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The Importance of IAQThe Need for Better Ventilation Practices in Schools
Gerald (Jerry) Lamping
Director for IAQ (Retired)
Green Classroom Professional USGBC
1st Annual Environmental
Stewardship Conference
October 5 2013
Austin Texas
ASHRAE Journal
ASHRAE Journal vol 55 no 8 August 2013
ASHRAE President2013-14
ASHRAE Journal vol 55 no 8 August 2013
WILLIAM P BAHNFLETH PHD PE
Presidential theme
Shaping the Next
focuses on creating positive change for our world ourselves and our work by setting goals making realistic plans to achieve them and having the commitment to follow them
Shaping the Next Indoor Air Quality
Fundamentals ldquothe most important aspect of what I consider to be our fundamental obligation to strive to
provide indoor environments that are
safe
healthy
productive and
comfortable while
conserving resources and the environmentrdquo ASHRAE Journal vol 55 no 8 August 2013
Shaping the Next Indoor Air Quality Goal
ldquoPerhaps most importantly
a critical shift in thinking from
a goal of indoor environments
that are acceptable to the occupants
to
that are truly healthy and productiverdquo
Shaping the Next Indoor Air Quality 621
Since 1973 Standard 62 has been
the primary ventilation document
1) reduce indoor contaminant sources
2) prescribe minimum outdoor airflow rates for listed occupancy categories
3) The standard allows three alternative ventilation approaches
Ventilation Rate Procedure (VRP)
Indoor Air Quality Procedure (IAQP)
Natural Ventilation Procedure (NVP)
Shaping the Next Indoor Air Quality Future
DENNIS STANKE - staff applications engineer at
Trane - Ingersoll Rand
ldquoIn the future architects and designers may specify
better air-cleaning devices
to remove both indoor and outdoor source contaminantsrdquo
Shaping the Next Indoor Air Quality FAC
Filtration and Air Cleaning (FAC) CommentsBY HE BARNEY BURROUGHS PRESIDENTIAL MEMBERFELLOW ASHRAE
ldquoThe focus on the indoor environment and related human health effects include
Respirable Particulates
VOCs (volatile organic compounds) and
ldquoToxicrdquo Moldrdquo
ldquoFAC is a mature 70+ year old technology from the prior century
but the technology has unique and established advantages and
has proven potential to offer as the HVAC industry faces
the challenges of the second decade of the 21st centuryrdquo
Shaping the Next Indoor Air Quality Standards
Air Quality Standards are applied
bullOutdoor Air EPA NAAQS at wwwairnowgov
bullAir Plane Cabins ANSIASHRAE Standard 161-2007 Air Quality within Commercial Aircraft
bullComputer and electronics facilities ISO 14644 Parts 1 and 2
bullNuclear facilities No NS-G-22 Operational Limits and Conditions and Operating Procedures for NPPs
bullPharmaceutical facilities ISO 8573-12010 Compressed Air Contaminants and Purity Classes
bullCommercialInstructional facilities CO2 level 700 ppm above BG
The 3 Irsquos of Indoor Environmental Quality for
CommercialInstructional Facilities
The 3 Irsquos of IEQ can affect health
and attendance1 Invisible Particles
Aerosols Levels in the classroom Airborne particles have the potential to cause allergic reactions skin irritation coughing sneezing respiratory difficulties and
circulatory system problems
2 Irritant Gases Ventilation Practices for the classroom
Total volatile organic compounds (TVOC) formaldehyde body odors and biological contaminants are causes for occupant discomfort and poor health outcomes
3 Infectious MicrobesColdFlu Virus Transmission Paths in the classroom
Bacterial and Viral respiratory tract infections particularly of rhinoviruses are associated with the majority of asthma exacerbations in both children and adults
Invisible particles + Irritants + Infections = Inflammation process
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
ASHRAE Journal
ASHRAE Journal vol 55 no 8 August 2013
ASHRAE President2013-14
ASHRAE Journal vol 55 no 8 August 2013
WILLIAM P BAHNFLETH PHD PE
Presidential theme
Shaping the Next
focuses on creating positive change for our world ourselves and our work by setting goals making realistic plans to achieve them and having the commitment to follow them
Shaping the Next Indoor Air Quality
Fundamentals ldquothe most important aspect of what I consider to be our fundamental obligation to strive to
provide indoor environments that are
safe
healthy
productive and
comfortable while
conserving resources and the environmentrdquo ASHRAE Journal vol 55 no 8 August 2013
Shaping the Next Indoor Air Quality Goal
ldquoPerhaps most importantly
a critical shift in thinking from
a goal of indoor environments
that are acceptable to the occupants
to
that are truly healthy and productiverdquo
Shaping the Next Indoor Air Quality 621
Since 1973 Standard 62 has been
the primary ventilation document
1) reduce indoor contaminant sources
2) prescribe minimum outdoor airflow rates for listed occupancy categories
3) The standard allows three alternative ventilation approaches
Ventilation Rate Procedure (VRP)
Indoor Air Quality Procedure (IAQP)
Natural Ventilation Procedure (NVP)
Shaping the Next Indoor Air Quality Future
DENNIS STANKE - staff applications engineer at
Trane - Ingersoll Rand
ldquoIn the future architects and designers may specify
better air-cleaning devices
to remove both indoor and outdoor source contaminantsrdquo
Shaping the Next Indoor Air Quality FAC
Filtration and Air Cleaning (FAC) CommentsBY HE BARNEY BURROUGHS PRESIDENTIAL MEMBERFELLOW ASHRAE
ldquoThe focus on the indoor environment and related human health effects include
Respirable Particulates
