Indoor Air Quality Introductionmyhealthyair
Historical evolution of air pollution
The topic of indoor air quality as indoor and outdoor air pollution is certainly not a new one. Throughout the earth’s 4,5 B year old history, air pollution was present originating from natural sources such as forest fires, volcanos and dust stoms. With the emergence of Homo sapiens, a new form of pollution came to be added to the naturally occurring one: Anthropogenic air pollution, originating from human activities such as fuel combustion for heating and cooking. However, man-made air pollution was insignificant to the natural background levels until the revolution of agriculture and the creation of mass settled societies.
Historian found records of 15th century B.C. Egyptian workers to face respiratory diseases coming from stone cutting particles. The father of medicine Hippocrates in his treatise air, water and places stressed the importance of air quality for good health at about 400 B.C. In the rapidly growing and more than a million citizen strong 1st century B.C. Rome, there are mentions for smoke clouds that forced citizens such as the philosopher Seneca to leave this city for health reasons (Mosley, 2011).
Modern air pollution
In modern history, man’s domination on earth, exemplified by the industrialization era that begun in the late 18th century, let to an unprecedented scale of exploitation of natural resources such as fossil fuels and minerals, and along with that it let to ever increasing health hazards for the dominator itself. Indoor Air Quality is now a concser for everyone. Ambient air CO2 levels saw a sudden 40 % increase in the 1½ century following the industrial revolution as compared to the stable CO2 levels of the previous 200 000 centuries, thus exponentially increasing lung diseases, cancer rates, heart attacks and strokes among other hazards for the current and next generations. (Steiner & Steiner, 2011)
What about Indoor Air Pollution?
Even though air pollution has been a historical concern for mankind, indoor air pollution was systematically neglected both from the scientific and the public community. The main reasons were the lack of interest from public authorities and hence the lack of funding and relevant research on the subject, coming in part from the outdated believes that: 1) indoor air pollutants are not a significant public health hazard; 2) outdoor pollutants are a much greater concern than the indoor ones; and 3) if actions for outdoor pollutants are taken, indoor air pollutants will decrease as well. In fact, the latter was partially true, considering that older houses relied heavily on natural ventilation and infiltration 1 that both allowed for high amounts of ambient air entering the house and thus equaling to some extent the concentration of indoor and outdoor air pollutants.
All was set to change in the mid-70’s were a number of transitions made indoor air quality a hot topic. Three catalytic factors have occurred according to Burroughs & Hansen (Burroughs & Hansen, 2011):
The Energy Crisis
First, sparked by the OPEC’s 1973 oil crisis and the rising fuel prices, air-tight energy efficient home constructions tried to minimize energy losses by using high efficient insulating building materials and energy-tight architecture, thus greatly reducing the amount of fresh air coming in the house from infiltration.
Similarly, the energy efficient houses tried to minimize natural ventilation losses by limiting the size and quantity of windows or making them more air-tight. To compensate for the decreasing natural ventilation mediums, mechanical ventilation systems were introduced to houses. However those systems were usually designed to re-circulate the existing conditioned air within the house rather than to bring new ambient air indoors. The reasoning behind that was to save costs occurring from energy conditioning, an action that caused although the constant re-circulation of contaminated air within the house.
Last, new technological changes brought new products and furnishings in the house that increased greatly the amount of chemical and particulate emissions. Computers, printers, the fax, television, cloth driers, washing machines and all sort of technological wonders became new pollutant emitting sources. In addition to that, more effective chemicals for cleaning, painting, and killing parasites and pests were introduced and become a household staple that further diminished home indoor air quality.
Where have those changes led us?
Those decreasing indoor air quality standards have let to buildings that have the potential of making their occupants sick. Terms such as the Sick Building Syndrome (SBS) and the Building Related Illnesses (BRI) came to describe the new trends: (EPA, 1991)
The Sick Building Syndrome (SBS) describes a varied set of symptoms of discomfort such as headache; eye, nose, or throat irritation; dry cough; dry or itchy skin; dizziness and nausea; difficulty in concentrating; fatigue; and sensitivity to odors, all associated with an individual’s exposure to a building’s indoor environment. The exact source of the sickness is not known and is not directly identifiable and the symptoms gradually subside soon after the affected person leaves the building.
Building Related Illnesses (BRI) describes a set of intense symptoms such as cough; chest tightness; high fever, chills; and muscle aches related to a specific microbial sickness nourishing in a building’s indoor environment. The exact source of the sickness can be clinically identified and the symptoms can be prolonged or worsen even after the affected person leaves the building.
Table 1, based on a work by (Burroughs & Hansen, 2011) provides the most distinct symptoms when countering SBS or BRI sicknesses. The BRI sicknesses are distinguished in their most frequent forms which are: the Legionnaire’s disease, humidifier fever, Pontiac fever, occupational asthma and hypersensitivity pneumonitis. Dark grey areas describe the most characteristic symptoms experienced when countering one of those sicknesses and light grey areas describe secondary and usually not determining symptoms for isolating the source of the disease.
Distinguishing SBS with common BRI’s.
The table is meant to help the affected person to identify if his condition belongs to the SBS or BRI category rather than proposing a full-proof mean to identify the exact disease in the case of a BRI. Especially in the case where signs lead to a BRI illness, contacting a physician immediately is highly recommended in addition to any other measures that might be taken to remedy the environmental polluting factor. More information on the suggested countering measures will follow on part 2 of the research.
Indoor Air Quality Now
Even though indoor air pollution is becoming a hot topic for governmental policy concerns, still the majority of the US population has limited or no information about indoor air quality issues and its negative health potentials. The mass media attempts to cover the subject is often incomplete, and instead focuses more on outdoor air pollution concerns. The ambient air is conceived by many city dwellers the most significant threat to their health and that often leads to a common misunderstanding that being in indoor, air-sealed environments is providing a safe ground for them.
However, the latter is a dangerous misconception hiding the real threat: According to EPA exposure to air pollutants in indoor environments is often 2 to 5 higher than in outdoors environments, and for specific contaminants such ETS smoke indoor concentrations can be up to 100 times higher (EPA, 2009) . In its 35 years in operation the EPA’s Science Advisory Board(SAB) has been consistently ranking indoor air pollution among the top 5 environmental health risks, attributing to it devastating effects to the public health and the nation’s economy. (Steiner & Steiner, 2011)
More worryingly, the modern urban lifestyle dictates that people are spending on average 90% of their time in indoor environments, meaning that their exposure to elevated air contaminants is almost continuous. (EPA, 2009) Ironically, the most sensitive groups to air pollution such as the elderly, the young, pregnant women and the chronically ill are usually the ones that due to their lifestyle spend above the average time in polluted indoor environments. Those groups are also among the most limited in taking action in countering indoor air pollution, mainly because of financial distress, dependency in others, limited mobility and lack of proper education of the matter.
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