High occupancy rates significantly increase the risk of airborne transmission of respiratory infectious diseases in multi-patient wards. While increasing air supply can effectively reduce airborne transmission, it also substantially raises energy consumption. Therefore, developing low-energy methods in multi-patient wards to suppress airborne transmission is essential. This study aims to evaluate the inactivation performance of upper-room ultraviolet germicidal irradiation (UVGI) against SARS-CoV-2 virus aerosols in a typical multi-patient ward using computational fluid dynamics at different ventilation rates, as well as its energy-saving effects. Upper-room UVGI reduced the virus aerosol concentrations, with a maximum decrease of up to 159 copies/m3 in the occupied zone (zone less than 2.1 m in height) observed at 8 ACH. However, increased ventilation rates limited the inactivation performance of upper-room UVGI. Two parameters of UVGI, irradiation height and irradiation flux, had been detailly evaluated. Elevating the irradiation height of upper-room UVGI could significantly enhance the inactivation performance. Increasing irradiation height from 0.3 to 0.6 m reduced the concentrations in the occupied zone by up to 11 copies/m3, while a further increase to 0.9 m decreased the concentrations by up to 55 copies/m3. However, increasing irradiation flux could only approximately linearly enhance the virus aerosol inactivation performance of upper-room UVGI. The energy consumption evaluation of upper-room UVGI shows that UVGI activation could conserve 100 kWh per year in one multi-patient ward, with a maximum saving of 333.7 kWh. These findings provide insights into the setups strategies and the energy-saving performance of upper-room UVGI systems in multi-patient wards.
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