We recently published our key findings for the Amoy Gardens outbreak in the
New England Journal of Medicine (
Yu et al., 2004). Our epidemiologic analysis and experimental studies, as well as computational fluid dynamic (CFD) simulations, supported the probability of an airborne spread of the SARS virus in this outbreak. We concluded that virus‐laden bio‐aerosols were generated in the vertical stack of Flats 7 in Block E after the identified index patient used and flushed the toilet in Flat 7 on the 16th floor of Block E. The bio‐aerosols re‐entered the flat through the dried‐up water seal trap of the floor drain and then entered the re‐entrant space by means of suction created by an exhaust fan. The bio‐aerosols moved upward within the re‐entrant space because of the combined action of buoyancy force and wind flows, and entered Flats 7 and 8 on the upper floors which bordered the re‐entrant space. The horizontal spread of infection to other flats in Block E was by air movement between flats through leakage areas in doors. After the plume reached the top of the re‐entrant space in Block E, the virus was spread to some flats at certain heights in Blocks B, C and D by the action of a predominant north‐easterly wind.