Household and behavioral determinants of indoor PM2.5 in a rural solid fuel burning Native American community

Indoor and outdoor concentrations of PM_2.5 were measured for 24 h during heating and non-heating seasons in a rural solid fuel burning Native American community. Household building characteristics were collected during the initial home sampling visit using technician walkthrough questionnaires, and behavioral factors were collected through questionnaires by interviewers. To identify seasonal behavioral factors and household characteristics associated with indoor PM_2.5, data were analyzed separately by heating and non-heating seasons using multivariable regression. Concentrations of PM_2.5 were significantly higher during the heating season (indoor: 36.2 μg/m³; outdoor: 22.1 μg/m³) compared with the non-heating season (indoor: 14.6 μg/m³; outdoor: 9.3 μg/m³). Heating season indoor PM_2.5 was strongly associated with heating fuel type, housing type, indoor pests, use of a climate control unit, number of interior doors, and indoor relative humidity. During the non-heating season, different behavioral and household characteristics were associated with indoor PM_2.5 concentrations (indoor smoking and/or burning incense, opening doors and windows, area of surrounding environment, building size and height, and outdoor PM_2.5). Homes heated with coal and/or wood, or a combination of coal and/or wood with electricity and/or natural gas had elevated indoor PM_2.5 concentrations that exceeded both the EPA ambient standard (35 μg/m³) and the WHO guideline (25 μg/m³).     

Modeling residential indoor concentrations of PM2.5, NO2, NOx,and secondhand smoke in the Subpopulations and Intermediate Outcome Measures in COPD (SPIROMICS) Air study

Increased outdoor concentrations of fine particulate matter (PM_2.5) and oxides of nitrogen (NO₂, NO_x) are associated with respiratory and cardiovascular morbidity in adults and children. However, people spend most of their time indoors and this is particularly true for individuals with chronic obstructive pulmonary disease (COPD). Both outdoor and indoor air pollution may accelerate lung function loss in individuals with COPD, but it is not feasible to measure indoor pollutant concentrations in all participants in large cohort studies. We aimed to understand indoor exposures in a cohort of adults (SPIROMICS Air, the SubPopulations and Intermediate Outcome Measures in COPD Study of Air pollution). We developed models for the entire cohort based on monitoring in a subset of homes, to predict mean 2-week–measured concentrations of PM_2.5, NO₂, NO_x, and nicotine, using home and behavioral questionnaire responses available in the full cohort. Models incorporating socioeconomic, meteorological, behavioral, and residential information together explained about 60% of the variation in indoor concentration of each pollutant. Cross-validated R² for best indoor prediction models ranged from 0.43 (NO_x) to 0.51 (NO₂). Models based on questionnaire responses and estimated outdoor concentrations successfully explained most variation in indoor PM_2.5, NO₂, NO_x, and nicotine concentrations.     

Airborne endotoxin concentrations in indoor and outdoor particulate matter and their predictors in an urban city

Endotoxins are an important biological component of particulate matter and have been associated with adverse effects on human health. There have been some recent studies on airborne endotoxin concentrations. We collected fine (PM_2.5) and coarse (PM_10‐2.5) particulate matter twice on weekdays and weekends each for 48 hour, inside and outside 55 homes in an urban city in Japan. Endotoxin concentrations in both fractions were measured using the kinetic Limulus Amebocyte Lysate assay. The relationships between endotoxin concentrations and household characteristics were evaluated for each fraction. Both indoor and outdoor endotoxin concentrations were higher in PM_2.5 than in PM_10‐2.5. In both PM_2.5 and PM_10‐2.5, indoor endotoxin concentrations were higher than outdoor concentrations, and the indoor endotoxin concentrations significantly correlated with outdoor concentrations in each fraction (R²=0.458 and 0.198, respectively). Indoor endotoxin concentrations in PM_2.5 were significantly higher in homes with tatami or carpet flooring and in homes with pets, and lower in homes that used air purifiers. Indoor endotoxin concentrations in PM_10‐2.5 were significantly higher in homes with two or more children and homes with tatami or carpet flooring. These results showed that the indoor endotoxin concentrations were associated with the household characteristics in addition to outdoor endotoxin concentrations.     

