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BIOAEROSOLS
KKR1116 1
Introduction
 Bioaerosols are integral part of our ecological system and play an important
role in its balance
 Viruses, bacteria, fungi etc. are collectively called airborne biological
contaminants or Bioaerosols
 Outdoor control of Bioaerosols is usually not possible but indoors, it is
achievable
 Most of the Bioaerosols host on humans and moist places, which provide
habitable conditions
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General health Effects
 Bioaerosols induce into human body by inhalation or by deposition on wounds
 A possible reason of sick building syndrome (SBS) is the presence of
Bioaerosols in the building.
 Despite the defense mechanism of the body these Bioaerosols could cause
damage to the body
 The infections caused due to the Bioaerosols include:
 Legionnaire’s disease
 Humidifier fever
 Cold
 Influenza
KKR1116 3
Health Effects of Bioaerosols
 Viruses: Common cold, Influenza, Measles, Bronchitis
Rheumatic fever, Otitis media, Carditis, Diphtheria
Whooping cough, Tuberculosis, Meningitis and Q – fever
 Fungi: Histoplasmosis, Cocciodomycosis and Blastomycosis
 Antigens: Allergic diseases of hypersensitivity pneumonitis (HP)
Allergic asthma, Rhynitis and Pergillosis
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FUNGI
 Fungi play a major role causing many ill-effects.
 These are found in very ecological niche, and are necessary in the recycling of
organic building blocks that allow plant and animal lives to thrive.
 Fungi need external organic food sources and water to survive.
 Various groups of fungi are:
 Yeasts
 Molds
 Mildews
 Let us now know about molds, greatest problem creator for the researchers
now.
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Molds
 Molds can grow on clothes, carpets, leather, wood, sheet rock, insulation and
on human foods wherever moist conditions exist.
 As molds flourish in moist or wet indoor conditions, human exposure is
possible either by direct contact on surfaces or through the air if mold spores,
fragments, or mold products are airborne.
 Mold reproduction is done by production of spores.
 To support the mold growth proper conditions and food sources are provided
by wet indoor spaces with inorganic materials.
 People are exposed to this mold spores or fragments through inhalation or by
contact through small breaks in skin.
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Various effects of molds
 Effects of molds depend mainly on
 Species of mold
 Metabolic products being produced by molds
 Amount and duration of individual’s exposure to mold parts or products
 Specific susceptibility of those exposed.
 Various health effects:
 Allergy
 Infection
 Irritation (mucous membrane and sensory)
 Toxicity
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Allergy
 This is the most common response from people to mold.
 People who are genetically capable of producing an allergic reaction are
referred to as atrophic.
 When an atrophic person’s respiratory system or skin is exposed to mold or
mold products that have become sensitized, symptoms will be developed.
 Allergic reactions range from mild transitory responses, to severe chronic
illnesses.
 In Americans one in every five suffer from allergic rhinitis, the single most
common disease that is experienced by humans.
 Thousands of different molds contaminate indoor air, purified allergens have
been recovered from only a few.
 So, atrophic individuals may be exposed to molds found indoors and develop
sensitization, yet not be identified as having mold allergy.
KKR1116 8
Infection
 Infection from molds that grow indoor is not common.
 A number of Aspergillus species that are found indoors are known to be
pathogenic.
 Most of the infections occur among immune-compromised patients, whoa re
suffering from various causes as well.
 Such infections mostly effect the skin, eyes and lungs and are also known to
effect other organs or systems.
KKR1116 9
Mucous Membrane and Trigeminal Nerve
Irritation
 This type of irritation is derived from VOC’s that are produced by fungal
metabolism.
 Alcohol or aldehydes and acidic molecules may be produced by this fungi.
 The nature of the food source from which the fungus grows may result in
pungent primary metabolic products, for instance, one fungus growing on wall
paper released the highly toxic gas arsenic from arsenic containing pigments.
 Fungal volatile compounds may also impact the “common chemical sense”
associated with the trigeminal nerve, which is a mixed (motor and sensory)
nerve that responds to pungency, not odor, by initiating avoidance reactions
such as breath holding, paresthesias, itching, burning, skin crawling, dilation
of surface blood vessels, decreased attention, disorientation, diminished reflex
time, dizziness etc.
