Field case study

Treated schools had lower bioaerosols, modeled risk, and illness-related absence

Abstract

This case study summarizes a seven-week, parallel-controlled field study of plasma-based room air purifiers in occupied elementary schools.

Purpose

The study connected laboratory-style air cleaner evidence with repeated sampling in occupied buildings, modeled infection probability, and attendance-related outcomes.

Study period7 weeks

Two treated schools and two untreated control schools were compared during the same study window.

Samples490 per pair

Each parallel-controlled comparison generated repeated bacterial air samples.

Endpoints3 layers

Bioaerosol concentration, modeled infection probability, and illness-related absenteeism were evaluated.

Findings

Treated classrooms showed 41.1% and 21.9% lower average bacterial concentrations than paired control schools. Modeled infection probability was lower in treated schools in both matched comparisons. Illness-related absenteeism was also lower during the same seven-week study period, though the article avoids treating attendance differences as proof of causation.

The field-study question

Schools do not operate like controlled test chambers. Occupancy changes throughout the day, students and staff move between rooms, outdoor air affects indoor conditions, and HVAC systems vary by building. Real-world air purifier testing helps determine how an air-cleaning intervention performs under these occupied-space conditions.1,4,5

The seven-week study evaluated plasma-based room air purifiers in four parallel-controlled elementary schools: two treated schools and two untreated control schools. The practical objective was to determine whether purifier deployment was associated with lower airborne bacterial concentrations, lower modeled infection probability, and lower illness-related absenteeism during the same study period.1

Parallel-controlled design

The study included two parallel-controlled comparisons. Each pair consisted of one treated elementary school and one untreated control school. Plasma-based room air purifiers operated in classrooms and common areas at the treated schools, while the control schools operated without the added air purification intervention.1

Each school pair was selected for comparability across relevant building and population factors, including building age, existing air systems, socioeconomic demographics, geography, and morning or afternoon sampling time. Matching cannot account for every difference between occupied schools, but it provides a more meaningful field comparison than a demonstration in a single building.1

Two aerosol scientists sampled each treated and control school pair simultaneously for seven weeks. At each school, they collected samples from five classrooms, one common area, and one outdoor location. Each comparison produced 490 bacterial air samples, providing repeated field measurements rather than a single snapshot.1

What ARE Labs measured

The study combined three layers of evidence. First, ARE Labs measured airborne bacterial concentrations in classrooms and reported the results as colony-forming units per cubic meter of air. Next, the measured bacterial aerosol concentrations were used to estimate infection probability through Wells-Riley and exponential Quantitative Microbial Risk Assessment approaches. Illness-related absenteeism was then analyzed for the same study period.1

The modeled infection probabilities were risk estimates, not clinical infection rates. Likewise, the absenteeism analysis did not assume that the air purifiers caused every difference in absences. The value of the design was the convergence of three findings: measured microbial air quality, modeled exposure interpretation, and attendance-related observations all moved in the same direction at the treated schools.1

Table 1Seven-week parallel-controlled school IAQ study outcomes.1
Study pairSchool roleAverage classroom bacterial concentrationBacterial concentration comparisonModeled infection probabilityIllness-related absenteeism
Pair 1Treated30.2 cfu/m341.1% lower than control4.0%5.12%
Pair 1Control51.3 cfu/m3Reference6.4%10.99%
Pair 2Treated56.1 cfu/m321.9% lower than control7.0%4.75%
Pair 2Control71.8 cfu/m3Reference8.6%7.28%

Modeled infection probability values come from report chart labels; absenteeism is an observed study-period outcome.

Lower classroom bacterial concentrations

Across sampled classrooms, the treated school in Pair 1 averaged 30.2 cfu/m3, compared with 51.3 cfu/m3 at its untreated control school. The average classroom bacterial concentration was therefore 41.1% lower at the treated school. In Pair 2, the treated school averaged 56.1 cfu/m3, compared with 71.8 cfu/m3 at the untreated control school, a 21.9% lower concentration.1

Figure 1Average classroom bacterial concentration by school pairTreated schools showed lower average classroom bacterial concentrations than paired controls.