VOCs (volatile organic compounds) and
ldquoToxicrdquo Moldrdquo
ldquoFAC is a mature 70+ year old technology from the prior century
but the technology has unique and established advantages and
has proven potential to offer as the HVAC industry faces
the challenges of the second decade of the 21st centuryrdquo
Shaping the Next Indoor Air Quality Standards
Air Quality Standards are applied
bullOutdoor Air EPA NAAQS at wwwairnowgov
bullAir Plane Cabins ANSIASHRAE Standard 161-2007 Air Quality within Commercial Aircraft
bullComputer and electronics facilities ISO 14644 Parts 1 and 2
bullNuclear facilities No NS-G-22 Operational Limits and Conditions and Operating Procedures for NPPs
bullPharmaceutical facilities ISO 8573-12010 Compressed Air Contaminants and Purity Classes
bullCommercialInstructional facilities CO2 level 700 ppm above BG
The 3 Irsquos of Indoor Environmental Quality for
CommercialInstructional Facilities
The 3 Irsquos of IEQ can affect health
and attendance1 Invisible Particles
Aerosols Levels in the classroom Airborne particles have the potential to cause allergic reactions skin irritation coughing sneezing respiratory difficulties and
circulatory system problems
2 Irritant Gases Ventilation Practices for the classroom
Total volatile organic compounds (TVOC) formaldehyde body odors and biological contaminants are causes for occupant discomfort and poor health outcomes
3 Infectious MicrobesColdFlu Virus Transmission Paths in the classroom
Bacterial and Viral respiratory tract infections particularly of rhinoviruses are associated with the majority of asthma exacerbations in both children and adults
Invisible particles + Irritants + Infections = Inflammation process
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
ASHRAE President2013-14
ASHRAE Journal vol 55 no 8 August 2013
WILLIAM P BAHNFLETH PHD PE
Presidential theme
Shaping the Next
focuses on creating positive change for our world ourselves and our work by setting goals making realistic plans to achieve them and having the commitment to follow them
Shaping the Next Indoor Air Quality
Fundamentals ldquothe most important aspect of what I consider to be our fundamental obligation to strive to
provide indoor environments that are
safe
healthy
productive and
comfortable while
conserving resources and the environmentrdquo ASHRAE Journal vol 55 no 8 August 2013
Shaping the Next Indoor Air Quality Goal
ldquoPerhaps most importantly
a critical shift in thinking from
a goal of indoor environments
that are acceptable to the occupants
to
that are truly healthy and productiverdquo
Shaping the Next Indoor Air Quality 621
Since 1973 Standard 62 has been
the primary ventilation document
1) reduce indoor contaminant sources
2) prescribe minimum outdoor airflow rates for listed occupancy categories
3) The standard allows three alternative ventilation approaches
Ventilation Rate Procedure (VRP)
Indoor Air Quality Procedure (IAQP)
Natural Ventilation Procedure (NVP)
Shaping the Next Indoor Air Quality Future
DENNIS STANKE - staff applications engineer at
Trane - Ingersoll Rand
ldquoIn the future architects and designers may specify
better air-cleaning devices
to remove both indoor and outdoor source contaminantsrdquo
Shaping the Next Indoor Air Quality FAC
Filtration and Air Cleaning (FAC) CommentsBY HE BARNEY BURROUGHS PRESIDENTIAL MEMBERFELLOW ASHRAE
ldquoThe focus on the indoor environment and related human health effects include
Respirable Particulates
VOCs (volatile organic compounds) and
ldquoToxicrdquo Moldrdquo
ldquoFAC is a mature 70+ year old technology from the prior century
but the technology has unique and established advantages and
has proven potential to offer as the HVAC industry faces
the challenges of the second decade of the 21st centuryrdquo
Shaping the Next Indoor Air Quality Standards
Air Quality Standards are applied
bullOutdoor Air EPA NAAQS at wwwairnowgov
bullAir Plane Cabins ANSIASHRAE Standard 161-2007 Air Quality within Commercial Aircraft
bullComputer and electronics facilities ISO 14644 Parts 1 and 2
bullNuclear facilities No NS-G-22 Operational Limits and Conditions and Operating Procedures for NPPs
bullPharmaceutical facilities ISO 8573-12010 Compressed Air Contaminants and Purity Classes
bullCommercialInstructional facilities CO2 level 700 ppm above BG
The 3 Irsquos of Indoor Environmental Quality for
CommercialInstructional Facilities
The 3 Irsquos of IEQ can affect health
and attendance1 Invisible Particles
Aerosols Levels in the classroom Airborne particles have the potential to cause allergic reactions skin irritation coughing sneezing respiratory difficulties and
circulatory system problems
2 Irritant Gases Ventilation Practices for the classroom
Total volatile organic compounds (TVOC) formaldehyde body odors and biological contaminants are causes for occupant discomfort and poor health outcomes
3 Infectious MicrobesColdFlu Virus Transmission Paths in the classroom
Bacterial and Viral respiratory tract infections particularly of rhinoviruses are associated with the majority of asthma exacerbations in both children and adults
Invisible particles + Irritants + Infections = Inflammation process
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Shaping the Next Indoor Air Quality
Fundamentals ldquothe most important aspect of what I consider to be our fundamental obligation to strive to
provide indoor environments that are
safe
healthy
productive and
comfortable while
conserving resources and the environmentrdquo ASHRAE Journal vol 55 no 8 August 2013
