Sick Building Syndrome and Psychosocial Factors - a Literature Review

Abstract Sick building syndrome (SBS) with an unknown etiology has led researchers to focus on the role of psychosocial factors in the work environment as well as on individual characteristics in SBS. Recent research has suggested that psychosocial factors are quite strongly associated with SBS. The associations have been confirmed in buildings that were beforehand considered to be problem cases, and also in buildings whose condition was not known in advance. However, SBS symptoms could not be attributed to psychosocial factors alone. Most of the previous studies have supported the conclusion that SBS most likely is of multifactorial origin related to chemical, physical, biological and psychosocial factors that interact or coincide with one another. Unfortunately, for the time being, it is not possible to characterize adequately the relationship between the various risk factors and the possible mechanisms of SBS. There is an urgent need for more empirical research, especially follow-up studies and interventions, for development of the methodology and for new theory-building in order to better understand the relations between environmental factors, personal factors and the symptoms of SBS. In this literature review, SBS is viewed from an occupational stress perspective.     

Persistent allergic rhinitis and indoor air quality perception--an experimental approach

In order to compare patterns of indoor air perception, including perceptions of temperature, air movement, indoor air quality (IAQ), mental concentration, and comfort, 33 subjects either with persistent allergic rhinitis or controls were exposed to different temperatures and constant relative humidity in an experimental office environment. Results were obtained by means of a self-administered visual analogue scale, analyzed using mean score comparisons and principal component analysis. At 14 degrees C, the rhinitis group reported higher scores for sensations of air dryness than controls. At 18 degrees C, in the rhinitis group, there was a correlation between dry, stagnant air, and difficult mental concentration. This group also correlated heat, dry air, and poor IAQ, in contrast to the control group, which correlated comfort, easy mental concentration, and freshness. At 22 degrees C, the rhinitis group correlated heat, dryness, stagnant air, and overall discomfort. This group also correlated non-dry air, freshness, and comfort, whereas the control group correlated heat, humidity, good indoor air, freshness, and comfort. This study suggests that the rhinitis group perceives indoor temperatures of 14 degrees C as dryer than controls do, and that at 18 and 22 degrees C this group positively correlates different adverse perceptions of IAQ. By means of a self-administered questionnaire in an experimental condition, the present study compares subjective patterns of indoor air perception from individuals with respiratory allergy (allergic rhinitis) to control individuals. It reports different patterns of perception of indoor air quality (IAQ) between the two groups, suggesting that allergic individuals could have different IAQ perception.     

室内有机化学污染防治研究现状及存在问题

指出了室内有机化学污染防治的重要性,分析了近年来国内外关于室内有机化学污染防治的研究现状,根据其中存在的问题,针对污染防治的三种方式(源头治理、改善空间传输和空气净化)提出了一些近期值得讨论和研究的问题,旨在引起相关领域研究者的共同关注,加大这些方面的研究力度,以提供解决我国室内化学污染问题的有力技术支持。     

空调房间3种侧送风方式下室内气流组织的数值模拟与分析

采用雷诺时均的Navier-Stokes方程与标准κ-ε双方程模型,对常用的3种侧送风方式下的办公建筑进行数值模拟,对室内空气的速度场、温度场以及空气龄进行分析,认为送回风同侧的通风方式优于送回风对侧的通风方式,可获得较高的室内空气品质。     

Air quality in rooms conditioned by chilled ceiling and mixed displacement ventilation for energy saving

A transient-contaminant-transport model is developed for assessing IAQ in the breathing zone when introducing return air into rooms conditioned by CC/DV system to save energy. The steady state transport model of [1] is extended to transient conditions while accounting for significant wall plumes associated with external loads.Experiments are performed to validate the extended model predictions of IAQ expressed in the level of CO₂ concentration. Experiments are conducted in a chamber with two external walls in Kuwait Climate. Measurements are recorded in time of the air temperature and CO₂ concentration at selected locations in the room and compared with values predicted by the model. Experimental results agreed well with model predictions. The maximum errors in predicted CO₂ concentrations are less than ±25 ppm in presence of external load. 60% fresh air fraction resulted in 37% less energy consumption compared with 100% fresh air CC/DV system.The validated model is applied to a case study in Kuwait to evaluate energy saving over the cooling season for a typical office space while using mixed DV air. Energy savings of up to 20.6% can be realized using mixed supply air while maintaining IAQ compared with energy used for the 100% fresh air.     

