Quantification of Birch and Grass Pollen Allergens in Indoor Air

Abstract Birch and grass pollen grains as well as pollen-derived small particles appear as potent allergens in the outdoor air during spring and summer. The occurrence of pollen allergens in indoor air, however, has not been studied in depth due to lack of suitable sampling and analytical methods. Herein, a recently reported “direct on sampling filter estimation” (DOSAFE) technique ( Acevedo et al., 1998 ) has been validated for quantification of pollen allergens in indoor air using two school rooms and two office rooms as experimental models. Using DOSAFE and polyclonal antibodies against water extracts of pollen from Betula pendula and Phleum pratense L, we found that indoor air of school and office rooms carried substantial amounts of pollen allergens, expressed as SQ units, predominantly occurring as particles with smaller diameters than the pollen grains. In one school room the indoor air birch pollen allergen concentrations increased from 242 to 403 SQ units/m³ over the sampling period although the corresponding outdoor air concentrations decreased from 350 to 90 SQ units/m³. Electrostatic air cleaning in one office room reduced its grass pollen allergen concentrations by more than 95% to 0.02–0.34 SQ units/m³ as compared to the control room.     

Ultrafine particle removal by residential heating,ventilating, and air‐conditioning filters

This work uses an in situ filter test method to measure the size‐resolved removal efficiency of indoor‐generated ultrafine particles (approximately 7–100 nm) for six new commercially available filters installed in a recirculating heating, ventilating, and air‐conditioning (HVAC) system in an unoccupied test house. The fibrous HVAC filters were previously rated by the manufacturers according to ASHRAE Standard 52.2 and ranged from shallow (2.5 cm) fiberglass panel filters (MERV 4) to deep‐bed (12.7 cm) electrostatically charged synthetic media filters (MERV 16). Measured removal efficiency ranged from 0 to 10% for most ultrafine particles (UFP) sizes with the lowest rated filters (MERV 4 and 6) to 60–80% for most UFP sizes with the highest rated filter (MERV 16). The deeper bed filters generally achieved higher removal efficiencies than the panel filters, while maintaining a low pressure drop and higher airflow rate in the operating HVAC system. Assuming constant efficiency, a modeling effort using these measured values for new filters and other inputs from real buildings shows that MERV 13–16 filters could reduce the indoor proportion of outdoor UFPs (in the absence of indoor sources) by as much as a factor of 2–3 in a typical single‐family residence relative to the lowest efficiency filters, depending in part on particle size.     

Indoor environmental quality in a 'low allergen' school and three standard primary schools in Western Australia

To investigate indoor environmental quality in classrooms, assessments were undertaken in a 'low allergen' school and three standard primary schools in Western Australia. Dust allergens, air pollutants and physical parameters were monitored in the four schools at four times (summer school term, autumn holiday, winter school term and winter holiday) in 2002. The levels of particulate matter (PM(10)) and volatile organic compounds were similar between the four primary schools. Although slightly decreased levels of dust-mite and cat allergens were observed in the 'low allergen' school, the reductions were not statistically significant and the allergen levels in all schools were much lower than the recommended sensitizing thresholds. However, significantly lower levels of relative humidity and formaldehyde level during summer-term were recorded in the 'low allergen' school. In conclusion, the evidence here suggests that the 'low allergen' school did not significantly improve the indoor environmental quality in classrooms. Practical Implications School is an important environment for children in terms of exposure to pollutants and allergens. By assessing the levels of key pollutants and allergens in a low allergen school and three standard primary schools in Western Australia, this study provides useful information for implementation of healthy building design that can improve the indoor environment in schools.     

House dust-mite allergen and cat allergen variability within carpeted living room floors in domestic dwellings

Exposure to allergens from house dust-mites (Der p 1) and domestic cats (Fel d 1) is associated with symptom severity in atopic subjects with asthma and rhinitis. Assessment of allergen exposure in the domestic environment is normally determined by measurement from a single floor site. We determined the variability of these allergens and protein throughout the whole living room floor area. Dust samples were collected from 1 m2 areas from 16 carpeted living room floors in Wellington, New Zealand, and analyzed for concentrations of Der p 1 and Fel d 1. Mean coefficients of variation for Der p 1 and Fel d 1 were 53.1% (range: 28.5-136.8) and 65.6% (range: 28.5-131), respectively. This study has demonstrated a large variation of house dust-mite and cat allergens within living room floors and thus a single sampling site may not be representative for assessment of an individual's exposure risk. House dust-mite and cat allergen levels from the center of the room, in front of a couch or chair, or from a corner of the room are similar to mean levels from the whole room, these sites may thus be representative of the whole living room floor in large-scale epidemiological studies.     

