined by the testing procedures, filters are assigned a Minimum Efficiency Reporting Value (MERV). The MERV provides a measure of the “filter efficiency” over the range of particle sizes prescribed in the test procedure. MERV values range from 1 to 16 and higher MERV values correspond to more efficient filters.

Research shows that the particle size of SARS-CoV-2 is around 0.1 micrometer (µm). However, the virus generally does not travel through the air by itself. These viral particles are human generated, so the virus is trapped in respiratory droplets and droplet nuclei (dried respiratory droplets) that are larger than an individual virus. Most of the respiratory droplets and particles exhaled during talking, singing, breathing, and coughing are less than 5 µm in size. CDC recommends using MERV 13 filters or filters with the highest efficiency possible, without having detrimental effects on overall HVAC system performance. ASHRAE has similar guidance, which is to “use combinations of filters and air cleaners that achieve MERV 13 or better levels of performance for air recirculated by HVAC systems.” The simplest way to meet this guidance is to use a MERV 13 filter in your appropriately-designed HVAC system, if the system is able to operate properly with it installed.  Alternatively, other effective air cleaning technologies can also be used to help meet this performance target. A MERV 13 filter is at least 50% efficient at capturing particles in the 0.3 µm to 1.0 µm size range and 85% efficient at capturing particles in the 1 µm to 3 µm size range. Collectively these particles are capable of remaining airborne for hours and are most associated with deep lung penetration. A MERV 14 filter is at least 75% and 90% efficient, respectively, at capturing those same particles. Efficiencies for MERV 15 and MERV 16 filters are even higher. Thus, the recommended filters are significantly more efficient at capturing particles of concern than a commonly-used MERV 8 filter, which is only around 20% efficient in the 1 µm to 3 µm size range and is not rated for capture efficiency of the smaller 0.3 µm to 1.0 µm particles.

Increasing filtration efficiency can increase the pressure drop (resistance to air flow) across the filters. This can lead to increased fan energy, reduced airflow rates, and/or issues controlling indoor temperature and relative humidity levels. Scientific developments in filter design and manufacturing have reduced the amount of the increased pressure drop and its resulting impact on HVAC operations, but not all filters have adopted the newer technology. Prior to a filtration upgrade, the specific filters under consideration should be investigated for their pressure drop ratings at the flow rate(s) of intended use and the potential impacts of that pressure drop evaluated against the capabilities of the existing HVAC system.

High-efficiency particulate air (HEPA) filters are even more efficient at filtering human-generated infectious particles than MERV 16 filters. However, outside of a few unique applications, HEPA filters are rarely used in central HVAC systems. [See FAQ #5 on HEPA filters and in-room HEPA air cleaners to learn more about them and their application in protective air cleaning].

Directional airflow is a protective ventilation concept where air movement flows in a clean-to-less-clean direction.

This ventilation concept is applied to areas where the “clean” environment requires a higher level of protection and/or where the “less-clean” environment has a higher risk of containing airborne contaminants (activities or occupancy by individuals with a higher risk of being infectious). Examples of “clean” spaces might include healthcare facility triage stations or rooms/corridors adjacent to higher risk activities. Examples of “less-clean” spaces might include spaces that contain known/suspect infectious persons or spaces where a known activity has increased likelihood of generating infectious airborne particles.

The creation of directional airflow can be accomplished within a particular space or between two adjacent spaces. This can be done passively, through intentional placement of supply and exhaust heating, ventilation, and air conditioning (HVAC) grilles, or by the intentional creation of pressure differentials between adjacent spaces through specification of offset exhaust and supply air flow rates. Creation of the directional airflow can also be done actively, through the use of fans exhausting through open windows, strategic placement of ductwork attached to in-room HEPA filtration units, or dedicated exhaust systems (installed or portable) that generate a desired airflow by exhausting air out of windows, doorways, or through temporary ducts. In specific settings, specialized local control ventilation interventions that establish the desired airflow directions can also be used (see the NIOSH Ventilated Headboard).

