Is health in office buildings related only to psychosocial factors?
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Biomedical subjects
Publications and source records attributed to W J Fisk.
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Outdoor air ventilation rates vary considerably between and within buildings, and may be too low in some spaces. The purpose of this study was to evaluate the potential work performance benefits of increased ventilation. We analyzed the literature relating work performance with ventilation rate and employed statistical analyses with weighting factors to combine the results of different studies. The studies included in the review assessed performance of various tasks in laboratory experiments and measured performance at work in real buildings. Almost all studies found increases in performance with higher ventilation rates. The studies indicated typically a 1-3% improvement in average performance per 10 l/s-person increase in outdoor air ventilation rate. The performance increase per unit increase in ventilation was bigger with ventilation rates below 20 l/s-person and almost negligible with ventilation rates over 45 l/s-person. The performance increase was statistically significant with increased ventilation rates up to 15 l/s-person with 95% CI and up to 17 l/s-person with 90% CI. Practical Implications We have demonstrated a quantitative relationship between work performance and ventilation within a wide range of ventilation rates. The model shows a continuous increase in performance per unit increase in ventilation rate from 6.5 l/s-person to 65 l/s-person. The increase is statistically significant up to 15 l/s-person. This relationship has a high level of uncertainty; however, use of this relationship in ventilation design and feasibility studies may be preferable to the current practice, which ignores the relationship between ventilation and productivity.
Twenty-seven laboratory experiments were conducted in a simulated smoking room to quantify rates of environmental tobacco smoke (ETS) leakage to a nonsmoking area as a function of the physical and operational characteristics of the smoking room. Data are presented for the various types of leakage flows, the effect of these leaks on smoking room performance and nonsmoker exposure, and the relative importance of each leakage mechanism. The results indicate that the first priority for an effective smoking room is to maintain it depressurized with respect to adjoining nonsmoking areas. The amount of ETS pumped out by the smoking room door when it is opened and closed can be reduced significantly by substituting a sliding door for the standard swing-type door. An "open doorway" configuration used twice the ventilation flow of those with smoking room doors, but yielded less reduction in nonsmoker exposure. Measured results correlated well with results modeled with mass-balance equations (R(2) = 0.82-0.99). Most of these results are based on sulfur hexafluoride (SF(6)) tracer gas leakage. Because five measured ETS tracers showed good correlation with SF(6), these conclusions should apply to ETS leakage as well. Field tests of a designated smoking room in an office building qualitatively agreed with model predictions.
UNLABELLED: Student attendance in American public schools is a critical factor in securing limited operational funding. Student and teacher attendance influence academic performance. Limited data exist on indoor air and environmental quality (IEQ) in schools, and how IEQ affects attendance, health, or performance. This study explored the association of student absence with measures of indoor minus outdoor carbon dioxide concentration (dCO(2)). Absence and dCO(2) data were collected from 409 traditional and 25 portable classrooms from 22 schools located in six school districts in the states of Washington and Idaho. Study classrooms had individual heating, ventilation, and air conditioning (HVAC) systems, except two classrooms without mechanical ventilation. Classroom attributes, student attendance and school-level ethnicity, gender, and socioeconomic status (SES) were included in multivariate modeling. Forty-five percent of classrooms studied had short-term indoor CO(2) concentrations above 1000 p.p.m. A 1000 p.p.m. increase in dCO(2) was associated (P < 0.05) with a 0.5-0.9% decrease in annual average daily attendance (ADA), corresponding to a relative 10-20% increase in student absence. Annual ADA was 2% higher (P < 0.0001) in traditional than in portable classrooms. PRACTICAL IMPLICATIONS: This study provides motivation for larger school studies to investigate associations of student attendance, and occupant health and student performance, with longer term indoor minus outdoor CO(2) concentrations and more accurately measured ventilation rates. If our findings are confirmed, improving classroom ventilation should be considered a practical means of reducing student absence. Adequate or enhanced ventilation may be achieved, for example, with educational training programs for teachers and facilities staff on ventilation system operation and maintenance. Also, technological interventions such as improved automated control systems could provide continuous ventilation during occupied times, regardless of occupant thermal comfort demands.
