{"id":176,"date":"2007-05-17T10:24:47","date_gmt":"2007-05-17T14:24:47","guid":{"rendered":"http:\/\/www.environmentalriskmanagers.com\/erm\/sick-buildings-introduction\/"},"modified":"2007-05-17T10:24:47","modified_gmt":"2007-05-17T14:24:47","slug":"sick-buildings-introduction","status":"publish","type":"post","link":"https:\/\/estrategist.com\/members\/sick-buildings-introduction\/","title":{"rendered":"Sick Buildings Introduction"},"content":{"rendered":"<p><font face=\"verdana\">*There are estimates that up  to 60% of all buildings can be considered sick buildings. <\/font><\/p>\n<p><font face=\"verdana\">*Indoor air quality can be  5 to 20 times worse than outdoor air. <\/font><\/p>\n<p><font face=\"verdana\">* Research indicates that people  spend approximately 90 percent of their time indoors.<\/font><\/p>\n<p><font face=\"verdana\">* EPA estimates that poor indoor  air may cost the nation tens of billions of dollars each year in lost  productivity and medical care.<\/font><\/p>\n<p><font face=\"verdana\">The term &#8220;sick building  syndrome&#8221; (SBS) is used to describe situations in which building  occupants experience acute health and comfort effects that appear to  be linked to time spent in a building, but no specific illness or cause  can be identified. The complaints may be localized in a particular room  or zone, or may be widespread throughout the building. In contrast,  the term &#8220;building related illness&#8221; (BRI) is used when symptoms  of diagnosable illness are identified and can be attributed directly  to airborne building contaminants.<\/font><\/p>\n<p><font face=\"verdana\">Sick building conditions can  be temporary, but some buildings have long-term problems. Frequently,  problems result when a building is operated or maintained in a manner  that is inconsistent with its original design or prescribed operating  procedures. Sometimes indoor air problems are a result of poor building  design or occupant activities.<\/font><\/p>\n<p><font face=\"verdana\">In addition, people who may  be exposed to indoor air pollutants for the longest periods of time  are often those most susceptible to the effects of indoor air pollution.   The elderly, children, and asthmatics are particularly susceptible to  health problems caused by breathing fine particles.  Individuals with  pre-existing heart or lung disease are also at an increased risk of  health problems due to particle pollution.<\/font><\/p>\n<p><font face=\"verdana\">EPA scientists and other health  experts are concerned about particle pollution because very small or  &#8220;fine&#8221; particles can get deep into the lungs. These fine particles,  by themselves, or in combination with other air pollutants, can cause  increased emergency room visits and hospital admissions for respiratory  illnesses, and tens of thousands of deaths each year.  A 1989 EPA Report  to Congress concluded that improved indoor air quality can result in  higher productivity and fewer lost work days. <\/font><\/p>\n<p><font face=\"verdana\"><strong>Indicators of SBS include:<\/strong><\/font><\/p>\n<ul type=\"disc\">\n<li><font face=\"verdana\">Building occupants    complain of symptoms associated with acute discomfort, e.g., headache;    eye, nose, or throat irritation; dry cough; dry or itchy skin; dizziness    and nausea; difficulty in concentrating; fatigue; and sensitivity to    odors. <\/font><\/li>\n<li><font face=\"verdana\">The cause of the    symptoms is not known. <\/font><\/li>\n<li><font face=\"verdana\">Most of the complainants    report relief soon after leaving the building. <\/font><\/li>\n<\/ul>\n<p><font face=\"verdana\"><strong>Indicators of BRI include:<\/strong><\/font><\/p>\n<ul type=\"disc\">\n<li><font face=\"verdana\">Building occupants    complain of symptoms such as cough; chest tightness; fever, chills;    and muscle aches <\/font><\/li>\n<li><font face=\"verdana\">The symptoms can    be clinically defined and have clearly identifiable causes. <\/font><\/li>\n<li><font face=\"verdana\">Complainants may    require prolonged recovery times after leaving the building. <\/font><\/li>\n<\/ul>\n<p><font face=\"verdana\">It is important to note that  complaints may result from other causes. These may include an illness  contracted outside the building, acute sensitivity (e.g., allergies),  job related stress or dissatisfaction, and other psychosocial factors.  