Directional airflows must be evaluated carefully. Testing of the directional airflow effectiveness can be accomplished using visual tracer techniques that use “smoke tubes” or handheld “fog generators.” Other tools, such electronic monitors or visual aids to monitor pressure differences can be used when directional airflow is established between two adjacent spaces. To reduce the potential for directing airflow from infectious towards non-infectious space occupants, it is important that the “clean” and “less-clean” space determinations be established using infection control risk assessment considerations.

By definition, a High Efficiency Particulate Air (HEPA) filter is at least 99.97% efficient at capturing particles 0.3 µm in size. This 0.3 µm particle approximates the most penetrating particle size (MPPS) through the filter. HEPA filters are even more efficient at capturing particles larger and smaller than the MPPS. Thus, HEPA filters are no less than 99.97% efficient at capturing human-generated viral particles associated with COVID-19.

Research shows that the particle size of SARS-CoV-2 is around 0.1 micrometer (µm). However, the virus generally does not travel through the air by itself. These viral particles are human-generated, so the virus is trapped in respiratory droplets and droplet nuclei (dried respiratory droplets) that are larger. Most of the respiratory droplets and particles exhaled during talking, singing, breathing, and coughing are less than 5 µm in size.

The excellent capture efficiency of HEPA filters comes at a cost, namely the significant pressure drop (and energy) required to move air through the HEPA filter.  For this reason, most traditional HVAC systems are not able to use HEPA filters and are limited to the use of less-efficient filters.  To account for the increased pressure requirements, HEPA filtration units often combine a HEPA filter with a dedicated fan system.

In-room HEPA air cleaners that combine a HEPA filter with a powered fan system are a preferred option for auxiliary air cleaning, especially in higher risk settings such as health clinics, vaccination, and medical testing locations, workout rooms, or public waiting areas. Other settings that could benefit from in-room HEPA filtration can be identified using typical risk assessment parameters, such as community incidence rates, facemask compliance expectations, and room occupant density. While these systems do not bring in outdoor dilution air, they are effective at cleaning air within spaces to reduce the concentration of airborne particulates, including SARS-CoV-2 viral particles. Thus, they give equivalent air exchanges without the need for conditioning outdoor air.

In choosing an in-room HEPA air cleaner, select a system that is appropriately sized for the area in which it will be installed. This determination is made based on the air flow through the unit, which is typically reported in cubic feet per minute (cfm). Many portable HEPA filtration units are assigned a Clean Air Delivery Rate (CADR) (See EPA’s Guide To Air Cleaners In The Home), which is noted on a label in the operator’s manual, on the shipping box, and/or on the filtration unit itself. The CADR is an established standard defined by the Association of Home Appliance Manufacturers (AHAM). Participating portable air cleaner manufacturers have their products certified by an independent laboratory, so the end user can be assured it performs according to the manufacturer’s claims. The CADR is generally reported in cfm for products sold in the United States. The paragraphs below describe how to select an appropriate air cleaner based on the size of the room in which it will be used. The procedure below should be followed whenever possible. If an air cleaner with the appropriate CADR number or higher is not available, select a unit with a lower CADR rating. The unit will still provide incrementally more air cleaning than having no air cleaner at all.

In a given room, the larger the CADR, the faster it will clean the room air. Three CADR numbers are given on the AHAM label, one each for smoke, dust, and pollen. The smoke particles are the smallest, so that CADR number applies best to viral particles related to COVID-19 and other viral respiratory diseases. The label also shows the largest room size (in square feet [ft2]) that the unit is appropriate for, assuming a standard ceiling height of up to 8 feet. If the ceiling height is taller, multiply the room size (ft2) by the ratio of the actual ceiling height (ft) divided by 8. For example, a 300 ft2 room with an 11-foot ceiling will require a portable air cleaner labeled for a room size of at least 415 ft2 (300 × [11/8] = 415).

The CADR program is designed to rate the performance of smaller room air cleaners typical for use in homes and offices. For larger air cleaners, and for smaller air cleaners whose manufacturers choose not to participate in the AHAM CADR program, select a HEPA unit based on the suggested room size (ft2) or the reported air flow rate (cfm) provided by the manufacturer. Consumers might take into consideration that these values often reflect ideal conditions which overestimate actual performance.