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Toxicity
 Molds can also produce myotoxins, that are nearly cytotoxic and interfere with
vital cellular processes such as protein, RNA and DNA synthesis.
 Mold toxins increase the susceptibility of the exposed person to infectious
diseases, reduce the ability of their defense system to fight against other
contaminants and can also increase susceptibility to cancer.
KKR1116 11
Sources
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Sources of Bioaerosols
 Major sources of bacteria and viruses are humans and pets - sneezing,
coughing, dander and saliva
 Fungi, many bacteria, protozoa, algae and green plants (pollen) are present
outdoors that are induced indoors by natural or mechanical ventilation
 Moist surfaces of leather, wood, carpets, soaps, cloth fabric, some pastes and
adhesives are examples of amplification sites
 Breeding sites for fungi and bacteria are humidifiers, air conditioning systems,
cooling towers, air distributing systems and areas of water damage
KKR1116 13
Types, Sizes, Pathogenic properties and
Common sources of selected Bacteria
Escherichia coli 1.1 – 1.5 x 2 – 6
(m)
Urinary tract
infections,
Diarrhea,
Dysentery
Human body
Staphylococcus
aeruginosa
0.5 – 1.0 (m)
(diameter)
Food poisoning,
Toxic shock,
Pneumonia,
Meningitis
Human body
Staphylococcus
epidermis
0.5 – 1.5 (m)
(diameter)
Cardiovascular
infections, Wound
infections, Ottis
media
Human body
Legionella
pneumonphilia
0.3 – 0.9 x 2 – 20
(m)
Legionnaire’s
disease, Pontiac
fever
Cooling towers,
Air conditioners
KKR1116 14
Types, Sizes, Pathogenic properties and
Common sources of selected Fungi
Thermoactinomyces
vulgaris, Acanthamoli
spp., Naegleria spp.
1 – 2 (m)
(diameter)
Humidifier fever,
Allergic reactions
Humidifiers
Pencillium 4 – 6 (m)
(diameter)
Irritation to
respiratory tract
Air, Soil
Aspergillosis fungus 4 – 6 (m)
(diameter)
Aspergillosis and
aspergilloma
Cooling towers,
Humidifiers
Coccidiodomycosis
immitis
60 – 200 (m)
(diameter)
Vegetative cell
Lung infections Air, Soil
KKR1116 15
Types, Sizes, Pathogenic properties and
Common sources of selected Viruses
Rhinovirus
0.02 – 0.03 (m)
(diameter) Common cold Human body
Influenza virus
0.08 – 0.120 (m)
(diameter) Influenza Human body
Lymphocytic
choriomeningitis
0.2 – 0.3 (m)
(diameter)
Congenital infections,
Neurological
infections
--
Coxsackie virus
0.02 - 0.03 (m)
(diameter)
Gastrointestinal
infections, Upper
respiratory infections
--
KKR1116 16
Introduction to sampling Techniques
 The sampling techniques are usually same as for other particles, but the
different types in Bioaerosols complicate the process
 Several factors are considered to get positive or conclusive reports:
 Not one sample is good for collecting all types of microorganisms
 No sampling device provides for 100% recovery of Bioaerosols
 The viability of Bioaerosol samples should be maintained in the sampler
for subsequent growth and identification
 Efficiency of the sampler depends on the size of the particular organism
KKR1116 17
Factors affecting choice of Sampling Techniques
 Growth and survival of the individual organism depends on the humidity,
temperature and pH of the culture medium
 Proper selection of sampling and identification media is necessary for accurate
sampling analysis
 Samplers must be calibrated and used according to the manufacturer’s flow
rate specifications
 Since no method is available for collection and identification or counting of all
Bioaerosols of interest, the selection of a method is guided by what is
suspected to be present
KKR1116 18
Samplers available
 Diffusive samplers
 Moulton air samplers
 Settling samplers
 Dip stickle samplers
 Filters
 All-glass Impingers (AGI)
 Impactors
KKR1116 19
Samplers preferred
 High volume filters
