How ventilation should be arranged to be effective at reasonable air change rates is one key question as ventilation criteria and standard airborne disease transmission models are based on the well-mixed assumption, but air distribution patterns lead to non-uniform spatial concentrations. In this study a new method for ventilation effectiveness application in ventilation design for airborne transmission was developed and tested with tracer gas measurements in 22 rooms. Contrary to existing ventilation effectiveness values measured with distributed source, the developed method uses a couple of point source locations corresponding to an infector to quantify infection risk for each occupant. Novelty of the method is new ventilation effectiveness indicator that makes it possible to describe the effect of spatial variation of concentration and risk with single parameter. Quanta were used as input data to calculate the ventilation rate supplied by air distribution system corresponding to a specified risk level, but the differences between studied cases do not significantly depend on the quanta values. Application of the method to measured rooms showed that simple ventilation effectiveness calculation from average concentration at the breathing height, not requiring quanta data, provided lower ventilation effectiveness and higher ventilation rate in all cases. In many cases the difference in required ventilation rates was only a few percent, but in some large spaces it exceeded 10% with maximum of 39% in large open plan office with high concentration differences. Measured ventilation effectiveness values ranging from 0.5 to 1.4 indicate a substantial improvement potential in many cases.
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