Air-Cleaner Performance / CASE STUDY

School Air Purifier Field Study: Bioaerosols and Absenteeism

ARE Labs evaluated a seven-week parallel-controlled school IAQ study examining associations among room air purifier use, measured bacterial bioaerosol levels, modeled infection probability, and illness-related absenteeism.

BioaerosolAir cleanerField study
Field case study

Treated schools had lower bacterial levels, modeled risk, and illness-related absenteeism

Abstract

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

Study question

The study linked laboratory-style air cleaner evidence with repeated measurements in occupied schools, modeled infection probability, and attendance-related outcomes.

Selected 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.
Study period
7 weeksTwo treated schools and two untreated control schools were compared during the same study window.
Samples
490 per pairEach parallel-controlled comparison generated repeated bacterial air samples.
Endpoints
3 layersBioaerosol concentration, modeled infection probability, and illness-related absenteeism were evaluated.

The field-study question

Schools do not behave like controlled test chambers. Occupancy changes, students and staff move throughout the building, outdoor air conditions shift, and HVAC performance varies from room to room. Those conditions can change the environment during sampling, so a single controlled result does not capture the range of conditions encountered in daily school operation. A field study can show how an air-cleaning intervention performs amid that real-world variability, across occupied rooms and over time.3,4

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

Parallel-controlled design

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

The school pairs were selected for comparability across practical 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 buildings, but it provides a more meaningful field comparison than a one-building demonstration.

Two aerosol scientists sampled each treated/control pair simultaneously over 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 point-in-time result.

What ARE Labs measured

ARE Labs measured airborne bacterial concentrations in classrooms and reported the results as colony-forming units per cubic meter of air. Those measurements were used to estimate infection probability with Wells-Riley and exponential Quantitative Microbial Risk Assessment approaches. Illness-related absenteeism was analyzed over the same study period as a third layer of evidence.

The modeled infection values were not clinical infection rates, and the absenteeism results do not prove that differences in absences were caused by the air purifiers. Taken together, the measured bacterial concentrations, modeled risk estimates, and attendance observations were all lower at the treated schools.

TABLE 1Seven-week parallel-controlled school IAQ study outcomes.
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 treated-school average was 41.1% lower. In Pair 2, the treated school averaged 56.1 cfu/m3 versus 71.8 cfu/m3 at the untreated control school, a 21.9% lower concentration.

FIGURE 1Average classroom bacterial concentration by school pairTreated schools showed lower average classroom bacterial concentrations than paired controls.Grouped bar chart showing lower average classroom bacterial concentrations in treated schools than control schools for two matched school pairs.
View figure data as a table
pairTreated schoolControl school
Pair 130.2cfu/m351.3cfu/m3
Pair 256.1cfu/m371.8cfu/m3

Source: ARE Labs 2025 school study summary report.

  • Values are average classroom bacterial concentrations in cfu per cubic meter.
  • The chart does not represent clinical infection incidence.

The statistical results supported the observed bacterial concentration differences. Pair 1 reported p = 0.00002 and Cohen's d = 1.874; Pair 2 reported p = 0.011 and Cohen's d = 1.844. These measured concentrations were the technical anchor of the school IAQ evidence package.

TABLE 2Statistical results for bacterial concentration comparison.
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 estimate infection probability. In Pair 1, the average modeled probability was 6.4% at the control school and 4.0% at the treated school. In Pair 2, it was 8.6% at the control school and 7.0% at the treated school.

During the same seven-week period, Pair 1 recorded illness-related absenteeism of 5.12% at the treated school and 10.99% at the control school. Pair 2 recorded 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.

Where ASHRAE 241 and CADR fit

ASHRAE Standard 241 centers equivalent clean airflow in its framework for reducing infectious aerosol risk. The school study, however, did not directly measure building-level CADR. CADR-style testing, controlled bioaerosol efficacy testing, and field bioaerosol studies answer separate but complementary questions.1,2

CADR testing can measure how quickly a room air cleaner removes a defined particle challenge under controlled conditions. Room bioaerosol efficacy testing can evaluate airborne microbial reduction in a controlled chamber or room-scale setting. A field study addresses how a deployed intervention behaves in occupied spaces with real building variability.1

What the study shows

A field study can help a school district connect an air-cleaning investment with measured microbial air quality, modeled exposure risk, and attendance-related indicators. Manufacturers can use the resulting data to strengthen the evidence behind product claims while keeping those claims within what the study can support.3,4

Several design choices strengthened the field comparison: matched spaces, simultaneous or time-balanced sampling, outdoor/background measurements, repeated sampling during occupied periods, clear endpoint definitions, and a defined data analysis plan. Together, they helped distinguish measured results from modeled interpretation. This structure supported practical decisions without reducing school IAQ performance to a single device number.

Summary

Across both school pairs, the treated schools had lower average classroom bacterial concentrations, lower modeled infection probability, and lower illness-related absenteeism during the seven-week study window. 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 tied to what the data could and could not show.

PUBLIC SOURCES

References and study evidence

  1. 1ASHRAE Standard 241-2023, Control of Infectious Aerosols Fact SheetASHRAEPublic context for equivalent clean airflow and infectious aerosol risk reduction.Open source
  2. 2ASHRAE Publishes Standard 241, Control of Infectious AerosolsASHRAEOfficial ASHRAE context for the purpose and scope of Standard 241.Open source
  3. 3Ventilation in Schools and Childcare ProgramsCDC/NIOSHPublic-health context for ventilation and air cleaning in schools and childcare settings.Open source
  4. 4Ventilation and Respiratory VirusesU.S. Environmental Protection AgencyPublic IAQ context for ventilation, filtration, and portable air cleaners.Open source
QUESTIONS

What to know about this study

What did the school air purifier study measure?

The study measured classroom bacterial bioaerosol concentrations, modeled infection probability, and illness-related absenteeism across treated schools and their paired control schools.

Do the modeled infection values prove clinical infection rates?

No. The values are modeled risk estimates based on measured bacterial aerosol concentrations and model assumptions. They are not confirmed clinical infection incidence.

How does this relate to CADR testing?

They answer complementary questions. CADR-style testing measures controlled device performance over time, while a field bioaerosol study evaluates how a deployed intervention behaves in occupied spaces.1