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Research Article

Natural Ventilation for the Prevention of Airborne Contagion

  • A. Roderick Escombe mail,

    To whom correspondence should be addressed. E-mail: rod.escombe@imperial.ac.uk

    Affiliations: Department of Infectious Diseases & Immunity, Imperial College London, London, United Kingdom, Wellcome Trust Centre for Clinical Tropical Medicine, Imperial College London, London, United Kingdom, Asociación Benéfica PRISMA, Lima, Perú

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  • Clarissa C Oeser,

    Affiliation: Asociación Benéfica PRISMA, Lima, Perú

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  • Robert H Gilman,

    Affiliations: Asociación Benéfica PRISMA, Lima, Perú, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America

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  • Marcos Navincopa,

    Affiliation: Hospital Nacional Dos de Mayo, Lima, Perú

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  • Eduardo Ticona,

    Affiliation: Hospital Nacional Dos de Mayo, Lima, Perú

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  • William Pan,

    Affiliation: Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America

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  • Carlos Martínez,

    Affiliation: Hospital Nacional Dos de Mayo, Lima, Perú

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  • Jesus Chacaltana,

    Affiliation: Hospital Nacional Daniel Carrión, Lima, Perú

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  • Richard Rodríguez,

    Affiliation: Hospital de Apoyo Maria Auxiliadora, Lima, Perú

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  • David A. J Moore,

    Affiliations: Department of Infectious Diseases & Immunity, Imperial College London, London, United Kingdom, Wellcome Trust Centre for Clinical Tropical Medicine, Imperial College London, London, United Kingdom, Asociación Benéfica PRISMA, Lima, Perú

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  • Jon S Friedland,

    Affiliations: Department of Infectious Diseases & Immunity, Imperial College London, London, United Kingdom, Wellcome Trust Centre for Clinical Tropical Medicine, Imperial College London, London, United Kingdom

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  • Carlton A Evans

    Affiliations: Department of Infectious Diseases & Immunity, Imperial College London, London, United Kingdom, Wellcome Trust Centre for Clinical Tropical Medicine, Imperial College London, London, United Kingdom, Asociación Benéfica PRISMA, Lima, Perú, Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, Maryland, United States of America

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  • Published: February 27, 2007
  • DOI: 10.1371/journal.pmed.0040068

Reader Comments (12)

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Conclusions overgeneralised

Posted by plosmedicine on 31 Mar 2009 at 00:06 GMT

Author: Hal Levin
Position: Building Ecology Research Group
Institution: Santa Cruz, California
E-mail: hal.levin@buildingecology.com
Submitted Date: March 07, 2007
Published Date: March 8, 2007
This comment was originally posted as a “Reader Response” on the publication date indicated above. All Reader Responses are now available as comments.

The article and editor's summary give the impression that the TB infection rate was actually reduced by opening windows. A careful reading of the article clearly states that while ventilation rates were measured, infection rates were merely calculated using the Wells-Riley equation. This is old news. While it is important to take into account the adequacy of the ventilation rate provided by mechanical ventilation systems, the ventilation rate through open windows is a function of window size, number, and location in a room as modified by indoor-outdoor temperature differences and wind direction and velocity.

Not every case will result in the differences observed in the Peruvian hospitals studied. One must be careful not to overgeneralize the results.

A new article, 'Role of ventilation in airborne transmission of infectious agents in the built environment, a multidisciplinary systematic review' by Yuguo Li et al, is a thorough review of infectious disease transmission and ventilation just published in the February 2007 issue of the journal Indoor Air, the International Journal of Indoor Environment and Health, available at http://www.blackwell-syne....

No competing interests declared.