Dressing for Extreme Temperatures during Repairs

Part of a series on
Pollution
Air pollution from a factory
Air Acid rain Air quality index Atmospheric dispersion modeling Chlorofluorocarbon Combustion Exhaust gas Haze Global dimming Global distillation Indoor air quality Non-exhaust emissions Ozone depletion Particulates Persistent organic pollutant Smog Soot Volatile organic compound
Biological Biological hazard Genetic Illegal logging Introduced species Invasive species
Digital Information
Electromagnetic Light Ecological Overillumination Radio spectrum
Natural Ozone Radium and radon in the environment Volcanic ash Wildfire
Noise Transportation Health effects from noise Marine mammals and sonar Noise barrier Noise control Soundproofing
Radiation Actinides Bioremediation Depleted uranium Nuclear fission Nuclear fallout Plutonium Poisoning Radioactivity Uranium Radioactive waste
Soil Agricultural Land degradation Bioremediation Defecation Electrical resistance heating Illegal mining Soil guideline values Phytoremediation
Solid waste Advertising mail Biodegradable waste Brown waste Electronic waste Foam food container Food waste Green waste Hazardous waste Industrial waste Litter Mining Municipal solid waste Nanomaterials Plastic Packaging waste Post-consumer waste Waste management
Space Space debris
Thermal Urban heat island
Visual Air travel Advertising clutter Overhead power lines Traffic signs Urban blight Vandalism
War Chemical warfare Herbicidal warfare Agent Orange Nuclear holocaust Nuclear fallout Nuclear famine Nuclear winter Scorched earth Unexploded ordnance War and environmental law
Water Agricultural wastewater Biosolids Diseases Eutrophication Firewater Freshwater Groundwater Hypoxia Industrial wastewater Marine Monitoring Nonpoint source Nutrient Ocean acidification Oil spill Pharmaceuticals Freshwater salinization Septic tanks Sewage Shipping Sludge Stagnation Sulfur water Surface runoff Turbidity Urban runoff Water quality Wastewater
Topics History Pollutants Heavy metals Paint
Misc Area source Brain health and pollution Debris Dust Garbology Legacy Midden Point source Waste Toxic Lists Diseases Law by country Most polluted cities Least polluted cities by PM2.5 Treaties Most polluted rivers Categories By country
Environment portal Ecology portal

Indoor air quality (IAQ) is the air quality within buildings and structures. Poor indoor air quality due to indoor air pollution is known to affect the health, comfort, and well-being of building occupants. It has also been linked to sick building syndrome, respiratory issues, reduced productivity, and impaired learning in schools. Common pollutants of indoor air include: secondhand tobacco smoke, air pollutants from indoor combustion, radon, molds and other allergens, carbon monoxide, volatile organic compounds, legionella and other bacteria, asbestos fibers, carbon dioxide,^[1] ozone and particulates.

Source control, filtration, and the use of ventilation to dilute contaminants are the primary methods for improving indoor air quality. Although ventilation is an integral component of maintaining good indoor air quality, it may not be satisfactory alone.^[2] In scenarios where outdoor pollution would deteriorate indoor air quality, other treatment devices such as filtration may also be necessary.^[3]

IAQ is evaluated through collection of air samples, monitoring human exposure to pollutants, analysis of building surfaces, and computer modeling of air flow inside buildings. IAQ is part of indoor environmental quality (IEQ), along with other factors that exert an influence on physical and psychological aspects of life indoors (e.g., lighting, visual quality, acoustics, and thermal comfort).^[4]

Indoor air pollution is a major health hazard in developing countries and is commonly referred to as "household air pollution" in that context.^[5] It is mostly relating to cooking and heating methods by burning biomass fuel, in the form of wood, charcoal, dung, and crop residue, in indoor environments that lack proper ventilation. Millions of people, primarily women and children, face serious health risks. In total, about three billion people in developing countries are affected by this problem. The World Health Organization (WHO) estimates that cooking-related indoor air pollution causes 3.8 million annual deaths.^[6] The Global Burden of Disease study estimated the number of deaths in 2017 at 1.6 million.^[7]

For health reasons it is crucial to breathe clean air, free from chemicals and toxicants as much as possible. It is estimated that humans spend approximately 90% of their lifetime indoors^[8] and that indoor air pollution in some places can be much worse than that of the ambient air.^[9][10]

Various factors contribute to high concentrations of pollutants indoors, ranging from influx of pollutants from external sources, off-gassing by furniture, furnishings including carpets, indoor activities (cooking, cleaning, painting, smoking, etc. in homes to using office equipment in offices), thermal comfort parameters such as temperature, humidity, airflow and physio-chemical properties of the indoor air.^{[citation needed]} Air pollutants can enter a building in many ways, including through open doors or windows. Poorly maintained air conditioners/ventilation systems can harbor mold, bacteria, and other contaminants, which are then circulated throughout indoor spaces, contributing to respiratory problems and allergies.

There have been many debates among indoor air quality specialists about the proper definition of indoor air quality and specifically what constitutes "acceptable" indoor air quality.

IAQ is significant for human health as humans spend a large proportion of their time in indoor environments. Americans and Europeans on average spend approximately 90% of their time indoors.^[11][12]

The World Health Organization (WHO) estimates that 3.2 million people die prematurely every year from illnesses attributed to indoor air pollution caused by indoor cooking, with over 237 thousand of these being children under 5. These include around an eighth of all global ischaemic heart disease, stroke, and lung cancer deaths. Overall the WHO estimated that poor indoor air quality resulted in the loss of 86 million healthy life years in 2019.^[13]

Studies in the UK and Europe show exposure to indoor air pollutants, chemicals and biological contamination can irritate the upper airway system, trigger or exacerbate asthma and other respiratory or cardiovascular conditions, and may even have carcinogenic effects.^{[14][15][16][17][18][19]}

Poor indoor air quality can cause sick building syndrome. Symptoms include burning of the eyes, scratchy throat, blocked nose, and headaches.^[20]

Indoor combustion, such as for cooking or heating, is a major cause of indoor air pollution and causes significant health harms and premature deaths. Hydrocarbon fires cause air pollution. Pollution is caused by both biomass and fossil fuels of various types, but some forms of fuels are more harmful than others.