Shaping the Next Indoor Air Quality Goal
ldquoPerhaps most importantly
a critical shift in thinking from
a goal of indoor environments
that are acceptable to the occupants
to
that are truly healthy and productiverdquo
Shaping the Next Indoor Air Quality 621
Since 1973 Standard 62 has been
the primary ventilation document
1) reduce indoor contaminant sources
2) prescribe minimum outdoor airflow rates for listed occupancy categories
3) The standard allows three alternative ventilation approaches
Ventilation Rate Procedure (VRP)
Indoor Air Quality Procedure (IAQP)
Natural Ventilation Procedure (NVP)
Shaping the Next Indoor Air Quality Future
DENNIS STANKE - staff applications engineer at
Trane - Ingersoll Rand
ldquoIn the future architects and designers may specify
better air-cleaning devices
to remove both indoor and outdoor source contaminantsrdquo
Shaping the Next Indoor Air Quality FAC
Filtration and Air Cleaning (FAC) CommentsBY HE BARNEY BURROUGHS PRESIDENTIAL MEMBERFELLOW ASHRAE
ldquoThe focus on the indoor environment and related human health effects include
Respirable Particulates
VOCs (volatile organic compounds) and
ldquoToxicrdquo Moldrdquo
ldquoFAC is a mature 70+ year old technology from the prior century
but the technology has unique and established advantages and
has proven potential to offer as the HVAC industry faces
the challenges of the second decade of the 21st centuryrdquo
Shaping the Next Indoor Air Quality Standards
Air Quality Standards are applied
bullOutdoor Air EPA NAAQS at wwwairnowgov
bullAir Plane Cabins ANSIASHRAE Standard 161-2007 Air Quality within Commercial Aircraft
bullComputer and electronics facilities ISO 14644 Parts 1 and 2
bullNuclear facilities No NS-G-22 Operational Limits and Conditions and Operating Procedures for NPPs
bullPharmaceutical facilities ISO 8573-12010 Compressed Air Contaminants and Purity Classes
bullCommercialInstructional facilities CO2 level 700 ppm above BG
The 3 Irsquos of Indoor Environmental Quality for
CommercialInstructional Facilities
The 3 Irsquos of IEQ can affect health
and attendance1 Invisible Particles
Aerosols Levels in the classroom Airborne particles have the potential to cause allergic reactions skin irritation coughing sneezing respiratory difficulties and
circulatory system problems
2 Irritant Gases Ventilation Practices for the classroom
Total volatile organic compounds (TVOC) formaldehyde body odors and biological contaminants are causes for occupant discomfort and poor health outcomes
3 Infectious MicrobesColdFlu Virus Transmission Paths in the classroom
Bacterial and Viral respiratory tract infections particularly of rhinoviruses are associated with the majority of asthma exacerbations in both children and adults
Invisible particles + Irritants + Infections = Inflammation process
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Shaping the Next Indoor Air Quality Goal
ldquoPerhaps most importantly
a critical shift in thinking from
a goal of indoor environments
that are acceptable to the occupants
to
that are truly healthy and productiverdquo
Shaping the Next Indoor Air Quality 621
Since 1973 Standard 62 has been
the primary ventilation document
1) reduce indoor contaminant sources
2) prescribe minimum outdoor airflow rates for listed occupancy categories
3) The standard allows three alternative ventilation approaches
Ventilation Rate Procedure (VRP)
Indoor Air Quality Procedure (IAQP)
Natural Ventilation Procedure (NVP)
Shaping the Next Indoor Air Quality Future
DENNIS STANKE - staff applications engineer at
Trane - Ingersoll Rand
ldquoIn the future architects and designers may specify
better air-cleaning devices
to remove both indoor and outdoor source contaminantsrdquo
Shaping the Next Indoor Air Quality FAC
Filtration and Air Cleaning (FAC) CommentsBY HE BARNEY BURROUGHS PRESIDENTIAL MEMBERFELLOW ASHRAE
ldquoThe focus on the indoor environment and related human health effects include
Respirable Particulates
VOCs (volatile organic compounds) and
ldquoToxicrdquo Moldrdquo
ldquoFAC is a mature 70+ year old technology from the prior century
but the technology has unique and established advantages and
has proven potential to offer as the HVAC industry faces
the challenges of the second decade of the 21st centuryrdquo
Shaping the Next Indoor Air Quality Standards
Air Quality Standards are applied
bullOutdoor Air EPA NAAQS at wwwairnowgov
bullAir Plane Cabins ANSIASHRAE Standard 161-2007 Air Quality within Commercial Aircraft
bullComputer and electronics facilities ISO 14644 Parts 1 and 2
bullNuclear facilities No NS-G-22 Operational Limits and Conditions and Operating Procedures for NPPs
bullPharmaceutical facilities ISO 8573-12010 Compressed Air Contaminants and Purity Classes
bullCommercialInstructional facilities CO2 level 700 ppm above BG
The 3 Irsquos of Indoor Environmental Quality for
CommercialInstructional Facilities
The 3 Irsquos of IEQ can affect health
and attendance1 Invisible Particles
Aerosols Levels in the classroom Airborne particles have the potential to cause allergic reactions skin irritation coughing sneezing respiratory difficulties and
circulatory system problems
2 Irritant Gases Ventilation Practices for the classroom
Total volatile organic compounds (TVOC) formaldehyde body odors and biological contaminants are causes for occupant discomfort and poor health outcomes
3 Infectious MicrobesColdFlu Virus Transmission Paths in the classroom
Bacterial and Viral respiratory tract infections particularly of rhinoviruses are associated with the majority of asthma exacerbations in both children and adults