Nevertheless, studies show that symptoms may be caused or exacerbated  by indoor air quality problems.<\/font><\/p>\n<h4><a name=\"0.22_01000002\"><\/a><font face=\"verdana\"><strong>Causes of  Sick Building Syndrome<\/strong><\/font><\/h4>\n<h5><font face=\"verdana\" size=\"2\"><strong>A Word About Radon and  Asbestos&#8230;<\/strong><\/font><\/h5>\n<p><font face=\"verdana\">SBS and BRI are associated  with acute or immediate health problems; radon and asbestos cause long-term  diseases which occur years after exposure, and are therefore not considered  to be among the causes of sick buildings. This is not to say that the  latter are not serious health risks; both should be included in any  comprehensive evaluation of a building&#8217;s IAQ. <\/font><\/p>\n<p><font face=\"verdana\">See <\/font><a href=\"http:\/\/www.epa.gov\/radon\" target=\"_blank\"><font face=\"verdana\"><u>www.epa.gov\/radon<\/u><\/font><\/a><font face=\"verdana\"> and <\/font><a href=\"http:\/\/www.epa.gov\/asbestos\" target=\"_blank\"><font face=\"verdana\"><u>www.epa.gov\/asbestos<\/u><\/font><\/a><\/p>\n<p><font face=\"verdana\">The following have been cited  causes of or contributing factors to sick building syndrome:<\/font><\/p>\n<p><a name=\"0.22_01000003\"><\/a><font face=\"verdana\"><strong>Inadequate  ventilation:<\/strong> In the early and mid 1900&#8217;s, building ventilation standards  called for approximately 15 cubic feet per minute (cfm) of outside air  for each building occupant, primarily to dilute and remove body odors.  As a result of the 1973 oil embargo, however, national energy conservation  measures called for a reduction in the amount of outdoor air provided  for ventilation to 5 cfm per occupant. In many cases these reduced outdoor  air ventilation rates were found to be inadequate to maintain the health  and comfort of building occupants. Inadequate ventilation, which may  also occur if heating, ventilating, and air conditioning (HVAC) systems  do not effectively distribute air to people in the building, is thought  to be an important factor in SBS. In an effort to achieve acceptable  IAQ while minimizing energy consumption, the American Society of Heating,  Refrigerating and Air-Conditioning Engineers (ASHRAE) recently revised  its ventilation standard to provide a minimum of 15 cfm of outdoor air  per person (20 cfm\/person in office spaces). Up to 60 cfm\/person may  be required in some spaces (such as smoking lounges) depending on the  activities that normally occur in that space (see ASHRAE Standard 62-1989).<\/font><\/p>\n<p><a name=\"0.22_01000004\"><\/a><font face=\"verdana\"><strong>Chemical  contaminants from indoor sources: <\/strong> Most indoor air pollution comes from sources inside the building. For  example, adhesives, carpeting, upholstery, manufactured wood products,  copy machines, pesticides, and cleaning agents may emit volatile organic  compounds (VOCs), including formaldehyde. Environmental tobacco smoke  contributes high levels of VOCs, other toxic compounds, and respirable  particulate matter. Research shows that some VOCs can cause chronic  and acute health effects at high concentrations, and some are known  carcinogens. Low to moderate levels of multiple VOCs may also produce  acute reactions. Combustion products such as carbon monoxide, nitrogen  dioxide, as well as respirable particles, can come from unvented kerosene  and gas space heaters, woodstoves, fireplaces and gas stoves. For more  information, see <\/font><a href=\"http:\/\/www.epa.gov\/iaq\/voc.html\" target=\"_blank\"><font face=\"verdana\"><u>VOCs<\/u><\/font><\/a><font face=\"verdana\">; <\/font><a href=\"http:\/\/www.epa.gov\/iaq\/co.html\" target=\"_blank\"><font face=\"verdana\"><u>Carbon Monoxide<\/u><\/font><\/a><font face=\"verdana\">; <\/font><a href=\"http:\/\/www.epa.gov\/iaq\/formalde.html\" target=\"_blank\"><font face=\"verdana\"><u>Formaldehyde<\/u><\/font><\/a><font face=\"verdana\">; <\/font><a href=\"http:\/\/www.epa.gov\/iaq\/no2.html\" target=\"_blank\"><font face=\"verdana\"><u>Nitrogen Dioxide<\/u><\/font><\/a><font face=\"verdana\">; <\/font><a href=\"http:\/\/www.epa.gov\/iaq\/rpart.html\" target=\"_blank\"><font face=\"verdana\"><u>Respirable Particles<\/u><\/font><\/a><font face=\"verdana\">. <\/font><\/p>\n<p><a name=\"0.22_01000005\"><\/a><font face=\"verdana\"><strong>Chemical  contaminants from outdoor sources:<\/strong> The outdoor air that enters a  building can be a source of indoor air pollution. For example, pollutants  from motor vehicle exhausts; plumbing vents, and building exhausts (e.g.,  bathrooms and kitchens) can enter the building through poorly located  air intake vents, windows, and other openings. In addition, combustion  products can enter a building from a nearby garage.