House dust-mite allergen and cat allergen variability within carpeted living room floors in domestic dwellings

Exposure to allergens from house dust-mites (Der p 1) and domestic cats (Fel d 1) is associated with symptom severity in atopic subjects with asthma and rhinitis. Assessment of allergen exposure in the domestic environment is normally determined by measurement from a single floor site. We determined the variability of these allergens and protein throughout the whole living room floor area. Dust samples were collected from 1 m2 areas from 16 carpeted living room floors in Wellington, New Zealand, and analyzed for concentrations of Der p 1 and Fel d 1. Mean coefficients of variation for Der p 1 and Fel d 1 were 53.1% (range: 28.5-136.8) and 65.6% (range: 28.5-131.0), respectively. This study has demonstrated a large variation of house dust-mite and cat allergens within living room floors and thus assessment of a single sampling site may not be representative of an individual's exposure risk. House dust-mite and cat allergen levels from the center of the room, in front of a couch or chair, or from a corner of the room are similar to mean levels from the whole room. These sites may thus be representative of the whole living room floor in large-scale epidemiological studies.     

The effectiveness of stand alone air cleaners for shelter-in-place

Stand-alone air cleaners may be efficient for rapid removal of indoor fine particles and have potential use for shelter-in-place (SIP) strategies following acts of bioterrorism. A screening model was employed to ascertain the potential significance of size-resolved particle (0.1-2 microm) removal using portable high efficiency particle arresting (HEPA) air cleaners in residential buildings following an outdoor release of particles. The number of stand-alone air cleaners, air exchange rate, volumetric flow rate through the heating, ventilating and air-conditioning (HVAC) system, and size-resolved particle removal efficiency in the HVAC filter were varied. The effectiveness of air cleaners for SIP was evaluated in terms of the outdoor and the indoor particle concentration with air cleaner(s) relative to the indoor concentration without air cleaners. Through transient and steady-state analysis of the model it was determined that one to three portable HEPA air cleaners can be effective for SIP following outdoor bioaerosol releases, with maximum reductions in particle concentrations as high as 90% relative to conditions in which an air cleaner is not employed. The relative effectiveness of HEPA air cleaners vs. other removal mechanisms was predicted to decrease with increasing particle size, because of increasing competition by particle deposition with indoor surfaces and removal to HVAC filters. However, the effect of particle size was relatively small for most scenarios considered here. PRACTICAL IMPLICATIONS: The results of a screening analysis suggest that stand-alone (portable) air cleaners that contain high efficiency particle arresting (HEPA) filters can be effective for reducing indoor fine particle concentrations in residential dwellings during outdoor releases of biological warfare agents. The relative effectiveness of stand-alone air cleaners for reducing occupants' exposure to particles of outdoor origin depends on several factors, including the type of heating, ventilating and air-conditioning (HVAC) filter, HVAC operation, building air exchange rate, particle size, and duration of elevated outdoor particle concentration. Maximum particle reductions, relative to no stand-alone air cleaners, of 90% are predicted when three stand-alone air cleaners are employed.     

House dust mites (Der p 1, Der f 1), cat (Fel d 1) and cockroach (Bla g 2) allergens in indoor work-places (offices and archives)

