1 00:00:11,000 --> 00:00:14,010 PROFESSOR: So now, we can summarize the safety guideline 2 00:00:14,010 --> 00:00:18,230 in a very simple formula, using the steady state transmission 3 00:00:18,230 --> 00:00:20,390 rate as a more conservative estimate 4 00:00:20,390 --> 00:00:23,810 than worrying about the transient buildup of aerosols 5 00:00:23,810 --> 00:00:27,500 in the room, and using the simplification of introducing 6 00:00:27,500 --> 00:00:31,010 an effective size for particles, R bar, 7 00:00:31,010 --> 00:00:33,530 that includes and encodes all the information 8 00:00:33,530 --> 00:00:37,640 about the radius dependent mass penetration factor 9 00:00:37,640 --> 00:00:43,190 or sedimentation rate and infectivity, et cetera, 10 00:00:43,190 --> 00:00:45,110 in droplet size distribution. 11 00:00:45,110 --> 00:00:47,250 And the safety guideline looks like this. 12 00:00:47,250 --> 00:00:50,340 It basically bounds the cumulative exposure time, 13 00:00:50,340 --> 00:00:52,610 which is n minus 1, the number of susceptible people 14 00:00:52,610 --> 00:00:58,400 when one person enters a room of occupancy n, maximum occupancy, 15 00:00:58,400 --> 00:01:00,830 and stays for a time tau. 16 00:01:00,830 --> 00:01:03,320 And I should mention the time tau does not 17 00:01:03,320 --> 00:01:04,560 need to be continuous. 18 00:01:04,560 --> 00:01:07,130 So if you think of, say, a classroom or an office, 19 00:01:07,130 --> 00:01:09,870 you will be adding up the time, total time. 20 00:01:09,870 --> 00:01:12,530 So if this safe time is 100 hours 21 00:01:12,530 --> 00:01:15,310 and you spend 10 hours a day, you 22 00:01:15,310 --> 00:01:19,670 might get 10 days, according to this calculation. 23 00:01:19,670 --> 00:01:23,289 And so that relationship is plotted as this yellow curve. 24 00:01:23,289 --> 00:01:25,130 And if you're below that curve, you're safe. 25 00:01:25,130 --> 00:01:29,090 So you have either smaller time than that or a lower occupancy. 26 00:01:29,090 --> 00:01:30,920 And that's how you can decide the safety. 27 00:01:30,920 --> 00:01:33,440 Again, this is a safety exposure guideline 28 00:01:33,440 --> 00:01:37,150 for indoor airborne transmission. 29 00:01:41,060 --> 00:01:46,560 And we will talk about other types of transmission later. 30 00:01:46,560 --> 00:01:48,150 What's nice about this formula is 31 00:01:48,150 --> 00:01:50,130 it allows you to immediately see the effects 32 00:01:50,130 --> 00:01:51,920 of the scaling, some of which we've already 33 00:01:51,920 --> 00:01:53,350 talked about before. 34 00:01:53,350 --> 00:01:55,800 So if we would like to move it in this direction, 35 00:01:55,800 --> 00:01:59,470 obviously, we would like the curve to be up here somewhere. 36 00:01:59,470 --> 00:02:01,740 So this is obviously making the room more safe. 37 00:02:01,740 --> 00:02:03,210 If I can push it in this direction, 38 00:02:03,210 --> 00:02:05,700 I can either get more people or more time 39 00:02:05,700 --> 00:02:08,500 or whatever combination that I'd like. 40 00:02:08,500 --> 00:02:09,780 How can I get there? 41 00:02:09,780 --> 00:02:14,040 So Cq is a disease specific parameter. 42 00:02:14,040 --> 00:02:17,130 But we will see that Cq does depend 43 00:02:17,130 --> 00:02:18,930 on the type of respiration and activities, 44 00:02:18,930 --> 00:02:21,300 such as singing or heavy exercise 45 00:02:21,300 --> 00:02:25,440 or loud speaking are much worse than resting or breathing. 46 00:02:25,440 --> 00:02:27,150 So to get in this direction, we could 47 00:02:27,150 --> 00:02:35,640 do smaller Cq, which could be resting 48 00:02:35,640 --> 00:02:41,050 versus speaking or singing. 49 00:02:41,050 --> 00:02:42,920 And we'll come back to characterizing that 50 00:02:42,920 --> 00:02:43,610 more carefully. 51 00:02:43,610 --> 00:02:46,800 So we can at least change that type of activity in the room. 52 00:02:46,800 --> 00:02:49,790 Well for physical parameters, we can 53 00:02:49,790 --> 00:02:53,170 increase V, the room volume. 