A randomized double‐blind crossover study of indoor air filtration and acute changes in cardiorespiratory health in a First Nations community

Few studies have examined indoor air quality in First Nations communities and its impact on cardiorespiratory health. To address this need, we conducted a crossover study on a First Nations reserve in Manitoba, Canada, including 37 residents in 20 homes. Each home received an electrostatic air filter and a placebo filter for 1 week in random order, and lung function, blood pressure, and endothelial function measures were collected at the beginning and end of each week. Indoor air pollutants were monitored throughout the study period. Indoor PM_2.5 decreased substantially during air filter weeks relative to placebo (mean difference: 37 μg/m³, 95% CI: 10, 64) but remained approximately five times greater than outdoor concentrations owing to a high prevalence of indoor smoking. On average, air filter use was associated with a 217‐ml (95% CI: 23, 410) increase in forced expiratory volume in 1 s, a 7.9‐mm Hg (95% CI: ?17, 0.82) decrease in systolic blood pressure, and a 4.5‐mm Hg (95% CI: ?11, 2.4) decrease in diastolic blood pressure. Consistent inverse associations were also observed between indoor PM_2.5 and lung function. In general, our findings suggest that reducing indoor PM_2.5 may contribute to improved lung function in First Nations communities.     

Association of size‐fractionated indoor particulate matter and black carbon with heart rate variability in healthy elderly women in Beijing

Associations between size‐fractionated indoor particulate matter (PM) and black carbon (BC) and heart rate variability (HRV) and heart rate (HR) in elderly women remain unclear. Twenty‐nine healthy elderly women were measured for 24‐hour HRV/HR indices. Real‐time size‐fractionated indoor PM and BC were monitored on the same day and on the preceding day. Mixed‐effects models were applied to investigate the associations between pollutants and HRV/HR indices. Increases in size‐fractionated indoor PM were significantly associated with declines in power in the high‐frequency band (HF), power in the low‐frequency band (LF), and standard deviation of all NN intervals (SDNN). The largest decline in HF was 19% at 5‐minute moving average for an interquartile range (IQR) increase (24 μg/m³) in PM_0.5. The results showed that smaller particles could lead to greater reductions in HRV indices. The reported associations were modified by body mass index (BMI): Declines in HF at 5‐minute average for an IQR increase in PM_0.5 were 34.5% and 1.0% for overweight (BMI ≥25 kg/m²) and normal‐weight (BMI <25 kg/m²) participants, respectively. Moreover, negative associations between BC and HRV indices were found to be significant in overweight participants. Increases in size‐fractionated indoor PM and BC were associated with compromised cardiac autonomic function in healthy elderly women, especially overweight ones.     

Effects of air purification of indoor PM2.5 on the cardiorespiratory biomarkers in young healthy adults

Ambient fine particulate matter (PM_2.5), as one of the predominant air pollutants, has achieved effective control in recent years in China. Whether the use of indoor air purifiers is still necessary needs further exploration. A randomized crossover trial was conducted in 54 healthy students in Beijing, China. Participants were randomized assigned to the use of real or sham high-efficiency particulate air filter (HEPA) for a week and changed the status after a washout period. Health measurements of cardiorespiratory biomarkers were performed at the end of each period. Linear mixed-effects models were used to evaluate the association between PM_2.5 exposure and cardiorespiratory biomarkers. Compared with sham air purification, average diastolic blood pressure (DBP), fractional exhaled nitric oxide (FeNO), and 8-isoprostane (8-isoPGF2α) levels decreased significantly in the real purification. The effects of indoor air purification on lung function indicators including forced expiratory volume in one second (FEV₁), peak expiratory flow (PEF), and forced expiratory flow between the 25th and 75th percentile of forced vital capacity (FEF_25%–75%) were also significant. Our findings showed a protective effect of indoor HEPA air purifiers on cardiorespiratory health of young healthy adults reflected by the decreased blood pressure, respiratory inflammation, and systematic oxidative stress and improved lung function.     