For air cleaners that provide a suggested room size, the adjustment for rooms taller than 8 feet is the same as presented above. For units that only provide an air flow rate, follow the “2/3 rule” to approximate a suggested room size. To apply this rule for a room up to 8 feet tall, choose an air cleaner with an air flow rate value (cfm) that is at least 2/3 of the floor area (ft2). For example, a standard 300 ft2 room requires an air cleaner that provides at least 200 cfm of air flow (300 × [2/3] = 200). If the ceiling height is taller, do the same calculation and then multiply the result by the ratio of the actual ceiling height (ft) divided by 8. For example, the 300 ft2 room described above, but with an 11-foot ceiling, requires an air cleaner that can provide at least 275 cfm of air flow (200 × [11/8] = 275).

While smaller HEPA fan systems tend to be stand-alone units, many larger units allow flexible ductwork to be attached to the air inlet and/or outlet (note that larger ducted units don’t fall under the “room air cleaner” description and may not have a CADR rating). Using ductwork and placing the HEPA system strategically in the space can help provide desired clean-to-less-clean airflow patterns where needed. Ducted HEPA systems can also be used to establish direct source capture interventions for patient treatment and /or testing scenarios (See CDC/NIOSH discussion on Ventilated Headboard). Depending on the size of the HEPA fan/filter units and how the facility in which they are being used is configured, multiple small in-room HEPA units deployed to high-risk areas may be more useful than one large HEPA unit serving a combined space.

Example 2. Given: The room described in Example 1 at the bottom of FAQ #2 is now augmented with a portable HEPA air cleaning device with a smoke CADR of 120 cfm (Qhepa = 120 cfm). The added air movement within the room improves overall mixing, so assign k = 3.

Question: How much time is saved to achieve the same 99% reduction in airborne contaminants by adding the portable HEPA device to the room?

Solution: The addition of the HEPA filter device provides additional clean air to the room. Here, the clean volumetric air flow rate (Q) is: Q = Qe + Qhepa = 80 cfm + 120 cfm = 200 cfm.

ACH = [Q x 60] / (room volume) = (200 cfm x 60) / (12’ x 10’ x 10’) = 12,000/1,200 = 10 ACH.

Using Table B.1, the perfect mixing wait time based on 10 ACH and a 99% reduction of airborne particles is 28 minutes.

Using the mixing factor of 3, the estimated wait time for 99% reduction of airborne contaminants in the room is 3 x 28 = 84 minutes. Thus, the increased ACH and lower k value associated with the portable HEPA filtration unit reduced the wait time from the original 5 hours and 45 minutes to only 1 hour and 24 minutes, saving a total of 4 hours and 21 minutes before the room could be safely reoccupied.

Adding the portable HEPA unit increased the equivalent ventilation rate and improved room air mixing. This resulted in over a 75% reduction in time for the room to be cleared of potentially-infectious airborne particles.

Yes, when an appropriate dose of UVGI is applied.

Ultraviolet germicidal irradiation (UVGI), otherwise known as germicidal ultraviolet (GUV), is an air and surface treatment tool used in many different settings, such as residential, commercial, educational, and healthcare settings. The technology uses ultraviolet (UV) energy to inactivate (kill) microorganisms, including viruses, when designed and installed correctly.

UVGI can inactivate viruses in the air and on surfaces.* The design and sizing of effective UVGI treatment systems requires specific knowledge and experience. Seek consultation with a reputable UVGI manufacturer or an experienced UVGI system designer prior to installing UVGI systems. These professionals can assist by properly designing, installing, and commissioning the system for your specific setting.

*Note: CDC’s recommendation for primary surface disinfection in occupied environments is to follow the CDC/EPA guidance for surface disinfection.

UVGI devices can take many shapes and sizes.  They can also be mounted in various places.

