Breathing Uneasily: Employees' Stories of Coping With Poor Indoor Air Quality in the Workplace.

OBJECTIVES: This phenomenological study aimed to elucidate the lived experiences of employees suffering from poor indoor air quality (IAQ) in their university workplace. It addresses gaps in understanding IAQ's personal impacts from occupants' perspectives. BACKGROUND: Prior research on sick building syndrome and indoor air pollution utilized quantitative methods to assess physical health outcomes. However, few studies have adopted qualitative approaches to uncover the meanings ascribed to adverse IAQ experiences and their influences on psychosocial well-being. METHODS: In-depth semi-structured interviews were conducted with five university employees who attributed their chronic illnesses to poor IAQ in their 60-year-old office building with a history of IAQ concerns. Verbatim transcripts were analyzed using qualitative techniques including thematic coding to extract key themes conveying shared experiences. RESULTS: Employees depicted the building itself as fundamentally "sick" and stigmatized, compelling complex coping behaviors hindering productivity. Communication breakdowns, mistrust in leadership, and strained workplace relationships were prevalent. A sense of betrayal, powerlessness, and a sense of detachment from the workplace emerged with home as a refuge. CONCLUSIONS: Although technically adequate, poor IAQ profoundly damaged perceived health, quality of life, relationships, and satisfaction. The accounts emphasize IAQ's psychosocial dimensions, advancing theoretical links between indoor environments and well-being. Supportive policies, transparency, communication, participatory processes, and human-centered strategies emerge as ways to nurture productivity, well-being, and organizational health.

Feasibility of High-Frequency Monitoring of the Home Environment and Health in Older Adults: Proof of Concept.

Technology provides new opportunities to understand and optimize the relationship between the home indoor environmental quality and health outcomes in older adults. We aimed to establish proof-of-concept and feasibility of remote, real-time, high-frequency, and simultaneous monitoring of select environmental variables and outcomes related to health and wellbeing in older adults. Thirty-four participants (27 were female) with an average age (SD) of 81 years (±7.1) were recruited from community and supportive housing environments. Environmental sensors were installed in each home and participants were asked to use a wearable device on their finger and answer smartphone-based questionnaires on a daily basis. Further, a subgroup of participants were asked to complete tablet-based cognitive tests on a daily basis. Average compliance with the wearable (time worn properly / total time with device) was 81%. Participants responded to 69% of daily smartphone surveys and completed 80% of the prescribed cognitive tests. These results suggest that it is feasible to study the impact of the home thermal environment and air quality on biological rhythms, cognition, and other outcomes in older adults. However, the success of non-passive data collection elements may be contingent upon baseline cognition.

Microbes within the building envelope-a case study on the patterns of colonization and potential sampling bias.

Humans are exposed to diverse communities of microbes every day. With more time spent indoors by humans, investigations into the communities of microbes inhabiting occupied spaces have become important to deduce the impacts of these microbes on human health and building health. Studies so far have given considerable insight into the communities of the indoor microbiota humans interact with, but mainly focus on sampling surfaces or indoor dust from filters. Beneath the surfaces though, building envelopes have the potential to contain environments that would support the growth of microbial communities. But due to design choices and distance from ground moisture, for example, the temperature and humidity across a building will vary and cause environmental gradients. These microenvironments could then influence the composition of the microbial communities within the walls. Here we present a case study designed to quantify any patterns in the compositions of fungal and bacterial communities existing in a building envelope and determine some of the key variables, such as cardinal direction, distance from floor or distance from wall joinings, that may influence any microbial community composition variation. By drilling small holes across walls of a house, we extracted microbes onto air filters and conducted amplicon sequencing. We found sampling height (distance from the floor) and cardinal direction the wall was facing caused differences in the diversity of the microbial communities, showing that patterns in the microbial composition will be dependent on sampling location within the building. By sampling beneath the surfaces, our approach provides a more complete picture of the microbial condition of a building environment, with the significant variation in community composition demonstrating a potential sampling bias if multiple sampling locations across a building are not considered. By identifying features of the built environment that promote/retard microbial growth, improvements to building designs can be made to achieve overall healthier occupied spaces.