UNLABELLED: It is known that ventilation is necessary to remove indoor-generated pollutants from indoor air or dilute their concentration to acceptable levels. But as the limit values of all pollutants are not known the exact determination of required ventilation rates based on pollutant concentrations is seldom possible. The selection of ventilation rates has to be based also on epidemiological research, laboratory and field experiments and experience. The existing literature indicates that ventilation has a significant impact on several important human outcomes including: (1) communicable respiratory illnesses; (2) sick building syndrome symptoms; (3) task performance and productivity, and (4) perceived air quality (PAQ) among occupants or sensory panels (5) respiratory allergies and asthma. In many studies, prevalence of sick building syndrome symptoms has also been associated with characteristics of HVAC-systems. Often the prevalence of SBS symptoms is higher in air-conditioned buildings than in naturally ventilated buildings. The evidence suggests that better hygiene, commissioning, operation and maintenance of air handling systems may be particularly important for reducing the negative effects of HVAC systems. Ventilation may also have harmful effects on indoor air quality and climate if not properly designed, installed, maintained and operated. Ventilation may bring indoors harmful substances or deteriorate indoor environment. Ventilation interacts also with the building envelope and may deteriorate the structures of the building. Ventilation changes the pressure differences across the structures of building and may cause or prevent infiltration of pollutants from structures or adjacent spaces. Ventilation is also in many cases used to control the thermal environment or humidity in buildings. The paper summarises the current knowledge on positive and negative effects of ventilation on health and other human responses. The focus is on office-type working environment and residential buildings. PRACTICAL IMPLICATIONS: The review shows that ventilation has various positive impacts on health and productivity of building occupants. Ventilation reduces the prevalence of airborne infectious diseases and thus the number of sick leave days. In office environment a ventilation rate up to 20-25 L/s per person seem to decrease the prevalence of SBS-symptoms. Air conditioning systems may increase the prevalence of SBS-symptoms relative to natural ventilation if not clean. In residential buildings the air change rate in cold climates should not be below app. 0.5 ach. Ventilation systems may cause pressure differences over the building envelope and bring harmful pollutants indoors.
UNLABELLED: In chamber experiments, we investigated the ventilation effectiveness and thermal comfort of a task ventilation system with an air supply nozzle located underneath the front edge of a desk and directing air towards a heated mannequin or a human volunteer seated at the desk. The task ventilation system provided outside air, while another ventilation system provided additional space cooling but no outside air. Test variables included the vertical angle of air supply (-15 degrees to 45 degrees from horizontal), and the supply flow rate of (3.5-6.5 l/s). Using the tracer gas step-up and step-down procedures, the measured air change effectiveness (i.e., exhaust air age divided by age of air in the breathing zone) in experiments with the mannequin ranged from 1.4 to 2.7 (median, 1.8), whereas with human subjects the air change effectiveness ranged from 1.3 to 2.3 (median, 1.6). The majority of the air change effectiveness values with the human subjects were less than values with the mannequin using comparable tests. Similarly, the tests run with supply air temperature equal to the room air temperature had lower air change effectiveness values than comparable tests with the supply air temperature lower ( approximately 5 degrees C) than the room air temperature. The air change effectiveness values are higher than typically reported for commercially-available task ventilation or displacement ventilation systems. Based on surveys completed by the subjects, operation of the task ventilation system did not cause thermal discomfort. PRACTICAL IMPLICATIONS: With a desk-edge-mounted task ventilation system it is possible to obtain an increase in the effective ventilation rate of 50%. This could lead to reduced energy use. Also, this improvement can be gained while maintaining thermal comfort for occupants. Thus occupants can be thermally comfortable and save energy at the same time.
