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Air Cleaners and Respiratory Infections in Schools: A Modeling Study Based on Epidemiologic, Environmental, and Molecular Data

doi.org · added Oct 2026

Summary

In two Swiss classes over 7 weeks, HEPA air cleaners cut particle concentrations by 77%. Respiratory-infection absences were 22 without and 13 with air cleaners, but the relative risk estimate was wide (0.73, 95% credible interval 0.44 to 1.18).

Key points

  • With HEPA air cleaners running, mean particle concentration in the classrooms fell by 77%; CO2 levels did not change.
  • Absences from respiratory infections were 13 with air cleaners and 22 without; the model gave a relative risk of 0.73 (95% credible interval 0.44 to 1.18), a 91% probability of lower risk.
  • Coughing also tended to be less frequent with air cleaners.
  • Viruses, mostly not SARS-CoV-2, were found in 50 of 448 saliva samples but rarely in air samples (2 of 105) or on the filters (4 of 160).
  • Design: crossover study over 7 weeks in 2 Swiss secondary school classes, 38 students aged 13 to 15.
  • Funding: NIAID, Swiss National Science Foundation and University of Bern; no conflicts reported.