‘This is what you’d aspire to’: How to lower the risk of COVID transmission in restaurants, shops and gyms

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Masks are again required in many indoor spaces to slow the spread of COVID-19, but not all masks protect against airborne viruses and they are not required in all public places.

Like other virus variants, Omicron can be exhaled by a person with an infection, carried through the air and inhaled by someone else, causing them to become infected.

Some public places are riskier than others, but there are measures business owners can take to improve the air quality in their premises and lower the risk of customers and staff becoming infected.

We took two workplace safety experts to indoor spaces to find out what makes a place less of a COVID-19 risk.

Risk in retail spaces

Mr Gray stands in his shop surrounded by indoor plants.
Andy Gray is keen to reduce the risk of airborne COVID-19 transmission in his shop.(ABC News: Mary Lloyd)

As the owner-operator of a small plant and gift shop in Cronulla, Sydney, Andy Gray is a one-man band and cannot risk having to close if he or a customer catches COVID-19.

“No-one wants to be the spot that other people are getting infected at,” he said.

Mr Gray said he has had no advice from government sources about keeping his business COVID-19 safe, so was grateful to get some tips from occupational hygienist Andrew Orfanos.

“It’s all about reducing the risk,” Mr Orfanos said.

Andrew Orfanos holds a smoke tube up near an airconditioning system while the owner watches the process.
Andrew Orfanos said split-system air conditioners are good for moving air around a room, but do not bring in fresh air.(ABC News: Mary Lloyd)

With staff spending many hours in a shop, any particles they exhale can build up in the air. If they had COVID-19, it could be a risk to any visitors. 

Vaccinated staff have less chance of catching COVID-19 and less chance of passing it on, which helps protect customers. 

However, customers with an infection are less of a risk because they only spend about five to 10 minutes in the shop. 

“That’s something in your favour,” Mr Orfanos told Mr Gray. 

Andrew Orfanos holds tube emitting white smoke that floats along air currents.
Andrew Orfanos checks to see whether there are areas in a workplace where air is not circulating.(ABC News: Mary Lloyd)

To review a building’s ventilation systems, Mr Orfanos uses a smoke tube, which releases white curlicues that waft along with moving air. 

“That’s the best visual. It’s a very simple tool,” he said. 

Mr Gray keeps a back door open to encourage a draft of fresh air to move through his shop and Mr Orfanos’s smoke tube shows the air does move through the place. 

But Mr Orfanos noted the shop only had a split-system air conditioner cooling the air inside, and no mechanical ventilation helping to dilute the air in the shop with fresh air from outside.

Andrew Orfanos looks at smoke coming out of a smoke tube as he stands in a doorway.
Getting fresh air inside a room helps reduce the risk of transmitting airborne infections. (ABC News: Mary Lloyd)

In Mr Orfanos’s view, that could mean the property Mr Gray is renting is not compliant with building regulations that require indoor spaces to be adequately ventilated. 

Mr Orfanos said landlords should be able to show their tenants that the ventilation system in their building was working well. 

“It’s one thing to have something installed. It’s another thing for it to be working and being maintained,” he said. 

He would like to see government regulators inspect occupied buildings to ensure they meet current standards, instead of simply requiring buildings meet the code when they are erected. 

Restaurants and cafes 

Kate Cole stands talking to JC Miranda in front of wide open doors that lead from the restaurant onto the street.
Wide, open doors allow plenty of fresh air to circulate through Mexican restaurant Calle Rey in Newtown.(ABC News: Mary Lloyd)

Kate Cole, president of the Australian Institute of Occupational Hygienists, takes a carbon dioxide (CO2) monitor with her wherever she goes. 

On a recent visit to Mexican restaurant Calle Rey in inner-Sydney, she set it up in a back corner to test the air quality where she suspected the area was least ventilated. 

With its front doors opening wide onto the street, and a fully functional HVAC system churning fresh air through the place, the Newtown restaurant impressed the engineer and scientist. 

“This is what you’d aspire to,” she said.

A square, white gadget with a screen reading 739 sits on a restaurant table behind two plates of food.
A CO2 reading taken in the main seating area of Calle Rey shows the air quality there is good.(ABC News: Mary Lloyd)

Because people sit close together, generally don’t wear masks and spend an hour or more at a table, restaurants can be places where staff and customers are at risk of being infected with COVID-19.

Ms Cole said to reduce the risk of COVID-19 or other airborne diseases being transmitted in public spaces, indoor air should be constantly mixed with fresh air from outside. 

“The key to reducing COVID transmission is dilution,” she said.

JC Miranda, dressed in a chef's jacket and apron, talks to Kate Cole in front of a ventilation system outside his restaurant.
JC Miranda’s restaurant in Newtown uses an HVAC system to keep fresh air circulating.(ABC News: Mary Lloyd)

She said when she offers advice on improving ventilation in an indoor space, she first tests to see whether there is a problem using the CO2 monitor. 

CO2 is itself not a risk. But because we all exhale it as we breathe, measuring how much of the gas is in a space can indicate whether exhaled disease-causing particles would also build up there. 

“We use CO2 as a proxy for infection risk,” Ms Cole said, adding that a reading below 800 parts per million shows an area was safe.

Kate Cole sits at a table inside a restaurant looking at her phone with a CO2 monitor beside her.
Kate Cole takes a carbon dioxide monitor wherever she goes, and will leave places with poor air quality.(ABC News: Mary Lloyd)

When she retrieves the CO2 monitor from the back of the Mexican restaurant, it shows readings of around 500ppm as she approached the restaurant from outside, then up over 900ppm when the monitor was placed in the back corner. 

Placed on a table in the main part of the restaurant where it is well ventilated, the monitor settles around 600-700ppm. 

“We can’t eliminate [risk] but we can lower it,” Ms Cole said. 

Gyms 

A dark shadowy image of a man lifting weights at the gym.
It can be hard to get lots of fresh air in the gym.(Unsplash: Victor Freitas)

Both experts said gyms were challenging spaces to ventilate safely. 

Mr Orfanos said many gyms used split-system air conditioners for temperature control, together with fans. 

Neither draws fresh air into the space. 

“Fans just distribute the virus evenly in the room,” he said.

A generic image of a man walking on a treadmill in the gym, in front of a large window.
Density and time limits can help reduce risks in the gym.(Supplied)

Ms Cole agreed that the size of the space, what people are doing in there and how often the air is being changed would determine the risk in a gym.

A large room with high ceilings could be less risky than a smaller enclosed space, she said. 

And she said a high-intensity class would be higher-risk than yoga because participants are breathing more heavily. 

Ultimately, the onus is on the public. 

“It’s about the choices we make as an individual,” she said. 

“I choose to spend my time and money in businesses that reduce the risk to their customers and employees.” 

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