54 00:02:53,170 --> 00:02:55,590 So if you take everything the same, same number of people, 55 00:02:55,590 --> 00:02:57,180 and you make the room much bigger, 56 00:02:57,180 --> 00:02:59,250 obviously the air gets more diluted. 57 00:02:59,250 --> 00:03:01,560 And hence, there's less chance of transmission 58 00:03:01,560 --> 00:03:04,700 if people are sort of scattered about the room. 59 00:03:04,700 --> 00:03:06,170 What else can we do? 60 00:03:06,170 --> 00:03:18,940 We can lower Qb, which means breathe slowly or in a more 61 00:03:18,940 --> 00:03:20,060 relaxed way. 62 00:03:20,060 --> 00:03:21,610 So again, coming back to the activity 63 00:03:21,610 --> 00:03:23,650 in the room, if you have heavy physical exercise, 64 00:03:23,650 --> 00:03:27,160 your Qb might increase, although it doesn't increase that much. 65 00:03:27,160 --> 00:03:31,060 Resting breathing is around 0.5 meters cube per hour. 66 00:03:31,060 --> 00:03:34,150 And even heavy exercise doesn't get much higher 67 00:03:34,150 --> 00:03:37,450 than about 3 meters cubed per hour. 68 00:03:37,450 --> 00:03:41,090 And so that's a total of a factor of 6 or so. 69 00:03:41,090 --> 00:03:42,350 But it comes in squared. 70 00:03:42,350 --> 00:03:44,120 So that could actually be significant. 71 00:03:44,120 --> 00:03:49,900 So definitely heavy exercise is not as good as resting. 72 00:03:49,900 --> 00:03:50,950 And what else do we have? 73 00:03:50,950 --> 00:03:51,530 We have masks. 74 00:03:51,530 --> 00:03:54,970 Well, obviously, we can wear masks. 75 00:03:57,690 --> 00:03:59,170 And that is actually very helpful, 76 00:03:59,170 --> 00:04:01,510 because as we've already discussed, it comes in squared. 77 00:04:01,510 --> 00:04:04,080 And that is something which is sort of very simple fix. 78 00:04:04,080 --> 00:04:06,630 And if the mask penetration factor 79 00:04:06,630 --> 00:04:11,530 is 10% or even possibly less, it comes in squared. 80 00:04:11,530 --> 00:04:14,400 So that can have a very big effect of pushing this over, 81 00:04:14,400 --> 00:04:15,730 as we will see. 82 00:04:15,730 --> 00:04:23,680 So this is basically lower P mask. 83 00:04:23,680 --> 00:04:28,200 So when there's no mask, Pm is equal to 1. 84 00:04:28,200 --> 00:04:32,210 Finally we also have an lambda C, 85 00:04:32,210 --> 00:04:33,880 because we had written that out earlier, 86 00:04:33,880 --> 00:04:36,730 that also includes several effects, 87 00:04:36,730 --> 00:04:40,500 such as better ventilation. 88 00:04:40,500 --> 00:04:47,920 So increase ventilation, so the flow rate of outside air, 89 00:04:47,920 --> 00:04:49,870 so the air change rate should be increased. 90 00:04:49,870 --> 00:04:52,750 And that gives us a larger lambda C. 91 00:04:52,750 --> 00:04:55,120 We can introduce air filtration. 92 00:04:58,540 --> 00:05:00,310 And that's sort of buried within lambda C. 93 00:05:00,310 --> 00:05:05,230 That's PF lambda F. Although as we discussed earlier, 94 00:05:05,230 --> 00:05:07,480 because you have to have a certain amount of fresh air 95 00:05:07,480 --> 00:05:09,910 coming into the room, air filtration doesn't give you 96 00:05:09,910 --> 00:05:11,770 as much benefit as you might hope, 97 00:05:11,770 --> 00:05:15,160 but can still give you a factor of 5 or something 98 00:05:15,160 --> 00:05:20,290 like that if you have 20% outdoor fresh air coming in. 99 00:05:20,290 --> 00:05:22,300 And so those are some of the key scalings 100 00:05:22,300 --> 00:05:24,070 that we can understand. 101 00:05:24,070 --> 00:05:26,380 And just simply by plugging into a formula like this, 102 00:05:26,380 --> 00:05:29,650 we can get a sense of how different mitigation strategies 103 00:05:29,650 --> 00:05:32,230 can be compared and also how different types of rooms 104 00:05:32,230 --> 00:05:34,870 can be compared in terms of the occupancy time 105 00:05:34,870 --> 00:05:36,760 and the number of people that could be 106 00:05:36,760 --> 00:05:39,620 allowed as a maximum occupancy. 107 00:05:39,620 --> 00:05:42,350 And what remains now is the parameterize this for COVID-19 108 00:05:42,350 --> 00:05:45,560 specifically, which boils down to understanding this parameter 109 00:05:45,560 --> 00:05:47,110 Cq.