The impact of indoor air quality on respiratory health of older people living in nursing homes: spirometric and exhaled breath condensate assessments

2019 ◽  
Vol 54 (12) ◽  
pp. 1153-1158 ◽  
Author(s):  
Joana Belo ◽  
Pedro Carreiro-Martins ◽  
Ana L. Papoila ◽  
Teresa Palmeiro ◽  
Iolanda Caires ◽  
...  
2015 ◽  
Vol 45 (1) ◽  
pp. 136-142 ◽  
Author(s):  
Ana Mendes ◽  
Ana Luísa Papoila ◽  
Pedro Carreiro-Martins ◽  
Stefano Bonassi ◽  
Iolanda Caires ◽  
...  

2018 ◽  
Vol 25 (3) ◽  
pp. 245
Author(s):  
Joana Belo ◽  
Pedro Carreiro-Martins ◽  
Iolanda Caires ◽  
Teresa Palmeiro ◽  
Marta Alves ◽  
...  

2014 ◽  
Vol 0 (0) ◽  
Author(s):  
Chua Poh Choo ◽  
Juliana Jalaludin

AbstractThe indoor environment is a major source of human exposure to pollutants. Some pollutants can have concentrations that are several times higher indoors than outdoors. Prolonged exposure may lead to adverse biologic effects, even at low concentrations. Several studies done in Malaysia had underlined the role of indoor air pollution in affecting respiratory health, especially for school-aged children. A critical review was conducted on the quantitative literature linking indoor air pollution with respiratory illnesses among school-aged children. This paper reviews evidence of the association between indoor air quality (IAQ) and its implications on respiratory health among Malaysian school-aged children. This review summarizes six relevant studies conducted in Malaysia for the past 10 years. Previous epidemiologic studies relevant to indoor air pollutants and their implications on school-aged children’s respiratory health were obtained from electronic database and included as a reference in this review. The existing reviewed data emphasize the impact of IAQ parameters, namely, indoor temperature, ventilation rates, indoor concentration of carbon dioxide (CO


2015 ◽  
Vol 45 (5) ◽  
pp. 1228-1238 ◽  
Author(s):  
Malek Bentayeb ◽  
Dan Norback ◽  
Micha Bednarek ◽  
Alfred Bernard ◽  
Guihong Cai ◽  
...  

Few data exist on respiratory effects of indoor air quality and comfort parameters in the elderly. In the context of the GERIE study, we investigated for the first time the relationships of these factors to respiratory morbidity among elderly people permanently living in nursing homes in seven European countries.600 elderly people from 50 nursing homes underwent a medical examination and completed a standardised questionnaire. Air quality and comfort parameters were objectively assessed in situ in the nursing home. Mean concentrations of air pollutants did not exceed the existing standards.Forced expiratory volume in 1 s/forced vital capacity ratio was highly significantly related to elevated levels of particles with a 50% cut-off aerodynamic diameter of <0.1 µm (PM0.1) (adjusted OR 8.16, 95% CI 2.24–29.3) and nitrogen dioxide (aOR 3.74, 95% CI 1.06–13.1). Excess risks for usual breathlessness and cough were found with elevated PM10 (aOR 1.53 (95% CI 1.15–2.07) and aOR 1.73 (95% CI 1.17–10.3), respectively) and nitrogen dioxide (aOR 1.58 (95% CI 1.15–2.20) and aOR 1.56 (95% CI 1.03–2.41), respectively). Excess risks for wheeze in the past year were found with PM0.1 (aOR 2.82, 95% CI 1.15–7.02) and for chronic obstructive pulmonary disease and exhaled carbon monoxide with formaldehyde (aOR 3.49 (95% CI 1.17–10.3) and aOR 1.25 (95% CI 1.02–1.55), respectively). Breathlessness and cough were associated with higher carbon dioxide. Relative humidity was inversely related to wheeze in the past year and usual cough. Elderly subjects aged ≥80 years were at higher risk. Pollutant effects were more pronounced in the case of poor ventilation.Even at low levels, indoor air quality affected respiratory health in elderly people permanently living in nursing homes, with frailty increasing with age. The effects were modulated by ventilation.


2021 ◽  
Vol 13 (8) ◽  
pp. 4139
Author(s):  
Muriel Diaz ◽  
Mario Cools ◽  
Maureen Trebilcock ◽  
Beatriz Piderit-Moreno ◽  
Shady Attia

Between the ages of 6 and 18, children spend between 30 and 42 h a week at school, mostly indoors, where indoor environmental quality is usually deficient and does not favor learning. The difficulty of delivering indoor air quality (IAQ) in learning facilities is related to high occupancy rates and low interaction levels with windows. In non-industrialized countries, as in the cases presented, most classrooms have no mechanical ventilation, due to energy poverty and lack of normative requirements. This fact heavily impacts the indoor air quality and students’ learning outcomes. The aim of the paper is to identify the factors that determine acceptable CO2 concentrations. Therefore, it studies air quality in free-running and naturally ventilated primary schools in Chile, aiming to identify the impact of contextual, occupant, and building design factors, using CO2 concentration as a proxy for IAQ. The monitoring of CO2, temperature, and humidity revealed that indoor air CO2 concentration is above 1400 ppm most of the time, with peaks of 5000 ppm during the day, especially in winter. The statistical analysis indicates that CO2 is dependent on climate, seasonality, and indoor temperature, while it is independent of outside temperature in heated classrooms. The odds of having acceptable concentrations of CO2 are bigger when indoor temperatures are high, and there is a need to ventilate for cooling.


