Association between in situ ventilation and human-generated aerosol exposure in meatpacking plants during the COVID-19 pandemic.

During the COVID-19 pandemic, meatpacking workers were disproportionately affected by disease. Large outbreaks at meatpacking facilities resulted in loss of life and threatened the well-being of workers across the globe. Much work was done throughout the pandemic to understand and prevent these outbreaks. This study combined ventilation system evaluation and measurement of human-generated respiratory aerosol to investigate and identify areas of highest risk for disease transmission. These findings confirm that improved ventilation reduces exposure to human-generated aerosols in meatpacking facilities, including those that may contain infectious agents, such as SARS-CoV-2. This study suggests areas of greatest risk are likely areas where workers break from work, such as cafeterias and locker rooms, where ventilation is poorer, use of face masks is reduced, and people congregate. Furthermore, these findings also suggest that ventilation of production areas of the plant, which have been designed for food safety, is sufficient to reduce exposures and likely contributes to reduced transmission in those spaces. Based on these findings, two controls should be prioritized to minimize the likelihood of exposure to potentially infectious aerosols: (1) improving mechanical ventilation and/or adding mitigation strategies such as media filters, germicidal ultraviolet, and other air cleaning technology and (2) applying administrative practices that minimize large congregations of people in poorly ventilated spaces. Importantly, this work demonstrates a method for in situ measurements of human-generated particles that can be used more broadly to understand exposure and risk in various occupied spaces.