BACKGROUND: Exposure to indoor allergens has already been shown to occur in many public places, including workplaces, in several countries. Aim of this study was to measure the levels of house dust mites, cat and cockroach allergens in indoor workplaces (offices and archives) in Italy and to evaluate the possible relationships between allergen levels and building characteristics, type of ventilation, indoor relative humidity and temperature. METHODS: Der f 1 and Der p 1, Fel d 1, Bla g 2 were measured by ELISA in dust samples collected from floors or upholstered seats of 160 workplaces. RESULTS: Detectable Der p 1 levels were found in 86 (54%) workplaces Der f 1 in 87 (55%), Fel d 1 in 86 (54%) and Bla g 2 in 3 (1.9%). Der p 1 allergen concentrations expressed per weight were higher than the proposed sensitization thresholds in 7 samples, Der f 1 in 5, Fel d 1 in 6 and Bla g 2 in 3. The highest allergen levels were detected in samples from upholstered seats. A significant correlation was found between Der f 1 level on floors, expressed per surface, and indoor temperature (r = 0.39; P < 0.01). CONCLUSIONS: In our study we found that upholstered seats in workplaces in Italy may constitute a significant reservoir both of house dust mites and cat allergens. Exposure to these allergens in workplaces may represent a risk factor for elicitation of symptoms and/or induction/maintenance of inflammation in allergic individuals and might also constitute a risk factor for sensitization.     

Reducing particle exposures in a tropical office building using electrostatic precipitators

Epidemiological surveys have shown that indoor fine particle exposures are associated with various health outcomes. Concomitantly, empirical data on the impact of electrostatic precipitation filter use on indoor particles in an office building has not been published. This research reports an intervention study on the impact of various filters within the air-handling unit (AHU) of a tropical office building. The following filtration methods were tested: (1) media filters (MED); (2) electrostatic precipitation filters (EAC); and (3) electrostatic precipitation filters enhanced with a media pre-filter (EAC-PF). The efficiencies of EAC filters were significantly superior to media filters for the removal of fine particles. Enhancement of EAC with media pre-filters (PF) augments the fine particle removal resulting in overall efficiencies comparable to that of HEPA filters. However, there was no difference in the removal efficiencies of coarse particles between MED, EAC and EAC-PF filters. When indoor particle removal effectiveness was evaluated, EAC and EAC-PF filters were more effective than MED filters for submicron particles. Further, effectiveness of EAC-PF was significantly superior to EAC due to effects of PF filtration of large particles, backpressure and lesser re-entrainment of large particles into the supply air stream. Effectiveness of EAC and EAC-PF were lower in occupied compared to non-occupied periods due to the higher particle loadings on collection plates. Using mass balance models, the results showed that effectiveness of electrostatic precipitation filters will improve as recirculation rates increase. These findings suggest that employing electrostatic precipitator filters under high recirculation rates can be an energy efficient strategy to reduce harmful indoor fine particle exposures.     

Domestic exposure to fungal allergenic particles determined by halogen immunoassay using subject's serum versus particles carrying three non‐fungal allergens determined by allergen‐specific HIA

Studies that estimate indoor aeroallergen exposure typically measure a pre‐selected limited range of allergens. In this study, inhalable aeroallergen particles were quantified using the halogen immunoassay (HIA) to determine the contribution of fungal and non‐fungal aeroallergens to total allergen exposure. Bioaerosols from 39 homes of fungal‐allergic subjects were sampled using inhalable fraction samplers and immunostained by HIA using resident subject's immunoglobulin E (IgE) to detect allergen‐laden particles. Fungal aerosols as well as particles carrying mite, cat, and cockroach allergens were identified and enumerated by HIA. Reservoir dust‐mite (Der p 1), cat (Fel d 1), and cockroach (Bla g 1) allergen concentrations were quantified by ELISA. Fungal particles that bound subject's IgE in the HIA were 1.7 (bedroom)‐ and 1.4 (living room)‐fold more concentrated than Der p 1, Fel d 1, and Bla g 1 allergen particles combined. Predominant fungal conidia that bound IgE were derived from common environmental genera including Cladosporium and other fungi that produce amerospores. Airborne mite, cat, and cockroach allergen particle counts were not associated with reservoir concentrations determined by ELISA. This study demonstrates that inhalable fungal aerosols are the predominant aeroallergen sources in Sydney homes and should be considered in future exposure assessments.     