Invisible particles + Irritants + Infections = Inflammation process
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Shaping the Next Indoor Air Quality 621
Since 1973 Standard 62 has been
the primary ventilation document
1) reduce indoor contaminant sources
2) prescribe minimum outdoor airflow rates for listed occupancy categories
3) The standard allows three alternative ventilation approaches
Ventilation Rate Procedure (VRP)
Indoor Air Quality Procedure (IAQP)
Natural Ventilation Procedure (NVP)
Shaping the Next Indoor Air Quality Future
DENNIS STANKE - staff applications engineer at
Trane - Ingersoll Rand
ldquoIn the future architects and designers may specify
better air-cleaning devices
to remove both indoor and outdoor source contaminantsrdquo
Shaping the Next Indoor Air Quality FAC
Filtration and Air Cleaning (FAC) CommentsBY HE BARNEY BURROUGHS PRESIDENTIAL MEMBERFELLOW ASHRAE
ldquoThe focus on the indoor environment and related human health effects include
Respirable Particulates
VOCs (volatile organic compounds) and
ldquoToxicrdquo Moldrdquo
ldquoFAC is a mature 70+ year old technology from the prior century
but the technology has unique and established advantages and
has proven potential to offer as the HVAC industry faces
the challenges of the second decade of the 21st centuryrdquo
Shaping the Next Indoor Air Quality Standards
Air Quality Standards are applied
bullOutdoor Air EPA NAAQS at wwwairnowgov
bullAir Plane Cabins ANSIASHRAE Standard 161-2007 Air Quality within Commercial Aircraft
bullComputer and electronics facilities ISO 14644 Parts 1 and 2
bullNuclear facilities No NS-G-22 Operational Limits and Conditions and Operating Procedures for NPPs
bullPharmaceutical facilities ISO 8573-12010 Compressed Air Contaminants and Purity Classes
bullCommercialInstructional facilities CO2 level 700 ppm above BG
The 3 Irsquos of Indoor Environmental Quality for
CommercialInstructional Facilities
The 3 Irsquos of IEQ can affect health
and attendance1 Invisible Particles
Aerosols Levels in the classroom Airborne particles have the potential to cause allergic reactions skin irritation coughing sneezing respiratory difficulties and
circulatory system problems
2 Irritant Gases Ventilation Practices for the classroom
Total volatile organic compounds (TVOC) formaldehyde body odors and biological contaminants are causes for occupant discomfort and poor health outcomes
3 Infectious MicrobesColdFlu Virus Transmission Paths in the classroom
Bacterial and Viral respiratory tract infections particularly of rhinoviruses are associated with the majority of asthma exacerbations in both children and adults
Invisible particles + Irritants + Infections = Inflammation process
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Shaping the Next Indoor Air Quality Future
DENNIS STANKE - staff applications engineer at
Trane - Ingersoll Rand
ldquoIn the future architects and designers may specify
better air-cleaning devices
to remove both indoor and outdoor source contaminantsrdquo
Shaping the Next Indoor Air Quality FAC
Filtration and Air Cleaning (FAC) CommentsBY HE BARNEY BURROUGHS PRESIDENTIAL MEMBERFELLOW ASHRAE
ldquoThe focus on the indoor environment and related human health effects include
Respirable Particulates
VOCs (volatile organic compounds) and
ldquoToxicrdquo Moldrdquo
ldquoFAC is a mature 70+ year old technology from the prior century
but the technology has unique and established advantages and
has proven potential to offer as the HVAC industry faces
the challenges of the second decade of the 21st centuryrdquo
Shaping the Next Indoor Air Quality Standards
Air Quality Standards are applied
bullOutdoor Air EPA NAAQS at wwwairnowgov
bullAir Plane Cabins ANSIASHRAE Standard 161-2007 Air Quality within Commercial Aircraft
bullComputer and electronics facilities ISO 14644 Parts 1 and 2
bullNuclear facilities No NS-G-22 Operational Limits and Conditions and Operating Procedures for NPPs
bullPharmaceutical facilities ISO 8573-12010 Compressed Air Contaminants and Purity Classes
bullCommercialInstructional facilities CO2 level 700 ppm above BG
The 3 Irsquos of Indoor Environmental Quality for
CommercialInstructional Facilities
The 3 Irsquos of IEQ can affect health
and attendance1 Invisible Particles
Aerosols Levels in the classroom Airborne particles have the potential to cause allergic reactions skin irritation coughing sneezing respiratory difficulties and
circulatory system problems
2 Irritant Gases Ventilation Practices for the classroom
Total volatile organic compounds (TVOC) formaldehyde body odors and biological contaminants are causes for occupant discomfort and poor health outcomes
3 Infectious MicrobesColdFlu Virus Transmission Paths in the classroom
Bacterial and Viral respiratory tract infections particularly of rhinoviruses are associated with the majority of asthma exacerbations in both children and adults
Invisible particles + Irritants + Infections = Inflammation process
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Shaping the Next Indoor Air Quality FAC
Filtration and Air Cleaning (FAC) CommentsBY HE BARNEY BURROUGHS PRESIDENTIAL MEMBERFELLOW ASHRAE
ldquoThe focus on the indoor environment and related human health effects include
Respirable Particulates
VOCs (volatile organic compounds) and
ldquoToxicrdquo Moldrdquo
ldquoFAC is a mature 70+ year old technology from the prior century
but the technology has unique and established advantages and
has proven potential to offer as the HVAC industry faces
the challenges of the second decade of the 21st centuryrdquo