Indoor fire can produce black carbon particles, nitrogen oxides, sulfur oxides, and mercury compounds, among other emissions.^[21] Around 3 billion people cook over open fires or on rudimentary cook stoves. Cooking fuels are coal, wood, animal dung, and crop residues.^[22] IAQ is a particular concern in low and middle-income countries where such practices are common.^[23]

Cooking using natural gas (also called fossil gas, methane gas or simply gas) is associated with poorer indoor air quality. Combustion of gas produces nitrogen dioxide and carbon monixide, and can lead to increased concentrations of nitrogen dioxide throughout the home environment which is linked to respiratory issues and diseases.^[24][25]

One of the most acutely toxic indoor air contaminants is carbon monoxide (CO), a colourless and odourless gas that is a by-product of incomplete combustion. Carbon monoxide may be emitted from tobacco smoke and generated from malfunctioning fuel burning stoves (wood, kerosene, natural gas, propane) and fuel burning heating systems (wood, oil, natural gas) and from blocked flues connected to these appliances.^[26] In developed countries the main sources of indoor CO emission come from cooking and heating devices that burn fossil fuels and are faulty, incorrectly installed or poorly maintained.^[27] Appliance malfunction may be due to faulty installation or lack of maintenance and proper use.^[26] In low- and middle-income countries the most common sources of CO in homes are burning biomass fuels and cigarette smoke.^[27]

Health effects of CO poisoning may be acute or chronic and can occur unintentionally or intentionally (self-harm). By depriving the brain of oxygen, acute exposure to carbon monoxide may have effects on the neurological system (headache, nausea, dizziness, alteration in consciousness and subjective weakness), the cardiovascular and respiratory systems (myocardial infarction, shortness of breath, or rapid breathing, respiratory failure). Acute exposure can also lead to long-term neurological effects such as cognitive and behavioural changes. Severe CO poisoning may lead to unconsciousness, coma and death. Chronic exposure to low concentrations of carbon monoxide may lead to lethargy, headaches, nausea, flu-like symptoms and neuropsychological and cardiovascular issues.^[28][26]

The WHO recommended levels of indoor CO exposure in 24 hours is 4 mg/m³.^[29] Acute exposure should not exceed 10 mg/m³ in 8 hours, 35 mg/m³ in one hour and 100 mg/m³ in 15 minutes.^[27]

Secondhand smoke is tobacco smoke which affects people other than the 'active' smoker. It is made up of the exhaled smoke (15%) and mostly of smoke coming from the burning end of the cigarette, known as sidestream smoke (85%).^[30]

Secondhand smoke contains more than 7000 chemicals, of which hundreds are harmful to health.^[30] Secondhand tobacco smoke includes both a gaseous and a particulate materials which, with particular hazards arising from levels of carbon monoxide and very small particulates (fine particulate matter, especially PM2.5 and PM10) which get into the bronchioles and alveoles in the lung.^[31] Inhaling secondhand smoke on multiple occasions can cause asthma, pneumonia, lung cancer, and sudden infant death syndrome, among other conditions.^[32]

Thirdhand smoke (THS) refers to chemicals that settle on objects and bodies indoors after smoking. Exposure to thirdhand smoke can happen even after the actual cigarette smoke is not present anymore and affect those entering the indoor environment much later. Toxic substances of THS can react with other chemicals in the air and produce new toxic chemicals that are otherwise not present in cigarettes.^[33]

The only certain method to improve indoor air quality as regards secondhand smoke is to eliminate smoking indoors.^[34] Indoor e-cigarette use also increases home particulate matter concentrations.^[35]

Atmospheric particulate matter, also known as particulates, can be found indoors and can affect the health of occupants. Indoor particulate matter can come from different indoor sources or be created as secondary aerosols through indoor gas-to-particle reactions. They can also be outdoor particles that enter indoors. These indoor particles vary widely in size, ranging from nanomet (nanoparticles/ultrafine particles emitted from combustion sources) to micromet (resuspensed dust).^[36] Particulate matter can also be produced through cooking activities. Frying produces higher concentrations than boiling or grilling and cooking meat produces higher concentrations than cooking vegetables.^[37] Preparing a Thanksgiving dinner can produce very high concentrations of particulate matter, exceeding 300 μg/m³.^[38]

Particulates can penetrate deep into the lungs and brain from blood streams, causing health problems such as heart disease, lung disease, cancer and preterm birth.^[39]

Volatile organic compounds (VOCs) include a variety of chemicals, some of which may have short- and long-term adverse health effects. There are numerous sources of VOCs indoors, which means that their concentrations are consistently higher indoors (up to ten times higher) than outdoors.^[40] Some VOCs are emitted directly indoors, and some are formed through the subsequent chemical reactions that can occur in the gas-phase, or on surfaces.^[41][42] VOCs presenting health hazards include benzene, formaldehyde, tetrachloroethylene and trichloroethylene.^[43]

VOCs are emitted by thousands of indoor products. Examples include: paints, varnishes, waxes and lacquers, paint strippers, cleaning and personal care products, pesticides, building materials and furnishings, office equipment such as copiers and printers, correction fluids and carbonless copy paper, graphics and craft materials including glues and adhesives, permanent markers, and photographic solutions.^[44] Chlorinated drinking water releases chloroform when hot water is used in the home. Benzene is emitted from fuel stored in attached garages.