Quantitative filter forensics: Size distribution and particulate matter concentrations in residential buildings

We applied filter forensics, the analysis of dust from the heating, ventilation, and air-conditioning (HVAC) filters, to measure particle size distribution in 21 residences in Toronto, Canada over a year. Four filters with different nominal efficiencies (Minimum Efficiency Reporting Value (MERV) 8–14 from ASHRAE Standard 52.2) were deployed in each residence each for three months, while the effective filtration volumes (the product of flow rate, runtime, and in-situ filter efficiency) were characterized over each filter lifetime. Using extraction and laser diffraction, we found that approximately 90% of the volumetric distributions were >10 µm and the volume median diameter (VMD) ranged from 23.4 to 75.1 µm. Using quantitative filter forensics (QFF), total suspended particle (TSP) concentrations ranged from 2.9 to 823.7 µg/m³ (median = 89.8 µg/m³) with a moderate correlation with the content of TSP on the filters (in terms of g) and with the TSP effective filtration volume (m³) indicating the importance of both filter forensics and HVAC metadata parameters to QFF concentration estimates. There was no strong correlation between PM₁₀ or PM_2.5 concentrations and hourly airborne particle number concentrations measured by low-cost sensors suggesting an evaluation of QFF is warranted, particularly for the exploration of smaller particles.     

Achieving 'excellent' indoor air quality in commercial offices equipped with air-handling unit--respirable suspended particulate

A study was carried out to investigate the feasibility of achieving ultra low respirable suspended particulates (RSP) in commercial offices without major modification of existing ventilation systems by enhancing the particulates removal efficiency of existing central ventilation systems. Four types of filters which include pre-filters, cartridge filters, bag filters and high efficiency particulates air (HEPA) filters were tested in a commercial building in Causeway Bay. The results show that an RSP objective of <20 microg/m3 could be met by removing RSP from both the return air and outdoor air supply simultaneously. This level of performance is classed as 'excellent' by the Hong Kong Government, Environmental Protection Department. Filters with efficiency that exceed 80% placed both in the return air and outdoor air were sufficient to meet the objective. It is not necessary to install HEPA filters to achieve the 'excellent' class. The outdoor air filter has great influence on the steady state indoor RSP concentration while the effective cleaning rate is governed by the return air filter. Higher efficiency filters increased the static drop but the volume flow of the air fan was not affected significantly. The additional cost incurred was <5% of the existing operation cost. PRACTICAL IMPLICATIONS: This paper reports a field study of RSP control for an indoor office environment. The results are directly applicable to building service engineering in the design of ventilation systems using air-handling units. Field observations indicated that indoor RSP in an office environment could be suppressed below 20 microg/m3 within 1 h by the simultaneous filtration of outdoor air and return air. Outdoor air filtration has a great influence on the steady state indoor concentration and return air filtration governs the cleaning rate. It is believed that the results of this study could be extended to the cleaning of other indoor pollutants such as volatile organic compounds.     

A review on reducing indoor particulate matter concentrations from personal-level air filtration intervention under real-world exposure situations

Improving air quality in indoor environments where people live is of importance to protect human health. In this systematic review, we assessed the effectiveness of personal-level use of air filtration units in reducing indoor particulate matters (PM) concentrations under real-world situations following systematic review guidelines. A total of 54 articles were included in the review, in which 20 randomized controlled/crossover trials that reported the changes in indoor fine PM (PM_2.5) concentrations were quantitatively assessed in meta-analysis. Standardized mean differences (SMDs) were calculated for changes in indoor PM concentrations following air filtration interventions. Moderate-to-large reductions of 11%–82% in indoor PM_2.5 concentrations were observed with SMD of −1.19 (95% CI: −1.50, −0.88). The reductions in indoor PM concentrations varied by geographical locations, filtration technology employed, indoor environmental characteristics, and air pollution sources. Most studies were graded with low-to-moderate risk of bias; however, the overall certainty of evidence for indoor PM concentration reductions was graded at very low level. Considering the effectiveness of indoor air filtration under practical uses, socio-economic disparities across study populations, and costs of air filter replacement over time, our results highlight the importance of reducing air pollution exposure at the sources.     