Shaping the Next Indoor Air Quality Standards
Air Quality Standards are applied
bullOutdoor Air EPA NAAQS at wwwairnowgov
bullAir Plane Cabins ANSIASHRAE Standard 161-2007 Air Quality within Commercial Aircraft
bullComputer and electronics facilities ISO 14644 Parts 1 and 2
bullNuclear facilities No NS-G-22 Operational Limits and Conditions and Operating Procedures for NPPs
bullPharmaceutical facilities ISO 8573-12010 Compressed Air Contaminants and Purity Classes
bullCommercialInstructional facilities CO2 level 700 ppm above BG
The 3 Irsquos of Indoor Environmental Quality for
CommercialInstructional Facilities
The 3 Irsquos of IEQ can affect health
and attendance1 Invisible Particles
Aerosols Levels in the classroom Airborne particles have the potential to cause allergic reactions skin irritation coughing sneezing respiratory difficulties and
circulatory system problems
2 Irritant Gases Ventilation Practices for the classroom
Total volatile organic compounds (TVOC) formaldehyde body odors and biological contaminants are causes for occupant discomfort and poor health outcomes
3 Infectious MicrobesColdFlu Virus Transmission Paths in the classroom
Bacterial and Viral respiratory tract infections particularly of rhinoviruses are associated with the majority of asthma exacerbations in both children and adults
Invisible particles + Irritants + Infections = Inflammation process
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Shaping the Next Indoor Air Quality Standards
Air Quality Standards are applied
bullOutdoor Air EPA NAAQS at wwwairnowgov
bullAir Plane Cabins ANSIASHRAE Standard 161-2007 Air Quality within Commercial Aircraft
bullComputer and electronics facilities ISO 14644 Parts 1 and 2
bullNuclear facilities No NS-G-22 Operational Limits and Conditions and Operating Procedures for NPPs
bullPharmaceutical facilities ISO 8573-12010 Compressed Air Contaminants and Purity Classes
bullCommercialInstructional facilities CO2 level 700 ppm above BG
The 3 Irsquos of Indoor Environmental Quality for
CommercialInstructional Facilities
The 3 Irsquos of IEQ can affect health
and attendance1 Invisible Particles
Aerosols Levels in the classroom Airborne particles have the potential to cause allergic reactions skin irritation coughing sneezing respiratory difficulties and
circulatory system problems
2 Irritant Gases Ventilation Practices for the classroom
Total volatile organic compounds (TVOC) formaldehyde body odors and biological contaminants are causes for occupant discomfort and poor health outcomes
3 Infectious MicrobesColdFlu Virus Transmission Paths in the classroom
Bacterial and Viral respiratory tract infections particularly of rhinoviruses are associated with the majority of asthma exacerbations in both children and adults
Invisible particles + Irritants + Infections = Inflammation process
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
The 3 Irsquos of Indoor Environmental Quality for
CommercialInstructional Facilities
The 3 Irsquos of IEQ can affect health
and attendance1 Invisible Particles
Aerosols Levels in the classroom Airborne particles have the potential to cause allergic reactions skin irritation coughing sneezing respiratory difficulties and
circulatory system problems
2 Irritant Gases Ventilation Practices for the classroom
Total volatile organic compounds (TVOC) formaldehyde body odors and biological contaminants are causes for occupant discomfort and poor health outcomes
3 Infectious MicrobesColdFlu Virus Transmission Paths in the classroom
Bacterial and Viral respiratory tract infections particularly of rhinoviruses are associated with the majority of asthma exacerbations in both children and adults
Invisible particles + Irritants + Infections = Inflammation process
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
The 3 Irsquos of IEQ can affect health
and attendance1 Invisible Particles
Aerosols Levels in the classroom Airborne particles have the potential to cause allergic reactions skin irritation coughing sneezing respiratory difficulties and
circulatory system problems
2 Irritant Gases Ventilation Practices for the classroom
Total volatile organic compounds (TVOC) formaldehyde body odors and biological contaminants are causes for occupant discomfort and poor health outcomes
3 Infectious MicrobesColdFlu Virus Transmission Paths in the classroom
Bacterial and Viral respiratory tract infections particularly of rhinoviruses are associated with the majority of asthma exacerbations in both children and adults
Invisible particles + Irritants + Infections = Inflammation process
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Sources of the 3 Irsquosbull Outside Air for Ventilation
bull EPA NAAQS Pollutantsbull Toxic Gasesbull Airborne Microbes
bull Occupantsbull Acetonebull Ammoniabull Hydrogen Sulfidebull Infectious Microbes
bull Building Materials amp Processesbull Formaldehydebull Total Volatile Organic Compoundsbull Asbestos and Lead
bull Infiltration from open penetrationsbull Atmosphere Dustbull Combustion Gasesbull Airborne Microbesbull Animal borne Microbes
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
What is a Green and Healthy School
