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Article: Ventilation rates and health: multidisciplinary review of the scientific literature
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TitleVentilation rates and health: multidisciplinary review of the scientific literature
 
AuthorsSundell, J1 12
Levin, H14
Nazaroff, WW9
Cain, WS10
Fisk, WJ4
Grimsrud, DT15
Gyntelberg, F7
Li, Y3
Persily, AK13
Pickering, AC6
Samet, JM5
Spengler, JD2
Taylor, ST8
Weschler, CJ1 11
 
Issue Date2011
 
PublisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/INA
 
CitationIndoor Air, 2011, v. 21 n. 3, p. 191-204 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-0668.2010.00703.x
 
AbstractThe scientific literature through 2005 on the effects of ventilation rates on health in indoor environments has been reviewed by a multidisciplinary group. The group judged 27 papers published in peer-reviewed scientific journals as providing sufficient information on both ventilation rates and health effects to inform the relationship. Consistency was found across multiple investigations and different epidemiologic designs for different populations. Multiple health endpoints show similar relationships with ventilation rate. There is biological plausibility for an association of health outcomes with ventilation rates, although the literature does not provide clear evidence on particular agent(s) for the effects. Higher ventilation rates in offices, up to about 25 l/s per person, are associated with reduced prevalence of sick building syndrome (SBS) symptoms. The limited available data suggest that inflammation, respiratory infections, asthma symptoms and short-term sick leave increase with lower ventilation rates. Home ventilation rates above 0.5 air changes per hour (h(-1)) have been associated with a reduced risk of allergic manifestations among children in a Nordic climate. The need remains for more studies of the relationship between ventilation rates and health, especially in diverse climates, in locations with polluted outdoor air and in buildings other than offices. PRACTICAL IMPLICATIONS: Ventilation with outdoor air plays an important role influencing human exposures to indoor pollutants. This review and assessment indicates that increasing ventilation rates above currently adopted standards and guidelines should result in reduced prevalence of negative health outcomes. Building operators and designers should avoid low ventilation rates unless alternative effective measures, such as source control or air cleaning, are employed to limit indoor pollutant levels.
 
ISSN0905-6947
2013 Impact Factor: 4.202
 
DOIhttp://dx.doi.org/10.1111/j.1600-0668.2010.00703.x
 
ISI Accession Number IDWOS:000290490300004
Funding AgencyGrant Number
American Society of Heating, Refrigerating, and Air-Conditioning Engineers, Inc. (ASHRAE)
National Center for Energy Management and Building Technology (NCEMBT)
Funding Information:

The authors gratefully acknowledge the assistance of Gina Bendy and Shela Ray of the Indoor Air Institute, Inc., for their assistance in the literature review. Funding was provided by the American Society of Heating, Refrigerating, and Air-Conditioning Engineers, Inc. (ASHRAE) and the National Center for Energy Management and Building Technology (NCEMBT). The Indoor Air Institute was the project contractor.

 
DC FieldValue
dc.contributor.authorSundell, J
 
dc.contributor.authorLevin, H
 
dc.contributor.authorNazaroff, WW
 
dc.contributor.authorCain, WS
 
dc.contributor.authorFisk, WJ
 
dc.contributor.authorGrimsrud, DT
 
dc.contributor.authorGyntelberg, F
 
dc.contributor.authorLi, Y
 
dc.contributor.authorPersily, AK
 
dc.contributor.authorPickering, AC
 
dc.contributor.authorSamet, JM
 
dc.contributor.authorSpengler, JD
 
dc.contributor.authorTaylor, ST
 
dc.contributor.authorWeschler, CJ
 
dc.date.accessioned2011-09-23T05:48:49Z
 
dc.date.available2011-09-23T05:48:49Z
 
dc.date.issued2011
 
dc.description.abstractThe scientific literature through 2005 on the effects of ventilation rates on health in indoor environments has been reviewed by a multidisciplinary group. The group judged 27 papers published in peer-reviewed scientific journals as providing sufficient information on both ventilation rates and health effects to inform the relationship. Consistency was found across multiple investigations and different epidemiologic designs for different populations. Multiple health endpoints show similar relationships with ventilation rate. There is biological plausibility for an association of health outcomes with ventilation rates, although the literature does not provide clear evidence on particular agent(s) for the effects. Higher ventilation rates in offices, up to about 25 l/s per person, are associated with reduced prevalence of sick building syndrome (SBS) symptoms. The limited available data suggest that inflammation, respiratory infections, asthma symptoms and short-term sick leave increase with lower ventilation rates. Home ventilation rates above 0.5 air changes per hour (h(-1)) have been associated with a reduced risk of allergic manifestations among children in a Nordic climate. The need remains for more studies of the relationship between ventilation rates and health, especially in diverse climates, in locations with polluted outdoor air and in buildings other than offices. PRACTICAL IMPLICATIONS: Ventilation with outdoor air plays an important role influencing human exposures to indoor pollutants. This review and assessment indicates that increasing ventilation rates above currently adopted standards and guidelines should result in reduced prevalence of negative health outcomes. Building operators and designers should avoid low ventilation rates unless alternative effective measures, such as source control or air cleaning, are employed to limit indoor pollutant levels.
 
