This cluster-randomized controlled trial in Bangladesh schools will examine whether low-cost air filtration and/or human-safe ultraviolet germicidal light interventions can reduce the incidence of schoolchildren's respiratory viral infections. The main study objectives are:
- Pilot and optimize an intervention to filter classroom air.
- Pilot and optimize an intervention to treat classroom air with ultraviolet light.
- Assess the separate and combined effect of air filtration and ultraviolet light on the incidence of polymerase chain reaction (PCR) confirmed illness from respiratory viruses.
Methods: The study will take place in 60 government primary schools in Dhaka, Bangladesh. Within each enrolled school, 5 classrooms of students in grades 3, 4 and 5 will be randomly assigned to receive:
- Box fans with a filter attachment.
- 220 nanometer (nm) wavelength ultraviolet light air cleaner lamps.
- Both the box fans with a filter and the 220 nm ultraviolet lamps.
- No device: a control group that receives no additional device ("standard of care"). Two classrooms within each school will be assigned as controls.
Why does this matter?: Clarifying the impact of low-cost practical solutions could support the adoption of these strategies that could reduce influenza and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) transmission in schools in order to reduce the burden of respiratory illness in these communities.