In December 2019, a new coronavirus outbreak emerged in Wuhan, China, swiftly spreading across the nation and beyond. By February 12, 2020, the World Health Organization officially labelled the illness caused by this virus as coronavirus disease 2019 (COVID-19). The fact that coronavirus disease 2019 (COVID-19) cases are still increasing internationally is a worrying development[1] [2]. To lessen, manage, and halt the spread of COVID-19, a number of strategies have been implemented[3], [4]. According to Christie et al. (vaccination is thought to be the most efficient way to contain the outbreak [5]. Indoor air quality plays a vital role in the comfort, well-being, and performance of occupants [6]. Indoor pollution can cause long-term and immediate health effects, responsible for 4.1% of global deaths. Ensuring optimal indoor air quality holds significant importance within operating rooms, given the potential for surgical site infections resulting from air contamination. An effective ventilation strategy is imperative for mitigating indoor pollutants and upholding sterile conditions during surgical procedures [7], [8]. Accordingly, a study employing computational fluid dynamics aimed to assess airflow patterns and the dispersion of airborne contaminants indoors [9]. The findings indicated that using warming blankets effectively decreases the concentration of bacteria-carrying particles near the wound, mostly by facilitating warm upward air currents. A unique surgical lamp mounted on a fan also effectively decreased contamination to an acceptable range for surgeries susceptible to infections. A protective curtain significantly reduced the exposure level of the medical team to a patient with infectious respiratory disease. Diffuse ceiling ventilation systems resulted in the highest cooling capacity and thermal comfort in clinic waiting rooms. The study included visualizations of the airflow field and airborne particles in operating rooms using virtual reality techniques. These findings contribute to reducing infection risk after surgery, providing a deep understanding of airflow patterns and contamination distribution [9].
Extending the application of CFD modeling to COVID-19 research has provided crucial insights into virus transmission and prevention strategies [10], [11]. Despite outdoor social distancing measures, studies have revealed the potential for wind to carry saliva droplets up to 6 meters, emphasizing the importance of indoor ventilation in reducing the concentration of infected air. Combining aerosol disinfectants with air-conditioning systems has shown promise in facilitating wider dispersion of disinfectants, effectively reducing the number of infected particles. The modeling has also shown that sneezing generates more concentrated particle clouds compared to coughing. Optimizing ventilation efficiency involves increasing air change rates, utilizing outdoor air filters, minimizing air recirculation, and ensuring effective air distribution. Furthermore, the use of facial masks has been found to significantly reduce the distance traveled by respiratory particles, capturing a high percentage of them. UV-C light has been shown to enhance room disinfection rates by 50–85%. Finally, positioning virus biosensors properly can reduce the detection time of the virus. These findings underscore the importance of implementing a combination of measures such as ventilation, facial masks, disinfection methods, and strategic placement of biosensors to effectively prevent the transmission of COVID-19 in various settings.
Exploring the intersection of CFD with healthcare infrastructure, this study delves into the application of CFD techniques to model and optimize the internal environment of hospital air conditioning systems. This study investigates the use of CFD techniques to model the internal environment of hospital air conditioning systems, with the aim of improving air quality and reducing the risk of patient infection. Controlling air quality is crucial in venues such as operating theatres, where patients undergo complex surgeries, and in ICU/transplant/oncology departments to minimize the risk of infection. CFD analysis facilitates the examination of airflow patterns and temperature dispersion, enabling air circulation enhancement to attain increased sterility in places prone to risks. The study shows that CFD analysis can be used to model operating rooms and identify flaws in air distribution, allowing for adjustments to achieve optimum flows and temperature. The use of graphic displays shows velocity distributions and temperature distribution, leading to specific placement of filters, diffusers, and identification of the effects of lights, staff, and pendants. Overall, CFD analysis can be a valuable tool in improving air quality and reducing the risk of infection in hospital environments [12].