Green Schools National NetworkA Green School enhances student health and learning while conserving natural resources and empowering students to develop sustainable behaviors enabling them to become the stewards of the future The Collaborative for High Performance Schools (CHPS)We want all schools to be Healthy Comfortable Energy Efficient Material Efficient Easy to Maintain and Operate Commissioned Environmentally Responsive Site A Building That Teaches Safe and Secure Community Resource Stimulating Architecture and Adaptable to Changing Needs The US Green Building CouncilGreen schools are healthier for students and teachers better for the environment and cost less to operate and maintain The Environmental Protection Agency (Tools for Schools)Green schools promote a healthy learning environment to reduce absenteeism improve test scores and enhance student and staff productivity US Department of Educations Green Ribbon SchoolsGreen schools can help children build real-world skill sets cut school costs and provide healthy learning environments
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Costs for Student Absences12 of US School Children
are chronically absent and
miss 1 out of every 10 school days
TIME Magazine September 17 2012 issue
One missed student day costs local school district in state aid $32
State wide ADA in 2009-2010 955
Keller ISD ADA 970
Boerne ISD ADA 960
North East ISD ADA 961
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
$$$ for Student Absences
Central Texas public schools districts missed out on $91 million and
Bexar Co public school districts missed out on $642 million
in state daily attendance funding
httpmissingschoolmattersorg
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
High Performance amp Healthy Classroom
From the 1950rsquos
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Unhealthy Classroom of the 2000rsquos
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Classroom of the Future
httpwwwcarpediemazcomlearning-centers
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Wealth of IntentDearth of Data
High Performance Buildings - Fall 2013
bull 100 HPB Case Studies
bull 36 claimed GOOD IAQ
bull 12 performed Post OCC IAQ Survey
bull 12 claimed IAQ Monitoring Program
bull 9 claimed Healthy IAQ
bull 1 provided Contaminant Data
by Kevin Teichman Andrew Persily Steven Emmerich
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
New Research on Indoor Environments in Classrooms
0 1 3
78
373
83
0
100
200
300
400
1960s 1970s 1980s 1990s 2000s 2010-11
Pu
blis
hed
Man
uscr
ipts
Decade
Source Richard L Corsi PhD wwwceutexasedufaculty-directoryprofilesrichard-corsihtml Professor - E C H Bantel Professor for Professional Practice Uni of Texas Civil Architectural and
Environmental Engineering Department-EWRE Austin TX
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Breathing effects ones health and ability to learn
In one dayhellip
take 20000 breaths
= 35 pounds = 3400 gallons = 450 cubic feet
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Breathe in 20 billion particles bull Consists of
bull dust and combustion particles bull volatile organic compoundsbull irritants and toxinsbull allergens and asthmagens and bull microbial life
bull The nose traps and filters up to 70 of these particles
bull Particles are too small to be trapped by the nose enter the airway
Over the course of the dayhellip
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Air particulate exposure and air pollutants exert adverse effects directly on the lungs and heart causing bull respiratory conditions bull asthma symptoms bull acute bronchitisbull cardiovascular conditionsbull blood pressure increasesbull atherosclerosis
Calderoacuten-Garciduentildeas
Effects of Inhalation of Airborne Contaminants
Recent research studies suggest that inhaled ultrafine particles may be capable of entering the brain in children which then effects their
ability to learn
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
The 3 Prsquos of Environmental Health
PEOPLE
PATHWAYS POLLUTANTS
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Pathway from built environment to health effects (adapted from Mitchell CS Hodgson MJ unpublished data)
Source F Wu D Jacobs et al Improving Indoor Environmental Quality for Public Health Impediments and Policy Recommendations Environmental Health Perspectives Vol 115 June 2007
Pathways
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Assessing the Indoor EnvironmentInvisible Particles
Invisible particles
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Invisible Particle Size Relationship
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
bull Animal danderbull Household dustbull Insect partsbull Pollenbull Pesticidesbull Combustion by-productsbull Microbes
bull Common Reservoirsndash Carpets pillows
couches stuffed animals
Invisible Particles In Dust
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Invisible Particle Health Effects
Source Pope and Dockery 2006
httpwwwnoacaorgpmhealtheffectspdf
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Research Finds That Particle Size amp Quantity Matters
bull An increase in 10 micrograms per cubic meter of indoor course particle pollution there is a 6 increase in the number of days of cough wheeze or chest tightness in asthmatic children
bull An increase in 10 micrograms per cubic meter of indoor fine particle pollution there is a
7 increase in days of wheezing severe enough to limit speech
Source Johns Hopkins University School of Medicine February 2009
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
A decrease of 10 micrograms per cubic meter of fine particle air pollution results in an
ndash increase in life expectancy of 07 years
ndash in a 10 decrease in the risk of premature death
Sources Harvard School of Public Health Jan 2009American Lung Association Highlight of recent Research on Particulate Air Pollution Effects of Long Term Exposure wwwlungusaorg Oct 2008
