Evidence map›Paper›PMID 42118770›Full record

ArticlePloS one2026

Potential airborne transmission of SARS-COV-2 through bathroom ventilation ducts associated with an outbreak in a residential building in Santander, Spain, 2020.

Shelly L Miller, Shujie Yan, Alberto García, Liangzhu Leon Wang, Zhiqiang Zhai, Jose Ramon Aranda, Fernando González-Candelas, Ignacio Lombillo, Javier Balbás, Ernesto Cabrillo and 2 more

Erratum issuedAbstract read
In one paragraph

Article in PloS one, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

12 authors.

Shelly L MillerMechanical Engineering, University of Colorado Boulder, Boulder, Colorado, United States of America.ORCID https://orcid.org/0000-0002-1967-7551
Shujie YanCentre for Zero Energy Building Studies, Civil, and Environmental Engineering, Concordia University, Montreal, Canada.
Alberto GarcíaMechanical Engineering, University of Colorado Boulder, Boulder, Colorado, United States of America.
Liangzhu Leon WangCentre for Zero Energy Building Studies, Civil, and Environmental Engineering, Concordia University, Montreal, Canada.ORCID https://orcid.org/0000-0002-0653-3612
Zhiqiang ZhaiCivil, Environmental, and Architectural Engineering, University of Colorado Boulder, Boulder, Colorado, United States of America.
Jose Ramon ArandaBuilding Technology R&D Group (GTED-UC) Construction Technology Group, Universidad de Cantabria, Cantabria, Spain.
Fernando González-CandelasFoundation for the Promotion of Health and Biomedical Research, Valencian Community - Fisabio and Institute for Integrative Systems Biology (I2SysBio), University of Valencia - CSIC (Valencia, Spain), Valencia, Spain.ORCID https://orcid.org/0000-0002-0879-5798
Ignacio LombilloBuilding Technology R&D Group (GTED-UC) Construction Technology Group, Universidad de Cantabria, Cantabria, Spain.ORCID https://orcid.org/0000-0002-1566-8455
Javier BalbásBuilding Technology R&D Group (GTED-UC) Construction Technology Group, Universidad de Cantabria, Cantabria, Spain.ORCID https://orcid.org/0000-0003-3980-7664
Ernesto CabrilloHiguera Engineering Technical Office (Santander, Spain), Cantabria, Spain.
Delfín SilióElectrical and Energy Engineering, Universidad de Cantabria, Cantabria, Spain.
L David HigueraHiguera Engineering Technical Office (Santander, Spain), Cantabria, Spain.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

During the COVID-19 pandemic, airborne transmission of SARS-CoV-2 via respiratory aerosols was a critical concern in indoor environments. In the city of Santander, Spain, an outbreak in a multi-family residential building during a period of low community transmission revealed vertical clustering of 15 cases in four homes. The building's design included single interior bathrooms without windows in each home, ventilated by a shared vertical bathroom duct system. Field measurements, computational fluid dynamics (CFD) simulations, and multi-zone airflow modeling were performed to evaluate vertical disease transmission potential in the Santander building. Epidemiological and genetic data combined with the field-collected data and modeling indicated that the most plausible transmission route was the bathroom vertical ventilation duct system, which facilitated movement of infectious aerosol between vertically connected homes. Additionally, operating the kitchen exhaust fan can augment the movement of aerosols between occupied spaces increasing the potential for infection. Recommendations for mitigating future risks include the installation of forced air exhaust fans with non-return flaps in bathroom ducts.

Indexed as

COVID-19VentilationAerosolsDisease OutbreaksHumansPandemicsSARS-CoV-2SpainAerosols

Identifiers

PMID42118770
PMCPMC13166949

What OpenQuestion holds

Textmetadata
LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.