In another realm of research, Computational Fluid Dynamics (CFD) was employed to delve into strategies aimed at enhancing human thermal comfort, indoor air quality, and the energy efficiency of building Heating, Ventilation, and Air Conditioning (HVAC) systems. The study employed a case study methodology to assess the behaviour of a practical thermal zone and investigate the feasibility of incorporating an adaptive diffuser into the HVAC system. The study also aimed to enhance indoor air quality by examining the spread of airborne infectious illnesses, such as the Coronavirus. The study examined ways to minimize the risk of infection by optimizing HVAC operation, limiting the concentration of expelled pathogens at the source, and using personal protection equipment. The investigation additionally examined how various face masks and barriers affected airflow and the transmission of airborne pathogens in a concert venue where brass instruments are played. To improve interior air quality and prevent disease spread, the study found that bell coverings with Plexiglas separators and face protection could be useful [13].
When a person speaks, breathes, coughs, or sneezes, droplets are released by the respiratory system [[14], [15]]. These droplets can transport infections and cause infectious diseases in people because of their wide size distribution. Airborne contaminated particles can spread the contaminated agents of infectious diseases such measles, SARS-CoV, MERS-CoV (Middle-East Respiratory Syndrome coronavirus), and tuberculosis [16], [17], [18].
In addition to direct contact with an infected individual, these extremely infectious respiratory viruses can spread by both short- and long-range pathways [19], [20].
Since the start of the COVID-19 outbreak, numerous researchers have worked to identify the ways in which this virus spreads. The ventilation duct apertures in a COVID-19 ward at the hospitals were examined by Nissen et al. [21]. They reported the SARS-CoV-2 virus as an airborne transmission virus after finding the virus in the central ventilation duct. Zhang et al. [22] discovered that airflow was the primary method of SARS-CoV-2 transmission. According to their findings, surgical masks should be worn in public areas to stop the infection from spreading. Zuo [23] assessed the SARS-CoV-2 virus's interaction with human respiratory systems using molecular dynamic simulations. Their research recommended taking early action to stop the SARS-CoV-2 from spreading by air.
To forecast how SARS-CoV-2 will travel through the air, more research was done on the virus' aerosol dissemination. In a university café, Zhao et al. [24] investigated the spread of COVID-19 through coughing using a variety of numerical techniques. Their findings illustrated the virus's potential propagation route from a single person to the entire simulated ecosystem. According to Shah et al.'s experimental study [25], almost half of the aerosols emitted managed to get past the surgical masks. According to the same study, utilizing face masks was less effective than installing a suitable ventilation system in containing the spread of airborne infectious diseases like COVID-19.
To provide clean air in indoor spaces [26]. Therefore, one essential strategy for giving people a clean environment is to use ventilation systems [27].
In analyzing the effectiveness of ventilation systems during coughing episodes in healthcare settings, the study reveals significant limitations in the ability of the evaluated configuration to contain airborne particles. Notably, a significant portion of particles encountered by healthcare workers remained unaffected by the alternative ventilation setup designed for airborne infection isolation. The exhaust system's impact on eliminating cough aerosols was minimal, except in proximity to high-velocity exhaust grills. Furthermore, the study elucidates a concerning pattern where released aerosols disintegrate into smaller particles that persist in the air, re-entering the supply air stream and dispersing throughout the room within 5–20 seconds post-cough. Even after a single cough cycle, these suspended aerosols lingered for more than 21 seconds, emphasizing the critical importance of well-designed ventilation systems to effectively curtail the spread of infectious diseases and safeguard the well-being of healthcare workers in healthcare settings
[28].