Concurrent assessment of personal,indoor, and outdoor PM2.5 and PM1 levels and source contributions using novel low-cost sensing devices

The intensity, frequency, duration, and contribution of distinct PM_2.5 sources in Asian households have seldom been assessed; these are evaluated in this work with concurrent personal, indoor, and outdoor PM_2.5 and PM₁ monitoring using novel low-cost sensing (LCS) devices, AS-LUNG. GRIMM-comparable observations were acquired by the corrected AS-LUNG readings, with R² up to 0.998. Twenty-six non-smoking healthy adults were recruited in Taiwan in 2018 for 7-day personal, home indoor, and home outdoor PM monitoring. The results showed 5-min PM_2.5 and PM₁ exposures of 11.2 ± 10.9 and 10.5 ± 9.8 µg/m³, respectively. Cooking occurred most frequently; cooking with and without solid fuel contributed to high PM_2.5 increments of 76.5 and 183.8 µg/m³ (1 min), respectively. Incense burning had the highest mean PM_2.5 indoor/outdoor (1.44 ± 1.44) ratios at home and on average the highest 5-min PM_2.5 increments (15.0 µg/m³) to indoor levels, among all single sources. Certain events accounted for 14.0%-39.6% of subjects’ daily exposures. With the high resolution of AS-LUNG data and detailed time-activity diaries, the impacts of sources and ventilations were assessed in detail.     

Estimating long-term time-resolved indoor PM2.5 of outdoor and indoor origin using easily obtainable inputs

To evaluate the separate impacts on human health and establish effective control strategies, it is crucial to estimate the contribution of outdoor infiltration and indoor emission to indoor PM_2.5 in buildings. This study used an algorithm to automatically estimate the long-term time-resolved indoor PM_2.5 of outdoor and indoor origin in real apartments with natural ventilation. The inputs for the algorithm were only the time-resolved indoor/outdoor PM_2.5 concentrations and occupants’ window actions, which were easily obtained from the low-cost sensors. This study first applied the algorithm in an apartment in Tianjin, China. The indoor/outdoor contribution to the gross indoor exposure and time-resolved infiltration factor were automatically estimated using the algorithm. The influence of outdoor PM_2.5 data source and algorithm parameters on the estimated results was analyzed. The algorithm was then applied in four other apartments located in Chongqing, Shenyang, Xi'an, and Urumqi to further demonstrate its feasibility. The results provided indirect evidence, such as the plausible explanations for seasonal and spatial variation, to partially support the success of the algorithm used in real apartments. Through the analysis, this study also identified several further development directions to facilitate the practical applications of the algorithm, such as robust long-term outdoor PM_2.5 monitoring using low-cost light-scattering sensors.     

Indoor inhalation intake fractions of fine particulate matter: review of influencing factors

Exposure to fine particulate matter (PM_2.5) is a major contributor to the global human disease burden. The indoor environment is of particular importance when considering the health effects associated with PM_2.5 exposures because people spend the majority of their time indoors and PM_2.5 exposures per unit mass emitted indoors are two to three orders of magnitude larger than exposures to outdoor emissions. Variability in indoor PM_2.5 intake fraction (iF_in,total), which is defined as the integrated cumulative intake of PM_2.5 per unit of emission, is driven by a combination of building‐specific, human‐specific, and pollutant‐specific factors. Due to a limited availability of data characterizing these factors, however, indoor emissions and intake of PM_2.5 are not commonly considered when evaluating the environmental performance of product life cycles. With the aim of addressing this barrier, a literature review was conducted and data characterizing factors influencing iF_in,total were compiled. In addition to providing data for the calculation of iF_in,total in various indoor environments and for a range of geographic regions, this paper discusses remaining limitations to the incorporation of PM_2.5‐derived health impacts into life cycle assessments and makes recommendations regarding future research.     

Organic compound characterization and source apportionment of indoor and outdoor quasi-ultrafine particulate matter in retirement homes of the Los Angeles Basin

Abstract Quasi‐ultrafine (quasi‐UF) particulate matter (PM_0.25) and its components were measured in indoor and outdoor environments at four retirement communities in Los Angeles Basin, California, as part of the Cardiovascular Health and Air Pollution Study (CHAPS). The present paper focuses on the characterization of the sources, organic constituents and indoor and outdoor relationships of quasi‐UF PM. The average indoor/outdoor ratios of most of the measured polycyclic aromatic hydrocarbons (PAHs), hopanes, and steranes were close to or slightly lower than 1, and the corresponding indoor–outdoor correlation coefficients (R) were always positive and, for the most part, moderately strong (median R was 0.60 for PAHs and 0.74 for hopanes and steranes). This may reflect the possible impact of outdoor sources on indoor PAHs, hopanes, and steranes. Conversely, indoor n‐alkanes and n‐alkanoic acids were likely to be influenced by indoor sources. A chemical mass balance model was applied to both indoor and outdoor speciated chemical measurements of quasi‐UF PM. Among all apportioned sources of both indoor and outdoor particles, vehicular emissions was the one contributing the most to the PM_0.25 mass concentration measured at all sites (24–47% on average).

