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idle.  Particles can attach to airborne pollutants,   “Tobacco residue can lead to respiratory issues like
               59
           generating a noxious brew of compounds call        coughing, asthma, and respiratory tract infections,”
           nitrosamines. These compounds, in turn, can be     according to the National Center for Health
           propelled airborne, circulated via a building’s air-  Research.
                                                                       61
           conditioning system, and inhaled or swallowed. 60





             NOROVIRUS




           Norovirus, known as the “winter vomiting virus,” is          Some norovirus particles
           the most common stomach bug in the U.S., and its
           symptoms are brutal: abdominal cramps, diarrhea,   will remain afloat indefinitely
           projectile vomiting, pounding headache, achy       and can easily be inhaled.
           muscles.
                                                              Students and staff can contract the virus by touching
           The virus makes headlines at high-profile events, like   these surfaces and then touching their mouths or by
           the 2008 winter Olympics or the 2016 Republican    sharing contaminated food.
           National Convention, but it also causes hundreds of
           school outbreaks each year. When norovirus struck   “Norovirus can hang around for weeks, so anyone
           Utah’s Jordan School District, 15% of students at   that touches that table and then puts their hand
           three elementary schools called in sick.  In Yolo   to their mouth could be at risk for infection,” says
                                              62
           County, California, 4,266 students and staff at 32   norovirus researcher Lee-Ann Jaykus, Ph.D., a
           schools were hit by the virus, prompting an official to   professor at North Carolina State University. 65
           announce, “The number of sick people is increasing
           every day at a very alarming rate.”                Infected students are contagious the moment they
                                         63
                                                              begin feeling sick and typically remain contagious for
           Norovirus is so contagious that inhaling as few as   two to three days after they recover. However, the
           10 viral particles can cause infection; to put this in   virus remains in the stool a lot longer. As the CDC
           perspective, a single vomiting episode can release   notes, “You may still be able to spread norovirus for
           more than 13,000.  Some will remain afloat         two weeks or more after you feel better.” 66
                           64
           indefinitely and can easily be inhaled. Other particles
           will land on tables, toilet handles, door knobs, and   After a norovirus outbreak, school custodians must
           other surfaces.                                    follow strict cleaning protocols involving bleach
                                                              solutions, as the virus is impervious to common
                                                              disinfectants.





                                                              Inhaling as few as

                                                              10 viral particles can cause norovirus

                                                              and a single vomiting episode

                                                              can release more than 13,000 particles.













           ©2020 Novaerus                                                                                   10
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