Thermal Performance of School Buildings: Impacts beyond Thermal Comfort.

Based on field study data regarding the winter indoor thermal environment of three classrooms with different building envelopes, this study compared and evaluated these environments, not only related to students' thermal comfort but also to their health. The inadequacy of the conventional New Zealand school building for maintaining a comfortable and healthy winter indoor thermal environment has been identified. A classroom with thermal mass had 31%, 34% and 9% more time than a classroom without thermal mass when indoor temperatures met 16 °C 18 °C and 20 °C respectively and has 21.4% more time than the classroom without thermal mass when indoor relative humidity was in the optimal range of 40% to 60%, in a temperate climate with a mild and humid winter. Adding thermal mass to school building envelopes should be considered as a strategy to improve the winter indoor thermal environment in future school design and development. Adding thermal mass to a school building with sufficient insulation can not only increase winter indoor mean air temperature but can also reduce the fluctuation of indoor air temperatures. This can significantly reduce the incidence of very low indoor temperature and very high indoor relative humidity, and significantly improve the indoor thermal environment.

From one species to another: A review on the interaction between chemistry and microbiology in relation to cleaning in the built environment.

Since the advent of soap, personal hygiene practices have revolved around removal, sterilization, and disinfection-both of visible soil and microscopic organisms-for a myriad of cultural, aesthetic, or health-related reasons. Cleaning methods and products vary widely in their recommended use, effectiveness, risk to users or building occupants, environmental sustainability, and ecological impact. Advancements in science and technology have facilitated in-depth analyses of the indoor microbiome, and studies in this field suggest that the traditional "scorched-earth cleaning" mentality-that surfaces must be completely sterilized and prevent microbial establishment-may contribute to long-term human health consequences. Moreover, the materials, products, activities, and microbial communities indoors all contribute to, or remove, chemical species to the indoor environment. This review examines the effects of cleaning with respect to the interaction of chemistry, indoor microbiology, and human health.

Effects of neighborhood building density, height, greenspace, and cleanliness on indoor environment and health of building occupants.

The influences of indoor environment quality on occupant health have long been one of the main focuses in built environment and public health research. However, evidence to this effect has been inconsistent. Furthermore, previous urban studies have indicated the interaction between urban morphology and indoor environment. This study thus goes beyond indoor environment to investigate: i) the effects of neighborhood environment on occupant health; and ii) the mediating roles of indoor environment on the neighborhood environment and occupant health relationships. To achieve this aim, buildings located in different neighborhood environment in Hong Kong are selected. Data are collected by post-occupancy evaluation (occupant health), indoor environment assessment (thermal comfort, indoor air quality, ventilation, visual comfort, and acoustic comfort) and neighborhood environment assessment (neighborhood building density, building height, cleanliness and greenspace) through questionnaire survey. Through correlation analysis, regression modelling and Sobel test, it is found that: i) occupant health is significantly affected by neighborhood building height, building density and cleanliness; ii) the relationships between neighborhood environment and occupant health are significantly mediated by indoor environment, in terms of visual and acoustic comfort; and iii) neighborhood greenspace affects occupant health indirectly through influencing indoor air quality. To cross validate the results of the survey study, which is conducted using subjective data, objective measurements and analyses are further conducted. The objective study, echoing the survey study results, indicates that buildings with lower neighborhood building density and height, and cleaner neighborhood environment have better visual (higher illuminance level) and acoustic (lower noise level) performances.

Re-evaluation of a LEED Platinum Building: Occupant experiences of health and comfort.