Utilizing computational fluid dynamics (CFD) as its methodology, this study delved into examining how coronaviruses dispersed within droplets from a coughing-infected individual within a classroom setting, taking into account different ventilation airflow speeds and the presence of transparent barriers. Notably, the findings demonstrated that the use of seat partitions had a partial preventive effect on the transmission of infections. Higher ventilation air velocities resulted in increased droplet velocities, reducing the trapping time of droplets by solid barriers. In the absence of partitions, seats closest to the infected person exhibited the highest average droplet concentration. A key observation was that heightened ventilation velocity correlated with a reduction in the number of suspended droplets. Furthermore, classrooms without partitions took longer to achieve a negligible droplet concentration compared to those with partitions, and increasing ventilation speed expedited this process. Over time, the average droplet concentration decreased, with the lowest ventilation speed showing the highest concentration. Comparatively, classrooms with partitions consistently exhibited lower average droplet concentrations than those without. Seat 3 demonstrated the highest average droplet concentration in the absence of partitions, while in the presence of partitions, Seat 20 (at 3 m/s) and Seat 2 (at 7 m/s) experienced the highest exposures [29].
Employing computational fluid dynamics (CFD) modeling, this study investigated airborne pathogen concentrations during a COVID-19 outbreak in a Guangzhou restaurant. Simulating seating arrangements, overlap times, and ventilation, the study found that predicted infection patterns aligned with reported rates around the index patient. Altering ventilation conditions showed a 30%, 70%, and 80% reduction in pathogen mass with a 10%, 50%, and 100% fresh-air supply, respectively, over a 73-minute period. Correspondingly, infection likelihood decreased by 10%, 40%, and 50%, highlighting the critical role of ventilation adjustments in reducing indoor infection risks [30].
Building upon prior research, this study introduces a novel framework for evaluating infection probabilities in confined spaces, utilizing Computational Fluid Dynamics (CFD) to simulate airflow dynamics within an office environment under various ventilation strategies. Results underscore the critical influence of ventilation configurations on pathogen dispersion, with single-ventilation (SV) and no-ventilation (NV) scenarios presenting heightened infection probabilities. Employing visualization tools such as 3D scatter plots and dispersion patterns are elucidated, while the introduction of local and global indices allows for quantitative comparisons. This framework offers practical applications in assessing ventilation systems and optimizing occupant layouts, with acknowledgment of inherent limitations and a focus on refining practical solutions for mitigating airborne pathogen transmission in confined spaces
[31].
Leveraging computational fluid dynamics (CFD) simulations, this study rigorously examines the intricate dynamics governing the movement and evaporation of multi-component cough droplets within hospital isolation rooms, particularly emphasizing the nuanced influence of diverse ventilation configurations. Researchers recommended optimal exhaust vent placement to enhance the removal of infectious droplets based on the effects of different air outlet positions on droplet removal efficiency. The findings underscored the significant impact of relative humidity (RH) on droplet evaporation rates. Low RH led to the rapid evaporation of large droplets, transforming them into small aerosols that could linger in the air for extended periods. This phenomenon explained the increased transmission of Covid-19 in low-humidity winter conditions compared to high-humidity summer conditions. The study emphasized the critical role of outlet location in ventilation design. When the exhaust outlet was positioned above the patient's head, a 99% droplet removal efficiency was achieved within 90 seconds. Additionally, the researchers discovered that the droplet evaporation rate is higher in environments with lower ambient humidity. For instance, droplets with an initial size of 50 µm took approximately 1.7 seconds to evaporate at 20°C and 30% RH. At 90% RH, the evaporation time increased 3.2 times, indicating a slower evaporation rate. This implies that droplets containing COVID-19 viruses will evaporate more rapidly in low RH environments, leading to their prolonged presence in the air as stable aerosols, particularly for droplets with an initial size of less than 70 µm. In healthcare facilities environments, there is an elevated risk of COVID-19 transmission through the inhalation of these smaller, evaporated droplets. Designing effective controls to mitigate the spread of infectious diseases, such as COVID-19, within healthcare facilities necessitates a comprehensive understanding of the interplay between droplet size, evaporation rate, and relative humidity [32].