 High volume electrostatic precipitators
 AGI
 Impactors:
 Anderson impactors
 Silt impactors
KKR1116 20
Recommended samplers as per volume to be
handled
Sampler type Principle
of
Operation
Sampling
rate
(l/min)
Recommended sampling type
Silt impactor Impaction on
rotation or
stationary
plate
30 – 700,
Continuous
1- 60 min or 7 days
Cassette filter Filtration 1 – 2 15 – 60 min or 8 hrs
High volume filtration Filtration 140 - 1400 5 min to 24 hrs
High volume electrostatic filter Electrostatic
collection
Up to 12000 Variable
All glass impinger Impingement
into liquid
12.5 30 min
Sieve
Impactor
Single
stage
Impaction on
agar “rodac”
plate
90 or 185 0.5 or 0.3 min
Single
stage
Impaction on
agar 100 mm
plate
28 1 min
Two
stage
Impaction on
agar
28 1 – 5 min
KKR1116 21
Control Strategies
 Source Removal
 After identifying the airborne microorganisms the source can either be
eliminated or its strength can be reduced
 Regular Maintenance
 Preventive maintenance is one the most effective ways to control the
microorganisms indoors
 Maintenance of air handling systems and fan coil units, drain pans and
periodic replacement of the filters
 Humidifiers using the re-circulated water should not be used. Steam
should be used instead of cold water in humidifiers, heating and HVAC
systems
 Disinfectants and biocides should be used in the humidifier water
reservoirs, which kill the microorganisms
 Shock dosages have better results compared to the regular dosages
KKR1116 22
Biocides for controlling the most common
Legionella pneumophilia :
 Quaternary ammonia compounds
 1-bromo3-chloro-5
 5-dimethyl-hydantoin
 Bis(tri-n-butyltin)oxide
 n-alkyl-1
 Methylene-bis
 Dithiocarbamates
 Chlorine
KKR1116 23
Methods for controlling molds
 There is no practical way to eliminate mold and mold spores in the indoor
environment, the way to control indoor mold growth is to control moisture.
 If mold problem is their in your house or school, you must clean up the mold
and eliminate sources of moisture.
 Fix the source of water problem or leak to prevent mold growth.
 Reduce indoor humidity ( to 30%-60%) to decrease mold growth by:
- Venting bathrooms, dryers and other moisture-generating sources to the
outside
- using air conditioners and de-humidifiers
- Increasing ventilation
- Using exhaust fans whenever cooking, dishwashing and cleaning
KKR1116 24
Methods for controlling molds (contd…)
 Clean and dry any damp or wet building materials and furnishings within 24-
48 hours to prevent mold growth.
 Clean mold off hard surfaces with water and detergent, and dry completely.
Absorbent materials such as ceiling tiles, that are moldy, may need to be
replaced.
 Prevent condensation:Reduce the potential for condensation on cold surfaces
(i. e. ,windows, piping, exterior walls, roof, or floors) by adding insulation.
 In areas where there is a perpetual moisture problem, do not install carpeting
(i. e. , by drinking fountains, by classroom sinks, or on concrete floors with
leaks or frequent condensation)
 Molds can be found almost anywhere; they can grow on virtually any
substance, providing moisture is present. There are molds that can grow on
wood, paper, carpet and foods.
KKR1116 25
Other Strategies
 Humidity control
 Control of relative humidity significantly reduces the bacteria and viruses
 Maximum growth of viruses resulted at a relative humidity of 95% and
above
 Humidity range between 40% and 60% significantly reduces the risk to
human health
 Increased ventilation with filtration
 Proper intake of air indoor and using effective air filtration systems
significantly reduces the intake of Bioaerosols
 Mechanical filters have been successful in removing the fungi and other
microbial agents from the outdoor air
KKR1116 26
Other Strategies(contd.)