Practical Implications

Although people (particularly the elderly retirees of our study) generally spend most of their time indoors, a major portion of the PM_0.25 particles they are exposed to comes from outdoor mobile sources. This is important because, an earlier investigation, also conducted within the Cardiovascular Health and Air Pollution Study (CHAPS), showed that indoor‐infiltrated particles from mobile sources are more strongly correlated with adverse health effects observed in the elderly subjects living in the studied retirement communities compared with other particles found indoors ( Delfino et al., 2008 ).     

Infiltration of fine particles in urban daycares

Singapore is a tropical country with a high density of day-care facilities whose indoor environments may be adversely affected by outdoor fine particle (PM_2.5) air pollution. To reduce this problem requires effective, evidence-based exposure-reduction strategies. Little information is available on the penetration of outdoor PM_2.5 into day-care environments. Our study attempted to address the following objectives: to measure indoor infiltration factor (F_inf) of PM_2.5 from outdoor PM_2.5 and to determine the building parameters that modify the indoor PM_2.5. We collected indoor/outdoor 1-min PM_2.5 from 50 day-care classrooms. We noted mean F_inf ± SD of 0.65 ± 0.22 in day-care rooms which are naturally ventilated and lower F_inf ± SD values of 0.47 ± 0.18 for those that are air-conditioned: values which are lower than those reported in Singapore residences. The air exchange rates were higher in naturally ventilated rooms (1.47 vs 0.86 h⁻¹). However, fine particle deposition rates were lower for naturally ventilated rooms (0.67 ± 0.43 h⁻¹) compared with air-conditioned ones (1.03 ± 0.55 h⁻¹) presumably due to composite rates linked to the filters within the split unit air-conditioners, higher recirculation rates, and interior surfaces in the latter. Our findings indicate that children remaining indoor in daycares where air-conditioning is used can reduce their PM_2.5 exposures during outdoor pollution episodes.     

Wood stove use and other determinants of personal and indoor exposures to particulate air pollution and ozone among elderly persons in a Northern Suburb

A six‐month winter‐spring study was conducted in a suburb of the northern European city of Kuopio, Finland, to identify and quantify factors determining daily personal exposure and home indoor levels of fine particulate matter (PM_2.5, diameter <2.5 µm) and its light absorption coefficient (PM_2.5abs), a proxy for combustion‐derived black carbon. Moreover, determinants of home indoor ozone (O₃) concentration were examined. Local central site outdoor, home indoor, and personal daily levels of pollutants were monitored in this suburb among 37 elderly residents. Outdoor concentrations of the pollutants were significant determinants of their levels in home indoor air and personal exposures. Natural ventilation in the detached and row houses increased personal exposure to PM_2.5, but not to PM_2.5abs, when compared with mechanical ventilation. Only cooking out of the recorded household activities increased indoor PM_2.5. The use of a wood stove room heater or wood‐fired sauna stove was associated with elevated concentrations of personal PM_2.5 and PM_2.5abs, and indoor PM_2.5abs. Candle burning increased daily indoor and personal PM_2.5abs, and it was also a determinant of indoor ozone level. In conclusion, relatively short‐lasting wood and candle burning of a few hours increased residents’ daily exposure to potentially hazardous, combustion‐derived carbonaceous particulate matter.     

Quantifying fine particle emission events from time‐resolved measurements: Method description and application to 18 California low‐income apartments

PM_2.5 exposure is associated with significant health risk. Exposures in homes derive from both outdoor and indoor sources, with emissions occurring primarily in discrete events. Data on emission event magnitudes and schedules are needed to support simulation‐based studies of exposures and mitigations. This study applied an identification and characterization algorithm to quantify time‐resolved PM_2.5 emission events from data collected during 224 days of monitoring in 18 California apartments with low‐income residents. We identified and characterized 836 distinct events with median and mean values of 12 and 30 mg emitted mass, 16 and 23 minutes emission duration, 37 and 103 mg/h emission rates, and pseudo‐first–order decay rates of 1.3 and 2.0/h. Mean event‐averaged concentrations calculated using the determined event characteristics agreed to within 6% of measured values for 14 of the apartments. There were variations in event schedules and emitted mass across homes, with few events overnight and most emissions occurring during late afternoons and evenings. Event characteristics were similar during weekdays and weekends. Emitted mass was positively correlated with number of residents (Spearman coefficient, ρ=.10), bedrooms (ρ=.08), house volume (ρ=.29), and indoor‐outdoor CO₂ difference (ρ=.27). The event schedules can be used in probabilistic modeling of PM_2.5 in low‐income apartments.     