Statistical analysis supported the observed differences. Pair 1 reported p = 0.00002 and Cohen's d = 1.874, while Pair 2 reported p = 0.011 and Cohen's d = 1.844. These measured differences in bacterial concentration provided the technical foundation of the evidence package for this school IAQ field study.1

Table 2Statistical results for bacterial concentration comparison.1
Statistical endpointPair 1Pair 2
t-statistic-4.996-2.716
t-critical value2.0422.042
p-value0.000020.011
Cohen's d1.8741.844

Modeled risk and absenteeism

The study used the measured bacterial concentrations to provide a risk-oriented interpretation. In Pair 1, the average modeled infection probability was 6.4% at the control school and 4.0% at the treated school. In Pair 2, the average modeled probability was 8.6% at the control school and 7.0% at the treated school.1

During the same seven-week period, illness-related absenteeism in Pair 1 was 5.12% at the treated school and 10.99% at the control school. In Pair 2, it was 4.75% at the treated school and 7.28% at the control school. Within the study window, absenteeism was 53.4% lower in treated Pair 1 and 34.8% lower in treated Pair 2.1

Where ASHRAE 241 and CADR fit

ASHRAE Standard 241 provides useful context because it centers infectious aerosol risk reduction on equivalent clean airflow. However, the school study did not directly measure building-level CADR. CADR-style testing, controlled bioaerosol efficacy testing, and field bioaerosol studies address different but complementary performance questions.1,2,3

CADR testing measures how quickly a room air cleaner removes a defined particle challenge under controlled conditions. Room bioaerosol efficacy testing evaluates airborne microbial reduction in a controlled chamber or room-scale setting. Field studies extend that evidence by examining how a deployed intervention performs in occupied spaces subject to real building variability.1,2

What the study shows

For school districts, field studies can connect investments in air cleaning with measurable indicators such as microbial air quality, modeled exposure risk, and illness-related absenteeism. For manufacturers, the results can add occupied-building evidence to a product's claim-support package without extending conclusions beyond what the study measured.1,4,5

The study's defensibility came from its field design. Matched comparison spaces, simultaneous or time-balanced sampling, outdoor and background measurements, repeated sampling during occupied periods, defined endpoints, and a planned analysis helped distinguish measured results from modeled interpretation. This structure supported practical decisions without reducing school IAQ performance to a single device metric.1

Summary

During the seven-week study window, treated schools had lower average classroom bacterial concentrations, lower modeled infection probability, and lower illness-related absenteeism than their paired control schools. The study helped the client and school IAQ decision-makers connect air-cleaning performance with evidence from occupied buildings. ARE Labs kept the protocol, field sampling, modeling, and interpretation aligned with both the findings and the limits of the data.1

Why ARE Labs

ARE Labs connects technical topics to practical study design, method selection, controlled aerosol work, and reportable evidence without turning technical pages into sales pages.

Reviewed byJamie Balarashti (25 yrs - cascade & inhalation methods) - Weston Schaper (7 yrs - real-time sizing & nanoparticle work)
QualityDocumented study records
900+Studies Performed
17+Years in operation
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Practical questions

Q.What did the school air purifier study measure?
A.The study measured bacterial bioaerosol concentrations in classrooms, modeled infection probability, and illness-related absenteeism at treated schools and their paired control schools.1
Q.Do the modeled infection values prove clinical infection rates?
A.No. The values are modeled risk estimates based on measured bacterial aerosol concentrations and model assumptions. They are not confirmed rates of clinical infection.1
Q.How does this relate to CADR testing?
A.CADR-style testing measures controlled device performance over time, while field bioaerosol studies examine how a deployed intervention behaves in occupied spaces. The two approaches provide complementary evidence.1,2
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