An indoor air model

Indoor aerobiological data sets are often difficult to handle because they are not easily related to climatic parameters similar to those found outdoors. However, in large buildings, where ventilation systems allow a systematic knowledge of air flows, the transfer of a power distribution model to airborne spore concentration can simplify the task of reaching a decision on contamination presence. The use of the absorption percentage of each component of the ventilation system (air intake, filters, cooling, humidification, air return) can identify abnormalities (i.e. concentrations not following the general expected model, which could mean contamination requiring action), permit direct cleaning, and allow the restoration of a normal state after a short period of time.     

Impact of indoor air pollution on health,comfort and productivity of the occupants

In this special report, the possible causes of indoor air pollution and its impact on the health, comfort and productivity of the building occupant are discussed. The causes and symptoms of sick building syndrome, allergy and environmental illnesses and building related illnesses are discussed in the context of building environments. The remediation and prevention measures examine the solution to the problems caused by indoor air pollution in buildings.     

Impact of indoor air pollution on health,comfort and productivity of the occupants

In this special report, the possible causes of indoor air pollution and its impact on the health, comfort and productivity of the building occupant are discussed. The causes and symptoms of sick building syndrome, allergy and environmental-illnesses and building related illnesses are discussed in the context of building environments. The remediation and prevention measures examine the solution to the problems caused by indoor air pollution in buildings     

Quality of oral health services in residential care: towards an evaluation framework

Background: There is widespread neglect of oral healthcare, and uncertainty about how best to organise and evaluate the impact of oral health services in long‐term care (LTC) facilities. Consequently, there is need for an evaluation framework to improve and account for the quality of oral healthcare in the facilities. Objectives: This paper: (i) identifies basic concepts of quality of care and evaluation in healthcare; (ii) reviews the methods used to evaluate the operation and effectiveness of oral healthcare in LTC facilities and (iii) recommends change to assure oral health‐related quality and accountability for frail elders. Method: A literature review provided insights to the theoretical basis and practical applications for assessing the quality of healthcare relevant to oral healthcare for frail elders. Results: Oral health‐related programmes in LTC facilities could be improved by using a combination of quality assurance and health programme evaluation that: (i) engages everyone involved; (ii) seeks multiple attributes of quality; (iii) evaluates the structure, process or activities, and outcome of the oral health programme; (iv) uses formative and summative methods to provide both quantitative and qualitative evidence of care and (v) transfers new knowledge for appropriate consideration and action. Conclusions: This theoretical framework can be applied in dentistry in LTC to provide an assessment model specific to oral healthcare for frail elders in residential care.     

New units for indoor air quality: decicarbdiox and decitvoc

Abstract Two new units are proposed for the evaluation of indoor air quality using the decibel concept, which give a much better approximation of the human perception of odour intensity, compared to the CO₂ and total volatile organic compounds (TVOC) concentration scales: the decicarbdiox and the devitvoc. On the psychophysical scale according to Yaglou, the weakest odour that can be detected by the human smell sensors is equal to one, and corresponds to the lower limit of percentage dissatisfaction (PD) of 5.8%. It is equivalent to: (1) a CO₂ threshold concentration of 485 ppm – 0 dB (odour CO₂) – 0 dCd (decicarbdiox), and (2) a TVOC threshold concentration of 50 μg m⁻³– 0 dB (odour TVOC) – 0 dTv (decitvoc). The upper limit is determined by the initial value of toxicity: (1) CO₂– 15,000 ppm – 134 dCd, and (2) TVOC – 25,000 g/m⁻³– 135 dTv. Optimal pollutant values (corresponding to PD=20%) and admissible values (PD=30%) for unadapted and adapted persons are calculated. Long-term tolerable values (determining the sick building syndrome range) and short-term tolerable values (the beginning of the toxic range) are also stated. The same system used to evaluate noise can be used to evaluate air quality. Additionally, the contribution of the individual constituents (at present acoustic and odour) to the overall quality of the environment can be ascertained. The new units dCd and dTv can express an increase or decrease in air contamination, e.g. by the use of air cleaners, new building materials etc. The proposed system of using dCd and dTv is compatible with BSR/ASHRAE 62–1989 R which can be used to determine the required volume of fresh air for ventilation by an improved method, which takes into account different levels of required indoor air quality. Received: 21 January 1998 / Revised: 20 May 1998 / Accepted: 30 September 1998     