Within the controlled environment of a Boeing 737 model cabin, this investigation meticulously utilizes numerical simulations to scrutinize the intricate transmission dynamics of COVID-19 via cough-induced particles. The findings uncover a distinct disruption in the local airflow field as cough flows swiftly transform into turbulent cough jets, particularly within the initial 1.5 seconds, exerting considerable influence on particle dispersion. Notably, particles discharged by passengers seated at window seats pose the highest exposure risks, dispersing extensively within the cabin. In contrast, particles from aisle-seat passengers present the lowest risk of exposure to nearby individuals, while those from middle-seat occupants tend to remain contained within their immediate vicinity. The pronounced impact of the cough jet is evident in its substantial disruption of the nearby airflow field, notably affecting the air recirculation zone. Moreover, divergent transport patterns are observed for intermediate-sized particles across various seating scenarios, with larger particles demonstrating comparatively faster deposition. As a practical recommendation, individuals identified as potential index patients are advised to wear masks, particularly when seated adjacent to a window. Furthermore, future research endeavors should diligently address acknowledged limitations, including considerations such as the implementation of periodic boundary conditions and the exclusion of droplet evaporation effects [33].
In addition to the comprehensive literature provided, other authors reviewed experimental and numerical studies on human airflows, encompassing sneezing, coughing, and breathing, focusing on COVID-19 transmission dynamics. It explores droplet size impacts, considering viscosity and relative humidity effects. The study confirms facemask effectiveness in lowering COVID-19 transmission, filtering particles under 10 microns. Key findings include smaller cough droplets travelling longer distances, larger droplets having extended lifetimes due to viscoelasticity, and significant droplet lifetime increases at higher relative humidity (up to 150 times at 90% RH). Particle penetration into the environment is linked to mouth opening, with small and medium particles showing similar penetration and large particles dropping quickly at short distances. No substantial difference is found between healthy and sick volunteers. Propagation distance and maximum velocity depend on droplet size and patient gender, with males experiencing higher peak velocities and longer distances. Computational fluid dynamics (CFD) for virus transmission simulation requires precise boundary conditions. Direct numerical simulation (DNS) over Reynolds-averaged Navier–Stokes (RANS) models are favoured. High-resolution large eddy simulation (LES) provides quantitative insights into aerosol cloud evolution in indoor environments. Multilayer cloth facemasks are recommended for enhanced protection [34].
In investigating the transmission dynamics of the COVID-19 virus within confined spaces, particularly elevators, this study underscores the critical role played by respiratory droplets. The distribution of these droplets is tightly connected to elements such as airflow, ambient temperature, and humidity levels. Under two opposing ecological scenarios, the study investigates three different ventilation modes: quiescent, axial exhaust draft, and exhaust fan. The danger assessment, measured by a calculated risk factor using average droplet counts at the passenger's hand-to-head area, shows a significant reduction from 40% in calm situations to 0% when using exhaust fan ventilation in hot, dry conditions. Evaporation dynamics, particularly in cold and humid conditions, contribute to the rapid settling of droplets below the identified risky height zone. The introduction of forced circulation ventilation, characterized by increased air velocity, accelerates droplet evaporation, further reducing the risk. The study identifies a critical radial distance with the highest concentration of virusols, emphasizing their heightened viral loading and potential for increased transmission. Despite the significance of these findings, the study acknowledges the inherent limitations of its scenarios, urging caution and thorough precautionary measures during elevator use, as real-world conditions may vary considerably from those considered in this investigation [35].
In another study, a numerical model incorporating gravitational sedimentation and transport during breathing, sneezing, or coughing to investigate the spread of droplets or particles in a ventilated room. The numerical simulations consider three scenarios: normal breathing, coughing, and sneezing, each with varying rates of particle ejection from the mouth. Utilizing the Navier-Stokes equations for incompressible flows, three-dimensional airflow inside ventilated rooms is comprehensively described. The study explores the impact of ventilation rates on social distancing and reveals that particles can travel up to 5 meters with a reduction in concentration along the airflow direction. Contrary to the World Health Organization's (WHO) recommended two-meter social distance, the findings indicate insufficiency under the studied environmental conditions. Computational Fluid Dynamics (CFD) is employed to analyze particle transport and scattering, considering sizes ranging from 10^(-4) to 10^(-6). The validation of the ventilation model aligns well with experimental data, affirming the efficiency of the modelling mechanism. Notably, the study underscores the limited transport of particles during normal breathing compared to the substantial distances covered during sneezing or coughing. In conclusion, the research advocates for personal hygiene practices, such as mask-wearing and covering the nose and mouth during sneezing or coughing, as crucial measures to mitigate long-distance particle transport and reduce the transmission of infectious diseases [36].