Human activities such as cooking and cleaning can also emit VOCs.^[45][46] Cooking can release long-chain aldehydes and alkanes when oil is heated and terpenes can be released when spices are prepared and/or cooked.^[45] Leaks of natural gas from cooking appliances have been linked to elevated levels of VOCs including benzene in homes in the USA.^[47] Cleaning products contain a range of VOCs, including monoterpenes, sesquiterpenes, alcohols and esters. Once released into the air, VOCs can undergo reactions with ozone and hydroxyl radicals to produce other VOCs, such as formaldehyde.^[46]

Health effects include eye, nose, and throat irritation; headaches, loss of coordination, nausea; and damage to the liver, kidney, and central nervous system.^[48]

Testing emissions from building materials used indoors has become increasingly common for floor coverings, paints, and many other important indoor building materials and finishes.^[49] Indoor materials such as gypsum boards or carpet act as VOC 'sinks', by trapping VOC vapors for extended periods of time, and releasing them by outgassing. The VOCs can also undergo transformation at the surface through interaction with ozone.^[42] In both cases, these delayed emissions can result in chronic and low-level exposures to VOCs.^[50]

Several initiatives aim to reduce indoor air contamination by limiting VOC emissions from products. There are regulations in France and in Germany, and numerous voluntary ecolabels and rating systems containing low VOC emissions criteria such as EMICODE,^[51] M1,^[52] Blue Angel^[53] and Indoor Air Comfort^[54] in Europe, as well as California Standard CDPH Section 01350^[55] and several others in the US. Due to these initiatives an increasing number of low-emitting products became available to purchase.

At least 18 microbial VOCs (MVOCs) have been characterised^[56][57] including 1-octen-3-ol (mushroom alcohol), 3-Methylfuran, 2-pentanol, 2-hexanone, 2-heptanone, 3-octanone, 3-octanol, 2-octen-1-ol, 1-octene, 2-pentanone, 2-nonanone, borneol, geosmin, 1-butanol, 3-methyl-1-butanol, 3-methyl-2-butanol, and thujopsene. The last four are products of Stachybotrys chartarum, which has been linked with sick building syndrome.^[56]

Many common building materials used before 1975 contain asbestos, such as some floor tiles, ceiling tiles, shingles, fireproofing, heating systems, pipe wrap, taping muds, mastics, and other insulation materials. Normally, significant releases of asbestos fiber do not occur unless the building materials are disturbed, such as by cutting, sanding, drilling, or building remodelling. Removal of asbestos-containing materials is not always optimal because the fibers can be spread into the air during the removal process. A management program for intact asbestos-containing materials is often recommended instead.

When asbestos-containing material is damaged or disintegrates, microscopic fibers are dispersed into the air. Inhalation of asbestos fibers over long exposure times is associated with increased incidence of lung cancer, mesothelioma, and asbestosis. The risk of lung cancer from inhaling asbestos fibers is significantly greater for smokers. The symptoms of disease do not usually appear until about 20 to 30 years after the first exposure to asbestos.

Although all asbestos is hazardous, products that are friable, e.g. sprayed coatings and insulation, pose a significantly higher hazard as they are more likely to release fibers to the air.^[58]

This section needs expansion with: E.g., [1]. You can help by adding to it. (October 2024)

Microplastic is a type of airborne particulates and is found to prevail in air.^{[59][60][61][62]} A 2017 study found indoor airborne microfiber concentrations between 1.0 and 60.0 microfibers per cubic meter (33% of which were found to be microplastics).^[63] Airborne microplastic dust can be produced during renovation, building, bridge and road reconstruction projects^[64] and the use of power tools.^[65]

Indoors ozone (O₃) is produced by certain high-voltage electric devices (such as air ionizers), and as a by-product of other types of pollution. It appears in lower concentrations indoors than outdoors, usually at 0.2-0.7 of the outdoor concentration.^[66] Typically, most ozone is lost to surface reactions indoors, rather than to reactions in air, due to the large surface to volume ratios found indoors.^[67]

Outdoor air used for ventilation may have sufficient ozone to react with common indoor pollutants as well as skin oils and other common indoor air chemicals or surfaces. Particular concern is warranted when using "green" cleaning products based on citrus or terpene extracts, because these chemicals react very quickly with ozone to form toxic and irritating chemicals^[46] as well as fine and ultrafine particles.^[68] Ventilation with outdoor air containing elevated ozone concentrations may complicate remediation attempts.^[69]

The WHO standard for ozone concentration is 60 μg/m³ for long-term exposure and 100 μg/m³ as the maximum average over an 8-hour period.^[29] The EPA standard for ozone concentration is 0.07 ppm average over an 8-hour period.^[70]

Occupants in buildings can be exposed to fungal spores, cell fragments, or mycotoxins which can arise from a host of means, but there are two common classes: (a) excess moisture induced growth of mold colonies and (b) natural substances released into the air such as animal dander and plant pollen.^[71]

While mold growth is associated with high moisture levels,^[72] it is likely to grow when a combination of favorable conditions arises. As well as high moisture levels, these conditions include suitable temperatures, pH and nutrient sources.^[73] Mold grows primarily on surfaces, and it reproduces by releasing spores, which can travel and settle in different locations. When these spores experience appropriate conditions, they can germinate and lead to mycelium growth.^[74] Different mold species favor different environmental conditions to germinate and grow, some being more hydrophilic (growing at higher levels of relative humidity) and other more xerophilic (growing at levels of relative humidity as low as 75–80%).^[74][75]

Mold growth can be inhibited by keeping surfaces at conditions that are further from condensation, with relative humidity levels below 75%. This usually translates to a relative humidity of indoor air below 60%, in agreement with the guidelines for thermal comfort that recommend a relative humidity between 40 and 60 %. Moisture buildup in buildings may arise from water penetrating areas of the building envelope or fabric, from plumbing leaks, rainwater or groundwater penetration, or from condensation due to improper ventilation, insufficient heating or poor thermal quality of the building envelope.^[76] Even something as simple as drying clothes indoors on radiators can increase the risk of mold growth, if the humidity produced is not able to escape the building via ventilation.^[77]

Mold predominantly affects the airways and lungs. Known effects of mold on health include asthma development and exacerbation,^[78] with children and elderly at greater risk of more severe health impacts.^[79] Infants in homes with mold have a much greater risk of developing asthma and allergic rhinitis.^[80][71] More than half of adult workers in moldy or humid buildings suffer from nasal or sinus symptoms due to mold exposure.^[71] Some varieties of mold contain toxic compounds (mycotoxins). However, exposure to hazardous levels of mycotoxin via inhalation is not possible in most cases, as toxins are produced by the fungal body and are not at significant levels in the released spores.