Fungal fragments as indoor air biocontaminants

The aerosolization process of fungal propagules of three species (Aspergillus versicolor, Penicillium melinii, and Cladosporium cladosporioides) was studied by using a newly designed and constructed aerosolization chamber. We discovered that fungal fragments are aerosolized simultaneously with spores from contaminated agar and ceiling tile surfaces. Concentration measurements with an optical particle counter showed that the fragments are released in higher numbers (up to 320 times) than the spores. The release of fungal propagules varied depending on the fungal species, the air velocity above the contaminated surface, and the texture and vibration of the contaminated material. In contrast to spores, the release of fragments from smooth surfaces was not affected by air velocity, indicating a different release mechanism. Correlation analysis showed that the number of released fragments cannot be predicted on the basis of the number of spores. Enzyme-linked immunosorbent assays with monoclonal antibodies produced against Aspergillus and Penicillium fungal species showed that fragments and spores share common antigens, which not only confirmed the fungal origin of the fragments but also established their potential biological relevance. The considerable immunological reactivity, the high number, and the small particle size of the fungal fragments may contribute to human health effects that have been detected in buildings with mold problems but had no scientific explanation until now. This study suggests that future fungal spore investigations in buildings with mold problems should include the quantitation of fungal fragments.     

Biological responses to indoor air contaminants

Summary The scientific study of indoor air quality has been a topic for research in the last two decades; in the late 70's it became an issue of general public perception. The public perceptions have been such tremendous stimuli because they involve aspects of health and welfare (comfort and economics). Various biomedical studies were performed to evaluate adverse biological effects associated with ambient and occupational pollutants. However, it became obvious that humans were exposed more, on a temporal basis, to their normal indoor environments than they were either in the workplace or outside. Concern with biological contaminants was always an issue, but rarely examined indoors until recently. Biological responses to the indoor environment will be discussed in this paper.     

Mycotoxins as harmful indoor air contaminants

Fungal metabolites (mycotoxins) that pose a health hazard to humans and animals have long been known to be associated with mold-contaminated food and feed. In recent times, concerns have been raised about exposures to mycotoxin-producing fungi in indoor environments, e.g., damp homes and buildings. The principal mycotoxins that contaminate food and feed (alfatoxins, fumonisins, ochratoxin A, deoxynivalenol, zearalenone) are rarely if ever found in indoor environments, but their toxicological properties provide an insight into the difficulties of assessing the health effects of related mycotoxins produced by indoor molds. Although the Penicillium and Aspergillus genera of fungi are major contaminants of both food and feed products and damp buildings, the particular species and hence the array of mycotoxins are quite different in these environments. The mycotoxins of these indoor species and less common mycotoxins from Stachybotrys and Chaetomium fungi are discussed in terms of their health effects and the need for relevant biomarkers and long-term chronic exposure studies.     

Widespread apathy and the public's reaction to information concerning the health effects of indoor air radon concentrations

The thoughts and ideas expressed in this paper are those of the author and are not necessarily those of the U.S. Environmental Protection Agency.     

Biological treatment of indoor air for VOC removal: potential and challenges

There is nowadays no single fully satisfactory method for VOC removal from indoor air due to the difficulties linked to the very low concentration (microg m(-3) range), diversity, and variability at which VOCs are typically found in the indoor environment. Although biological methods have shown a certain potential for this purpose, the specific characteristic of indoor air and the indoor air environment brings numerous challenges. In particular, new methods must be developed to inoculate, express, and maintain a suitable and diverse catabolic ability under conditions of trace substrate concentration which might not sustain microbial growth. In addition, the biological treatment of indoor air must be able to purify large amounts of air in confined environments with minimal nuisances and release of microorganisms. This requires technical innovations, the development of specific testing protocols and a deep understanding of microbial activities and the mechanisms of substrate uptake at trace concentrations.     

Seasonal variation and size distribution in the airborne indoor microbial concentration of residential houses in Delhi and its impact on health

Aerobiologia - Exposure of microbial agents in the air of indoor dwellings is associated with effects on respiratory and general health. The current study was conducted in the urban area of Delhi...     

Microbiological indoor air quality in healthy buildings

There is a growing interest in indoor air quality for a better quality environment both at home and at work because many people spend at least 80% of their time indoors. The aim of our study was to evaluate the indoor concentration of airborne bacteria and fungi in a University auditorium, in an office of public buildings and in an apartment in the presence and in absence of building's occupants, building materials and furnishings. The concentrations of airborne bacteria and fungi were determined using a Surface Air System (SAS). In presence of people and furnishings the average air concentrations of bacteria (University auditorium: 925-1225 CFU m(-3); office: 493 CFU m(-3); apartment: 92-182 CFU m(-3)) were higher than in absence (respectively: 190-315 CFU m(-3); 126 CFU m(-3); 66-80 CFU m(-3)). The average air concentrations fungal were higher in presence of people and furnishings (University auditorium: 1256-1769 CFU m(-3); office: 858 CFU m(-3); apartment: 147-297 CFU m(-3)) than in absence (respectively: 301-431 CFU m(-3); 224 CFU m(-3); 102-132 CFU m(-3)). The obtained data can be considered as a step to identify acceptable levels for bioaerosols in common indoor environments.     

