Skip to main content

Surprising Study Reveals HEPA Filters Double COVID Rates in Kindergartens: High Hopes Dashed for Air-Purifying Heroes

Written by Andrew Le, MD

UpdatedMay 29, 2024

A groundbreaking study recently examined whether air filters could keep children in kindergartens safer during the COVID-19 pandemic. The study's objective was straightforward: to determine if High-Efficiency Particulate Air (HEPA) filters could lower the number of children catching COVID-19 in these early education settings. Kids are young; they play, share, and interact in ways that can spread infections rapidly. With the COVID-19 virus in the air, finding ways to reduce transmission is crucial.

The study's approach was almost like an experiment without the lab coats. It was set up in Germany, throughout 32 kindergartens, with some using the fancy HEPA filters and others not. Think of these filters like super-powered vacuums that suck up tiny bad things from the air, in this case, COVID-19 virus particles.

Researchers included over two thousand children in their investigation – 663 were in rooms with the HEPA filters, while 1,697 were in rooms without them. The kindergartens using the filters weren't selected randomly; instead, a charity had provided them with these filters, and these centers were used as the intervention group. Another group of kindergartens in nearby areas served as a control, the standard against which to compare the results.

The key thing the researchers looked at was the number of COVID-19 cases reported by the heads of the kindergartens, calculated as period prevalence rates. In simpler terms, this is the number of new cases within a certain period per 1,000 children.

The results, however, came as a bit of a surprise. The control group, without filters, had an average prevalence rate of 186 per 1,000 children. In contrast, the group with the HEPA filters had nearly double the rate, with 372 per 1,000 children. This high number in the intervention group was not what the researchers expected based on the known technical abilities of HEPA filters to remove viruses from the air, and it caused a bit of head-scratching.

So, was the theory about HEPA filters snagging viruses out of the air incorrect? Well, the results here showed that just putting these filters into a room didn’t necessarily mean fewer sick kids. One reason might be that the kids were spreading the virus through close, direct contact, and the filters can't do much about that. Also, when a room feels safer because it has a filter, people (yes, even little ones) might let their guard down. If everyone thinks the air is clean because of the fancy filter in the corner, they might be less careful about keeping their distance or washing their hands.

In conclusion, this study showed that, at least for those kindergartens in Germany, HEPA filters didn't seem to keep COVID-19 from spreading among the kids. It's a reminder that with infectious diseases like COVID-19, there's rarely a one-size-fits-all solution and combining different approaches might be the key to staying healthy.

References

Falkenberg T, Wasser F, Zacharias N, et alEffect of portable HEPA filters on COVID-19 period prevalence: an observational quasi-interventional study in German kindergartensBMJ Open 2023;13:e072284. doi: 10.1136/bmjopen-2023-072284