 Available air filters
 Coarse-fiber panel filters (efficiency – 10%)
 Electrostatic precipitators (efficiency – 60% to 90%)
 HEPA filters (efficiency – 90% to 100%)
 Air cleaning
 The air can be disinfected using various chemical compounds
 Sodium hypochlorite
 Hydroxy acids
 Glycols
KKR1116 27
Criteria for choosing Chemical disinfectants
 Lethal at low concentrations
 Non-toxic and non-irritant to humans
 Non-corrosive to metals and fabric
 Should easily vaporize
KKR1116 28
Other preferred options
 The most effective glycols are propylene and triethylene glycols
 Desiccant air conditioning systems perform well in control of the Bioaerosols
by:
 Capturing the organisms
 Killing them through severe desiccation
KKR1116 29

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Bioaerosols

  • 2. Introduction  Bioaerosols are integral part of our ecological system and play an important role in its balance  Viruses, bacteria, fungi etc. are collectively called airborne biological contaminants or Bioaerosols  Outdoor control of Bioaerosols is usually not possible but indoors, it is achievable  Most of the Bioaerosols host on humans and moist places, which provide habitable conditions KKR1116 2
  • 3. General health Effects  Bioaerosols induce into human body by inhalation or by deposition on wounds  A possible reason of sick building syndrome (SBS) is the presence of Bioaerosols in the building.  Despite the defense mechanism of the body these Bioaerosols could cause damage to the body  The infections caused due to the Bioaerosols include:  Legionnaire’s disease  Humidifier fever  Cold  Influenza KKR1116 3
  • 4. Health Effects of Bioaerosols  Viruses: Common cold, Influenza, Measles, Bronchitis Rheumatic fever, Otitis media, Carditis, Diphtheria Whooping cough, Tuberculosis, Meningitis and Q – fever  Fungi: Histoplasmosis, Cocciodomycosis and Blastomycosis  Antigens: Allergic diseases of hypersensitivity pneumonitis (HP) Allergic asthma, Rhynitis and Pergillosis KKR1116 4
  • 5. FUNGI  Fungi play a major role causing many ill-effects.  These are found in very ecological niche, and are necessary in the recycling of organic building blocks that allow plant and animal lives to thrive.  Fungi need external organic food sources and water to survive.  Various groups of fungi are:  Yeasts  Molds  Mildews  Let us now know about molds, greatest problem creator for the researchers now. KKR1116 5
  • 6. Molds  Molds can grow on clothes, carpets, leather, wood, sheet rock, insulation and on human foods wherever moist conditions exist.  As molds flourish in moist or wet indoor conditions, human exposure is possible either by direct contact on surfaces or through the air if mold spores, fragments, or mold products are airborne.  Mold reproduction is done by production of spores.  To support the mold growth proper conditions and food sources are provided by wet indoor spaces with inorganic materials.  People are exposed to this mold spores or fragments through inhalation or by contact through small breaks in skin. KKR1116 6
  • 7. Various effects of molds  Effects of molds depend mainly on  Species of mold  Metabolic products being produced by molds  Amount and duration of individual’s exposure to mold parts or products  Specific susceptibility of those exposed.  Various health effects:  Allergy  Infection  Irritation (mucous membrane and sensory)  Toxicity KKR1116 7
  • 8. Allergy  This is the most common response from people to mold.  People who are genetically capable of producing an allergic reaction are referred to as atrophic.  When an atrophic person’s respiratory system or skin is exposed to mold or mold products that have become sensitized, symptoms will be developed.  Allergic reactions range from mild transitory responses, to severe chronic illnesses.  In Americans one in every five suffer from allergic rhinitis, the single most common disease that is experienced by humans.  Thousands of different molds contaminate indoor air, purified allergens have been recovered from only a few.  So, atrophic individuals may be exposed to molds found indoors and develop sensitization, yet not be identified as having mold allergy. KKR1116 8
  • 9. Infection  Infection from molds that grow indoor is not common.  A number of Aspergillus species that are found indoors are known to be pathogenic.  Most of the infections occur among immune-compromised patients, whoa re suffering from various causes as well.  Such infections mostly effect the skin, eyes and lungs and are also known to effect other organs or systems. KKR1116 9