<\/font><\/p>\n<p><a name=\"0.22_01000006\"><\/a><font face=\"verdana\"><strong>Biological  contaminants:<\/strong> Bacteria, molds, pollen, and viruses are types of  biological contaminants. These contaminants may breed in stagnant water  that has accumulated in ducts, humidifiers and drain pans, or where  water has collected on ceiling tiles, carpeting, or insulation. Sometimes  insects or bird droppings can be a source of biological contaminants.  Physical symptoms related to biological contamination include cough,  chest tightness, fever, chills, muscle aches, and allergic responses  such as mucous membrane irritation and upper respiratory congestion.  One indoor bacterium, Legionella, has caused both Legionnaire&#8217;s Disease  and Pontiac Fever. For more information, see <\/font><a href=\"http:\/\/www.epa.gov\/iaq\/biologic.html\" target=\"_blank\"><font face=\"verdana\"><u>Biologicals<\/u><\/font><\/a><font face=\"verdana\">  and <\/font><a href=\"http:\/\/www.epa.gov\/mold\" target=\"_blank\"><font face=\"verdana\"><u>Mold<\/u><\/font><\/a><font face=\"verdana\">.<\/font><\/p>\n<p><font face=\"verdana\">These elements may act in combination,  and may supplement other complaints such as inadequate temperature,  humidity, or lighting. Even after a building investigation, however,  the specific causes of the complaints may remain unknown.<\/font><\/p>\n<h4><a name=\"0.22_01000007\"><\/a><font face=\"verdana\"><strong>Building  Investigation Procedures<\/strong><\/font><\/h4>\n<p><font face=\"verdana\">The goal of a building investigation  is to identify and solve indoor air quality complaints in a way that  prevents them from recurring and which avoids the creation of other  problems. To achieve this goal, it is necessary for the investigator(s)  to discover whether a complaint is actually related to indoor air quality,  identify the cause of the complaint, and determine the most appropriate  corrective actions.<\/font><\/p>\n<p><font face=\"verdana\"><strong>An indoor air quality investigation  procedure<\/strong> is best characterized as a cycle of information gathering,  hypothesis formation, and hypothesis testing. It generally begins with  a walkthrough inspection of the problem area to provide information  about the four basic factors that influence indoor air quality:<\/font><\/p>\n<ul type=\"disc\">\n<li><font face=\"verdana\">the occupants <\/font><\/li>\n<li><font face=\"verdana\">the HVAC system <\/font><\/li>\n<li><font face=\"verdana\">possible pollutant    pathways <\/font><\/li>\n<li><font face=\"verdana\">possible contaminant    sources. <\/font><\/li>\n<\/ul>\n<p><font face=\"verdana\"><strong>Preparation for a walkthrough<\/strong>  should include documenting easily obtainable information about the history  of the building and of the complaints; identifying known HVAC zones  and complaint areas; notifying occupants of the upcoming investigation;  and, identifying key individuals needed for information and access.  The walkthrough itself entails visual inspection of critical building  areas and consultation with occupants and staff.<\/font><\/p>\n<p><font face=\"verdana\"><strong>The initial walkthrough<\/strong>  should allow the investigator to develop some possible explanations  for the complaint. At this point, the investigator may have sufficient  information to formulate a hypothesis, test the hypothesis, and see  if the problem is solved. If it is, steps should be taken to ensure  that it does not recur. However, if insufficient information is obtained  from the walk through to construct a hypothesis, or if initial tests  fail to reveal the problem, the investigator should move on to collect  additional information to allow formulation of additional hypotheses.  The process of formulating hypotheses, testing them, and evaluating  them continues until the problem is solved.