餐饮空间呼吸道传染病传播风险分析:以新冠肺炎为例

    Transmission Risk Analysis of Respiratory Infectious Diseases in Catering Space: A Case Study of COVID-19

    • 摘要: 为了解决餐饮空间内呼吸道传染病感染风险大、防控难的问题,基于视频分析人员近距离接触及表面触摸行为,同时考虑近距离空气、大飞沫、远距离空气和表面传播4种传播途径,建立餐饮空间内呼吸道传染病传播模型,并引入剂量-反应模型,对不同传播途径的贡献率进行计算。结果显示:在顾客、服务员与他人的交流中近距离交流分别占98.0%和80.3%,并且83.0%的交流持续时长不超过10 s;顾客、服务员双手超过85.4%的时间在触摸物体表面,服务员触摸公共表面次数占触摸所有物品次数的比重为59.6%,容易在餐厅内扩散病毒,而顾客触摸黏膜的概率约为服务员的6.8倍,更容易通过表面传播途径感染;远距离空气传播和近距离空气传播途径是新型冠状病毒在该餐饮空间的主要传播途径,相对贡献率分别为57.31%~65.44%和24.60%~40.56%,而表面传播与大飞沫传播途径的相对贡献率之和小于9.96%。

       

      Abstract: To address the high infection risk and difficulty on respiratory infectious disease prevention and control in catering space, this study analyzes close contact and surface touch behavior of individuals utilizing video episodes, while considering four transmission routes: short-range airborne, large droplet, long-range airborne, and fomite. A respiratory infectious disease transmission model was developed, incorporating a dose-response model to calculate the contribution of each transmission route. Results show that the probability of close contact of diners and staff is 98.0% and 80.3%, respectively, with 83.0% of the interactions lasting no longer than 10 seconds. Both diners and staff touch surfaces for over 85.4% of the time. 59.6% of touches by staff are on public surface touches, which means staff prone to spread the virus within the catering space. Additionally, diners touch their mucous membrane 6.8 times higher than staff, therefore, diners have a higher exposure potential through fomite transmission. Long-range airborne and short-range transmission are identified as the main routes of SARS-CoV-2 in the catering space, accounting for 57.31% to 65.44% and 24.60% to 40.56% of the relative contribution, respectively, while the total relative contribution of fomite and large droplet transmission is less than 9.96%.

       

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