Depending on the manufacturers’ claims, these devices may be regulated as pesticide devices by the EPA and require efficacy data.  In addition, the site where the product is manufactured may also require registration.  See the EPA’s Pesticide Devices: A Guide for Consumers for additional information.

Upper-room UVGI
Upper-room (or upper-air) UVGI uses specially designed UVGI fixtures mounted on walls or ceilings to create a treatment zone of ultraviolet (UV) energy that is focused up and away from people. These fixtures treat air as it circulates from mechanical ventilation, ceiling fans, or natural air movement. The advantage of upper-room UVGI is that it treats the air closer to and above people who are in the room. Since the 1980s, UVGI systems have been widely used for control of tuberculosis (TB). The CDC guidance Environmental Control for Tuberculosis: Basic Upper-Room Ultraviolet Germicidal Irradiation Guidelines for Healthcare Settings provides information on appropriate UVGI system design, related safe operation, and maintenance. Based on data from other human coronaviruses, a UVGI system designed to protect against the spread of TB should be effective at inactivating SARS-CoV-2 and therefore prevent spread. While small spaces may require a single UVGI fixture, most UVGI systems usually require multiple UV fixtures to be effective. For example, a rectangular-shaped waiting room with 10–30 occupants will require 2–3 upper-air UVGI fixtures. As part of system installation, care must be taken to control the amount of UV energy directed or reflected into the lower occupied space. Reputable UVGI manufacturers or experienced UVGI system designers will take the necessary measurements and make any required adjustments to prevent harmful UV exposures to people in the space.

Potential Application: Can be used as an additional layer of protection to treat the air (kill germs) in indoor spaces; most useful in spaces that host large gatherings or where the risk of disease transmission is high.

In-duct UVGI
In-duct UVGI systems are installed within a heating, ventilation, and air conditioning (HVAC) system. These systems are designed to serve one of two purposes:

1) Coil treatment UVGI keeps HVAC coils, drain pans, and wetted surfaces free of microbial growth. These devices produce relatively low levels of UV energy. This energy is continually delivered 24 hours a day, which is why they are effective. Coil treatment UVGI devices are not designed for treating the air and should not be installed for this purpose.

Potential Application: Can be used to reduce HVAC maintenance and improve operational efficiency within large, commercial HVAC systems or residential HVAC systems; not recommended for inactivating airborne pathogens.

2) Air treatment UVGI systems can be effective at applying intense UV energy to inactivate airborne pathogens as they flow within the HVAC duct. HVAC air treatment UVGI systems generally require more powerful UV lamps or a greater number of lamps, or both, to provide the necessary UVGI required to inactivate pathogens in a short period of time. Air treatment systems are often placed immediately downstream of the HVAC coils. This location keeps the coil, drain pan, and wetted surfaces free of microbial growth and also treats the moving air.

Potential Application: Can be used inside any HVAC system to reduce the concentration of infectious airborne pathogens.

Whole-room UVGI
Whole-room UVGI (commonly referred to as Far-UV) uses specially designed UVGI fixtures mounted on walls or ceilings to create a treatment zone of ultraviolet (UV) energy that extends throughout an occupied space. While standard UVGI fixtures emit UV energy at a wavelength around 254 nanometers (nm), far-UV devices use different lamps to emit UV energy at a wavelength around 222 nm. Aside from the wavelength, a major difference between the two technologies is that standard UVGI systems are generally designed to avoid exposing people to the UV energy, while many far-UV devices are marketed as safe for exposing people and their direct environment to UV energy.  Recent research has indicated 222 nm energy is much safer for humans than once thought. In fact, the American Conference of Governmental Industrial Hygienists (ACGIH) recently increased their Threshold Limit Values (TLVs) 7-fold for eyes and over 20-fold for skin exposed to 222 nm energy. This increase was in response to data showing 222 nm energy does not penetrate the tear layer of the eye or the layer of dead skin (stratum corneum) that protect living skin beneath. Research studies also indicate that far-UV wavelengths can effectively inactivate microorganisms, including human coronaviruses, when appropriate UV doses are applied under experimental conditions. However, there are still some questions about how effective 222 nm energy can be in real occupied spaces against human-generated pathogens when UV exposures are controlled to safe limits.