<\/font><\/p>\n<p><font face=\"verdana\"><strong>Although air sampling for  contaminants might seem to be the logical response<\/strong> to occupant complaints,  it seldom provides information about possible causes. While certain  basic measurements, e.g., temperature, relative humidity, CO<sup>2<\/sup>,  and air movement, can provide a useful &#8220;snapshot&#8221; of current  building conditions, sampling for specific pollutant concentrations  is often not required to solve the problem and can even be misleading.  Contaminant concentration levels rarely exceed existing standards and  guidelines even when occupants continue to report health complaints.  Air sampling should not be undertaken until considerable information  on the factors listed above has been collected, and any sampling strategy  should be based on a comprehensive understanding of how the building  operates and the nature of the complaints.<\/font><\/p>\n<h4><a name=\"0.22_01000008\"><\/a><font face=\"verdana\"><strong>Solutions  to Sick Building Syndrome<\/strong><\/font><\/h4>\n<p><font face=\"verdana\"><em>Solutions to sick building  syndrome usually include combinations of the following:<\/em><\/font><\/p>\n<p><a name=\"0.22_01000009\"><\/a><font face=\"verdana\"><strong>Pollutant  source removal or modification<\/strong> is an effective approach to resolving  an IAQ problem when sources are known and control is feasible. Examples  include routine maintenance of HVAC systems, e.g., periodic cleaning  or replacement of filters; replacement of water-stained ceiling tile  and carpeting; institution of smoking restrictions; venting contaminant  source emissions to the outdoors; storage and use of paints, adhesives,  solvents, and pesticides in well ventilated areas, and use of these  pollutant sources during periods of non-occupancy; and allowing time  for building materials in new or remodeled areas to off-gas pollutants  before occupancy. Several of these options may be exercised at one time.<\/font><\/p>\n<p><a name=\"0.22_0100000A\"><\/a><font face=\"verdana\"><strong>Increasing  ventilation rates<\/strong> and air distribution often can be a cost effective  means of reducing indoor pollutant levels. HVAC systems should be designed,  at a minimum, to meet ventilation standards in local building codes;  however, many systems are not operated or maintained to ensure that  these design ventilation rates are provided. In many buildings, IAQ  can be improved by operating the HVAC system to at least its design  standard, and to ASHRAE Standard 62-1989 if possible. When there are  strong pollutant sources, local exhaust ventilation may be appropriate  to exhaust contaminated air directly from the building. Local exhaust  ventilation is particularly recommended to remove pollutants that accumulate  in specific areas such as rest rooms, copy rooms, and printing facilities.  (For a more detailed discussion of ventilation, read <\/font><a href=\"http:\/\/www.epa.gov\/iaq\/pubs\/ventilat.html\" target=\"_blank\"><font face=\"verdana\"><u>Fact Sheet: Ventilation and Air  Quality in Offices<\/u><\/font><\/a><font face=\"verdana\">)<\/font><\/p>\n<p><a name=\"0.22_0100000B\"><\/a><font face=\"verdana\"><strong>Air cleaning<\/strong>  can be a useful adjunct to source control and ventilation but has certain  limitations. Particle control devices such as the typical furnace filter  are inexpensive but do not effectively capture small particles; high  performance air filters capture the smaller, respirable particles but  are relatively expensive to install and operate. Mechanical filters  do not remove gaseous pollutants. Some specific gaseous pollutants may  be removed by adsorbent beds, but these devices can be expensive and  require frequent replacement of the adsorbent material. In sum, air  cleaners can be useful, but have limited application.<\/font><\/p>\n<p><a name=\"0.22_0100000C\"><\/a><font face=\"verdana\"><strong>Education  and communication<\/strong> are important elements in both remedial and preventive  indoor air quality management programs. When building occupants, management,  and maintenance personnel fully communicate and understand the causes  and consequences of IAQ problems, they can work more effectively together  to prevent problems from occurring, or to solve them if they do.