Research Shows The Effects of Fine Particles
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Typical San Antonio DayAQI 30
10 microgm3
Air Quality Health Alert Day in San Antonio
AQI 10840 microgm3
Outside Air in San Antonio
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
EPA PM StandardFor long-term effects of fine PM (PM25 ) EPArsquos Clean Air Scientific Advisory
Committee (CASAC) recommended the primary health standard be tightened from a current annual average of 15 microgm3 to somewhere in the range of 11ndash13 microgm3
The EPArsquos new standard 12 microgm3 annual mean With an annual standard of 12 microgm3 the EPA estimates the annual health benefits are
$23ndash59 billion with costs of $69 million
About 30 of the US population lives in the 191 counties or parts of counties designated as
ldquononattainmentrdquo for the current annual PM25 standard
Weinhold B 2012 EPA Proposes Tighter Particulate Air Pollution Standards Environ Health Perspect 120a348-a349 httpdxdoiorg101289ehp120-a348a
httpehp03niehsnihgovarticlefetchArticleactionarticleURI=info3Adoi2F1012892Fehp120-a348ar3
httpwwwcatfusresourcespublicationsfilesSickOfSootpdf
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Actual Experience Shows Benefits of Air Cleaning in Schools
bull Teachers report less problems with sore and scratchy throats runny eyes and loss of voice during the school day
bull Students report less symptoms of respiratory illness and asthmatic experience less breathing problems requiring use of reliever medication
httpwwwneisdnetathleticsPEdocumentsDetectingAerosolsPPPpdf
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Improve Air Filtration
ASHRAE Filter Rating of MERV 8 to MERV 13 and Polarized Media Devices
Reduce Classroom Clutter and Furnishings
Airborne Particle Counts
Actual Air Particle Reduction Methods
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Portable Hand Held Particle Counter
Six Channels of Particle Sizes from 3 to 10 Micrometers in diameter
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
httpwwwrimbachcomcgi-binArticleIHNNumberidcNumber=118
Cleanrooms are required for manufacturing of electronics drugs food and beverage plants
Need a Clean Air Room Standard for Classrooms at Class 6
Computers
Medicines
Classrooms
Outside Air
Data Centers Entry Rooms
ISO 14644-1
Medical DevicesSemiconductors
Meat Processing
Clean Air Room PM Standard
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Ten fold decease in Fine Particles after Cleaning in Room
After Cleaning
Before Cleaning
Particles in the classroom
Particles In Classrooms
2895
13735
2118
181
73965127
663
169339
167670
3367
6512
187836
9779
203028260521
120352
1663402
10
100
1000
10000
100000
1000000
10000000
00 10 20 30 40 50 60 70 80 90
Particle Size Micromenter
Par
tC
u Ft
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Aerosol Levels after Construction Activities
Visual Airborne Fine Particle Contamination in Main Entrance Hallway
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Portable HEPA Filter
Portable HEPA FilterScrubber removed ultrafine particles from over 3 million particles per cubic foot to less than 1 million particles per cubic foot
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Actual Experience Shows Benefits of IAQ Intervention Program in
SchoolsldquoIn North East ISD of nearly 70000 schoolchildren there were an extraordinary 9000 trips to school nurses during the first six weeks of classes before the environmental intervention program beganThe next year school nurse visits dropped like a rock to half as many during the same periodrdquo
Diane Rhodes Asthma EducatorAllergy amp Asthma Today vol 9 no 3 2011
Comparison of InhalersNebulizers
010002000
30004000500060007000
80009000
10000
Augsept
Inhalers 2006-2007
Inhalers 2007-2008
Nebulizers 2006-2007
Nebulizers 2007-2008
Results of student Inhaler Nebulizer Usage after initiating lsquoTips for a Healthy Classroomrsquo and lsquoAsthma Trigger Educationrsquo began being communicated to staff Data comes from the time period of first six weeks of school which is when lsquomost problematicrsquo allergy seasons are dormant from North East ISD Department of Environmental Health
ldquoA significant increase in hospital admissions for asthma (20 to 300) was associated with school return after each break The strongest associations were observed following summer vacation and for children age 5 to 11 yearsrdquo by Shao Lin Rena Jones Xiu Liu Syni-An Hwang Impact of the Return to School on Childhood
Asthma Burden in New York State International Journal of Occupational and Environmental Health Vol 17 No 1 (2011)
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Schools Located Near Major Highway (Concerns)
Near-roadway Health Concerns
bull Over the last decade hundreds of studies published on the health of populations living near major roadsndash Respiratory symptoms in asthmatic childrenndash New onset asthmandash Cardiovascular diseasendash Premature mortalityndash Neurodevelopmental delaysndash Birth outcomesndash Cancer
bull In 2004 the American Academy of Pediatrics recommended sitingschools and child care facilities away from high-traffic roadways
bull This year the Centers for Disease Control and Prevention (CDC) developed a new national public health objective for ldquoHealthy People 2020rdquondash Decrease the number of new schools sited within 500 feet of a freeway
or other busy traffic corridorsSource Traffic-Related Air Pollution A Critical Review of the Literature on Emissions Exposure