Fine and ultrafine particle removal efficiency of new residential HVAC filters

Particle air filters used in central residential forced‐air systems are most commonly evaluated for their size‐resolved removal efficiency for particles 0.3‐10 µm using laboratory tests. Little information exists on the removal efficiency of commercially available residential filters for particles smaller than 0.3 µm or for integral measures of mass‐based aerosol concentrations (eg, PM_2.5) or total number concentrations (eg, ultrafine particles, or UFPs) that are commonly used in regulatory monitoring and building measurements. Here, we measure the size‐resolved removal efficiency of 50 new commercially available residential HVAC filters installed in a recirculating central air‐handling unit in an unoccupied apartment unit using alternating upstream/downstream measurements with incense and NaCl as particle sources. Size‐resolved removal efficiencies are then used to estimate integral measures of PM_2.5 and total UFP removal efficiency for the filters assuming they are challenged by 201 residential indoor particle size distributions (PSDs) gathered from the literature. Total UFP and PM_2.5 removal efficiencies generally increased with manufacturer‐reported filter ratings and with filter thickness, albeit with numerous exceptions. PM_2.5 removal efficiencies were more influenced by the assumption for indoor PSD than total UFP removal efficiencies. Filters with the same ratings but from different manufacturers often had different removal efficiencies for PM_2.5 and total UFPs.     

Control strategies for sub-micrometer particles indoors: model study of air filtration and ventilation

The effects of air filtration and ventilation on indoor particles were investigated using a single-zone mathematical model. Particle concentration indoors was predicted for several I/O conditions representing scenarios likely to occur in naturally and mechanically ventilated buildings. The effects were studied for static and dynamic conditions in a hypothetical office building. The input parameters were based on real-world data. For conditions with high particle concentrations outdoors, it is recommended to reduce the amount of outdoor air delivered indoors and the necessary reduction level can be quantified by the model simulation. Consideration should also be given to the thermal comfort and minimum outdoor air required for occupants. For conditions dominated by an indoor source, it is recommended to increase the amount of outdoor air delivered indoors and to reduce the amount of return air. Air filtration and ventilation reduce particle concentrations indoors, with the overall effect depending on efficiency, location and the number of filters applied. The assessment of indoor air quality for specific conditions could be easily calculated by the model using user-defined input parameters.     

Effectiveness and cost of reducing particle‐related mortality with particle filtration

This study evaluates the mortality‐related benefits and costs of improvements in particle filtration in U.S. homes and commercial buildings based on models with empirical inputs. The models account for time spent in various environments as well as activity levels and associated breathing rates. The scenarios evaluated include improvements in filter efficiencies in both forced‐air heating and cooling systems of homes and heating, ventilating, and air conditioning systems of workplaces as well as use of portable air cleaners in homes. The predicted reductions in mortality range from approximately 0.25 to 2.4 per 10 000 population. The largest reductions in mortality were from interventions with continuously operating portable air cleaners in homes because, given our scenarios, these portable air cleaners with HEPA filters most reduced particle exposures. For some interventions, predicted annual mortality‐related economic benefits exceed $1000 per person. Economic benefits always exceed costs with benefit‐to‐cost ratios ranging from approximately 3.9 to 133. Restricting interventions to homes of the elderly further increases the mortality reductions per unit population and the benefit‐to‐cost ratios.     

How do the indoor size distributions of airborne submicron and ultrafine particles in the absence of significant indoor sources depend on outdoor distributions?

Although almost all epidemiological studies of smaller airborne particles only consider outdoor concentrations, people in Central Europe actually spend most of their time indoors. Yet indoor pollutants such as organic gases, allergens and dust are known to play a prominent role, often affecting human health more than outdoor ones. The aim of this study was to ascertain how the indoor particle size distributions of submicron and ultrafine particles correlate with the outdoor concentrations in the absence of significant indoor sources. A typical indoor particle size distribution pattern has one or two modes. In the absence of significant indoor activities such as smoking, cooking etc., outdoor particles were found to be a very important source of indoor particles. The study shows that in the absence of significant indoor sources, the number of indoor concentrations of particles in this size range are clearly lower than the outdoor concentrations. This difference is greater, the higher the number of outdoor concentrations. However, the drop in concentration is not uniform, with the decrease in concentration of smaller particles exceeding that of larger ones. By contrast, the findings with larger particle sizes (diameter > 1 microm) exhibit rather linear concentration decreases. The non-uniform drop in the number of concentrations from outdoors to indoors in our measurements considering smaller particles ( >0.01 microm) is accompanied by a shift of the concentration maxima to larger particle diameters.     