dc.description.naturelink_to_subscribed_fulltext
 
dc.identifier.citationIndoor Air, 2011, v. 21 n. 3, p. 191-204 [How to Cite?]
DOI: http://dx.doi.org/10.1111/j.1600-0668.2010.00703.x
 
dc.identifier.citeulike9322388
 
dc.identifier.doihttp://dx.doi.org/10.1111/j.1600-0668.2010.00703.x
 
dc.identifier.epage204
 
dc.identifier.hkuros192422
 
dc.identifier.isiWOS:000290490300004
Funding AgencyGrant Number
American Society of Heating, Refrigerating, and Air-Conditioning Engineers, Inc. (ASHRAE)
National Center for Energy Management and Building Technology (NCEMBT)
Funding Information:

The authors gratefully acknowledge the assistance of Gina Bendy and Shela Ray of the Indoor Air Institute, Inc., for their assistance in the literature review. Funding was provided by the American Society of Heating, Refrigerating, and Air-Conditioning Engineers, Inc. (ASHRAE) and the National Center for Energy Management and Building Technology (NCEMBT). The Indoor Air Institute was the project contractor.

 
dc.identifier.issn0905-6947
2013 Impact Factor: 4.202
 
dc.identifier.issue3
 
dc.identifier.pmid21204989
 
dc.identifier.scopuseid_2-s2.0-79956024495
 
dc.identifier.spage191
 
dc.identifier.urihttp://hdl.handle.net/10722/139360
 
dc.identifier.volume21
 
dc.languageeng
 
dc.publisherBlackwell Munksgaard. The Journal's web site is located at http://www.blackwellpublishing.com/journals/INA
 
dc.publisher.placeDenmark
 
dc.relation.ispartofIndoor Air
 
dc.rightsThe definitive version is available at www.blackwell-synergy.com
 
dc.subject.meshAir Pollution, Indoor - adverse effects - prevention and control
 
dc.subject.meshHousing
 
dc.subject.meshRespiratory Tract Infections - epidemiology
 
dc.subject.meshSick Building Syndrome - epidemiology
 
dc.subject.meshVentilation - statistics and numerical data
 
dc.titleVentilation rates and health: multidisciplinary review of the scientific literature
 
dc.typeArticle
 
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<contributor.author>Levin, H</contributor.author>
<contributor.author>Nazaroff, WW</contributor.author>
<contributor.author>Cain, WS</contributor.author>
<contributor.author>Fisk, WJ</contributor.author>
<contributor.author>Grimsrud, DT</contributor.author>
<contributor.author>Gyntelberg, F</contributor.author>
<contributor.author>Li, Y</contributor.author>
<contributor.author>Persily, AK</contributor.author>
<contributor.author>Pickering, AC</contributor.author>
<contributor.author>Samet, JM</contributor.author>
<contributor.author>Spengler, JD</contributor.author>
<contributor.author>Taylor, ST</contributor.author>
<contributor.author>Weschler, CJ</contributor.author>
<date.accessioned>2011-09-23T05:48:49Z</date.accessioned>
<date.available>2011-09-23T05:48:49Z</date.available>
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<description.abstract>The scientific literature through 2005 on the effects of ventilation rates on health in indoor environments has been reviewed by a multidisciplinary group. The group judged 27 papers published in peer-reviewed scientific journals as providing sufficient information on both ventilation rates and health effects to inform the relationship. Consistency was found across multiple investigations and different epidemiologic designs for different populations. Multiple health endpoints show similar relationships with ventilation rate. There is biological plausibility for an association of health outcomes with ventilation rates, although the literature does not provide clear evidence on particular agent(s) for the effects. Higher ventilation rates in offices, up to about 25 l/s per person, are associated with reduced prevalence of sick building syndrome (SBS) symptoms. The limited available data suggest that inflammation, respiratory infections, asthma symptoms and short-term sick leave increase with lower ventilation rates. Home ventilation rates above 0.5 air changes per hour (h(-1)) have been associated with a reduced risk of allergic manifestations among children in a Nordic climate. The need remains for more studies of the relationship between ventilation rates and health, especially in diverse climates, in locations with polluted outdoor air and in buildings other than offices. PRACTICAL IMPLICATIONS: Ventilation with outdoor air plays an important role influencing human exposures to indoor pollutants. This review and assessment indicates that increasing ventilation rates above currently adopted standards and guidelines should result in reduced prevalence of negative health outcomes. Building operators and designers should avoid low ventilation rates unless alternative effective measures, such as source control or air cleaning, are employed to limit indoor pollutant levels.</description.abstract>
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<rights>The definitive version is available at www.blackwell-synergy.com</rights>
<subject.mesh>Air Pollution, Indoor - adverse effects - prevention and control</subject.mesh>
<subject.mesh>Housing</subject.mesh>
<subject.mesh>Respiratory Tract Infections - epidemiology</subject.mesh>
<subject.mesh>Sick Building Syndrome - epidemiology</subject.mesh>
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Author Affiliations
  1. Danmarks Tekniske Universitet
  2. Harvard School of Public Health
  3. The University of Hong Kong
  4. Lawrence Berkeley National Laboratory
  5. University of Southern California
  6. Wythenshawe Hospital
  7. Bispebjerg Hospital
  8. Taylor Engineers
  9. UC Berkeley
  10. University of California, San Diego
  11. UMDNJ Robert Wood Johnson Medical School
  12. Tsinghua University
  13. National Institute of Standards and Technology
  14. Building Ecology Research Group
  15. University of Minnesota System