Volatile organic compound emissions from latex paint--Part 1. Chamber experiments and source model development

Latex paints are widely used in residential and commercial indoor environments. The surface areas covered by the paints in these environments are relatively large. Thus, latex paints have the potential for having a major impact on indoor air quality (IAQ). A study was undertaken to develop methods for evaluating the impact of latex paint emission on IAQ. Small chamber experiments using stainless steel and painted and unpainted gypsum board substrates were conducted to determine the emission characteristics of latex paint. The emissions from the stainless steel were relatively short lived (3 to 4 days), whereas the emissions from gypsum board lasted for over 200 days. Because gypsum board is a common substrate for latex paint, all emission models were developed for the gypsum board substrates. The data from the small chamber tests led to the development of two empirical and two mass-transfer-based source emission models. Approximately 100 to 200 days of data were required to estimate the parameters required for the empirical models. Only 8 days of data were required to estimate the parameters for the mass-transfer-based models. The final models use paint formulation and mass transfer correlations to predict the emissions of the major individual volatile organic compounds emitted by latex paint.     

Health in occupants of energy efficient new homes

A prospective telephone-administered questionnaire study in new home occupants compared general and respiratory health at occupancy and 1 year later in two groups. The test group or cases, was 52 R-2000(TM) homes (128 occupants) built to preset and certified criteria for energy efficient ventilation and construction practices. The control group were 53 new homes (149 occupants) built in the same year in the same geographic area and price range. Analyzed by household, case occupants' summative symptom scores improved significantly over the year of occupancy (Wilcoxon rank sum test, P < 0.006). Analysis of variance of individuals' total symptom scores showed a significant effect of the type of house (P < 0.0001), with lower change of scores in case buildings, but not of age or sex. In comparison with control homes, occupants of case homes reported more improvement in throat irritation (P < 0.004), cough (P < 0.002), fatigue (P < 0.009) and irritability (P < 0.002) with the main change in symptom category being from 'sometimes' to 'never'. Further extension of this pilot study is required to determine if these perceived health benefits are reproducible and/or relate to objective indoor air quality measures. PRACTICAL IMPLICATIONS: New occupants of energy efficient homes with heat recovery ventilators report improvement over 1 year in the symptoms of throat irritation, cough, fatigue, and irritability in comparison with control new home occupants. If this pilot study is reproducible and shown to relate to indoor air quality, prospective new home buyers may be interested in obtaining this health information prior to decision making.     

Volatile organic compound emissions from latex paint--Part 2. Test house studies and indoor air quality (IAQ) modeling

Emission models developed using small chamber data were combined with an Indoor Air Quality (IAQ) model to analyze the impact of volatile organic compound (VOC) emissions from latex paint on indoor environments. Test house experiments were conducted to verify the IAQ model's predictions. The agreement between model predictions and experimental measurements met the American Society for Testing and Materials criteria for model verification in the room with the source and met most of the requirements in other rooms. The major cause of disagreement between the model predictions and the experimental data in the test house appears to be an inadequate sink model.     

A review of ventilation and the quality of ventilation air

Ventilation is pivotal in terms of securing optimum indoor air quality. In addition, it also has a major impact on energy use in buildings. It is important, therefore, that the role and impact of ventilation is fully understood and that ventilation is employed efficiently. The purpose of this paper is to review these aspects with particular reference to recent research and developments. Key aspects are concerned with identifying the role of ventilation and reviewing this role in the context of the other measures that must be taken to secure a healthy indoor environment. References are particularly made to the development of standards and recent related research. Although good progress is being made, areas that still need to be addressed include maintaining good outdoor air quality and preventing contaminated outdoor air from entering buildings. The outcome of recent research must also be disseminated in practical ways to policy makers, building occupiers and practitioners. Good indoor climate can be achieved, not so much by introducing expensive concepts, but by developing a rationale approach to identifying needs and applying the necessary tools to deal with each need.     