This section does not cite any sources. Please help improve this section by adding citations to reliable sources. Unsourced material may be challenged and removed. (September 2024) (Learn how and when to remove this message)

Legionnaires' disease is caused by a waterborne bacterium Legionella that grows best in slow-moving or still, warm water. The primary route of exposure is through the creation of an aerosol effect, most commonly from evaporative cooling towers or showerheads. A common source of Legionella in commercial buildings is from poorly placed or maintained evaporative cooling towers, which often release water in an aerosol which may enter nearby ventilation intakes. Outbreaks in medical facilities and nursing homes, where patients are immuno-suppressed and immuno-weak, are the most commonly reported cases of Legionellosis. More than one case has involved outdoor fountains at public attractions. The presence of Legionella in commercial building water supplies is highly under-reported, as healthy people require heavy exposure to acquire infection.

Legionella testing typically involves collecting water samples and surface swabs from evaporative cooling basins, shower heads, faucets/taps, and other locations where warm water collects. The samples are then cultured and colony forming units (cfu) of Legionella are quantified as cfu/liter.

Legionella is a parasite of protozoans such as amoeba, and thus requires conditions suitable for both organisms. The bacterium forms a biofilm which is resistant to chemical and antimicrobial treatments, including chlorine. Remediation for Legionella outbreaks in commercial buildings vary, but often include very hot water flushes (160 °F (71 °C)), sterilisation of standing water in evaporative cooling basins, replacement of shower heads, and, in some cases, flushes of heavy metal salts. Preventive measures include adjusting normal hot water levels to allow for 120 °F (49 °C) at the tap, evaluating facility design layout, removing faucet aerators, and periodic testing in suspect areas.

There are many bacteria of health significance found in indoor air and on indoor surfaces. The role of microbes in the indoor environment is increasingly studied using modern gene-based analysis of environmental samples. Currently, efforts are under way to link microbial ecologists and indoor air scientists to forge new methods for analysis and to better interpret the results.^[81]

A large fraction of the bacteria found in indoor air and dust are shed from humans. Among the most important bacteria known to occur in indoor air are Mycobacterium tuberculosis, Staphylococcus aureus, Streptococcus pneumoniae.^{[citation needed]}

Viruses can also be a concern for indoor air quality. During the 2002–2004 SARS outbreak, virus-laden aerosols were found to have seeped into bathrooms from the bathroom floor drains, exacerbated by the draw of bathroom exhaust fans, resulting in the rapid spread of SARS in Amoy Gardens in Hong Kong.^[82][83] Elsewhere in Hong Kong, SARS CoV RNA was found on the carpet and in the air intake vents of the Metropole Hotel, which showed that secondary environmental contamination could generate infectious aerosols and resulted in superspreading events.^[84]

Humans are the main indoor source of carbon dioxide (CO₂) in most buildings. Indoor CO₂ levels are an indicator of the adequacy of outdoor air ventilation relative to indoor occupant density and metabolic activity.

Indoor CO₂ levels above 500 ppm can lead to higher blood pressure and heart rate, and increased peripheral blood circulation.^[85] With CO₂ concentrations above 1000 ppm cognitive performance might be affected, especially when doing complex tasks, making decision making and problem solving slower but not less accurate.^[86][87] However, evidence on the health effects of CO₂ at lower concentrations is conflicting and it is difficult to link CO₂ to health impacts at exposures below 5000 ppm – reported health outcomes may be due to the presence of human bioeffluents, and other indoor air pollutants related to inadequate ventilation.^[88]

Indoor carbon dioxide concentrations can be used to evaluate the quality of a room or a building's ventilation.^[89] To eliminate most complaints caused by CO₂, the total indoor CO₂ level should be reduced to a difference of no greater than 700 ppm above outdoor levels.^[90] The National Institute for Occupational Safety and Health (NIOSH) considers that indoor air concentrations of carbon dioxide that exceed 1000 ppm are a marker suggesting inadequate ventilation.^[91] The UK standards for schools say that carbon dioxide levels of 800 ppm or lower indicate that the room is well-ventilated.^[92] Regulations and standards from around the world show that CO₂ levels below 1000 ppm represent good IAQ, between 1000 and 1500 ppm represent moderate IAQ and greater than 1500 ppm represent poor IAQ.^[88]

Carbon dioxide concentrations in closed or confined rooms can increase to 1,000 ppm within 45 minutes of enclosure. For example, in a 3.5-by-4-metre (11 ft × 13 ft) sized office, atmospheric carbon dioxide increased from 500 ppm to over 1,000 ppm within 45 minutes of ventilation cessation and closure of windows and doors.^[93]

Radon is an invisible, radioactive atomic gas that results from the radioactive decay of radium, which may be found in rock formations beneath buildings or in certain building materials themselves.

