Estimate of the critical exposure time based on 70 confirmed COVID-19 cases

The transmission of severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) occurs via contact with contaminated surfaces and inhalation of large airborne droplets and aerosols. As growing evidence of airborne SARS-CoV-2 transmission has been reported worldwide, ventilation is an effective method of reducing the infection probability of SARS-CoV-2. This leads to such questions as "What is a sufficient ventilation rate for avoiding the risk of COVID-19 infection?" Therefore, this study evaluates the critical ventilation rates according to room size and exposure time when a susceptible person is in the same room as an infector. The analytical results were based on data obtained from 70 confirmed COVID-19 cases transmitted in confined spaces without an operational ventilation system. The results reveal that even with active ventilation (20 h^-1 air exchange rate), the critical exposure time for a susceptible person with a COVID-19 infector in a small space of 20 m³ is less than 1 h. For other cases (different space sizes), the estimated air exchange rates for avoiding the risk of infection are generally higher than various requirements for good indoor air quality. The findings of this study will provide guidelines for determining sufficient ventilation rates to protect against the highly contagious COVID-19.