The Problem Defined
Is indoor air pollution widespread? Can it have a significant impact on health?
The answer to both questions is “yes.” Scientists have discovered
that the levels of a dozen common pollutants are generally two to five times
higher inside buildings than they are outdoors. The potential impact of these
pollutants on human health is magnified because most people spend about 90
percent of their time indoors.
The U.S. Occupational Safety and Health Administration (OSHA) estimates that
30 percent of the Americans who work in non-industrial buildings such as
offices, schools and hospitals are exposed to poor indoor air quality in
their workplaces — without taking into account exposure to tobacco
smoke. (Since city law now bans smoking in public buildings, secondhand smoke
is no longer a factor in city schools.
Are some people more vulnerable to indoor air pollution than others?
Yes. Children are more vulnerable because they breathe in a greater volume
of air (including pollutants) relative to their body weight. Other susceptible
groups include the elderly and people with asthma and other respiratory problems.
In addition, some people have become very sensitive to certain chemicals
as a result of past exposure. They can suffer a wide range of health effects — such
as rashes, severe headaches, nausea, dizziness and fatigue — whenever
they are exposed to even very low levels of those substances. This condition
is often called multiple chemical sensitivity.
What are the most common sources of indoor air pollution?
The table on the following page identifies some common indoor air pollutants and their sources.
What is “sick building syndrome”?
Sick building syndrome is the name given to a group of symptoms that appear
to be triggered by exposure to poor indoor air quality but neither fit the
pattern of any particular illness nor can be traced to any specific exposure
source. The symptoms often include headaches, fatigue, nausea, difficulty in
concentrating and irritation of the eyes, nose, throat and skin. Usually, those
affected feel better soon after they leave the building.
Generally, sick building syndrome strikes people who work in buildings where
there are problems with the design, operation and maintenance of the ventilation
system, the supply of outside air, preventive maintenance and/or housekeeping.
What does the term “building-related illness” mean?
n contrast to sick building syndrome, building related illness is the term
used when symptoms of a diagnosable illness can be identified and attributed
directly to contaminants in a building’s air. The classic example is
legionellosis, popularly known as Legionnaire’s disease). This bacterial
infection — caused by the legionella pneumophila bacteria — got
its name when many people attending an American Legion convention in a Philadelphia
hotel became sick. The hotel stopped recurrences by cleaning and improving
the water system where the bacteria had grown.
Legionella pneumophila grows in poorly maintained warm or tepid water systems
including cooling towers, hot water pipes and tanks, or humidifiers. Persons
may become infected when highly contaminated water droplets become airborne
and are inhaled. Some people have contracted Legionnaire’s as a result
of a short-duration exposure, but the risk of infection increases if the contaminated
droplets are breathed in over extended time periods. Proper cleaning and sanitizing
of building water systems prevent the growth of legionella.
Another building-related illness is hypersensitivity pneumonitis, which is
associated with exposure either to “bioaerosols” that flourish in
moist areas or to pests such as rodents and cockroaches and/or their excreta.
Bioaerosols are airborne biological contaminants that are, were or came from
living organisms like bacteria, viruses, fungi, molds, pollen and animal dander
and insect waste. Those could possibly pose problems in a school among sensitive
persons.
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