Radon is probably the most pervasive serious hazard for indoor air in the United States and Europe. It is a major cause of lung cancer, responsible for 3–14% of cases in countries, leading to tens of thousands of deaths.^[94]

Radon gas enters buildings as a soil gas. As it is a heavy gas it will tend to accumulate at the lowest level. Radon may also be introduced into a building through drinking water particularly from bathroom showers. Building materials can be a rare source of radon, but little testing is carried out for stone, rock or tile products brought into building sites; radon accumulation is greatest for well insulated homes.^[95] There are simple do-it-yourself kits for radon gas testing, but a licensed professional can also check homes.

The half-life for radon is 3.8 days, indicating that once the source is removed, the hazard will be greatly reduced within a few weeks. Radon mitigation methods include sealing concrete slab floors, basement foundations, water drainage systems, or by increasing ventilation.^[96] They are usually cost effective and can greatly reduce or even eliminate the contamination and the associated health risks.^{[citation needed]}

Radon is measured in picocuries per liter of air (pCi/L) or becquerel per cubic meter (Bq m^-3). Both are measurements of radioactivity. The World Health Organization (WHO) sets the ideal indoor radon levels at 100 Bq/m-³.^[97] In the United States, it is recommend to fix homes with radon levels at or above 4 pCi/L. At the same time it is also recommends that people think about fixing their homes for radon levels between 2 pCi/L and 4 pCi/L.^[98] In the United Kingdom the ideal is presence of radon indoors is 100 Bq/m-³. Action needs to be taken in homes with 200 Bq/m⁻³ or more.^[99]

Interactive maps of radon affected areas are available for various regions and countries of the world.^{[100][101][102]}

Indoor air quality is linked inextricably to outdoor air quality. The Intergovernmental Panel on Climate Change (IPCC) has varying scenarios that predict how the climate will change in the future.^[103] Climate change can affect indoor air quality by increasing the level of outdoor air pollutants such as ozone and particulate matter, for example through emissions from wildfires caused by extreme heat and drought.^[104][105] Numerous predictions for how indoor air pollutants will change have been made,^{[106][107][108][109]} and models have attempted to predict how the forecasted IPCC scenarios will vary indoor air quality and indoor comfort parameters such as humidity and temperature.^[110]

The net-zero challenge requires significant changes in the performance of both new and retrofitted buildings. However, increased energy efficient housing will trap pollutants inside, whether produced indoors or outdoors, and lead to an increase in human exposure.^[111][112]

For occupational exposure, there are standards, which cover a wide range of chemicals, and applied to healthy adults who are exposed over time at workplaces (usually industrial environments).These are published by organisations such as Occupational Safety and Health Administration (OSHA), the National Institute for Occupational Safety and Health (NIOSH), the UK Health and Safety Executive (HSE).

There is no consensus globally about indoor air quality standards, or health-based guidelines. However, there are regulations from some individual countries and from health organisations. For example, the World Health Organization (WHO) has published health-based global air quality guidelines for the general population that are applicable both to outdoor and indoor air,^[29] as well as the WHO IAQ guidelines for selected compounds,^[113] whereas the UK Health Security Agency published IAQ guidelines for selected VOCs.^[114] The Scientific and Technical Committee (STC34) of the International Society of Indoor Air Quality and Climate (ISIAQ) created an open database that collects indoor environmental quality guidelines worldwide.^[115] The database is focused on indoor air quality (IAQ), but is currently extended to include standards, regulations, and guidelines related to ventilation, comfort, acoustics, and lighting.^[116][117]

Since indoor air pollutants can adversely affect human health, it is important to have real-time indoor air quality assessment/monitoring system that can help not only in the improvement of indoor air quality but also help in detection of leaks, spills in a work environment and boost energy efficiency of buildings by providing real-time feedback to the heating, ventilation, and air conditioning (HVAC) system(s).^[118] Additionally, there have been enough studies that highlight the correlation between poor indoor air quality and loss of performance and productivity of workers in an office setting.^[119]  

Combining the Internet of Things (IoT) technology with real-time IAQ monitoring systems has  tremendously gained momentum and popularity as interventions can be done based on the real-time sensor data and thus help in the IAQ improvement.^[120]   

This section needs expansion. You can help by adding to it. (November 2023)

Indoor air quality can be addressed, achieved or maintained during the design of new buildings or as mitigating measures in existing buildings. A hierarchy of measures has been proposed by the Institute of Air Quality Management. It emphasises removing pollutant sources, reducing emissions from any remaining sources, disrupting pathways between sources and the people exposed, protecting people from exposure to pollutants, and removing people from areas with poor air quality.^[121]

A report assisted by the Institute for Occupational Safety and Health of the German Social Accident Insurance can support in the systematic investigation of individual health problems arising at indoor workplaces, and in the identification of practical solutions.^[122]

This section is empty. You can help by adding to it. (September 2024)

This section needs additional citations for verification. Please help improve this article by adding citations to reliable sources in this section. Unsourced material may be challenged and removed. (November 2019) (Learn how and when to remove this message)

Environmentally sustainable design concepts include aspects of commercial and residential heating, ventilation and air-conditioning (HVAC) technologies. Among several considerations, one of the topics attended to is the issue of indoor air quality throughout the design and construction stages of a building's life.^{[citation needed]}

One technique to reduce energy consumption while maintaining adequate air quality, is demand-controlled ventilation. Instead of setting throughput at a fixed air replacement rate, carbon dioxide sensors are used to control the rate dynamically, based on the emissions of actual building occupants.^{[citation needed]}

One way of quantitatively ensuring the health of indoor air is by the frequency of effective turnover of interior air by replacement with outside air. In the UK, for example, classrooms are required to have 2.5 outdoor air changes per hour. In halls, gym, dining, and physiotherapy spaces, the ventilation should be sufficient to limit carbon dioxide to 1,500 ppm. In the US, ventilation in classrooms is based on the amount of outdoor air per occupant plus the amount of outdoor air per unit of floor area, not air changes per hour. Since carbon dioxide indoors comes from occupants and outdoor air, the adequacy of ventilation per occupant is indicated by the concentration indoors minus the concentration outdoors. The value of 615 ppm above the outdoor concentration indicates approximately 15 cubic feet per minute of outdoor air per adult occupant doing sedentary office work where outdoor air contains over 400 ppm^[123] (global average as of 2023). In classrooms, the requirements in the ASHRAE standard 62.1, Ventilation for Acceptable Indoor Air Quality, would typically result in about 3 air changes per hour, depending on the occupant density. As the occupants are not the only source of pollutants, outdoor air ventilation may need to be higher when unusual or strong sources of pollution exist indoors.