  • 10. Mucous Membrane and Trigeminal Nerve Irritation  This type of irritation is derived from VOC’s that are produced by fungal metabolism.  Alcohol or aldehydes and acidic molecules may be produced by this fungi.  The nature of the food source from which the fungus grows may result in pungent primary metabolic products, for instance, one fungus growing on wall paper released the highly toxic gas arsenic from arsenic containing pigments.  Fungal volatile compounds may also impact the “common chemical sense” associated with the trigeminal nerve, which is a mixed (motor and sensory) nerve that responds to pungency, not odor, by initiating avoidance reactions such as breath holding, paresthesias, itching, burning, skin crawling, dilation of surface blood vessels, decreased attention, disorientation, diminished reflex time, dizziness etc. KKR1116 10
  • 11. Toxicity  Molds can also produce myotoxins, that are nearly cytotoxic and interfere with vital cellular processes such as protein, RNA and DNA synthesis.  Mold toxins increase the susceptibility of the exposed person to infectious diseases, reduce the ability of their defense system to fight against other contaminants and can also increase susceptibility to cancer. KKR1116 11
  • 13. Sources of Bioaerosols  Major sources of bacteria and viruses are humans and pets - sneezing, coughing, dander and saliva  Fungi, many bacteria, protozoa, algae and green plants (pollen) are present outdoors that are induced indoors by natural or mechanical ventilation  Moist surfaces of leather, wood, carpets, soaps, cloth fabric, some pastes and adhesives are examples of amplification sites  Breeding sites for fungi and bacteria are humidifiers, air conditioning systems, cooling towers, air distributing systems and areas of water damage KKR1116 13
  • 14. Types, Sizes, Pathogenic properties and Common sources of selected Bacteria Escherichia coli 1.1 – 1.5 x 2 – 6 (m) Urinary tract infections, Diarrhea, Dysentery Human body Staphylococcus aeruginosa 0.5 – 1.0 (m) (diameter) Food poisoning, Toxic shock, Pneumonia, Meningitis Human body Staphylococcus epidermis 0.5 – 1.5 (m) (diameter) Cardiovascular infections, Wound infections, Ottis media Human body Legionella pneumonphilia 0.3 – 0.9 x 2 – 20 (m) Legionnaire’s disease, Pontiac fever Cooling towers, Air conditioners KKR1116 14
  • 15. Types, Sizes, Pathogenic properties and Common sources of selected Fungi Thermoactinomyces vulgaris, Acanthamoli spp., Naegleria spp. 1 – 2 (m) (diameter) Humidifier fever, Allergic reactions Humidifiers Pencillium 4 – 6 (m) (diameter) Irritation to respiratory tract Air, Soil Aspergillosis fungus 4 – 6 (m) (diameter) Aspergillosis and aspergilloma Cooling towers, Humidifiers Coccidiodomycosis immitis 60 – 200 (m) (diameter) Vegetative cell Lung infections Air, Soil KKR1116 15
  • 16. Types, Sizes, Pathogenic properties and Common sources of selected Viruses Rhinovirus 0.02 – 0.03 (m) (diameter) Common cold Human body Influenza virus 0.08 – 0.120 (m) (diameter) Influenza Human body Lymphocytic choriomeningitis 0.2 – 0.3 (m) (diameter) Congenital infections, Neurological infections -- Coxsackie virus 0.02 - 0.03 (m) (diameter) Gastrointestinal infections, Upper respiratory infections -- KKR1116 16
  • 17. Introduction to sampling Techniques  The sampling techniques are usually same as for other particles, but the different types in Bioaerosols complicate the process  Several factors are considered to get positive or conclusive reports:  Not one sample is good for collecting all types of microorganisms  No sampling device provides for 100% recovery of Bioaerosols  The viability of Bioaerosol samples should be maintained in the sampler for subsequent growth and identification  Efficiency of the sampler depends on the size of the particular organism KKR1116 17
  • 18. Factors affecting choice of Sampling Techniques  Growth and survival of the individual organism depends on the humidity, temperature and pH of the culture medium  Proper selection of sampling and identification media is necessary for accurate sampling analysis  Samplers must be calibrated and used according to the manufacturer’s flow rate specifications  Since no method is available for collection and identification or counting of all Bioaerosols of interest, the selection of a method is guided by what is suspected to be present KKR1116 18
  • 19. Samplers available  Diffusive samplers  Moulton air samplers  Settling samplers  Dip stickle samplers  Filters  All-glass Impingers (AGI)  Impactors KKR1116 19