Author(s):  
Farhang Tahmasebi ◽  
Yan Wang ◽  
Elizabeth Cooper ◽  
Daniel Godoy Shimizu ◽  
Samuel Stamp ◽  
...  

The Covid-19 outbreak has resulted in new patterns of home occupancy, the implications of which for indoor air quality (IAQ) and energy use are not well-known. In this context, the present study investigates 8 flats in London to uncover if during a lockdown, (a) IAQ in the monitored flats deteriorated, (b) the patterns of window operation by occupants changed, and (c) more effective ventilation patterns could enhance IAQ without significant increases in heating energy demand. To this end, one-year’s worth of monitored data on indoor and outdoor environment along with occupant use of windows has been used to analyse the impact of lockdown on IAQ and infer probabilistic models of window operation behaviour. Moreover, using on-site CO2 data, monitored occupancy and operation of windows, the team has calibrated a thermal performance model of one of the flats to investigate the implications of alternative ventilation strategies. The results suggest that despite the extended occupancy during lockdown, occupants relied less on natural ventilation, which led to an increase of median CO2 concentration by up to 300 ppm. However, simple natural ventilation patterns or use of mechanical ventilation with heat recovery proves to be very effective to maintain acceptable IAQ. Practical application: This study provides evidence on the deterioration of indoor air quality resulting from homeworking during imposed lockdowns. It also tests and recommends specific ventilation strategies to maintain acceptable indoor air quality at home despite the extended occupancy hours.


2020 ◽  
pp. 1420326X2096076
Author(s):  
Pedro F. Pereira ◽  
Nuno M. M. Ramos

In Portugal, residential buildings commonly have their ventilation strategy changed after commissioning. This occurs due to the building managers' willingness to reduce shared costs with the electricity needed for fan operation. However, this option is not technically supported, and the effects of such a strategy on indoor air quality-related to human pollutants are yet to be quantified. CO2 was monitored in 15 bedrooms and air exchange rates were calculated for each room. The air exchange rate values ranged from 0.18 to 0.53 h−1 when mechanical extraction ventilation was off, and from 0.45 to 0.90 h−1 when mechanical extraction ventilation was on, which represents an average increase of 119%. With the current intermittent ventilation strategy, all rooms remain above 1500 ppm for a given percentage of time, and 12 rooms presenting CO2 concentrations above 2000 ppm. Simulations of theoretical CO2 concentrations, for a non-interrupted mechanical ventilation strategy show that no rooms would accumulate CO2 concentrations above 2000 ppm, and only 25% would present CO2 concentrations above 1500 ppm. Pearson correlations between the monitored CO2 and human and spatial factors identified two relevant parameters. Those parameters correspond to ratios between CO2 generation and floor area ([Formula: see text]), and airflow with CO2 generation ([Formula: see text]). The proposed ratios could be used as ways to optimise ventilation costs and indoor air quality.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Prince Junior Asilevi ◽  
Patrick Boakye ◽  
Sampson Oduro-Kwarteng ◽  
Bernard Fei-Baffoe ◽  
Yen Adams Sokama-Neuyam

AbstractNon-thermal plasma (NTP) is a promising technology for the improvement of indoor air quality (IAQ) by removing volatile organic compounds (VOCs) through advanced oxidation process (AOP). In this paper, authors developed a laboratory scale dielectric barrier discharge (DBD) reactor which generates atmospheric NTP to study the removal of low-concentration formaldehyde (HCHO), a typical indoor air VOC in the built environment associated with cancer and leukemia, under different processing conditions. Strong ionization NTP was generated between the DBD electrodes by a pulse power zero-voltage switching flyback transformer (ZVS-FBT), which caused ionization of air molecules leading to active species formation to convert HCHO into carbon dioxide (CO2) and water vapor (H2O). The impact of key electrical and physical processing parameters i.e. discharge power (P), initial concentration (Cin), flow rate (F), and relative humidity (RH) which affect the formaldehyde removal efficiency (ɳ) were studied to determine optimum conditions. Results show that, the correlation coefficient (R2) of removal efficiency dependence on the processing parameters follow the order R2 (F) = 0.99 > R2 (RH) = 0.96, > R2 (Cin) = 0.94 > R2 (P) = 0.93. The removal efficiency reached 99% under the optimum conditions of P = 0.6 W, Cin = 0.1 ppm, F = 0.2 m3/h, and RH = 65% with no secondary pollution. The study provided a theoretical and experimental basis for the application of DBD plasma for air purification in the built environment.


Public Health ◽  
2018 ◽  
Vol 163 ◽  
pp. 76-79 ◽  
Author(s):  
B. Lévesque ◽  
V. Huppé ◽  
M. Dubé ◽  
R.C. Fachehoun

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