Indoor Air 

About: Indoor Air is an academic journal published by Wiley-Blackwell. The journal publishes majorly in the area(s): Indoor air quality & Ventilation (architecture). It has an ISSN identifier of 0905-6947. Over the lifetime, 2161 publications have been published receiving 102362 citations.

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

Abstract: 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 nitrogen dioxide 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 (1) immediate actions to assess and improve IEQ in schools and (2) focused research to guide IEQ improvements in schools.

Indoor air quality, ventilation and health symptoms in schools: an analysis of existing information

Abstract: We reviewed the literature on Indoor Air Quality (IAQ), ventilation, and building-related health problems in schools and identified commonly reported building-related health symptoms involving schools until 1999. We collected existing data on ventilation rates, carbon dioxide (CO2) concentrations and symptom-relevant indoor air contaminants, and evaluated information on causal relationships between pollutant exposures and health symptoms. Reported ventilation and CO2 data strongly indicate that ventilation is inadequate in many classrooms, possibly leading to health symptoms. Adequate ventilation should be a major focus of design or remediation efforts. Total volatile organic compounds, formaldehyde (HCHO) and microbiological contaminants are reported. Low HCHO concentrations were unlikely to cause acute irritant symptoms (<0.05 ppm), but possibly increased risks for allergen sensitivities, chronic irritation, and cancer. Reported microbiological contaminants included allergens in deposited dust, fungi, and bacteria. Levels of specific allergens were sufficient to cause symptoms in allergic occupants. Measurements of airborne bacteria and airborne and surface fungal spores were reported in schoolrooms. Asthma and 'sick building syndrome' symptoms are commonly reported. The few studies investigating causal relationships between health symptoms and exposures to specific pollutants suggest that such symptoms in schools are related to exposures to volatile organic compounds (VOCs), molds and microbial VOCs, and allergens.

Role of ventilation in airborne transmission of infectious agents in the built environment - a multidisciplinary systematic review.

Abstract: There have been few recent studies demonstrating a definitive association between the transmission of airborne infections and the ventilation of buildings. The severe acute respiratory syndrome (SARS) epidemic in 2003 and current concerns about the risk of an avian influenza (H5N1) pandemic, have made a review of this area timely. We searched the major literature databases between 1960 and 2005, and then screened titles and abstracts, and finally selected 40 original studies based on a set of criteria. We established a review panel comprising medical and engineering experts in the fields of microbiology, medicine, epidemiology, indoor air quality, building ventilation, etc. Most panel members had experience with research into the 2003 SARS epidemic. The panel systematically assessed 40 original studies through both individual assessment and a 2-day face-to-face consensus meeting. Ten of 40 studies reviewed were considered to be conclusive with regard to the association between building ventilation and the transmission of airborne infection. There is strong and sufficient evidence to demonstrate the association between ventilation, air movements in buildings and the transmission/spread of infectious diseases such as measles, tuberculosis, chickenpox, influenza, smallpox and SARS. There is insufficient data to specify and quantify the minimum ventilation requirements in hospitals, schools, offices, homes and isolation rooms in relation to spread of infectious diseases via the airborne route. PRACTICAL IMPLICATION: The strong and sufficient evidence of the association between ventilation, the control of airflow direction in buildings, and the transmission and spread of infectious diseases supports the use of negatively pressurized isolation rooms for patients with these diseases in hospitals, in addition to the use of other engineering control methods. However, the lack of sufficient data on the specification and quantification of the minimum ventilation requirements in hospitals, schools and offices in relation to the spread of airborne infectious diseases, suggest the existence of a knowledge gap. Our study reveals a strong need for a multidisciplinary study in investigating disease outbreaks, and the impact of indoor air environments on the spread of airborne infectious diseases.

How far droplets can move in indoor environments--revisiting the Wells evaporation-falling curve.

Abstract: UNLABELLED A large number of infectious diseases are believed to be transmitted between people via large droplets and by airborne routes. An understanding of evaporation and dispersion of droplets and droplet nuclei is not only significant for developing effective engineering control methods for infectious diseases but also for exploring the basic transmission mechanisms of the infectious diseases. How far droplets can move is related to how far droplet-borne diseases can transmit. A simple physical model is developed and used here to investigate the evaporation and movement of droplets expelled during respiratory activities; in particular, the well-known Wells evaporation-falling curve of droplets is revisited considering the effect of relative humidity, air speed, and respiratory jets. Our simple model considers the movement of exhaled air, as well as the evaporation and movement of a single droplet. Exhaled air is treated as a steady-state non-isothermal (warm) jet horizontally issuing into stagnant surrounding air. A droplet is assumed to evaporate and move in this non-isothermal jet. Calculations are performed for both pure water droplets and droplets of sodium chloride (physiological saline) solution (0.9% w/v). We calculate the droplet lifetimes and how droplet size changes, as well as how far the droplets travel in different relative humidities. Our results indicate that a droplet's size predominately dictates its evaporation and movement after being expelled. The sizes of the largest droplets that would totally evaporate before falling 2 m away are determined under different conditions. The maximum horizontal distances that droplets can reach during different respiratory activities are also obtained. Our study is useful for developing effective prevention measures for controlling infectious diseases in hospitals and in the community at large. PRACTICAL IMPLICATIONS Our study reveals that for respiratory exhalation flows, the sizes of the largest droplets that would totally evaporate before falling 2 m away are between 60 and 100 microm, and these expelled large droplets are carried more than 6 m away by exhaled air at a velocity of 50 m/s (sneezing), more than 2 m away at a velocity of 10 m/s (coughing) and less than 1 m away at a velocity of 1 m/s (breathing). These findings are useful for developing effective engineering control methods for infectious diseases, and also for exploring the basic transmission mechanisms of the infectious diseases. There is a need to examine the air distribution systems in hospital wards for controlling both airborne and droplet-borne transmitted diseases.

Association of ventilation rates and CO2 concentrations with health and other responses in commercial and institutional buildings.

Abstract: This paper reviews current literature on the associations of ventilation rates and carbon dioxide concentrations in non-residential and non-industrial buildings (primarily offices) with health and other human outcomes. Twenty studies, with close to 30,000 subjects, investigated the association of ventilation rates with human responses, and 21 studies, with over 30,000 subjects, investigated the association of carbon dioxide concentration with these responses. Almost all studies found that ventilation rates below 10 Ls -1 per person in all building types were associated with statistically significant worsening in one or more health or perceived air quality outcomes. Some studies determined that increases in ventilation rates above 10 Ls -1 per person, up to approximately 20 Ls -1 per person, were associated with further significant decreases in the prevalence of SBS symptoms or with further significant improvements in perceived air quality. The carbon dioxide studies support these findings. About half of the carbon dioxide studies suggest that the risk of sick building syndrome symptoms continued to decrease significantly with decreasing carbon dioxide concentrations below 800 ppm. The ventilation studies reported relative risks of 1.5 - 2 for respiratory illnesses and 1.1 - 6 for sick building syndrome symptoms for low compared to high ventilation rates.