Relationship between energy conservation in buildings and indoor air quality

1. 1. Problems with regard to the relationship between energy conservation and indoor air quality in buildings are discussed with a brief history of legislation and practices in Japan since the oil crisis in 1973.

2. 2. In spite of energy conservation as widely advocated the sick building syndrome has hardly been manifested in most of the office spaces in Japan owing to the Law on the Assurance of Healthy Conditions in Buildings which enforced CO₂ concentration to be kept lower than 1000 ppm.

Leptospirosis: Public health perspectives

Leptospirosis, caused by a spirochete of genus Leptospira, is considered the most widespread zoonosis in the world. It has a global distribution with a higher incidence in the tropics and subtropics, ranging from 10 to 100 human cases per 100,000 individuals. Leptospirosis is considered an “emerging” zoonosis due to increased contact between animals and humans and the resulting human encroachment into wildlife habitat. Climate change and its associated environmental shifts can affect the degree of transmission of leptospirosis. Surveillance for leptospirosis is important for early detection of cases because early treatment is crucial to decrease morbidity and mortality. In June 2012, the Council of State and Territorial Epidemiologists approved reinstatement of leptospirosis as a Nationally Notifiable Condition. Reinstatement of national surveillance will facilitate the assessment of the incidence, geographic distribution, trends, and risk factors associated with human cases and the identification of outbreaks and potential new animal reservoirs.     

Hydrogen sulfide concentrations in indoor air of thermal springs

This study aimed to assess hydrogen sulfide (H₂S) concentrations in the pool indoor air of hot springs and its link to some physicochemical properties of the springs in Ardabil province. Twenty-two hot springs from different regions were selected and monitored for H₂S concentrations using a portable gas meter. Respective mean concentrations of H₂S in hot springs indoor air were 9.11 ± 11. Ghotour Souei hot springs had the highest concentration of H₂S with a mean concentration of 29.4 ± 7.7 and 25.2 ± 8.16 ppm at the source and general pool areas, respectively. Oxidation-reduction potential and pH of the water were the most important factor influencing H₂S concentrations in the hot springs. H₂S concentrations in indoor air of Ardabil hot springs were noticeably higher than OEL-TWA and OEL-STEL, and therefore may pose important risks for human health on both short-and long-term exposures.     

Evaluating and preventing illness associated with indoor air pollution.

Homicides have been on the rise in California in recent years, almost entirely as a result of increased firearm activity, resulting in one of the highest homicide rates in the country. With increasing morbidity and mortality from guns, health care professionals have called the situation an epidemic. In the past decade, attention from the health care profession has resulted in a new focus on the public health issues surrounding firearms. There is considerable confusion among policy makers regarding what should be done to stem firearm violence. I discuss morbidity and mortality trends, academic research, and legal issues surrounding firearm violence, affording insight into the seriousness and complexity of this rapidly growing problem and providing policy ideas for addressing the role of firearms. Such policy ideas include removal of the California Legislature''s preemptive authority on firearms licensing and registration; the formation of an information and advisory body within the California Department of Health; increased liability for manufacturers, distributors, dealers, and owners; and a statewide registration system.     

Chemical characterization of indoor air quality in Parisian homes

Summary Air quality inside 9 homes in the Paris region was evaluated by measuring several atmospheric pollutants. In these homes interior emissions of ammonia and volatile organic compounds were obvious. Regarding other pollutants such as sulphur dioxide, nitrogen dioxide, particles, polycyclic aromatic hydrocarbons, sulphate and metals, the influence of external surrounding air remains predominant.     

Dispersal in microbes: fungi in indoor air are dominated by outdoor air and show dispersal limitation at short distances

The indoor microbiome is a complex system that is thought to depend on dispersal from the outdoor biome and the occupants'' microbiome combined with selective pressures imposed by the occupants'' behaviors and the building itself. We set out to determine the pattern of fungal diversity and composition in indoor air on a local scale and to identify processes behind that pattern. We surveyed airborne fungal assemblages within 1-month time periods at two seasons, with high replication, indoors and outdoors, within and across standardized residences at a university housing facility. Fungal assemblages indoors were diverse and strongly determined by dispersal from outdoors, and no fungal taxa were found as indicators of indoor air. There was a seasonal effect on the fungi found in both indoor and outdoor air, and quantitatively more fungal biomass was detected outdoors than indoors. A strong signal of isolation by distance existed in both outdoor and indoor airborne fungal assemblages, despite the small geographic scale in which this study was undertaken (<500 m). Moreover, room and occupant behavior had no detectable effect on the fungi found in indoor air. These results show that at the local level, outdoor air fungi dominate the patterning of indoor air. More broadly, they provide additional support for the growing evidence that dispersal limitation, even on small geographic scales, is a key process in structuring the often-observed distance–decay biogeographic pattern in microbial communities.