Ventilation and Infection Control in Healthcare Facilities: A Post-COVID-19 Literature Synthesis

The COVID-19 pandemic has reshaped the global understanding of airborne disease transmission, particularly in healthcare environments. This literature review examines how building ventilation and indoor air quality strategies have evolved in response to SARS-CoV-2, with a specific focus on healthcare settings. A systematic review of 163 post-pandemic studies, alongside a selective review of pre-COVID-19 literature, was conducted to assess how scientific knowledge, practical recommendations, and HVAC-related interventions have changed. The review categorizes studies across detection methods, simulation models, observational analyses, and policy recommendations, drawing attention to novel findings and evidence-supported practices. While the body of research reaffirms the critical role of ventilation, many recommendations remain unevaluated through empirical methods. This study identifies the gaps in evidence and highlights the most impactful advances that can inform future design, maintenance, and operational protocols in healthcare facilities to mitigate airborne infection risks.