UNLABELLED: We investigated the relationship between ventilation rates and individual work performance in a call center, and controlled for other factors of the indoor environment. We randomized the position of the outdoor air control dampers, and measured ventilation rate, differential (indoor minus outdoor) carbon dioxide (DeltaCO(2)) concentration, supply air velocity, temperature, humidity, occupant density, degree of under-staffing, shift length, time of day, and time required to complete two different work performance tasks (talking with clients and post-talk wrap-up to process information). DeltaCO(2) concentrations ranged from 13 to 611 p.p.m. We used multivariable regression to model the association between the predictors and the responses. We found that agents performed talk tasks fastest when the ventilation rate was highest, but that the relationship between talk performance and ventilation was not strong or monotonic. We did not find a statistically significant association between wrap-up performance and ventilation rate. Agents were slower at the wrap-up task when the temperature was high (> 25.4 degrees C). Agents were slower at wrap-up during long shifts and when the call center was under-staffed. PRACTICAL IMPLICATIONS: The productivity benefits of ventilation rates that exceed common standards such as ASHRAE Standard 62 may be small (0-2%), and other factors may have a larger impact on productivity. Understaffing and long shifts should be avoided because both showed a negative impact on performance. In this study, high temperature had the largest statistically significant impact on productivity and was caused by occupants fighting over the thermostat setpoint. Care should be taken to avoid high temperatures in call centers. If occupants are allowed to adjust temperature setpoints, then the size and/or duration of the setpoint change should be restricted.
UNLABELLED: Our objective was to develop a process for selecting interior finish materials having low impacts with respect to emissions of toxic and odorous volatile organic compounds (VOCs) for school relocatable classrooms (RCs). A laboratory study identified alternate materials with low VOC emissions. Two pairs of RCs then were constructed. One RC per pair contained standard interior materials; the other incorporated alternate materials. The pairs were sited side-by-side at two California elementary schools in fall 2001. Fifteen target VOCs, including the toxicants formaldehyde, acetaldehyde, vinyl acetate, phenol, toluene, and naphthalene, were measured during school hours over 8 weeks in the succeeding fall cooling season. Indoor minus outdoor VOC concentrations with an advanced HVAC operated were low; only formaldehyde concentrations exceeded 5 p.p.b. Classroom VOC concentrations were predicted based on emission factors (microg/m(2)/h), material quantities and design ventilation rates. These were compared to average adjusted concentrations measured when the occupied classrooms were operating at near the code-minimum ventilation rate. For 16 of the possible 42 comparisons, measured concentrations agreed within a factor of two of predicted the predicted values. Concentrations of six of 10 VOCs were significantly lower in modified RCs though average differences were mostly less than 1 p.p.b. PRACTICAL IMPLICATIONS: Laboratory-based material testing combined with modeling and field validation to select low VOC-impact interior finish materials helped achieve the aim of providing generally acceptable air quality in new school relocatable classrooms (RCs). The accuracy of the combined process was evidenced by the correct prediction of air quality impacts, though small, due to material VOC emissions when the study RCs were ventilated at code-minimum requirements. The process could be generalized to other manufacturers and classroom types. Material selection also is important to accommodate reduced ventilation rate conditions, which likely occur in many classrooms.
This paper provides a synthesis of current knowledge about the associations of ventilation system types in office buildings with sick building syndrome (SBS) symptoms and discusses potential explanations for the associations. Most studies completed to date indicate that relative to natural ventilation, air conditioning, with or without humidification, was consistently associated with a statistically significant increase in the prevalence of one or more SBS symptoms, by approximately 30 to 200%. In two of three analyses from a single study (assessments), symptom prevalences were also significantly higher in air-conditioned buildings than in buildings with simple mechanical ventilation and no humidification. The available data also suggest, with less consistency, an increase in risk of symptoms with simple mechanical ventilation relative to natural ventilation. Insufficient information was available for conclusions about the potential increased risk of SBS symptoms with humidification or recirculation of return air. The statistically significant associations of mechanical ventilation and air conditioning with SBS symptoms are much more frequent than expected from chance and also not likely to be a consequence of confounding by several potential personal, job, or building-related confounders. Multiple deficiencies in HVAC system design, construction, operation, or maintenance, including some which cause pollutant emissions from HVAC systems, may contribute to the increases in symptom prevalences but other possible reasons remain unclear.