Far-UV is a promising technology that may well prove to be effective at treating air and surfaces, without some of the safety precautions required for standard UVGI. Due to the potential promise this technology represents, there are substantial private and public research activities underway to further validate claims of safety and efficacy.  In the near term, whole-room UVGI is best viewed as new and emerging technology. Consumers considering an emerging technology such as Far-UV should read FAQ #8 on emerging technologies below.

Potential Application: Air and surface treatment in occupied indoor environments.

CDC recommends using technologies that are known to work and will not cause harm. Be cautious when considering an emerging new technology.  Do your homework, to include requesting proof of performance and safety under real-world, as-used conditions.

Depending on the manufacturers’ claims, these devices may be regulated as pesticide devices by the EPA and require efficacy data.  In addition, the site where the product is manufactured may also require registration.  See the EPA’s Pesticide Devices: A Guide for Consumers for additional information.

CDC does not provide recommendations for, or against, any manufacturer or product. There are numerous technologies being heavily marketed to provide air treatment during the ongoing COVID-19 pandemic. Common among these are ionization, dry hydrogen peroxide, and chemical fogging. Some products on the market include combinations of these technologies. These products generate ions, reactive oxidative species (ROS, which are marketed using many names), or chemicals into the air as part of the air treatment process. People in spaces treated by these products are also exposed to these ions, ROS, or chemicals. Some research has found these exposures may be harmful under certain conditions, including high concentrations or vulnerable populations.

While variations of these technologies have been around for decades, relative to other air cleaning or treatment methods, they have a less-documented track record when it comes to treating large and fast volumes of moving air within heating, ventilation, and air conditioning (HVAC) systems or even inside individual rooms. This does not necessarily imply the technologies do not work as advertised. However, in the absence of an established body of peer-reviewed evidence showing proven efficacy and safety under as-used conditions, the technologies are still considered by many to be “emerging.”

As with all emerging technologies, consumers are encouraged to exercise caution and to do their homework. A manufacturer’s reference to regulation and/or product registration, with national or local authorities, does not always imply specific product efficacy or safety. Consumers should research the technology, attempting to match any specific claims against the intended use of the product. Consumers should request testing data that quantitively demonstrates a clear protective benefit and occupant safety under conditions consistent with the intended use. When considering air treatment technologies that potentially or intentionally expose building occupants, the safety data should be applicable to all occupants, including those with health conditions that could be aggravated by the air treatment. In transient spaces, where average exposures to the public may be temporary, it is important to also consider occupational exposures for workers that must spend prolonged periods in the space.

Preferably, the documented performance data under as-used conditions should be available from multiple sources, some of which should be independent, third-party sources. Unsubstantiated claims of performance or limited case studies with only one device in one room and no reference controls should be questioned. At a minimum, when considering the acquisition and use of products with technology that may generate ozone (a gas with potentially harmful health effects), verify that the equipment meets UL 2998 standard certification (Environmental Claim Validation Procedure (ECVP) for Zero Ozone Emissions from Air Cleaners) which is intended to validate that no ozone is produced.

Yes, carbon dioxide (CO2) monitoring can provide information on ventilation in a given space, which can be used to enhance protection against COVID-19 transmission. Strategies incorporating COmonitors range in cost and complexity. However, greater cost and complexity does not always mean greater protection.

Limited information exists regarding a direct link associating CO2 concentration to a risk of COVID-19 transmission. Changes in CO2 concentrations can indicate a change in room occupancy and be used to adjust the amount of outdoor air delivered. However, CO2 concentrations cannot predict who has COVID-19 infection and might be spreading the virus, the amount of airborne viral particles produced by infected people, or whether the HVAC system is effective at diluting and removing viral concentrations near their point of generation. Ventilation based on CO2 measurements cannot recognize the increased risk of transmission when multiple room occupants are infected.

