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Indoor air pollution is becoming an increasing problem in industrialized countries. Most people spend their time indoors which results in chronic exposure to indoor allergens and irritants. New products have been introduced to the environment to which humans are not immunologically adapted. This article describes the main sources of indoor air pollution and the best ways to control exposure to indoor air pollutants.
Indoor air pollution, specifically restricted in its meaning to chemicals in home indoor air environment, presents a new and probably an important challenge to the researchers of the air pollution field. The general overview of this topic suggests that the voluminous data generated in the past ten or so years have only defined the rudiments of the problem, and significant areas of research still exist. Among the important areas where information is lacking, the exposures to contaminants generated by the use of consumer products and through hobbies and crafts represent perhaps the most urgent need for substantial research.
Indoor air quality affects a person's performance and well-being. This justifies the study of indoor air pollution for the development of comfortable and safe environments. A simultaneous indoor/outdoor sampling programme was carried out at three sites in Zurich. Parameters included CO, NO, NO2, and HCHO.
The lack of an effective indoor air quality (IAQ) metric causes communication concerns among building tenants (the public), building managers (decision-makers), and IAQ investigators (engineers). The Indoor Air Pollution Index (IAPI) is developed for office buildings to bridge this communication discord. The index, simple and easily understood, employs the range of pollutant concentrations and concentrations in the subject building to estimate a unitless single number, the IAPI, between 0 (lowest pollution level and best IAQ) and ten (highest pollution level and worst IAQ). The index provides a relative measure of indoor air pollution for office buildings and ranks office indoor air pollution relative to the index distribution of the US office building population. Furthermore, the index associates well with occupant symptoms, percentage of occupants with persistent symptoms. A tree-structured method is utilized in conjunction with the arithmetic mean as the aggregation function. The hierarchical structure of the method renders not only one index value, but also several sub-index values that are critical in the study of an office air environment. The use of the IAPI for IAQ management is illustrated with an example. The decomposition of the index leads to the ranking of sampled pollutants by their relative contribution to the index and the identification of dominant pollutant(s). This information can be applied to design an effective strategy for reducing in-office air pollution.
The author discusses the four basic principles of clinical ecology, which include total load, such as exposure to chemicals, effects of physical factors (cold, heat, positive ions, radiation), exposure to bacteria, viruses and fungi, effects of consumed foods and psychological stress. Adaptation is discussed in detail as it pertains to chronic degenerative disease and chemical sensitivity. Lack of understanding of adaptive phenomena leads contemporary physicians to prescribe drugs instead of finding and eliminating the cause of disease to alleviate suffering. Body response to environmental stimuli during adaptive processes is biphasic in nature and is characterized by stimulatory and withdrawal reactions. Symptoms developed during these phases are described in detail. Effects of foods and chemicals on patients' health should be examined and considered before excluding in favour of idiopathic, mental or psychosomatic disturbances. In order to understand the variety of symptoms and signs developed during the process of degenerative disease one has to accept and apply the concept of biological individuality. Each patient should be assessed and dealt with carefully since each represents a unique clinical picture. The author further on discusses indoor air pollution, its causes and effects on health. Particular emphasis is placed on the indoor use of pesticides in the Canadian setting. Four groups of population have been defined as the result of exposure to chemicals and are discussed in brief. The author concludes with a comparison of traditional and environmental medicine in respect to history taking, the stage at which disease is diagnosed, the patient's viewpoint, specialization and therapies.
In 1997 so far unknown indoor contaminations were detected in a flat of former American Forces living quarters in Frankfurt/Main, Germany. Household dust samples were found to be contaminated with polycyclic aromatic hydrocarbons (PAH), respectively with benzo(a)pyrene (BaP), due to the use of a coal tar pitch parquet glue that had been standard building practice in Germany up to the 'sixties. To assess the amount of exposure, the local Health Services department organised analyses of PAH metabolites in the urine of children below 6 years of age considered to be at risk for oral exposure to BaP in household dust while playing on the floor. In addition the local Health Services informed all ministeries concerned of the problem. During the following months several meetings on this topic were held by experts in the respective spheres and recommendations for redeveloping indoor sites were outlined. In almost 3,000 analyses of samples of household dust and parquet glue and about 1,200 urine analyses for PAH-metabolites in Frankfurt/Main no correlation was seen between the BaP levels in parquet glue and the BaP levels in household dust samples, as well as with interual exposure. Recommendations for further action were made in view of the importance of the composition of parquet flooring for possible indoor contamination.
