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@article{
 title = {Toilets dominate environmental detection of SARS-CoV-2 virus in a hospital},
 type = {article},
 identifiers = {[object Object]},
 websites = {http://medrxiv.org/cgi/content/short/2020.04.03.20052175v1?rss=1&utm_source=researcher_app&utm_medium=referral&utm_campaign=RESR_MRKT_Researcher_inbound},
 id = {7ae8fcfc-3bd6-3626-9a91-146901e0bf2a},
 created = {2020-06-16T12:26:33.161Z},
 file_attached = {false},
 profile_id = {e1f91734-1d32-3a8b-93f0-45ae58282da3},
 group_id = {5fd1b6fb-8ef5-3577-afaf-e083bcd8ccc9},
 last_modified = {2020-08-19T10:40:51.847Z},
 read = {true},
 starred = {false},
 authored = {false},
 confirmed = {false},
 hidden = {false},
 citation_key = {Ding},
 folder_uuids = {a3409180-f2f9-41b0-a0c0-d53384f0f779,2e490316-58d1-4e83-9e56-427236d7f0a3},
 private_publication = {false},
 abstract = {Background: Respiratory and faecal aerosols play a suspected role in transmitting the SARS-CoV-2 virus. We performed extensive environmental sampling in a dedicated hospital building for Covid-19 patients in both toilet and non-toilet environments, and analysed the associated environmental factors. Methods: We collected data of the Covid-19 patients. 107 surface samples, 46 air samples, two exhaled condensate samples, and two expired air samples were collected were collected within and beyond the four three-bed isolation rooms. We reviewed the environmental design of the building and the cleaning routines. We conducted field measurement of airflow and CO2 concentrations. Findings: The 107 surface samples comprised 37 from toilets, 34 from other surfaces in isolation rooms (ventilated at 30-60 L/s), and 36 from other surfaces outside isolation rooms in the hospital. Four of these samples were positive, namely two ward door-handles, one bathroom toilet-seat cover and one bathroom door-handle; and three were weakly positive, namely one bathroom toilet seat, one bathroom washbasin tap lever and one bathroom ceiling-exhaust louvre. One of the 46 air samples was weakly positive, and this was a corridor air sample. The two exhaled condensate samples and the two expired air samples were negative. Interpretation: The faecal-derived aerosols in patients' toilets contained most of the detected SARS-CoV-2 virus in the hospital, highlighting the importance of surface and hand hygiene for intervention.},
 bibtype = {article},
 author = {Ding, Zhen and Xu, Bin and Huang, Ying and Yen, Hui-Ling and Xiao, Shenglan and Cui, Lunbiao and Wu, Xiaosong and Shao, Wei and Sha, Li and Zhou, Lian and Zhu, Baoli and Li, Yuguo},
 journal = {MedRxiv}
}