Modern indoor climate research in Denmark from 1962 to the early 1990s: an eyewitness report

Modern, holistic indoor climate research started with the formation of an interdisciplinary 'Indoor Climate Research Group' in 1962 at the Institute of Hygiene, University of Aarhus, Denmark. After some years, other groups started similar research in Denmark and Sweden, and later - after the First International Indoor Air Symposium in Copenhagen 1978--this research spread to many countries and today it is carried out globally by probably 2000 scientists. This paper recounts the history of Danish indoor climate research, focusing on the three decades from the early 1960s to the founding of the Indoor Air journal in 1991. The aim of this paper is to summarize what was learned in those earlier years and to call to the attention of researchers in this area the need of multidisciplinary research, mingling epidemiological fact-finding field studies with climate chamber studies and laboratory investigations. PRACTICAL IMPLICATIONS: The review may be of interest to indoor climate researchers who want to know more about the early development of research on this multidisciplinary subject, as it emerged in a small country that undertook pioneering studies.     

Experimental investigation of reduced-mixing personal ventilation jets

This paper presents an investigation of the design and performance characteristics of personalized ventilation (PV) systems that, in combination with general ventilation, deliver high quality air to the breathing zone (BZ) with no more clean air supply than indicated by ANSI/ASHRAE 62.1-2004, while satisfying acceptable ergonomic and aesthetic considerations. Under these conditions, the energy used for conditioning the clean air will not exceed that of a conventional ventilation system. We introduce a novel PV nozzle that achieves high BZ air quality with a small fraction of the clean air indicated by the ANSI/ASHRAE Standard. Tracer gas experimental results presented in this paper demonstrate the advantages of the novel nozzle relative to conventional PV nozzles. The results show that, at a PV clean air supply of only 2.4 l/s, the new nozzle achieves a BZ ventilation effectiveness close to 7 versus less than 2 for a conventional nozzle delivering the same amount of clean air. A companion paper presents a computational analysis of the same concept, validated against the experimental results of the present paper.     

A field comparison of four samplers for enumerating fungal aerosols I. Sampling characteristics

This study compared the performance of four bioaerosol samplers, the Reuter Centrifugal Air Sampler, the Andersen N6 single stage, the Surface Air System 90, and the Air-o-Cell, in measurements for airborne fungal propagules collected in 75 public building sites without prior knowledge of water damage or mold problems in British Columbia, Canada. The samplers had differences in detection limits, reproducibility, and overall yield. However, high and significant correlations between samplers (indoor samples: Pearson r = 0.60-0.85, P < 0.001) suggest that relative performances between samplers were reasonably consistent. These results indicate that fungal airborne concentration data are dependent on the methods used for assessment, and introduce additional variability in exposure assessment studies. PRACTICAL IMPLICATIONS: In the absence of a standard protocol for sampling bioaerosols, the interpretation of aerosol data reported in indoor air quality studies is entirely dependent on an appreciation of the sampling characteristics of commonly used instrumentation. Although a number of comparative studies have been undertaken in the laboratory, only a few studies have made reported comparison data under field conditions. This study compared three culturable sampling devices, the Andersen N6, SAS 90, and RCS, and one particulate sampling device, the Air-o-Cell, in offices and public areas in a variety of buildings, under conditions of forced air or natural ventilation. The concentrations of fungal aerosols collected during simultaneous sample collection were highly correlated, yet varied by orders of magnitude. The performance of these devices must be carefully considered before a standard protocol can be promulgated.     