This paper predicts the reductions in the indoor mass concentrations of particles attainable from use of filters in building supply airstreams and also from use of stand-alone fan-filter units. Filters with a wide efficiency range are considered. Predicted concentration reductions are provided for indoor-generated particles containing dust-mite and cat allergen, for environmental tobacco smoke (ETS) particles, and for outdoor air fine-mode particles. Additionally, this paper uses a simple model and available data to estimate the energy and total costs of the filtration options. Predicted reductions in cat and dust-mite allergen concentrations range from 20 to 80%. To obtain substantial, e.g. 50%, reductions in indoor concentrations of these allergens, the rate of airflow through the filter must be at least a few indoor volumes per hour. Increasing filter efficiencies above approximately ASHRAE Dust Spot 65% does not significantly reduce predicted indoor concentrations of these allergens. For ETS particles and outdoor fine-mode particles, calculations indicate that relatively large, e.g. 80%, decreases in indoor concentrations are attainable with practical filter efficiencies and flow rates. Increasing the filter efficiency above ASHRAE 85% results in only modest predicted incremental decreases in indoor concentration. Energy costs and total costs can be similar for filtration using filters with a wide range of efficiency ratings. Total estimated filtration costs of approximately $0.70 to $1.80 per person per month are insignificant relative to salaries, rent, or health insurance costs.
Air and dust samples were collected on two floors of an office building during a double-blind particle intervention study to examine spatial and temporal variability of airborne endotoxin over a period of weeks, and to characterize endotoxin activity and lipopolysaccharide (LPS) content in carpet and chair dust. Air samples were collected on multiple days within and across weeks. Dust samples were collected from carpets and chairs one day per week for three weeks. Endotoxin was measured using a Limulus assay. Dust samples were analyzed for LPS by determination of 3-hydroxy fatty acids (3-OHFAs) using gas chromatography-mass spectrometry. The geometric mean (geometric standard deviation) for 96 indoor air samples was 0.24 (1.6) EU/m3. Significant within-floor spatial variation of airborne endotoxin was found (P < 0.0001, n = 80). Temporal variability of airborne endotoxin was not significant across weeks. Mean (+/- SD) endotoxin levels in carpet dust (59 +/- 9.3 EU/mg dust, n = 12) and in chair dust (38 +/- 7.7 EU/mg dust, n = 10) were significantly different (P < 0.001). Carbon chain length-dependent differences in 3-OHFA levels by dust source and floor were found. Enhanced air filtration did not significantly affect airborne endotoxin (P = 0.62); however, total dust mass and total endotoxin in carpet dust samples increased significantly after enhanced surface cleaning (P < 0.01). These findings suggest that spatial variability, dust source, and surface cleaning may influence building occupant exposures to endotoxin.
A portion of electronic equipment failures is a consequence of particle deposition on electronic circuits in normal indoor environments. Deposited hygroscopic particles reduce the electrical isolation (EI) between conductors. In laboratory experiments, we investigated the mechanisms, locations, and effects of particle deposition on electronic circuits with surface mounted chips (SMCs) and also on small television sets. One set of electronics was exposed for 281 h to an unusually high concentration of artificially-generated ammonium sulfate particles while a second set (experimental controls) was exposed to normal indoor particles. The particle mass concentration in the high-exposure chamber was 500 times higher than normal. Television reliability was observed and the changes in EI between adjacent legs of SMCs were measured. The experiments demonstrate the strong influence of electrostatic forces on the locations and rates of particle deposition. Although televisions did not fail after exposure to concentrated aerosols, the EI between adjacent legs of the SMCs was, in many cases, greatly diminished. Relative humidity had a very strong influence on the magnitude of EI. A qualitative explanation of the mechanisms of particle deposition and circuit degradation is proposed, including the role of fibers. Finally, a potential method to reduce particle deposition on electronic components is discussed.