In some well-designed, well-characterized, well-maintained HVAC environments, the use of fixed CO2 monitors can be informative. When used, these monitors are often incorporated into demand-controlled ventilation (DCV) systems that are designed with a primary intent of maximizing energy efficiency through reductions in outdoor air delivery. However, during times of high community transmission, guidance is often to deactivate DCV systems and exceed minimum ventilation whenever possible, in addition to enhanced filtration, and other intervention-focused considerations.

Traditionally, CO2 monitoring systems are expensive, require extensive knowledge to accurately install and set up, and require sophisticated control programs to effectively interact with the building heating, ventilation and air conditioning (HVAC) systems in real time. They were not designed to protect building occupants from disease transmission. Fixed-position COmonitors measure CO2 concentration as an indicator of the number of people in the space. As the CO2 concentration increases, the HVAC DCV system increases the amount of outdoor air ventilation in the space to dilute CO2 (and vice versa). The number of CO2 sensors, the placement of those sensors, and their calibration and maintenance are collectively a large and complex issue that must not be overlooked. For example, the CO2 concentration measured by a fixed, wall-mounted monitor may not always represent the actual concentrations in the occupied space. If air currents from the room HVAC, or even make-up air from windows, flows directly over this monitor location, the corresponding concentration measurements will be artificially low. If the room has good air mixing, the measured concentration should approximate the true concentration, but rooms are rarely well mixed, particularly in older buildings with aging ventilation systems (or none at all). Also, if an elevated CO2 concentration results in an air flow increase to one room, that air may be “stolen” from other rooms on the same HVAC system. This may result in elevated CO2 concentrations in those other spaces which the HVAC system is unable to control.

A more modest, cost-efficient, and accurate use of CO2 monitoring is the use of portable instruments combined with HVAC systems that do not have modulating setpoints based on CO2 concentrations. The CO2 meter can be purchased for under $300 and its measurements can be collected/logged near the breathing zones of occupied areas of each room. It is critical to select calibrated CO2 meters whose sensors are reliable and accurate to draw meaningful inferences from measured indoor CO2 concentrations. Under this approach, validate that the HVAC system is operating appropriately and is meeting or exceeding code-minimum outdoor air requirements based on current use and occupancy. Next, measure the resulting CO2 concentrations in rooms under as-used conditions using a handheld portable CO2 meter. These observations will be the CO2 baseline concentrations for each room under the HVAC operating conditions and occupancy levels.

One potential target for the baseline concentrations that is used to represent good ventilation is CO2 readings below 800 parts per million (ppm). It is important to note, however, that a single concentration value may not be an appropriate target for all space types and occupancies for the purposes of assessing the ventilation rate (see ASHRAE Position Document on Indoor Carbon Dioxide). Once a target concentration is identified, compare your baseline concentrations to the target concentration. If a baseline measurement is above the target, reevaluate the context under which the measurement was obtained and if warranted, investigate the ability to increase outdoor air delivery. If unable to get below your target CO2 value, increased reliance on enhanced air filtration (including in-room HEPA air cleaners) may be necessary. Once the baseline concentrations are established, take periodic measurements in each space and compare those to the initial baselines. As long as ventilation airflow is unchanged (outdoor air or total air) and occupancy capacity is not increased, future portable CO2 concentrations that exceed 110% of the baseline concentrations indicate a potential problem that should be investigated.

Generally, no.  Temperature and humidity can both influence the transmission of infectious diseases, including COVID-19, but that influence has practical limitations in occupied spaces of buildings.

Research on the impact of temperature has shown that SARS-CoV-2, the virus that causes COVID-19, is sensitive to elevated temperatures, with over 99.99% inactivation in only a few minutes at 70°C (158°F). However, this temperature is far outside the limits of human comfort and could damage some building materials. While temperatures lower than 70°C (158°F) are also effective, the required exposure time for inactivation increases as the temperature decreases. So, elevated temperatures offer the potential for decontamination of SARS-CoV-2 virus in the air or on surfaces, but the use of increased temperature solely for decontamination is not generally recommended and is not realistic for occupied spaces.

