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The presence of pathogenic microorganisms in public spa pools poses a serious threat to human health. The problem is particularly acute in herbal spas, in which the herbs and microorganisms may interact and produce undesirable consequences. Accordingly, the present study investigated the effectiveness of a combined disinfectant containing chlorine dioxide and sodium hypochlorite in improving the water quality of a public herbal spa in Taiwan. Water samples were collected from the spa pool and laboratory tests were then performed to measure the variation over time of the microorganism content (total CFU and total coliforms) and residual disinfectant content given a single disinfection mode (SDM) with disinfectant concentrations of 5.2 × 10, 6.29 × 10, 7.4 × 10, and 11.4 × 10(-5) N, respectively. Utilizing the experience gained from the laboratory tests, a further series of on-site investigations was performed using three different disinfection modes, namely SDM, 3DM (once every 3 h disinfection mode), and 2DM (once every 2 h disinfection mode). The laboratory results showed that for all four disinfectant concentrations, the CFU concentration reduced for the first 6 h following SDM treatment, but then increased. Moreover, the ANOVA results showed that the sample treated with the highest disinfectant concentration (11.4 × 10(-5) N) exhibited the lowest rate of increase in the CFU concentration. In addition, the on-site test results showed that 3DM and 2DM treatments with disinfectant concentrations in excess of 9.3 × 10 and 5.5 × 10(-5) N, respectively, provided an effective reduction in the total CFU concentration. In conclusion, the experimental results presented in this study provide a useful source of reference for spa businesses seeking to improve the water quality of their spa pools.

As with all indoor public spaces in Taiwan, the stack rooms in public libraries should meet the air quality guidelines laid down by the Taiwan Environmental Protection Administration. Accordingly, utilizing a university library in Taiwan for experimental purposes, this study investigates the efficiency of gaseous chlorine dioxide (ClO2) as a disinfection agent when applied using three different treatment modes, namely a single-daily disinfection mode (SIM), a twice-daily disinfection mode (TWM), and a triple-daily disinfection mode (TRM). For each treatment mode, the ClO2 is applied using an ultrasonic aerosol device and is performed both under natural lighting conditions and under artificial lighting conditions. The indoor air quality is evaluated before and after each treatment session by measuring the bioaerosol levels of bacteria and fungi. The results show that for all three disinfection modes, the application of ClO2 reduces the indoor bacteria and fungi concentrations to levels lower than those specified by the Taiwan EPA (i.e., bacteria <1500 CFU/m(3), fungi <1000 CFU/m(3)), irrespective of the lighting conditions under which the disinfection process is performed. For each disinfection mode, a better disinfection efficiency is obtained under natural lighting conditions since ClO2 readily decomposes under strong luminance levels. Among the three treatment modes, the disinfection efficiencies of the TWM and TRM modes are very similar under natural lighting conditions and are significantly better than that of the SIM mode. Thus, overall, the results suggest that the TWM treatment protocol represents the most cost-effective and efficient method for meeting the indoor air quality requirements of the Taiwan EPA.

Unlabelled: In Taiwan, the food and drink requirements of students and faculty members are met by student cafeterias. The air quality within these cafeterias should satisfy the guidelines laid down by the Taiwan Environmental Protection Agency (Taiwan EPA). Accordingly, this study performed an experimental investigation into the efficiency of two different gaseous chlorine dioxide (ClO2) treatments in disinfecting a local student cafeteria, namely a single, one-off application and a twice-daily application. In both cases, the ClO2 was applied using strategically placed aerosol devices. The air quality before and after disinfection was evaluated by measuring the bioaerosol levels of bacteria and fungi. Moreover, a stepwise discriminant analysis method was applied for predicting the residual concentrations of bacteria and fungi, as a function of the environmental parameters and the ClO2 concentration. The experimental results showed that the average background levels of bacteria and fungi prior to ClO2 disinfection were 972.5 +/- 623.6 and 1534.1 +/- 631.8 colony-forming units (CFU)/m3, respectively. A single ClO2 application was found to reduce the bacterial and fungal concentration levels by as much as 65% and 30%, respectively. By contrast, a twice-daily ClO2 application was found to reduce the bacterial and fungal concentration levels by as much as 74% and 38%, respectively. The statistical analysis results showed that the residual bacterial concentration level was determined primarily by the number of individuals present in the cafeteria, the temperature, and the ClO2 concentration, whereas the residual fungal concentration level was determined mainly by the temperature, the total number of suspended particles, and the ClO2 concentration. Thus, the integrated results suggest that the air quality guidelines prescribed by the Taiwan EPA for student cafeteria can best be achieved by applying ClO2 twice daily using an appropriate deployment of aerosol devices., Implications: ClO2 gas can destroy all manner of microorganisms, including bacteria, spores, fungi, viruses, and even protozoans, in indoor environments. Moreover, it is popularly known that bioaerosols are able to grow and propagate on a wide variety of building materials and indoor surfaces. Thus, through optimal ClO2 disinfection methodology, the indoor microbial contaminants can be decreased and the residual concentrations of bacteria and fungi as a function of the environmental parameters and the ClO2 concentration can be predicted via some statistical techniques.

In Taiwan, the immediate health care requirements of students and faculty members are satisfied by on-campus medical service centers. The air quality within these centers should comply with the guidelines laid down by the Taiwan Environmental Protection Agency (EPA). Accordingly, this study performed an experimental investigation into the efficiency of various chlorine dioxide applications in disinfecting a local student health center (SHC). The air quality before and after disinfection were evaluated in terms of the bioaerosol levels of bacteria and fungi. The average background levels of bacteria and fungi before disinfection were found to be 1,142 ± 455.4 CFU/m(3) and 520 ± 442.4 CFU/m(3), respectively. Chlorine dioxide (0.3 mg/m(3)) was applied using three different methods, namely a single, one-off application, multiple applications within a single day, and regular (daily) applications. Among the three disinfection methods, the regular application method was found to yield a high disinfection efficiency for both bacteria and fungi, i.e., 6.5 ± 0.7% and 4.2 ± 0.3%, respectively. The average residual bacteria and fungi levels after regular daily interval disinfection were 318.8 ± 51.5 CFU/m(3) and 254.0 ± 43.8 CFU/m(3), respectively. Therefore, the results suggest that the air quality guidelines prescribed by the Taiwan EPA for SHCs and other healthcare facilities can best be achieved by applying chlorine dioxide at regular (daily) intervals.

This study aims to monitor bioaerosol levels of a local campus of a student health center in Taiwan and then to perform disinfection by applying chlorine dioxide. First, air samples were taken and evaluated in the six areas of the center. The average background bioaerosol levels were 714 +/- 1706 CFU/m(3) for bacterium and 802 +/- 633 CFU/m(3) for fungi. Then, chlorine dioxide was applied through three different procedures: single, multiple and regular disinfections. The results indicated that both multiple and regular disinfections can achieve efficiency levels higher than 59.0%. The regression analysis on bioaerosol levels showed that the number of people present correlating to the number of persons entering the room per door-opening, had a correlation of p < 0.05. Utilizing this analysis result, an empirical model was developed to predict indoor bioaerosol concentrations. It can be inferred that for indoor human activity of health centers, regular disinfection is a very effective process.