Higher indoor concentrations of air pollutants due, in part, to lower ventilation rates are a potential cause of sick building syndrome (SBS) symptoms in office workers. The indoor carbon dioxide (CO2) concentration is an approximate surrogate for indoor concentrations of other occupant-generated pollutants and for ventilation rate per occupant. Using multivariate logistic regression (MLR) analyses, we evaluated the relationship between indoor CO2 concentrations and SBS symptoms in occupants from a probability sample of 41 U.S. office buildings. Two CO2 metrics were constructed: average workday indoor minus average outdoor CO2 (dCO2, range 6-418 ppm), and maximum indoor 1-h moving average CO2 minus outdoor CO2 concentrations (dCO2MAX). MLR analyses quantified dCO2/SBS symptom associations, adjusting for personal and environmental factors. A dose-response relationship (p < 0.05) with odds ratios per 100 ppm dCO2 ranging from 1.2 to 1.5 for sore throat, nose/sinus, tight chest, and wheezing was observed. The dCO2MAX/SBS regression results were similar.
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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 sick building syndrome (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 low ventilation rates.
In laboratory experiments, we investigated two task/ambient conditioning systems with air supplied from desk-mounted air outlets to efficiently ventilate the breathing zone of heated manikins seated at desks. In most experiments, the task conditioning systems provided outside air while a conventional ventilation system provided additional space cooling but no outside air. Air change effectiveness (i.e., exhaust air age divided by age of air at the manikin's face) was measured with a tracer gas step-up procedure. Other tracer gases simulated the release of pollutants from nearby occupants and from the floor covering, and the associated pollutant removal efficiencies (i.e., exhaust air concentrations divided by concentrations at manikin's face) were calculated. High values of air change effectiveness (approximately 1.3 to 1.9) and high values of pollutant removal efficiency (approximately 1.2 to 1.6) were measured when these task conditioning systems supplied 100% outdoor air at a flow rate of 7 to 9 L s-1 per occupant. Air change effectiveness was reasonably well correlated with the pollutant removal efficiency. Overall, the experimental data suggest that these task/ambient conditioning systems can be used to improve ventilation and air quality or to save energy while maintaining a typical level of IAQ at the breathing zone.
The California Healthy Building Study was designed to assess relations between ventilation system type and office worker symptoms in a set of U.S. buildings selected without regard to worker complaints. Twelve public office buildings in northern California meeting specific eligibility criteria were studied in the summer of 1990: three naturally ventilated, three mechanically ventilated (without air conditioning), and six air-conditioned buildings. Questionnaire data were collected from 880 workers in selected spaces within the study buildings. We adjusted effect estimates for various ventilation types for personal, job, and work place factors using logistic regression, and alternatively, using a mixed effects model (SAS/GLIMMIX) to adjust for correlated responses within study spaces. Higher adjusted prevalences of most symptom outcomes were associated with both mechanical and air-conditioned ventilation, relative to natural. With a conservative adjustment for problem building status, the highest adjusted prevalence odds ratios from logistic regression models were for dry or itchy skin [mechanical: odds ratio (OR) = 6.0, 95% confidence interval (CI) = 1.6-22; air-conditioned: OR = 6.0, 95% CI = 1.7-21] and lower respiratory symptoms (mechanical: OR = 2.9, 95% CI = 0.7-11; air-conditioned: OR = 4.0, 95% CI = 1.1-15). GLIMMIX estimates were similar, with slightly wider confidence intervals. Reporting bias was small. These findings of symptom increases within mechanically ventilated and air-conditioned U.S. buildings support previous findings available only from European buildings.
Two new radon mitigation techniques are introduced and their evaluation in a field study complemented by numerical model predictions is described. Based on numerical predictions, installation of a sub gravel membrane at the study site resulted in a factor of 2 reduction in indoor radon concentrations. Experimental data indicated that installation of "short-circuit" pipes extending between the subslab gravel and outdoors caused an additional factor of 2 decrease in the radon concentration. Consequently, the combination of these two passive radon mitigation features, called the membrane and short-circuit (MASC) technique, was associated with a factor of 4 reduction in indoor radon concentration. The energy-efficient active radon mitigation method, called efficient active subslab pressurization (EASP), required only 20% of the fan energy of conventional active subslab depressurization and reduced the indoor radon concentration by approximately a factor of 15, including the numerically-predicted impact of the sub-gravel membrane.