  • 20. Samplers preferred  High volume filters  High volume electrostatic precipitators  AGI  Impactors:  Anderson impactors  Silt impactors KKR1116 20
  • 21. Recommended samplers as per volume to be handled Sampler type Principle of Operation Sampling rate (l/min) Recommended sampling type Silt impactor Impaction on rotation or stationary plate 30 – 700, Continuous 1- 60 min or 7 days Cassette filter Filtration 1 – 2 15 – 60 min or 8 hrs High volume filtration Filtration 140 - 1400 5 min to 24 hrs High volume electrostatic filter Electrostatic collection Up to 12000 Variable All glass impinger Impingement into liquid 12.5 30 min Sieve Impactor Single stage Impaction on agar “rodac” plate 90 or 185 0.5 or 0.3 min Single stage Impaction on agar 100 mm plate 28 1 min Two stage Impaction on agar 28 1 – 5 min KKR1116 21
  • 22. Control Strategies  Source Removal  After identifying the airborne microorganisms the source can either be eliminated or its strength can be reduced  Regular Maintenance  Preventive maintenance is one the most effective ways to control the microorganisms indoors  Maintenance of air handling systems and fan coil units, drain pans and periodic replacement of the filters  Humidifiers using the re-circulated water should not be used. Steam should be used instead of cold water in humidifiers, heating and HVAC systems  Disinfectants and biocides should be used in the humidifier water reservoirs, which kill the microorganisms  Shock dosages have better results compared to the regular dosages KKR1116 22
  • 23. Biocides for controlling the most common Legionella pneumophilia :  Quaternary ammonia compounds  1-bromo3-chloro-5  5-dimethyl-hydantoin  Bis(tri-n-butyltin)oxide  n-alkyl-1  Methylene-bis  Dithiocarbamates  Chlorine KKR1116 23
  • 24. Methods for controlling molds  There is no practical way to eliminate mold and mold spores in the indoor environment, the way to control indoor mold growth is to control moisture.  If mold problem is their in your house or school, you must clean up the mold and eliminate sources of moisture.  Fix the source of water problem or leak to prevent mold growth.  Reduce indoor humidity ( to 30%-60%) to decrease mold growth by: - Venting bathrooms, dryers and other moisture-generating sources to the outside - using air conditioners and de-humidifiers - Increasing ventilation - Using exhaust fans whenever cooking, dishwashing and cleaning KKR1116 24
  • 25. Methods for controlling molds (contd…)  Clean and dry any damp or wet building materials and furnishings within 24- 48 hours to prevent mold growth.  Clean mold off hard surfaces with water and detergent, and dry completely. Absorbent materials such as ceiling tiles, that are moldy, may need to be replaced.  Prevent condensation:Reduce the potential for condensation on cold surfaces (i. e. ,windows, piping, exterior walls, roof, or floors) by adding insulation.  In areas where there is a perpetual moisture problem, do not install carpeting (i. e. , by drinking fountains, by classroom sinks, or on concrete floors with leaks or frequent condensation)  Molds can be found almost anywhere; they can grow on virtually any substance, providing moisture is present. There are molds that can grow on wood, paper, carpet and foods. KKR1116 25
  • 26. Other Strategies  Humidity control  Control of relative humidity significantly reduces the bacteria and viruses  Maximum growth of viruses resulted at a relative humidity of 95% and above  Humidity range between 40% and 60% significantly reduces the risk to human health  Increased ventilation with filtration  Proper intake of air indoor and using effective air filtration systems significantly reduces the intake of Bioaerosols  Mechanical filters have been successful in removing the fungi and other microbial agents from the outdoor air KKR1116 26
  • 27. Other Strategies(contd.)  Available air filters  Coarse-fiber panel filters (efficiency – 10%)  Electrostatic precipitators (efficiency – 60% to 90%)  HEPA filters (efficiency – 90% to 100%)  Air cleaning  The air can be disinfected using various chemical compounds  Sodium hypochlorite  Hydroxy acids  Glycols KKR1116 27
  • 28. Criteria for choosing Chemical disinfectants  Lethal at low concentrations  Non-toxic and non-irritant to humans  Non-corrosive to metals and fabric  Should easily vaporize KKR1116 28
  • 29. Other preferred options  The most effective glycols are propylene and triethylene glycols  Desiccant air conditioning systems perform well in control of the Bioaerosols by:  Capturing the organisms  Killing them through severe desiccation KKR1116 29