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      An Assessment of Germicidal Ultraviolet Treatment Cabinets and Carousels Using a Bacteriophage Surface Challenge

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          Abstract

          Introduction:

          Modern germicidal ultraviolet C (UVC) equipment can deliver automated UV disinfection treatment by predetermined or self-monitoring cycle. Limited information exists about the performance of such UV systems for treating SARS-CoV-2 and other viral contaminants on surfaces. Published studies differ in their approaches due to the absence of an approved test method.

          Methods:

          The ability of germicidal UVC irradiation systems to disinfect surfaces at room and cabinet scale was assessed. Test carriers, seeded with bacteriophage Phi6, were irradiated following a new standard test method. Powered air-purifying respirator equipment was then used to introduce a more demanding challenge.

          Results:

          Treatments of seeded carriers using UVC cabinets gave Phi6 log reductions up to 4.58 logs, with little difference between systems. Subsequent treatments, with carriers located on respirator ensembles, were similar, despite shadowing effects. Differences existed for various combinations of cabinet and carrier location. The Phi6 log reduction range was slightly wider for carousel systems, with the most exposed carrier positions giving the greatest Phi6 reductions for seeded respirators.

          Discussion:

          Cabinets demonstrated similar performance despite different technical specifications, with maximum observed Phi6 reduction indicating a measurable level of efficacy. There was a more obvious difference in performance between the two carousels, where one delivered an almost twofold higher UVC dose than the other, the most likely explanation for observed performance differences.

          Conclusion:

          UVC cabinets and carousels demonstrated Phi6 reductions that could augment routine cleaning measures for reusable respirators. In real-world scenarios, germicidal UVC devices could therefore potentially offer benefits for reducing contact transmission from infectious viruses.

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          Most cited references19

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          How can airborne transmission of COVID-19 indoors be minimised?

          During the rapid rise in COVID-19 illnesses and deaths globally, and notwithstanding recommended precautions, questions are voiced about routes of transmission for this pandemic disease. Inhaling small airborne droplets is probable as a third route of infection, in addition to more widely recognized transmission via larger respiratory droplets and direct contact with infected people or contaminated surfaces. While uncertainties remain regarding the relative contributions of the different transmission pathways, we argue that existing evidence is sufficiently strong to warrant engineering controls targeting airborne transmission as part of an overall strategy to limit infection risk indoors. Appropriate building engineering controls include sufficient and effective ventilation, possibly enhanced by particle filtration and air disinfection, avoiding air recirculation and avoiding overcrowding. Often, such measures can be easily implemented and without much cost, but if only they are recognised as significant in contributing to infection control goals. We believe that the use of engineering controls in public buildings, including hospitals, shops, offices, schools, kindergartens, libraries, restaurants, cruise ships, elevators, conference rooms or public transport, in parallel with effective application of other controls (including isolation and quarantine, social distancing and hand hygiene), would be an additional important measure globally to reduce the likelihood of transmission and thereby protect healthcare workers, patients and the general public.
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            Inactivation of the coronavirus that induces severe acute respiratory syndrome, SARS-CoV

            Severe acute respiratory syndrome (SARS) is a life-threatening disease caused by a novel coronavirus termed SARS-CoV. Due to the severity of this disease, the World Health Organization (WHO) recommends that manipulation of active viral cultures of SARS-CoV be performed in containment laboratories at biosafety level 3 (BSL3). The virus was inactivated by ultraviolet light (UV) at 254 nm, heat treatment of 65 °C or greater, alkaline (pH > 12) or acidic (pH < 3) conditions, formalin and glutaraldehyde treatments. We describe the kinetics of these efficient viral inactivation methods, which will allow research with SARS-CoV containing materials, that are rendered non-infectious, to be conducted at reduced safety levels.
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              Susceptibility of SARS-CoV-2 to UV Irradiation

              Highlights • SARS-CoV-2 is highly susceptible to irradiation with ultraviolet light • High viral loads of 5 *106 TCID50/ml SARS-CoV-2 can be inactivated in 9 minutes by UVC irradiation • UVC irradiation represents a suitable disinfection method for SARS-CoV-2
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                Author and article information

                Journal
                Appl Biosaf
                Appl Biosaf
                apb
                Applied Biosafety: Journal of the American Biological Safety Association
                Mary Ann Liebert, Inc., publishers (140 Huguenot Street, 3rd Floor New Rochelle, NY 10801 USA )
                1535-6760
                2470-1246
                December 2023
                05 December 2023
                05 December 2023
                : 28
                : 4
                : 242-255
                Affiliations
                [ 1 ]Health and Safety Executive Science and Research Centre, Buxton, United Kingdom.
                [ 2 ]The Animal & Plant Health Agency, Addlestone, Surrey, United Kingdom.
                Author notes
                [ † ]

                Retired, end of July 2022.

                This article has been updated on October 16, 2023 after first online publication of August 10, 2023 to reflect Open Access, with copyright transferring to the author(s), and a Creative Commons License (CY-BY) added ( http://creativecommons.org/licenses/by/4.0).

                [*] [ * ]Address correspondence to: Alan Beswick, Health and Safety Executive Science and Research Centre, Harpur Hill Business Park, Harpur Hill, SK17 9JN Buxton, United Kingdom, alan.beswick@ 123456hse.gov.uk
                Author information
                https://orcid.org/0000-0003-3026-1204
                Article
                10.1089/apb.2023.0008
                10.1089/apb.2023.0008
                10712353
                38090353
                77038792-bc0c-4d77-a088-75ab21595b29
                © Jodi Brookes et al., 2023; Published by Mary Ann Liebert, Inc.

                This Open Access article is distributed under the terms of the Creative Commons License [CC-BY] ( http://creativecommons.org/licenses/by/4.0), which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.

                History
                Page count
                Figures: 5, Tables: 3, References: 20, Pages: 14
                Categories
                Original Articles

                uvc,carousel,cabinet,phi6,papr,irradiation
                uvc, carousel, cabinet, phi6, papr, irradiation

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