I wrote:
I came across a paper that may be relevant:
Ventilation and health in non-industrial indoor environments: report from a European Multidisciplinary Scientific Consensus Meeting (EUROVEN)
P. Wargocki et al
Indoor Air, Volume 12 Issue 2, Pages 113 - 128
I've now received permission to post some of the content. Here's the abstract, some snippets that I found particularly interesting, and the conclusions:
AbstractScientific literature on the effects of ventilation on health, comfort, and productivity in non-industrial indoor environments (offices, schools, homes, etc.) has been reviewed by a multidisciplinary group of European scientists, called EUROVEN, with expertise in medicine, epidemiology, toxicology, and engineering. The group reviewed 105 papers published in peer-reviewed scientific journals and judged 30 as conclusive, providing sufficient information on ventilation, health effects, data processing, and reporting, 14 as providing relevant background information on the issue, 43 as relevant but non-informative or inconclusive, and 18 as irrelevant for the issue discussed. Based on the data in papers judged conclusive, the group agreed that ventilation is strongly associated with comfort (perceived air quality) and health [Sick Building Syndrome (SBS) symptoms, inflammation, infections, asthma, allergy, short-term sick leave], and that an association between ventilation and productivity (performance of office work) is indicated.
The group also concluded that increasing outdoor air supply rates in non-industrial environments improves perceived air quality; that outdoor air supply rates below 25 l/s per person increase the risk of SBS symptoms, increase short-term sick leave, and decrease productivity among occupants of office buildings; and that ventilation rates above 0.5 air changes per hour (h−1) in homes reduce infestation of house dust mites in Nordic countries. The group concluded additionally that the literature indicates that in buildings with air-conditioning systems there may be an increased risk of SBS symptoms compared with naturally or mechanically ventilated buildings, and that improper maintenance, design, and functioning of air-conditioning systems contributes to increased prevalence of SBS symptoms.
Snippets"it was concluded that outdoor air supply rates below 25 l/s per person in offices can increase the risk of health and comfort problems and can reduce productivity, and that a similar relation is likely for schools. Furthermore, the studies judged conclusive showed that air change rates below 0.5 h)1 in homes in Nordic countries can increase the rate of infestation of house dust mites. As a causal relationship exists between house dust mite infestation and allergy (Andersen and Korsgaard, 1986), these data imply that low ventilation rates in homes may be one of the factors exacerbating allergies."
"This concerns especially schools and homes where fewest studies were carried out. Reviewed articles showed very poor conditions indoors, especially as regards ventilation in schools, many of which had ventilation rates far below the requirements in ventilation guidelines and standards"
"It is important for future investigations to determine why occupants of air-conditioned buildings suffer more often from SBS symptoms than occupants in naturally or mechanically ventilated buildings."
"In general, there is a lack of data allowing sound comparisons to be made of naturally, mechanically, and air-conditioned buildings; there is an urgent need for more studies in these buildings, including subjective measurements and sufficient characterization of indoor climate."
ConclusionsThe following consensus was reached by the EUROVENgroup:
• The literature shows a strong association between ventilation and comfort (as indicated by perceived air quality) and health (as indicated by SBS symptoms, inflammation, infections, asthma, allergy, short-term sick leave). It also indicates that there is an association between ventilation rate and productivity (as indicated by performance of office work).
• The literature indicates that outdoor air rates below 25 l/s per person in offices increase the risk of SBS symptoms, increase short-term sick leave, and decrease productivity. They also suggest that the same may apply for schools but little information on this aspect is available at present.
• The literature indicates that air change rates above 0.5 h)1 in homes reduce the degree of infestation of house dust mites in Nordic countries. Taking into account the causal link between house dust mites infestation and asthma and allergies, these data suggest that decreased ventilation may exacerbate allergies.
• The literature indicates that occupants of many buildings with air-conditioning systems may have an increased risk of SBS symptoms compared with occupants in naturally or mechanically ventilated buildings, implying thus that new ways of conditioning the air may be required. These results could be confounded by a number of factors such as improper maintenance of HVAC systems (the more complex the system the more liable it is to fail), building age (new types of building material are likely to be found in air-conditioned buildings erected in the past 30 years), and unknown factors such as window opening. The studies were furthermore carried out mainly in transient and cold seasons, without taking into account the thermal benefits of air-conditioning in hot seasons.
• The literature shows that improper maintenance, design, and functioning of HVAC systems contributes to an increased prevalence of SBS symptoms. This indicates a need for safety factors and proper maintenance of ventilation systems, including such aspects as appropriate distance separating the inlet and exhaust, replacing dirty filters, cleaning ducts, and the prevention of water reservoirs and water in the systems.
• The literature shows that pollution sources other than the pollutants emitted by humans (bioeffluents) are important indoors. Consequently, proper source control is required in the first place, and secondly the design of ventilation rates based on all pollution loads present indoors.
• The present work indicates the gaps where knowledge is lacking as regards the effects of ventilation on human health, comfort, and productivity. More information is required on links between ventilation rates and health in schools and homes, and on the association between type of ventilation system and health effects.
Cheers, Dave