Indoor environmental quality in Hellenic hospital operating rooms

Indoor environmental quality (IEQ) in hospital operating rooms (ORs) constitutes a major challenge for the proper design and operation of an energy efficient hospital. A subjective assessment of the indoor environment along with a short monitoring campaign was performed during the audits of 18 ORs at nine major Hellenic hospitals. A total of 557 medical personnel participated in an occupational survey, providing data for a subjective assessment of IEQ in the audited ORs. The OR personnel reported work related health symptoms and an assessment of indoor conditions (thermal, visual and acoustical comfort, and air quality). Overall, personnel reported an average of 2.24 work-related symptoms each, and 67.2% of respondents reported at least one. Women suffer more health symptoms than men. Special dispositions, such as smoking and allergies, increase the number of reported symptoms for male and female personnel. Personnel that perceive satisfactory indoor comfort conditions (temperature, humidity, ventilation, light, and noise) average 1.18 symptoms per person, while for satisfactory indoor air quality the average complaints are 0.99. The perception of satisfactory IEQ (satisfactory comfort conditions and air quality) reduces the average number of health complaints to 0.64 symptoms per person and improves working conditions, even in a demanding OR environment.     

Do indoor pollutants and thermal conditions in schools influence student performance? A critical review of the literature

To assess whether school environments can adversely affect academic performance, we review scientific evidence relating indoor pollutants and thermal conditions, in schools or other indoor environments, to human performance or attendance. We critically review evidence for direct associations between these aspects of indoor environmental quality (IEQ) and performance or attendance. Secondarily, we summarize, without critique, evidence on indirect connections potentially linking IEQ to performance or attendance. Regarding direct associations, little strongly designed research was available. Persuasive evidence links higher indoor concentrations of NO(2) to reduced school attendance, and suggestive evidence links low ventilation rates to reduced performance. Regarding indirect associations, many studies link indoor dampness and microbiologic pollutants (primarily in homes) to asthma exacerbations and respiratory infections, which in turn have been related to reduced performance and attendance. Also, much evidence links poor IEQ (e.g. low ventilation rate, excess moisture, or formaldehyde) with adverse health effects in children and adults and documents dampness problems and inadequate ventilation as common in schools. Overall, evidence suggests that poor IEQ in schools is common and adversely influences the performance and attendance of students, primarily through health effects from indoor pollutants. Evidence is available to justify (i) immediate actions to assess and improve IEQ in schools and (ii) focused research to guide IEQ improvements in schools. PRACTICAL IMPLICATIONS: There is more justification now for improving IEQ in schools to reduce health risks to students than to reduce performance or attendance risks. However, as IEQ-performance links are likely to operate largely through effects of IEQ on health, IEQ improvements that benefit the health of students are likely to have performance and attendance benefits as well. Immediate actions are warranted in schools to prevent dampness problems, inadequate ventilation, and excess indoor exposures to substances such as NO(2) and formaldehyde. Also, siting of new schools in areas with lower outdoor pollutant levels is preferable.     

Application of artificial neural networks to predict prevalence of building-related symptoms in office buildings

Artificial neural networks (ANN) were constructed to predict prevalence of building-related symptoms (BRS) of office building occupants. Six indoor air pollutants and four indoor comfort variables were used as input variables to the networks. A symptom metric was used as the measure of BRS prevalence, and employed as the output variable. Pollutant concentration, comfort variable, and occupant symptom data were obtained from the Building Assessment and Survey Evaluation study conducted by the US Environmental Protection Agency, in which all were measured concurrently. Feed-forward networks that employ back-propagation algorithm with momentum term and variable learning rate were used in ANN modeling. Root mean square error and R²$R^2$ value of the simple linear regression between observed and predicted output were used as performance measures. Among the constructed networks, the best prediction performance was observed in a one-hidden-layered network with an R²$R^2$ value of 0.56 for the test set. All constructed networks except one showed a better performance than the multiple linear regression analysis.     