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Evaluation of indoor air pollution problems requires an understanding of the relationship between sources, air movement, and outdoor air exchange. Research is underway to investigate these relationships. A three-phase program is being implemented: 1) Environmental chambers are used to provide source emission factors for specific indoor pollutants; 2) An IAQ (Indoor Air Quality) model has been developed to calculate indoor pollutant concentrations based on chamber emissions data and the air exchange and air movement within the indoor environment; and 3) An IAQ test house is used to conduct experiments to evaluate the model results. Examples are provided to show how this coordinated approach can be used to evaluate specific sources of indoor air pollution. Two sources are examined: 1) para-dichlorobenzene emissions from solid moth repellant; and 2) particle emissions from unvented kerosene heaters. The evaluation process for both sources followed the three-phase approach discussed above. Para-dichlorobenzene emission factors were determined by small chamber testing at EPA's Air and Energy Engineering Research Laboratory. Particle emission factors for the kerosene heaters were developed in large chambers at the J. B. Pierce Foundation Laboratory. Both sources were subsequently evaluated in EPA's IAQ test house. The IAQ model predictions showed good agreement with the test house measurements when appropriate values were provided for source emissions, outside air exchange, in-house air movement, and deposition on "sink" surfaces.
Indoor air pollution has long been the Cinderella of the environmental world: left at home, out of sight and out of mind. But as our knowledge of indoor pollution grows, policy-makers are coming to realise that improving indoor environments can deliver big gains for public health. The new front line on air quality will be on our own doorsteps.
Indoor air pollution is characterized by a wide range of concentrations of many, mainly organic substances. To avoid adverse health effects it is necessary to develop indoor air quality standards. Standards should reflect the way and time of exposure and the fact that health risks might be possible especially to sensitive people. The toxicological basis for regulating indoor air quality is discussed. Special attention is given to organic substances with a cancerogenic and accumulating potential. An approach in setting standards of indoor air quality for frequent organic substances like toluene, xylene, styrene, dichloromethane, 1.1.1-trichloroethane, trichloroethene, tetrachloroethene, pentachlorophenol and PCB is presented, incorporating adequate protection margins. The results of this approach are compared with the WHO air quality guidelines and the German MIK values.
BACKGROUND: Reliance on biomass for cooking and heating exposes many women and young children in developing countries to high levels of air pollution indoors. This study investigated the association between household use of biomass fuels for cooking and acute respiratory infections (ARI) in preschool age children (<5 years) in Zimbabwe. METHODS: Analysis is based on 3559 children age 0-59 months included in the 1999 Zimbabwe Demographic and Health Survey (ZDHS). Children who suffered from cough accompanied by short, rapid breathing during the 2 weeks preceding the survey were defined as having suffered from ARI. Logistic regression was used to estimate the odds of suffering from ARI among children from households using biomass fuels (wood, dung, or straw) relative to children from households using cleaner fuels (liquid petroleum gas [LPG]/natural gas, or electricity), after controlling for potentially confounding factors. RESULTS: About two-thirds (66%) of children lived in households using biomass fuels and 16% suffered from ARI during the 2 weeks preceding the survey interview. After adjusting for child's age, sex, birth order, nutritional status, mother's age at childbirth, education, religion, household living standard, and region of residence, children in households using wood, dung, or straw for cooking were more than twice as likely to have suffered from ARI as children from households using LPG/natural gas or electricity (OR = 2.20; 95% CI: 1.16, 4.19). CONCLUSIONS: Household use of high pollution biomass fuels is associated with ARI in children in Zimbabwe. The relationship needs to be further investigated using more direct measures of smoke exposure and clinical measures of ARI.
Indoor air pollution is ubiquitous, and takes many forms, ranging from smoke emitted from solid fuel combustion, especially in households in developing countries, to complex mixtures of volatile and semi-volatile organic compounds present in modern buildings. This paper reviews sources of, and health risks associated with, various indoor chemical pollutants, from a historical and global perspective. Health effects are presented for individual compounds or pollutant mixtures based on real-world exposure situations. Health risks from indoor air pollution are likely to be greatest in cities in developing countries, especially where risks associated with solid fuel combustion coincide with risk associated with modern buildings. Everyday exposure to multiple chemicals, most of which are present indoors, may contribute to increasing prevalence of asthma, autism, childhood cancer, medically unexplained symptoms, and perhaps other illnesses. Given that tobacco consumption and synthetic chemical usage will not be declining at least in the near future, concerns about indoor air pollution may be expected to remain.