On the filtration of fibrous aerosols

Basic processes occurring during the filtration of fibrous aerosols are discussed. Using aerosols containing very fine asbestos fibers, the filtration efficiencies of some analytical filters — Nuclepore, Millipore and fiber filters — were investigated. The collection efficiences were determined by electron microscopy and radiolabeled asbestos fibers and were found to depend upon the pore size of the filter and on the form of the fiber of the respective aerosols. The collection efficiencies were found to lie in the range 40–99.9%.A special problem discussed concerns the orientation of fibrous particles in the vicinity of the entrances to pores in the filter.     

Penetration of nitrogen oxides and particles from outdoor into indoor air and removal of the pollutants through filtration of incoming air

We studied the effect of ventilation and air filtration systems on indoor air quality in a children's day-care center in Finland. Ambient air nitrogen oxides (NO, NO2) and particles (TSP, PM10) were simultaneously measured outdoors and indoors with automatic nitrogen oxide analyzers and dust monitoring. Without filtration nitrogen oxides and particulate matter generated by nearby motor traffic penetrated readily indoors. With chemical filtration 50-70% of nitrogen oxides could be removed. Mechanical ventilation and filtration also reduced indoor particle levels. During holidays and weekends when there was no opening of doors and windows and no particle-generating activity indoors, the indoor particle level was reduced to less than 10% of the outdoor level. At times when outdoor particle concentrations were high during weekdays, the indoor level was about 25% of the outdoor level. Thus, the possible adverse health effects of nitrogen oxides and particles indoors could be countered by efficient filtration. We also showed that inclusion of heat recovery equipment can make new ventilation installations economical.     

Reduction potential of urban PM2.5 mortality risk using modern ventilation systems in buildings

Urban PM2.5 (particulate matter with aerodynamic diameter smaller than 2.5 microm) is associated with excess mortality and other health effects. Stationary sources are regulated and considerable effort is being put into developing low-pollution vehicles and environment-friendly transportation systems. While waiting for technological breakthroughs in emission controls, the current work assesses the exposure reductions achievable by a complementary means: efficient filtration of supply air in buildings. For this purpose infiltration factors for buildings of different ages are quantified using Exposures of Adult Urban Populations in Europe Study (EXPOLIS) measurements of indoor and outdoor concentrations in a population-based probability sample of residential and occupational buildings in Helsinki, Finland. These are entered as inputs into an evaluated simulation model to compare exposures in the current scenario with an alternative scenario, where the distribution of ambient PM2.5 infiltration factors in all residential and occupational buildings are assumed to be similar to the subset of existing occupational buildings using supply air filters. In the alternative scenario exposures to ambient PM2.5 were reduced by 27%. Compared with source controls, a significant additional benefit is that infiltration affects particles from all outdoor sources. The large fraction of time spent indoors makes the reduction larger than what probably can be achieved by local transport policies or other emission controls in the near future. PRACTICAL IMPLICATIONS: It has been suggested that indoor concentrations of ambient particles and the associated health risks can be reduced by using mechanical ventilation systems with supply air filtering in buildings. The current work quantifies the effects of these concentration reductions on population exposures using population-based data from Helsinki and an exposure model. The estimated exposure reductions suggest that correctly defined building codes may reduce annual premature mortality by hundreds in Finland and by tens of thousands in the developed world altogether.     

Effect of ventilation and filtration on submicrometer particles in an indoor environment

The effect of filtration and ventilation on reduction of submicrometer particle concentration indoors was investigated in an office building. The air-handling system consisting of dry media filters and an air-conditioning unit, reduced particle concentration levels by 34%. The characteristics of indoor airborne particles were dominated by, and followed the pattern of, outdoor air, with vehicle combustion aerosols as the main pollutant. The ratio indoor/outdoor particle concentration varied between 14 and 26% for different sub-zones. The presence of significant source of particles indoors was not observed. A simple mathematical model predicting evolution of particles indoors is presented. The model, based on a particle number balance equation, was validated with experimental data and showed very good agreement between predicted and measured parameters.