Venturing into the realm of computational exploration, this investigation utilizes a URANS CFD (Unsteady Reynolds-Averaged Navier-Stokes Computational Fluid Dynamics) approach to unravel the complex dynamics of saliva droplet aerosols carrying SARS-CoV-2 within enclosed spaces. The primary transmission mode is the release of saliva droplet aerosols during breathing or coughing. The study employs Lagrangian and Eulerian numerical methodologies to model these respiratory events, validating their influence on aerosol diffusion. The simulations are tailored to a realistic scenario involving a two-person meeting room, incorporating variations in aerosol characteristics and ventilation system configurations. The overarching objective is to furnish a robust tool for scrutinizing the optimal utilization and administration of confined spaces where occupants may release pathogens through respiratory events. The analysis underscores the substantial impact of ventilation systems on the flow dynamics within indoor environments, underscoring the necessity to evaluate occupants' safety conditions concerning indoor air distribution. Although specific numerical data is not expressly provided, the proposed CFD pragmatic approach is affirmed as precise in predicting the evolution of respiratory events, offering valuable insights into secure conditions for occupants, particularly amid the COVID-19 pandemic. Furthermore, the simulations exhibit the capability to foresee interpersonal distances deemed safe in specific scenarios, accounting for the influence of ventilation systems in transporting pathogen particles across extended distances [37].
In yet another in-depth study, researchers have employed transient computational fluid dynamics (CFD) modeling to systematically examine the dispersion of COVID-19-laden droplets within enclosed spaces. This investigation aims to evaluate the effectiveness of different preventive strategies.
The results indicate that upward ventilation is the most effective measure, followed closely by face masks. The combination of face masks and upward ventilation emerges as the soundest solution, demonstrating a remarkable reduction of nearly 99.95% in indoor infectious concentration compared to baseline scenarios without preventive measures. The study delves into the intricate characteristics of droplet dispersion, highlighting the dominance of gravitational settlement for larger droplets in the early stages and diffusion coupled with inertial settling for smaller droplets in later stages. Evaporation is identified as a consistent mechanism across all droplet sizes throughout the duration. When considering single precautionary measures, upward ventilation, followed by face masks and protective screens, is the most effective sequence. The study underscores the pivotal role of indoor upward ventilation patterns in safeguarding against COVID-19, emphasizing a recommended Air Changes per Hour (ACH) value of 10 to significantly lower droplet concentration. Furthermore, the convenience and efficiency of face masks are underscored as a key solution for limiting the spread of COVID-19. This comprehensive analysis provides valuable insights into the dynamics of droplet dispersion, offering crucial guidance for developing effective preventive strategies against indoor transmission of highly contagious diseases [38].
As COVID-19 infected individuals cough, they unwittingly propel coronavirus particles into the air, creating a jet-like flow that contaminates their surroundings with the virus.
This study estimates the air volume, which can help design ventilation in closed spaces and reduce the spread of the disease. Recent experiments show that the velocity in a cough-cloud decays exponentially with distance. The study also analyzes the volume of the cough-cloud in the presence and absence of a face mask. The volume entrained in the cloud varies as V = 0.666 c2d3c, where c is the spread rate and dc is the final distance traveled by the cough-cloud. The cough-cloud is present for 5 s-8 s, then dissipates, regardless of the mask's presence. The cough-cloud eventually reaches room temperature while remaining slightly more moist than the surrounding air. These findings have implications for understanding the spread of coronavirus, which is reportedly airborne [39].