Impact of Temperature and Humidity on Perception of Indoor Air Quality During Immediate and Longer Whole-Body Exposures

Abstract Acceptability of clean air and air polluted by building materials was studied in climate chambers with different levels of air temperature and humidity in the ranges 18–28°C and 30-70% relative humidity (RH). The acceptability of the air quality immediately after entering a chamber and during the following 20-min whole-body exposure was assessed by 36 untrained subjects who maintained thermal neutrality by modifying their clothing. The results confirm the significant decrement of the acceptability with increasing temperature and humidity, as shown in a previous study with facial exposures. The odour intensity was found to be independent of temperature and humidity. A linear relation between acceptability and enthalpy of air was again observed by this experiment. No significant difference was observed between the immediate acceptability and the acceptability during the following 20-min exposure, i.e., no adaptation took place. Both the immediate assessment of acceptability and the assessments during the 20-min exposure were independent of the air temperature and humidity to which the subjects were exposed before entering the chamber. The results further indicate that a notable decrement of the ventilation requirement may be achieved by maintaining a moderate enthalpy of air in spaces.     

Location identification for indoor instantaneous point contaminant source by probability-based inverse Computational Fluid Dynamics modeling

Indoor pollutions jeopardize human health and welfare and may even cause serious morbidity and mortality under extreme conditions. To effectively control and improve indoor environment quality requires immediate interpretation of pollutant sensor readings and accurate identification of indoor pollution history and source characteristics (e.g. source location and release time). This procedure is complicated by non-uniform and dynamic contaminant indoor dispersion behaviors as well as diverse sensor network distributions. This paper introduces a probability concept based inverse modeling method that is able to identify the source location for an instantaneous point source placed in an enclosed environment with known source release time. The study presents the mathematical models that address three different sensing scenarios: sensors without concentration readings, sensors with spatial concentration readings, and sensors with temporal concentration readings. The paper demonstrates the inverse modeling method and algorithm with two case studies: air pollution in an office space and in an aircraft cabin. The predictions were successfully verified against the forward simulation settings, indicating good capability of the method in finding indoor pollutant sources. The research lays a solid ground for further study of the method for more complicated indoor contamination problems. PRACTICAL IMPLICATIONS: The method developed can help track indoor contaminant source location with limited sensor outputs. This will ensure an effective and prompt execution of building control strategies and thus achieve a healthy and safe indoor environment. The method can also assist the design of optimal sensor networks.     

Air quality in hospital operating rooms

Indoor air quality in hospital operating rooms (ORs) is of great concern for patients and medical personnel, thus mandating the use of efficient HVAC systems and active gas scavenging systems in ORs. A wide range of relevant medical and engineering literature is summarized in this paper, highlighting relevant challenges, problems and solutions, along with recommended good practices. Indoor conditions in Hellenic ORs were monitored and data were used to assess the exposure of medical personnel to anaesthetic gases and other indoor chemical compounds. Accordingly, even when mechanical ventilation and scavenging systems were employed in some of the audited ORs, medical personnel are still exposed to poor indoor air quality. The average concentration of anaesthetic gases (isoflurane, sevoflurane) was 2362 μg/m³, exceeding the exposure limit in 18% of the audited ORs. The average concentration of disinfecting agents was 288 μg/m³ for formaldehyde and 207 μg/m³ for glutaraldehyde. Additional compounds were identified in the OR indoor air that represent 54% of the total volatile organic concentration.     

Control tuning of a simplified VAV system: Methodology and impact on energy consumption and IAQ

Nowadays, with the improvement of living standards, air-conditioning systems have been widely used causing more health problems linked to air-conditioning systems and indoor air quality. When an air handling unit is designed for a conference room, its variable use demands an outdoor air rate control in particular to optimize energy consumption of the new air heating/cooling. Based on an experimental site, the present work shows how to combine air quality and the improvement of energy consumption thanks to a way to define a control strategy. The control problem considered here is the management of air quality associated to a control of the outdoor air rates. A review of classical tuning methods is led in order to select suitable ones. Thus, a linearization of the phenomena must be done to border the system expression in tuning methods. Several classical methods are studied and the family model is chosen: monovariable and multivariable applications are brought to fruition. Simulations and applications permit to enhance energy consumption through the choice of a strict way to tune such control equipments.