Association of the infection probability of COVID-19 with ventilation rates in confined spaces

A growing number of cases have proved the possibility of airborne transmission of the coronavirus disease 2019 (COVID-19). Ensuring an adequate ventilation rate is essential to reduce the risk of infection in confined spaces. In this study, we estimated the association between the infection probability and ventilation rates with the Wells-Riley equation, where the quantum generation rate (q) by a COVID-19 infector was obtained using a reproductive number-based fitting approach. The estimated q value of COVID-19 is 14-48 h^-1. To ensure an infection probability of less than 1%, a ventilation rate larger than common values (100-350 m³/h per infector and 1200-4000 m³/h per infector for 0.25 h and 3 h of exposure, respectively) is required. If the infector and susceptible person wear masks, then the ventilation rate ensuring a less than 1% infection probability can be reduced to a quarter respectively, which is easier to achieve by the normal ventilation mode applied in typical scenarios, including offices, classrooms, buses, and aircraft cabins. Strict preventive measures (e.g., wearing masks and preventing asymptomatic infectors from entering public spaces using tests) that have been widely adopted should be effective in reducing the risk of infection in confined spaces.