When outdoor air is polluted, bringing in more outdoor air can actually worsen the overall quality of the indoor air and exacerbate some occupant symptoms related to outdoor air pollution. Generally, outdoor country air is better than indoor city air.^{[citation needed]}

The use of air filters can trap some of the air pollutants. Portable room air cleaners with HEPA filters can be used if ventilation is poor or outside air has high level of PM 2.5.^[122] Air filters are used to reduce the amount of dust that reaches the wet coils.^{[citation needed]} Dust can serve as food to grow molds on the wet coils and ducts and can reduce the efficiency of the coils.^{[citation needed]}

The use of trickle vents on windows is also valuable to maintain constant ventilation. They can help prevent mold and allergen build up in the home or workplace. They can also reduce the spread of some respiratory infections.^[124]

Moisture management and humidity control requires operating HVAC systems as designed. Moisture management and humidity control may conflict with efforts to conserve energy. For example, moisture management and humidity control requires systems to be set to supply make-up air at lower temperatures (design levels), instead of the higher temperatures sometimes used to conserve energy in cooling-dominated climate conditions. However, for most of the US and many parts of Europe and Japan, during the majority of hours of the year, outdoor air temperatures are cool enough that the air does not need further cooling to provide thermal comfort indoors.^{[citation needed]} However, high humidity outdoors creates the need for careful attention to humidity levels indoors. High humidity give rise to mold growth and moisture indoors is associated with a higher prevalence of occupant respiratory problems.^{[citation needed]}

The "dew point temperature" is an absolute measure of the moisture in air. Some facilities are being designed with dew points in the lower 50s °F, and some in the upper and lower 40s °F.^{[citation needed]} Some facilities are being designed using desiccant wheels with gas-fired heaters to dry out the wheel enough to get the required dew points.^{[citation needed]} On those systems, after the moisture is removed from the make-up air, a cooling coil is used to lower the temperature to the desired level.^{[citation needed]}

Commercial buildings, and sometimes residential, are often kept under slightly positive air pressure relative to the outdoors to reduce infiltration. Limiting infiltration helps with moisture management and humidity control.

Dilution of indoor pollutants with outdoor air is effective to the extent that outdoor air is free of harmful pollutants. Ozone in outdoor air occurs indoors at reduced concentrations because ozone is highly reactive with many chemicals found indoors. The products of the reactions between ozone and many common indoor pollutants include organic compounds that may be more odorous, irritating, or toxic than those from which they are formed. These products of ozone chemistry include formaldehyde, higher molecular weight aldehydes, acidic aerosols, and fine and ultrafine particles, among others. The higher the outdoor ventilation rate, the higher the indoor ozone concentration and the more likely the reactions will occur, but even at low levels, the reactions will take place. This suggests that ozone should be removed from ventilation air, especially in areas where outdoor ozone levels are frequently high.

Houseplants together with the medium in which they are grown can reduce components of indoor air pollution, particularly volatile organic compounds (VOC) such as benzene, toluene, and xylene. Plants remove CO₂ and release oxygen and water, although the quantitative impact for house plants is small. The interest in using potted plants for removing VOCs was sparked by a 1989 NASA study conducted in sealed chambers designed to replicate the environment on space stations. However, these results suffered from poor replication^[125] and are not applicable to typical buildings, where outdoor-to-indoor air exchange already removes VOCs at a rate that could only be matched by the placement of 10–1000 plants/m² of a building's floor space.^[126]

Plants also appear to reduce airborne microbes and molds, and to increase humidity.^[127] However, the increased humidity can itself lead to increased levels of mold and even VOCs.^[128]

Since extremely high humidity is associated with increased mold growth, allergic responses, and respiratory responses, the presence of additional moisture from houseplants may not be desirable in all indoor settings if watering is done inappropriately.^[129]

The topic of IAQ has become popular due to the greater awareness of health problems caused by mold and triggers to asthma and allergies.

In the US, the Environmental Protection Agency (EPA) has developed an "IAQ Tools for Schools" program to help improve the indoor environmental conditions in educational institutions. The National Institute for Occupational Safety and Health conducts Health Hazard Evaluations (HHEs) in workplaces at the request of employees, authorized representative of employees, or employers, to determine whether any substance normally found in the place of employment has potentially toxic effects, including indoor air quality.^[130]

A variety of scientists work in the field of indoor air quality, including chemists, physicists, mechanical engineers, biologists, bacteriologists, epidemiologists, and computer scientists. Some of these professionals are certified by organizations such as the American Industrial Hygiene Association, the American Indoor Air Quality Council and the Indoor Environmental Air Quality Council.

In the UK, under the Department for Environment Food and Rural Affairs, the Air Quality Expert Group considers current knowledge on indoor air quality and provides advice to government and devolved administration ministers.^[131]

At the international level, the International Society of Indoor Air Quality and Climate (ISIAQ), formed in 1991, organizes two major conferences, the Indoor Air and the Healthy Buildings series.^[132]

• Environmental management
• Healthy building
• Indoor bioaerosol
• Microbiomes of the built environment
• Olfactory fatigue

Monographs

Articles, radio segments, web pages

• Lin, Y.; Zou, J.; Yang, W.; Li, C. Q. (2018). "A Review of Recent Advances in Research on PM2.5 in China". International Journal of Environmental Research and Public Health. 15 (3): 438. doi:10.3390/ijerph15030438. PMC 5876983. PMID 29498704.
• Abdel Hameed, A. A.; Yasser, I. H.; Khoder, I. M. (2004). "Indoor air quality during renovation actions: a case study". Journal of Environmental Monitoring. 6 (9): 740–744. doi:10.1039/b402995j. PMID 15346177.