Indoor air pollution has been causally linked to acute lower respiratory infections in children younger than 5. The aim of this study was to identify target behaviors for a behavioral intervention to reduce child exposure to indoor air pollution by attempting to answer two research questions: Which behaviors are protective of child respiratory health in the study context? and Which behaviors do mothers recommend to reduce their children's exposure to indoor air pollution? Observations and interviews were conducted with 67 mother-child combinations. The authors recommend that four behavioral clusters should be considered for the main intervention. These are to improve stove maintenance practices, to increase the duration that two ventilation sources are opened while a fire is burning, to reduce the time that children spend close to burning fires, and to reduce the duration of solid fuel burning.
Indoor air pollution is responsible for the deaths and illness of millions of young children in developing countries. This study investigated the acceptability (willingness to try) and feasibility (ability to perform) of four indoor air pollution reduction behaviors (improve stove maintenance practices, child location practices, ventilation practices and reduce the duration of solid fuel burning). The study further aimed to identify the motivations for and barriers against modifying the behaviors, the perceived impact of the behaviors on children's respiratory health, and families intention to continue with the behaviors. Thirty families in a rural village of South Africa tried out one or more of the behaviors over a 4-week trial period during winter 2002. Improving stove maintenance and reducing the duration of solid fuel burning proved to be very difficult for most families. It is recommended that the main intervention should focus on improving child location and ventilation practices.
Since the early 1970s, the health effects of indoor air pollution have been investigated with increasing intensity. Consequently, a large body of literature is now available on diverse aspects of indoor air pollution: sources, concentrations, health effects, engineering, and policy. This review begins with a review of the principal pollutants found in indoor environments and their sources. Subsequently, exposure to indoor air pollutants and health effects are considered, with an emphasis on those indoor air quality problems of greatest concern at present: passive exposure to tobacco smoke, nitrogen dioxide from gas-fueled cooking stoves, formaldehyde exposure, radon daughter exposure, and the diverse health problems encountered by workers in newer sealed office buildings. The review concludes by briefly addressing assessment of indoor air quality, control technology, research needs, and clinical implications.
The quality of indoor air is a very important factor that may directly affect human health. There are many sources as well as a variety of indoor air pollutants. Therefore, the health impact is complicated, affecting different organs and systems of human being such as respiratory and immune system. The main indoor air pollutants are the combustion products from smoking, cooking and heating, the chemical pollutants from renovation materials and the biological contaminants. The kinds, sources and health impacts of these pollutants that affect the indoor air quality are reviewed in this paper.
Indicators for cooking fuel pollution are needed to determine the extent of fuel-related problems in developing countries and to assess the success of measures undertaken to reduce such problems. It is proposed that eye irritation in the form of tears or smarting eyes during cooking time [tears while cooking (TWC)] is a useful determinant of indoor air pollution from cooking-related sources. An analysis of data from three cities (Lusaka, Maputo, and Hanoi) showed that TWC is more prevalent in conditions of higher particulate pollution. Persons experiencing TWC were also found to have more respiratory symptoms. The prevalence of TWC provides a good indicator of groups that are at greater risk of health impairment due to indoor air pollution. Surveying for this condition is simple and nonintrusive, which makes it a useful screening indicator, though it cannot replace more thorough investigations in epidemiological studies. It can, however, be used in guiding interventions to the most needy groups. It can also be used to assess the success of measures introduced to reduce pollution hazards relating to the cooking environment, such as improved stoves, chimneys, and kitchen improvement.
BACKGROUND: Indoor air pollution could play an important role in the susceptibility to respiratory diseases of vulnerable individuals, such as elders and infants. AIM: To evaluate indoor air pollution in a low income population of South East Santiago. SUBJECTS AND METHODS: A domiciliary survey of contaminant sources was carried out in the bouses of a cohort of 522 children less than one year old. Using a case-control design, 121 children consulting for respiratory diseases were considered as cases and 131 healthy infants of the same age and sex were considered as controls. In the houses of both groups, active monitors for particulate matter (PM10) and passive monitors for NO2 were installed. RESULTS: Forty two percent of fathers and 30% of mothers were smokers, and in two thirds of the families there was at least one smoker. Eighty five percent used portable heaters in winter. Of these, 77% used kerosene as fuel. Only 27% had water heating appliances. The rest heated water on the kitchen store or on bonfires. Most kitchen stoves used liquid gas as fuel. Twenty four hour PM10 was 109 +/- 3.2 micrograms/m3. Mean indoor and outdoor NO2 in 24 h was 108 +/- 76.3 and 84 +/- 53.6 micrograms/m3 respectively. Indoor NO2 levels were related to the use of heating devices and smoking. No differences in PM10 and NO2 levels were observed between cases and controls. CONCLUSIONS: There is a clear relationship between indoor pollution and contaminating sources. Indoor NO2 levels are higher than outdoors.