Based on current evidence, it is not clear whether, in practice, increasing humidity could significantly reduce transmission of COVID-19 beyond the reductions that result from using good ventilation and filtration.  Several scientific research studies have concluded that influenza and SARS-CoV-2 viruses do not survive as well in environments with higher humidity compared with lower humidity. However, the reasons for this are unclear, and artificial experimental factors like the size of the liquid droplets used in the experiments and the composition of the liquid containing the viruses affect the results. Thus, there is still debate within the scientific community over how much humidity affects virus survival outside of the laboratory. Adding humidity to indoor environments, especially in very cold climates, can also introduce additional challenges to the building environment.  CDC and standards-setting organizations like ASHRAE do not make recommendations about controlling indoor humidity to reduce virus survival, although humidity recommendations are made for other reasons, such as prevention of dust mite and mold growth or reduction of static electricity.  While not affecting transmission, there are peer-reviewed studies that suggest preventing excessive dryness in the air could help maintain the effectiveness of the human body’s immune system.

Yes, but with caution.

While fans alone cannot make up for a lack of outdoor air, fans can be used to increase the effectiveness of open windows, as described in the CDC list of ventilation mitigation strategies. Fans can also be used indoors to improve room air mixing. Improved room air mixing helps distribute supplied clean air and dilute viral particle concentrations throughout the room, which reduces the likelihood of stagnant air pockets where viral concentrations can accumulate. As with all fan use during the COVID-19 pandemic, take care to minimize the potential to create air patterns that flow directly across one person onto another:

  • Avoid the use of the high-speed settings
  • Use ceiling fans at low velocity and potentially in the reverse-flow direction (so that air is pulled up toward the ceiling)
  • Direct the fan discharge towards an unoccupied corner and wall spaces or up above the occupied zone.

Fans can also enable clean-to-less-clean directional airflow. Such applications should be evaluated closely to avoid unintended consequences and only adopted when supported by a safety risk assessment.

Barriers can help or barriers can hurt.  It depends on where and how they are deployed.

Barriers can physically separate spaces that are next to each other. When used for infection control, the barrier is intended to prevent someone on one side of the barrier from exposing a person on the other side of the barrier to infectious fluids, droplets, and particles. Whether a barrier interferes with improved ventilation depends on how it is installed. Protective barriers can sometimes help improve ventilation, but they can sometimes hinder ventilation too. Sometimes they have no effect on ventilation.

Protective barriers can assist with improved ventilation when used to facilitate directional airflows or desired pressure differentials between clean and less-clean spaces. The barrier can be aligned with the intended airflow to help direct it towards a desired location, such as an HVAC return air grille or an in-room HEPA air cleaner inlet. Example scenarios for this type of barrier deployment include those where there is a known source of potentially infectious aerosols, such as a dental operatory or COVID-19 testing station.

Alternatively, the barrier might be placed between two areas to better isolate one side of the barrier from the other. In this configuration, the barrier can also assist the HVAC design scheme in establishing a desired pressure differential between the adjacent spaces. If necessary, small pass-through openings or a retractable panel incorporated into the barrier can allow transfer of physical objects from one side to the other. Examples where this type of barrier application might be applied include a receptionist’s desk or a ticket booth.

When not carefully installed, barriers can sometimes hinder good ventilation. Barriers can unintentionally interrupt the airflow distribution within a space, thus allowing a concentration build-up of human-generated or other aerosols that may remain suspended in the air for minutes to hours. In this case, people could be exposed to higher concentrations of infectious aerosols than they would without the barriers in place. The larger the barrier, the greater the likelihood that this may occur. To reduce this likelihood, ensure that barriers are correctly positioned for the anticipated occupancy and that they are no larger than necessary to prevent direct transfer of respiratory droplets that could “spray” directly from one person onto another.

Any time barriers are deployed, airflow distribution testing with tracer “smoke” or handheld fog generators should be conducted. This testing can assist in evaluating airflow distribution within the occupied spaces. If stagnant air pockets are seen to occur, barrier redesign or reorientation can help to minimize the occurrence. Airflow distribution modifications such as adjusting the positioning of supply air louvers or the discharge of in-room air cleaners can also assist in eliminating the development of stagnant air pockets.