HVAC air-quality model and its use to test a PM2.5 control strategy

This paper presents a MATLAB^® Simulink air-quality model of a commercial building with a heating, ventilation, and air conditioning (HVAC) system in Fairbanks, Alaska. Outdoor and indoor real-time fine particulate matter (PM_2.5) levels were measured at this building during a summer wild-fire smoke episode and then during a winter period. The correlation coefficient between the model-predicted and the measured indoor concentrations was 0.99 for the summer and 0.98 for the winter, justifying the usability of the model for further studies. An HVAC control algorithm was developed that reduces the indoor PM_2.5 levels. The algorithm was tested using the HVAC Simulink model and the outdoor PM_2.5 data from the summer smoke episode. The average indoor PM_2.5 level with this control algorithm was 65% lower than with the regular control. Thanks to the PM_2.5 control strategy being automatically engaged only during episodes, it was shown to have the potential of significantly reducing the indoor PM_2.5 levels without significantly compromising the purpose of the original control strategy.     

Factors influencing relationships between personal and ambient concentrations of gaseous and particulate pollutants

Previous exposure studies have shown considerable inter-subject variability in personal-ambient associations. This paper investigates exposure factors that may be responsible for inter-subject variability in these personal-ambient associations. The personal and ambient data used in this paper were collected as part of a personal exposure study conducted in Boston, MA, during 1999-2000. This study was one of a group of personal exposure panel studies funded by the U.S. Environmental Protection Agency's National Exposure Research Laboratory to address areas of exposure assessment warranting further study, particularly associations between personal exposures and ambient concentrations of particulate matter and gaseous co-pollutants. Twenty-four-hour integrated personal, home indoor, home outdoor and ambient sulfate, elemental carbon (EC), PM_2.5, ozone (O₃), nitrogen dioxide (NO₂) and sulfur dioxide were measured simultaneously each day. Fifteen homes in the Boston area were measured for 7 days during winter and summer. A previous paper explored the associations between personal-indoor, personal-outdoor, personal-ambient, indoor-outdoor, indoor-ambient and outdoor-ambient PM_2.5, sulfate and EC concentrations. For the current paper, factors that may affect personal exposures were investigated, while controlling for ambient concentrations. The data were analyzed using mixed effects regression models. Overall personal-ambient associations were strong for sulfate during winter (p < 0.0001) and summer (p < 0.0001) and PM_2.5 during summer (p < 0.0001). The personal-ambient mixed model slope for PM_2.5 during winter but was not significant at p = 0.10. Personal exposures to most pollutants, with the exception of NO₂, increased with ventilation and time spent outdoors. An opposite pattern was found for NO₂ likely due to gas stoves. Personal exposures to PM_2.5 and to traffic-related pollutants, EC and NO₂, were higher for those individuals living close to a major road. Both personal and indoor sulfate and PM_2.5 concentrations were higher for homes using humidifiers. The impact of outdoor sources on personal and indoor concentrations increased with ventilation, whereas an opposite effect was observed for the impact of indoor sources.     

Chemical characterization of indoor and outdoor fine particulate matter in an occupied apartment in Rome,Italy

The daily concentration and chemical composition of PM_2.5 was determined in indoor and outdoor 24‐h samples simultaneously collected for a total of 5 weeks during a winter and a summer period in an apartment sited in Rome, Italy. The use of a specifically developed very quiet sampler (<35 dB) allowed the execution of the study while the family living in the apartment led its normal life. The indoor concentration of PM_2.5 showed a small seasonal variation, while outdoor values were much higher during the winter study. Outdoor sources were found to contribute significantly to indoor PM concentration especially during the summer, when the apartment was naturally ventilated by opening the windows. During the winter the infiltration of outdoor PM components was lower and mostly regulated by the particle dimensions. Organics displayed In/Out ratios higher than unity during both periods; their indoor production increased significantly during the weekends, where the family stayed mostly at home. PM components were grouped into macrosources (soil, sea, secondary inorganics, traffic, organics). During the summer the main contributions to outdoor PM_2.5 came from soil (30%), secondary inorganics (29%) and organics (22%). Organics dominated both indoor PM_2.5 during the summer (60%) and outdoor and indoor PM_2.5 during the winter (51% and 66%, respectively).     

