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!MOY 'ARDENS IS A PRIVATE RESIDENTIAL ESTATE PROVIDING LIVING SPACE TO APPROXIMATELY
(ONG+ONGRESIDENTS!ROUND-ARCHANUNUSUALCLUSTEROFSEVEREACUTE
RESPIRATORYSYNDROME3!23 CASESWASDISCOVEREDIN"LOCK%OFTHEESTATEWITHAPARTMENT
UNITSANDMOSTLYAFFECTED4HEINITIALEPIDEMIOLOGICALINVESTIGATIONANDTHEUNUSUAL
HIGHNUMBEROFCASESAFFECTINGTHESETWOUNITSPROMPTEDTHEHYPOTHESISTHATENVIRON
MENTALFACTORSMAYHAVEBEENINVOLVEDINTHETRANSMISSIONOFTHEINFECTIOUSAGENT
4HEAREASOFINVESTIGATIONCENTREDONTHEPLUMBINGANDVENTILATIONSYSTEMS4HEREWASA
POTENTIALOFPLUMBINGANDVENTILATIONSYSTEMINTERACTIONTHATCOULDHAVEPROMOTEDTHE
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THEINDOORENVIRONMENTWATERTRAPSAREINSTALLEDTOENSUREWASTECONTAINMENT!MOY
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INTENTWITHALLTRAPSSEALEDEITHERBYAWATERSEALORBYASOLIDGASTIGHTPLUG(OWEVER
IF THE TRAPS WERE LEFT WITHOUT WATER AND WITHOUT A PLUG THIS WOULD ESTABLISH AN OPEN
PATHFORWASTEINTHEFORMOFSEWERGASANDAEROSOLDROPLETSTOENTERTHEOCCUPANCIES
!STRONGVERTICALDISTRIBUTIONOFINFECTIOUSMATERIALWASOBVIOUSINUNITANDPARTICULARLY
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! TRANSFER OF PARTICLES FROM THE WATER PIPE SYSTEM TO THE OCCUPANCIES WAS TESTED AND
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