• US Environmental Protection Agency info on IAQ
• Best Practices for Indoor Air Quality when Remodeling Your Home, US EPA
• Addressing Indoor Environmental Concerns During Remodeling, US EPA
• Renovation and Repair, Part of Indoor Air Quality Design Tools for Schools, US EPA
• The 9 Foundations of a Healthy Building, Harvard T.H. Chan School of Public Health

 

Indoor temperature under 18 °C (64 °F) has been shown to be associated with increased respiratory and cardiovascular diseases, increased blood levels, and increased hospitalization.^[33]

While sick building syndrome (SBS) encompasses a multitude of non-specific symptoms, building-related illness (BRI) comprises specific, diagnosable symptoms caused by certain agents (chemicals, bacteria, fungi, etc.). These can typically be identified, measured, and quantified.^[34] There are usually four causal agents in BRi: immunologic, infectious, toxic, and irritant.^[34] For instance, Legionnaire's disease, usually caused by Legionella pneumophila, involves a specific organism which could be ascertained through clinical findings as the source of contamination within a building.^[34]

• Reduction of time spent in the building
• If living in the building, moving to a new place
• Fixing any deteriorated paint or concrete deterioration
• Regular inspections to indicate for presence of mold or other toxins
• Adequate maintenance of all building mechanical systems
• Toxin-absorbing plants, such as sansevieria^{[35][36][37][38][39][40][41][excessive citations]}
• Roof shingle non-pressure cleaning for removal of algae, mold, and Gloeocapsa magma
• Using ozone to eliminate the many sources, such as VOCs, molds, mildews, bacteria, viruses, and even odors. However, numerous studies identify high-ozone shock treatment as ineffective despite commercial popularity and popular belief.
• Replacement of water-stained ceiling tiles and carpeting
• Only using paints, adhesives, solvents, and pesticides in well-ventilated areas or only using these pollutant sources during periods of non-occupancy
• Increasing the number of air exchanges; the American Society of Heating, Refrigeration and Air-Conditioning Engineers recommend a minimum of 8.4 air exchanges per 24-hour period
• Increased ventilation rates that are above the minimum guidelines^[22]
• Proper and frequent maintenance of HVAC systems
• UV-C light in the HVAC plenum
• Installation of HVAC air cleaning systems or devices to remove VOCs and bioeffluents (people odors)
• Central vacuums that completely remove all particles from the house including the ultrafine particles (UFPs) which are less than 0.1 μm
• Regular vacuuming with a HEPA filter vacuum cleaner to collect and retain 99.97% of particles down to and including 0.3 micrometers
• Placing bedding in sunshine, which is related to a study done in a high-humidity area where damp bedding was common and associated with SBS^[17]
• Lighting in the workplace should be designed to give individuals control, and be natural when possible^[42]
• Relocating office printers outside the air conditioning boundary, perhaps to another building
• Replacing current office printers with lower emission rate printers^[43]
• Identification and removal of products containing harmful ingredients

SBS, as a non-specific blanket term, does not have any specific cause or cure. Any known cure would be associated with the specific eventual disease that was cause by exposure to known contaminants. In all cases, alleviation consists of removing the affected person from the building associated. BRI, on the other hand, utilizes treatment appropriate for the contaminant identified within the building (e.g., antibiotics for Legionnaire's disease).^{[citation needed]}

Improving the indoor air quality (IAQ) of a particular building can attenuate, or even eliminate, the continued exposure to toxins. However, a Cochrane review of 12 mold and dampness remediation studies in private homes, workplaces and schools by two independent authors were deemed to be very low to moderate quality of evidence in reducing adult asthma symptoms and results were inconsistent among children.^[44] For the individual, the recovery may be a process involved with targeting the acute symptoms of a specific illness, as in the case of mold toxins.^[45] Treating various building-related illnesses is vital to the overall understanding of SBS. Careful analysis by certified building professionals and physicians can help to identify the exact cause of the BRI, and help to illustrate a causal path to infection. With this knowledge one can, theoretically, remediate a building of contaminants and rebuild the structure with new materials. Office BRI may more likely than not be explained by three events: "Wide range in the threshold of response in any population (susceptibility), a spectrum of response to any given agent, or variability in exposure within large office buildings."^[46]

Isolating any one of the three aspects of office BRI can be a great challenge, which is why those who find themselves with BRI should take three steps, history, examinations, and interventions. History describes the action of continually monitoring and recording the health of workers experiencing BRI, as well as obtaining records of previous building alterations or related activity. Examinations go hand in hand with monitoring employee health. This step is done by physically examining the entire workspace and evaluating possible threats to health status among employees. Interventions follow accordingly based on the results of the Examination and History report.^[46]

Some studies have found that women have higher reports of SBS symptoms than men.^[17][10] It is not entirely clear, however, if this is due to biological, social, or occupational factors.

