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Studies / reports

Supported by the Coalition

Classroom Lecture
...in the Journal of Infection and Public Health
Science tells us that portable air filters reduce infection risk. It's time for public health authorities to make this clear
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PUBLISHED:  March 2025

Throughout the COVID-19 pandemic, Canadian public health advisors and politicians have shared mixed messages about the utility of portable air filters (PAFs) for mitigating the transmission of airborne infectious diseases. Some public health advisors and decision-makers have also suggested that PAFs are cumbersome or require expert advice. We take this opportunity to review evidence and address myths about PAFs. In short, PAFs are an important tool to help reduce the risk of transmission of airborne infectious diseases. Moreover, PAFs are relatively simple to use, and there is a variety of high-quality guidance available for their deployment. We share this science here with the expectation that, going forward, public health authorities will position PAFs appropriately in infection prevention and control plans for both health care and community settings.

WRITTEN BY:

Tianyuan Li,  Department of Civil and Environmental Engineering, University of Waterloo,

tianyuan.li@uwaterloo.ca

Amy Katz,

MAP, St. Michael's Hospital, Unity Health Toronto |  Faculty of Information, University of Toronto

Jo-Ann Osei-Twum, MSc

Dalla Lana School of Public Health, University of Toronto

Paul Bozek, Dalla Lana School of Public Health, University of Toronto

Nav Persaud, MAP, St. Michael's Hospital, Unity Health Toronto

Patricia O'Campo, MAP, St. Michael's Hospital, Unity Health Toronto  |  Dalla Lana School of Public Health, University of Toronto

Jeffrey A. Siegel, Dalla Lana School of Public Health, University of Toronto  |  Department of Civil & Mineral Engineering

LLana James, MSc

Canada-US Coalition to End Race Correction and Health Systems Transformation, AI, Medicine and Rehabilitation Sciences Fellow, Queen’s University

Victor Leung,

Department of Medicine, University of British Columbia  |  Department of Pathology and Laboratory Medicine, University of British Columbia  |  Department of Pathology and Laboratory Medicine, St Paul's Hospital, Providence Health Care

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FAILURE TO PROTECT

COVID INFECTION CONTROL POLICY PRIVILEGES POOR-QUALITY EVIDENCE

The pre-print (not yet peer reviewed) dissection of a problematic Canadian study about masks and respirators. The Coalition (and others) called it unethical and tried to stop it.

June 2025

Long-term outcomes following hospital admission for COVID-19 versus seasonal influenza: a cohort study

COVID-19 is worse than the flu, leading to more disability, “higher long-term risks of death and adverse health outcomes in nearly every organ system” (except respiratory - where flu takes a toll). For more about the December 14, 2023 study, see this interview.ter to the editor at the Toronto Star points out it takes more than vaccines to avoid infection. 

Doctor Holding Patient's Hand

CANADIAN EXPERIENCES WITH LONG-TERM SYMPTOMS FOLLOWING COVID-19

In December 2023, Statistics Canada said re-infections increase the odds of Long COVID. 3.5 million Canadian adults reported these long-term symptoms. Almost half have no improvements. Black Canadians are more likely to have multiple infections.

Healthcare Workers

NEED FOR REVISIONS TO THE IPC GUIDANCE TO PROTECT HEALTHCARE WORKERS FROM
COVID-19

The British Medical Association wrote this letter to the country’s National Health Service in December, 2023. The virus is airborne, they say; healthcare workers need respirators and ventilation, not guidance that ignores health and safety law.

Coronavirus Disease 2019 and Airborne Transmission: Science Rejected, Lives Lost. Can Society Do Better?

May 15, 2023

Preventing COVID
in HCWs: Study Claims Medical Masks Equivalent to N95 FFRs?

January 15, 2023

Roy T. McKay, PhD.
University of Cinncinati
Occupational Pulmonary Services

Covid-19 has Redefined Airborne Transmission – 
Improving Indoor Ventilation and Air Quality Will Help Us All to Stay Safe


British Medical Journal

April 14, 2021
 

Ten Scientific Reasons in Support of Airborne Transmission of SARS-CoV2

The Lancet

April 15, 2021

Indoor Air Changes and Potential Implications for SARS-CoV2 Transmission

Journal of the American Medical Association

April 16, 2021

Proposed Non-infectious Air Delivery Rates (NADR) for Reducing Exposure to Airborne Respiratory Infectious Diseases

The Lancet COVID-19 Commission Task Force on Safe Work, Safe School, and Safe Travel with contributions from CATC members

November 2022 
 

*See also a PDF version of the long Twitter thread by Jose-Luis Jimenez, the lead author on this article

A Multi-national Delphi Consensus to End the COVID-19 Public Health Threat

Written by a large group of authors with contributions from
CATC members


Nature

September 2022
 

What were the historical reasons for the resistance to recognizing airborne transmission during the COVID-19 pandemic?*

Indoor Air (International Journal of Indoor Environment and Health)

August 2022 

The Lancet Commission on lessons for the future from the COVID-19 pandemic


The Lancet

September 14, 2022
 

Ten Scientific Reasons in Support of Airborne Transmission of SARS-CoV2

The Lancet

April 15, 2021

Fatal Choices: COVID-19, nursing and the tragedy of long-term care

Report commissioned by the Ontario Nurses’ Association

March 2021

Covid-19 has Redefined Airborne Transmission – 
Improving Indoor Ventilation and Air Quality Will Help Us All to Stay Safe


British Medical Journal

April 14, 2021 

Leading Health Organizations Call on OSHA and CDC to Issue Guidance on Preventing Occupational Exposures Due to Aerosol Transmission of SARS CoV-2

AIHA and eight other leading scientific organizations

February 10, 2021

Fatal Choices: COVID-19, nursing and the tragedy of long-term care

Report commissioned by the Ontario Nurses’ Association

March 2021

A Time of Fear: How Canada failed our health care workers and mismanaged COVID-19

Report commissioned by the Canadian Federation of Nurses Unions

October 2020

Image by WebFactory Ltd

 

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