Fine particulate air pollution and daily mortality in Shenyang, China

Fine particulate matter (PM_2.5) is not a criteria pollutant in China, and few studies were conducted in the country to investigate the health impact of PM_2.5. In this study, we did a time-stratified case-crossover analysis to examine the association between PM_2.5 and daily mortality in Shenyang, an industrial center in northeast China. Daily mortality, air pollution and weather data from August 1, 2006 to December 31, 2008 in Shenyang were collected. A time-stratified case-crossover approach was used to estimate the association of PM_2.5 with both total and cause-specific mortality. Controls were selected as matched days of the week in the same month. Potential effect modifiers, such as age, gender, and season, were also examined. We found significant associations between PM_2.5 and daily mortality in Shenyang. A 10 μg/m³ increment in the 2-day moving average (lag 01) concentrations of PM_2.5 corresponded to 0.49% (95% CI: 0.19%, 0.79%), 0.53% (95% CI: 0.09%, 0.97%), and 0.97% (95% CI: 0.01%, 1.94%) increase of total, cardiovascular, and respiratory mortality, respectively. The associations appeared to be stronger in older people (aged ≥ 75 years), in females and during the warm season. To our knowledge, this is the longest PM_2.5 health study in time duration in China. Our findings provide new information on the adverse health effects of PM_2.5, and may have implications for environmental policy making and standard setting in China.     

Particulate reactive oxygen species on total suspended particles – measurements in residences in Austin,Texas

The biologically relevant characteristics of particulate matter (PM) in homes are important to assessing human health. The concentration of particulate reactive oxygen species (ROS) was assessed in eight homes and was found to be lower inside (mean ± s.e. = 1.59 ± 0.33 nmol/m³) than outside (2.35 ± 0.57 nmol/m³). Indoor particulate ROS concentrations were substantial and a major fraction of indoor particulate ROS existed on PM_2.5 (58 ± 10%), which is important from a health perspective as PM_2.5 can carry ROS deep into the lungs. No obvious relationships were evident between selected building characteristics and indoor particulate ROS concentrations, but this observation would need to be verified by larger, controlled studies. Controlled experiments conducted at a test house suggest that indoor ozone and terpene concentrations substantially influence indoor particulate ROS concentrations when outdoor ozone concentrations are low, but have a weaker influence on indoor particulate ROS concentrations when outdoor ozone concentrations are high. The combination of substantial indoor concentrations and the time spent indoors suggest that further work is warranted to assess the key parameters that drive indoor particulate ROS concentrations.     

Cooking‐related PM2.5 and acrolein measured in grocery stores and comparison with other retail types

We measured particulate matter (PM), acrolein, and other indoor air contaminants in eight visits to grocery stores in California. Retail stores of other types (hardware, furniture, and apparel) were also sampled on additional visits. Based on tracer gas decay data, most stores had adequate ventilation according to minimum ventilation rate standards. Grocery stores had significantly higher concentrations of acrolein, fine and ultrafine PM, compared to other retail stores, likely attributable to cooking. Indoor concentrations of PM_2.5 and acrolein exceeded health guidelines in all tested grocery stores. Acrolein emission rates to indoors in grocery stores had a mean estimate about 30 times higher than in other retail store types. About 80% of the indoor PM_2.5 measured in grocery stores was emitted indoors, compared to only 20% for the other retail store types. Calculations suggest a substantial increase in outdoor air ventilation rate by a factor of three from current level is needed to reduce indoor acrolein concentrations. Alternatively, acrolein emission to indoors needs to be reduced 70% by better capturing of cooking exhaust. To maintain indoor PM_2.5 below the California annual ambient standard of 12 μg/m³, grocery stores need to use air filters with an efficiency rating higher than the MERV 8 air filters commonly used today.