A 2001 study published in the Journal Indoor Air, gathered 1464 office-working participants to increase the scientific understanding of gender differences under the Sick Building Syndrome phenomenon.^[47] Using questionnaires, ergonomic investigations, building evaluations, as well as physical, biological, and chemical variables, the investigators obtained results that compare with past studies of SBS and gender. The study team found that across most test variables, prevalence rates were different in most areas, but there was also a deep stratification of working conditions between genders as well. For example, men's workplaces tend to be significantly larger and have all-around better job characteristics. Secondly, there was a noticeable difference in reporting rates, specifically that women have higher rates of reporting roughly 20% higher than men. This information was similar to that found in previous studies, thus indicating a potential difference in willingness to report.^[47]

There might be a gender difference in reporting rates of sick building syndrome, because women tend to report more symptoms than men do. Along with this, some studies have found that women have a more responsive immune system and are more prone to mucosal dryness and facial erythema. Also, women are alleged by some to be more exposed to indoor environmental factors because they have a greater tendency to have clerical jobs, wherein they are exposed to unique office equipment and materials (example: blueprint machines, toner-based printers), whereas men often have jobs based outside of offices.^[48]

This section possibly contains original research. Please improve it by verifying the claims made and adding inline citations. Statements consisting only of original research should be removed. (August 2017) (Learn how and when to remove this message)

In the late 1970s, it was noted that nonspecific symptoms were reported by tenants in newly constructed homes, offices, and nurseries. In media it was called "office illness". The term "sick building syndrome" was coined by the WHO in 1986, when they also estimated that 10–30% of newly built office buildings in the West had indoor air problems. Early Danish and British studies reported symptoms.

Poor indoor environments attracted attention. The Swedish allergy study (SOU 1989:76) designated "sick building" as a cause of the allergy epidemic as was feared. In the 1990s, therefore, extensive research into "sick building" was carried out. Various physical and chemical factors in the buildings were examined on a broad front.

The problem was highlighted increasingly in media and was described as a "ticking time bomb". Many studies were performed in individual buildings.

In the 1990s "sick buildings" were contrasted against "healthy buildings". The chemical contents of building materials were highlighted. Many building material manufacturers were actively working to gain control of the chemical content and to replace criticized additives. The ventilation industry advocated above all more well-functioning ventilation. Others perceived ecological construction, natural materials, and simple techniques as a solution.

At the end of the 1990s came an increased distrust of the concept of "sick building". A dissertation at the Karolinska Institute in Stockholm 1999 questioned the methodology of previous research, and a Danish study from 2005 showed these flaws experimentally. It was suggested that sick building syndrome was not really a coherent syndrome and was not a disease to be individually diagnosed, but a collection of as many as a dozen semi-related diseases. In 2006 the Swedish National Board of Health and Welfare recommended in the medical journal Läkartidningen that "sick building syndrome" should not be used as a clinical diagnosis. Thereafter, it has become increasingly less common to use terms such as sick buildings and sick building syndrome in research. However, the concept remains alive in popular culture and is used to designate the set of symptoms related to poor home or work environment engineering. Sick building is therefore an expression used especially in the context of workplace health.

Sick building syndrome made a rapid journey from media to courtroom where professional engineers and architects became named defendants and were represented by their respective professional practice insurers. Proceedings invariably relied on expert witnesses, medical and technical experts along with building managers, contractors and manufacturers of finishes and furnishings, testifying as to cause and effect. Most of these actions resulted in sealed settlement agreements, none of these being dramatic. The insurers needed a defense based upon Standards of Professional Practice to meet a court decision that declared that in a modern, essentially sealed building, the HVAC systems must produce breathing air for suitable human consumption. ASHRAE (American Society of Heating, Refrigeration and Air Conditioning Engineers, currently with over 50,000 international members) undertook the task of codifying its indoor air quality (IAQ) standard.

ASHRAE empirical research determined that "acceptability" was a function of outdoor (fresh air) ventilation rate and used carbon dioxide as an accurate measurement of occupant presence and activity. Building odors and contaminants would be suitably controlled by this dilution methodology. ASHRAE codified a level of 1,000 ppm of carbon dioxide and specified the use of widely available sense-and-control equipment to assure compliance. The 1989 issue of ASHRAE 62.1-1989 published the whys and wherefores and overrode the 1981 requirements that were aimed at a ventilation level of 5,000 ppm of carbon dioxide (the OSHA workplace limit), federally set to minimize HVAC system energy consumption. This apparently ended the SBS epidemic.

Over time, building materials changed with respect to emissions potential. Smoking vanished and dramatic improvements in ambient air quality, coupled with code compliant ventilation and maintenance, per ASHRAE standards have all contributed to the acceptability of the indoor air environment.^[49][50]

• Aerotoxic syndrome
• Air purifier
• Asthmagen
• Cleanroom
• Electromagnetic hypersensitivity
• Havana syndrome
• Healthy building
• Indoor air quality
• Lead paint
• Multiple chemical sensitivity
• NASA Clean Air Study
• Nosocomial infection
• Particulates
• Power tools
• Renovation
• Somatization disorder
• Fan death

• Martín-Gil J., Yanguas M. C., San José J. F., Rey-Martínez and Martín-Gil F. J. "Outcomes of research into a sick hospital". Hospital Management International, 1997, pp. 80–82. Sterling Publications Limited.
• Åke Thörn, The Emergence and preservation of sick building syndrome, KI 1999.
• Charlotte Brauer, The sick building syndrome revisited, Copenhagen 2005.
• Michelle Murphy, Sick Building Syndrome and the Problem of Uncertainty, 2006.
• Johan Carlson, "Gemensam förklaringsmodell för sjukdomar kopplade till inomhusmiljön finns inte" [Unified explanation for diseases related to indoor environment not found]. Läkartidningen 2006/12.
• Bulletin of the Transilvania University of BraÅŸov, Series I: Engineering Sciences • Vol. 5 (54) No. 1 2012 "Impact of Indoor Environment Quality on Sick Building Syndrome in Indian Leed Certified Buildings". by Jagannathan Mohan

• Best Practices for Indoor Air Quality when Remodeling Your Home, US EPA
• Renovation and Repair, Part of Indoor Air Quality Design Tools for Schools, US EPA
• Addressing Indoor Environmental Concerns During Remodeling, US EPA
• Dust FAQs, UK HSE Archived 2023-03-20 at the Wayback Machine
• CCOHS: Welding - Fumes And Gases | Health Effect of Welding Fumes