<\/font><\/p>\n<p><font face=\"verdana\">This information was supplied  by the EPA. For more information go to <\/font><a href=\"http:\/\/www.eps.gov\/\" target=\"_blank\"><font face=\"verdana\"><u>www.eps.gov<\/u><\/font><\/a><font face=\"verdana\">. <\/font><\/p>\n<h4><a name=\"0.22_0100000D\"><\/a><font face=\"verdana\"><strong>Additional  Information<\/strong><\/font><\/h4>\n<p><font face=\"verdana\">For more information on topics  discussed in this Fact Sheet, contact your state or local health department,  a non-profit agency such as your local American Lung Association, or  the following:<\/font><\/p>\n<p><font face=\"verdana\"><strong>National Institute for Occupational  Safety and Health<\/p>\n<p><\/strong><\/font><a href=\"http:\/\/www.cdc.gov\/niosh\/homepage.html\" target=\"_blank\"><font face=\"verdana\"><strong><u>www.cdc.gov\/niosh\/homepage.html<\/u><\/strong><\/font><\/a><font face=\"verdana\"><strong> <\/strong><\/font><a name=\"0.22_graphic06\"><\/a><a href=\"http:\/\/www.epa.gov\/epahome\/exitepa.htm\" target=\"_blank\"><font color=\"#0000ff\" face=\"verdana\">(Exit Disclaimer)<\/font><\/a><font face=\"verdana\"><\/p>\n<p>US Department of Health and Human Services<\/p>\n<p>4676 Columbia Parkway (Mail Drop R2)<\/p>\n<p>Cincinnati, Ohio 45226<\/font><\/p>\n<p><font face=\"verdana\">Public Relations Office<\/p>\n<p><strong>American Society of Heating, Refrigerating and Air-Conditioning Engineers  (ASHRAE)<\/p>\n<p><\/strong><\/font><a href=\"http:\/\/www.ashrae.org\/\" target=\"_blank\"><font face=\"verdana\"><strong><u>www.ashrae.org\/<\/u><\/strong><\/font><\/a><font face=\"verdana\"><strong> <\/strong><\/font><a name=\"0.22_graphic07\"><\/a><a href=\"http:\/\/www.epa.gov\/epahome\/exitepa.htm\" target=\"_blank\"><font color=\"#0000ff\" face=\"verdana\">(Exit Disclaimer)<\/font><\/a><font face=\"verdana\"><\/p>\n<p>1791 Tullie Circle, NE,<\/p>\n<p>Atlanta, Georgia 30329<\/font><\/p>\n<p><font face=\"verdana\"><strong>Building Owners and Managers  Association International<\/p>\n<p><\/strong><\/font><a href=\"http:\/\/www.boma.org\/\" target=\"_blank\"><font face=\"verdana\"><strong><u>www.boma.org\/<\/u><\/strong><\/font><\/a><font face=\"verdana\"><strong> <\/strong><\/font><a name=\"0.22_graphic08\"><\/a><a href=\"http:\/\/www.epa.gov\/epahome\/exitepa.htm\" target=\"_blank\"><font color=\"#0000ff\" face=\"verdana\">(Exit Disclaimer)<\/font><\/a><font face=\"verdana\"><\/p>\n<p>1250 Eye Street, NW, <\/font><\/p>\n","protected":false},"excerpt":{"rendered":"<p>*There are estimates that up to 60% of all buildings can be considered sick buildings. *Indoor air quality can be 5 to 20 times worse than outdoor air. * Research indicates that people spend approximately 90 percent of their time indoors. * EPA estimates that poor indoor air may cost the nation tens of billions&hellip; <a class=\"more-link\" href=\"https:\/\/estrategist.com\/members\/sick-buildings-introduction\/\">Continue reading <span class=\"screen-reader-text\">Sick Buildings Introduction<\/span><\/a><\/p>\n","protected":false},"author":4,"featured_media":0,"comment_status":"closed","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"_exactmetrics_skip_tracking":false,"_exactmetrics_sitenote_active":false,"_exactmetrics_sitenote_note":"","_exactmetrics_sitenote_category":0,"footnotes":""},"categories":[3],"tags":[],"class_list":["post-176","post","type-post","status-publish","format-standard","hentry","category-resources","entry"],"_links":{"self":[{"href":"https:\/\/estrategist.com\/members\/wp-json\/wp\/v2\/posts\/176","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/estrategist.com\/members\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/estrategist.com\/members\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/estrategist.com\/members\/wp-json\/wp\/v2\/users\/4"}],"replies":[{"embeddable":true,"href":"https:\/\/estrategist.com\/members\/wp-json\/wp\/v2\/comments?post=176"}],"version-history":[{"count":0,"href":"https:\/\/estrategist.com\/members\/wp-json\/wp\/v2\/posts\/176\/revisions"}],"wp:attachment":[{"href":"https:\/\/estrategist.com\/members\/wp-json\/wp\/v2\/media?parent=176"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/estrategist.com\/members\/wp-json\/wp\/v2\/categories?post=176"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/estrategist.com\/members\/wp-json\/wp\/v2\/tags?post=176"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}