BACKGROUND: There is a need to better understand the perceived experiences of workers in green buildings as the literature to this point has been mixed. OBJECTIVES: To re-evaluate occupant experiences within a LEED platinum building and investigate current experiences in general. METHODS: An online post occupancy evaluation (POE) survey of 62 occupants of LEED Platinum building on a US college campus is reported. The online survey addressed indoor environmental quality in relation to health, productivity and satisfaction. RESULTS: Of the respondents, 38.7% had participated in a prior POE of this building in 2011 and results were compared for this subgroup, as well as for overall results. There was a significant increase in satisfaction with office workstations and air freshness as compared to 3 years earlier. However, there was also a significant increase in reported frequency of all physical symptoms. When looking just at the current POE results, control over features of the workstation had a significant relationship with most outcomes of interest. CONCLUSION: While improvements have been noted, issues continue to exist that have implications for health, productivity and satisfaction. The results of this study have implications for the ergonomic design of workstations and indoor environmental quality within LEED buildings.

A Multidisciplinary Research Framework on Green Schools: Infrastructure, Social Environment, Occupant Health, and Performance.

BACKGROUND: Sustainable school buildings hold much promise to reducing operating costs, improve occupant well-being and, ultimately, teacher and student performance. However, there is a scarcity of evidence on the effects of sustainable school buildings on health and performance indicators. We sought to create a framework for a multidisciplinary research agenda that links school facilities, health, and educational outcomes. METHODS: We conducted a nonsystematic review of peer review publications, government documents, organizational documents, and school climate measurement instruments. RESULTS: We found that studies on the impact of physical environmental factors (air, lighting, and thermal comfort) on health and occupant performance are largely independent of research on the social climate. The current literature precludes the formation of understanding the causal relation among school facilities, social climate, occupant health, and occupant performance. CONCLUSIONS: Given the average age of current school facilities in the United States, construction of new school facilities or retrofits of older facilities will be a major infrastructure investment for many municipalities over the next several decades. Multidisciplinary research that seeks to understand the impact of sustainable design on the health and performance of occupants will need to include both an environmental science and social science perspective to inform best practices and quantification of benefits that go beyond general measures of costs savings from energy efficiencies.

Occupant comfort and health in green and conventional university buildings.

BACKGROUND: Green building standards are significantly impacting modern construction practices. The resulting structures are more energy efficient, but their impact on occupant health has not been widely studied. OBJECTIVE: To investigate a range of indoor environment and ergonomic issues in green buildings. METHODS: Retrospective post-occupancy evaluation survey of 319 occupants in two Leadership in Energy and Environmental Design (LEED) certified buildings and one conventional building on a Canadian University campus. RESULTS: Results show that working in the LEED buildings was a generally positive experience for their health, performance, and satisfaction. However, the LEED buildings did not always receive the highest ratings for environmental conditions or for health and productivity. Respondents indicated a range of concerns with thermal conditions, office lighting, noise and their overall workstation designs and these were not always better in the green buildings. CONCLUSIONS: These results highlight the need for better integration of ergonomic design into green buildings and into the LEED rating system, and these implications are discussed.

A pilot neighborhood study towards establishing a benchmark for reducing electromagnetic field levels within single family residential dwellings.

Electromagnetic fields (EMF) permeate the built environment in different forms and come from a number of sources including electrical wiring and devices, wireless communication, 'energy-efficient' lighting, and appliances. It can be present in the indoor environment directly from indoor sources, or can be transmitted through building materials from outside sources. Scientists have identified it as an indoor environmental pollutant or toxin that has ubiquitously plagued developed nations causing a variety of adverse health effects such as sick-building syndrome symptoms, asthma, diabetes, multiple sclerosis, leukemia, electro-hypersensitivity (EHS), behavior disorders, and more. There is currently no international consensus on guidelines and exposure limits. This paper presents the results of 29 EMF field audits in single family residential dwellings located within an urban neighborhood in Toronto (Canada). The following EMF spectra were evaluated: radio frequency, power frequency electric fields, power frequency magnetic fields and high frequency voltage transients. The field audits were conducted in order to provide initial baseline statistics to be used in future studies and in order to be compared to a low-cost EMF reduction design incorporated within the Renovation2050 research house - located within the test neighborhood. The results show the low-cost reduction strategy to be effective, on average reducing exposure by 80% for high-intensity EMF metrics. Research of this nature has not been conducted with relation to the built environment and can be used to spark an industry movement to design for low-exposure to EMF in a residential context.