Note:  The installation of barriers should not interfere with emergency egress or with the protective function of fire sprinklers.  When in doubt, consultation with local code and fire officials is encouraged.

Yes, when built and used correctly, they can be a protective temporary intervention.

Adding filtration and air movement to a space is generally better than doing nothing when it comes to reducing potential risks from viral particles in the air.  Well-constructed do-it-yourself (DIY) air cleaners can serve this purpose. When constructed with great attention to detail, DIY air cleaners have been shown to be effective.  Their effectiveness and safety have been supported by the U.S. Environmental Protection Agency (EPA) to reduce wildfire smoke indoors.  The particle sizes associated with wildfire smoke include the 1 – 3 micrometer (µm) particles associated with human-generated viral particles, like those that cause COVID-19.  Thus, DIY air cleaners can help reduce exposure to those airborne viral particles.

DIY air cleaners are appropriate during emergencies, for short-term use, or when obtaining commercially-available air cleaners, for whatever reason, is not possible.  However, DIY air cleaners should not be used as a permanent, long-term solution for in-room air cleaning.  Commercially-available portable air cleaners with high-efficiency particulate air (HEPA) filters are preferred and should be used whenever possible.  These units have an established Clean Air Delivery Rate (CADR), which is an established standard defined by the Association of Home Appliance Manufacturers (AHAM).  For more information, see the Environmental Protection Agency (EPA) Guide To Air Cleaners In The Home). Participating portable air cleaning manufacturers have their products certified by independent laboratories to assure they perform according to the manufacturer’s claims.

DIY air cleaners are generally assembled from box fans and square heating, ventilation and air conditioning (HVAC) filters.  Different configurations can be found online that use anywhere from 1 to 5 HVAC filters.  A common version, using 4 HVAC filters is often referred to as a Corsi-Rosenthal Box. Regardless of the design, the HVAC filters are sealed to the inlet side of the box fan.  Using multiple filters can reduce the resistance to air flow, allowing the fan to move more air when more filters are used in the design. Air cleaning is achieved when the fan pulls contaminated air through the filter and releases the filtered air back into the space through the fan outlet.  For these to provide effective air cleaning, they must be assembled properly to eliminate air leaks between individual filters (when multiple filters are used) and where the filters are sealed to the box fan itself.  Adequate amounts of duct tape should be used to prevent leaks during assembly. Air leaks reduce the effectiveness of the air cleaner, and this effect can be magnified as the HVAC filter(s) load with dust and the resistance through the filter(s) increases.

In addition to air leaks resulting in filter bypass, the overall performance of DIY air cleaners will depend on the individual box fan and HVAC filters selected. Individual units may perform better or worse than expected.  Unless the completed DIY air cleaner is thoroughly tested, a rating akin to the CADR will be unknown.  However, the performance of well-assembled DIY units can be approximated by measuring the air exhausted from the fan (using an air flow hood or other similar equipment to measure air flow) and multiplying by the efficiency of the filters at capturing 1 to 3 micrometer (µm) particles.  As an example, MERV 13 filters are at least 85% efficient at capturing particles in that size range.  A DIY air cleaner capable of moving 300 cubic feet per minute (cfm) of air through MERV 13 filters, would provide 255 cfm (300 cfm × 0.85 = 255 cfm) of ”clean” air.  However, keep in mind that is simply an approximation and likely represents the best-case performance.

While similar to commercially available HEPA air cleaners, the introduction of DIY air cleaners in a space can introduce new issues that need to be considered.  Electrical cords for the fan need to be secured to prevent causing a tripping hazard.  The DIY air cleaners can create enough noise to create difficulties communicating verbally.  This often causes the units to be turned off or operated at a lower and less-effective fan setting, which defeats the purpose of having the air cleaner in the first place.  As with all air cleaners, the DIY units need to be positioned in the room to prevent strong air flows from one person directly over another.

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