and Health Effects Special Report 17 Health Effects Institute Boston Massachusetts
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
School Location Near Major Highway
One recent research study revealed a significant 24 increase in the risk of experiencing multiple emergency department contacts for asthma for every log-unit of traffic exposure
Another study found pronounced deficits in attained lung function at age 18 years were recorded for those living within 500 m of a freewayUse of a total traffic count metric to investigate the impact of roadways
on asthma severity a case-control study
Cook et al Environmental Health 2011 1052 httpwwwehjournalnetcontent10152
Yifang Zhu William C Hinds Seongheon Kim Si Shen Constantinos Sioutas Study of ultrafine particles near a major highway with heavy-duty diesel trafficAtmospheric Environment Volume 36 Issue 27 September 2002 Pages 4323-4335 httpwwwepagovncerreportsr827352C006frpdf
Effect of exposure to traffic on lung development from 10 to 18 years of age a cohort study
W James Gauderman et al httpwwwthelancetcomjournalslancetarticlePIIS0140-6736(07)60037-3abstract
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Schools Located Near Major Highway (Keck School of Med)
Childhood Incident Asthma and Traffic-Related Air Pollution at Home and School By Rob McConnell et al
bullResults indicate that children exposed to higher levels of traffic-related air pollution at school and home are at increased risk of developing asthma
bullAlmost 10 of public schools in California are located within 150 m of roadways with gt25000 vehicles daily
bullStudents in urban areas in eastern US cities are even more likely hellip to attend schools near major highways
bullAnd one in three US public schools is within about 1300 feet or a quarter mile from a major highway
bull Environmental Health Perspectives bull volume 118 | number 7 | July 2010
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Schools Located Near Major Highway (UPTECH)
Ultrafine Particles from Traffic Emissions amp Childrens Health (UPTECH)
bullQueensland University of Technology (QUT)bullInternational Laboratory for Air Quality and Health (ILAQH)bullUniversity of Cincinnati USA bullUniversity of Cassino Cassino ItalybullNational Institute of Water amp Atmospheric Research NZ
The project seeks to determine the effect of the exposure to airborne nano and ultrafine (UF) particles emitted from motor vehicles on the health of children in schools
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Schools Located Near Major Highway (UPTECH)
Preliminary findings from AU IT and NZ
bull Concentrations at urban schools scale are higher due to traffic bull Building lowers the particle concentration experienced by children in the schools bull A 30 indoor spatial variation in concentration at schools facing a trafficked street bull Indoor PN concentrations were strongly influenced by outdoor levels and weresignificantly higher during rush-hours (up to 41)
httpwwwilaqhquteduauMiscUPTECH20Homehtm
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Schools Located Near Major Highway (San Antonio)
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Assessing the Indoor EnvironmentIrritant Gases
Irritant Gases
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Outside Air Contaminants
Ozone Hot amp Sunny Days
Water Vapor in Hot and Humid Climates
Other Gases Sewer Boiler Gas Industrial
Chemical and Biological Threats Pranksters
Source ASHRAE 621-2007 Source wwwairnowgov
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Sources of Irritant Gases
httpwwwehsutorontocaresourcesHSGuideScenthtm
httpwwwyorkucadohsdocGuidelinesNoticesScentedProductsscentedproductpdf
CLEAN AIR ROOMS
Allergy Friendly Rooms
Scented Products Use Rules
Many chemicals contained in scented products are known to be respiratory irritants Even at very low concentration levels they can trigger a wide range of adverse and sometimes severe physical responses in individuals with respiratory sensitivities For example affected individuals can experience asthmatic reactions such as difficulty breathing excessive coughing irritated eyes and nose etc Other responses could include migraine headaches itchy sore skin tingling body parts rashes severe headaches nausea dizziness and shortness of breath When exposure is indoors the impact is magnified
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Sources of Irritant Gases
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Research Shows the Health Effects of Irritant Gases
The research study data available suggests that bull indicators of inflammation bull rates of communicable respiratory infectionsbull frequency of asthma symptoms and bull rates of short-term sick leave increase with lower ventilation rates in the building
environments studied
ldquoVentilation rates and health multidisciplinary review of the scientific literaturerdquoby J Sundell H Levin W W Nazaroff W S Cain W J Fisk D T Grimsrud
F Gyntelberg Y Li A K Persily A C Pickering J M Samet J D Spengler S T Taylor C J Weschler
2011 John Wiley amp Sons AS INDOOR AIR
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
For every unit (1 ls per person)
increase in the ventilation rate
the proportion of students
passing standardized test
(ie scoring satisfactory or
above) is expected to increase by
29 (95CI 09ndash48) for math
27 (05ndash49) for reading
Sources Dr Richard Shaughnessy Indoor Air Program Uni of Tulsa Dr P Wargocki International Centre for Indoor Environments Uni of Denmark
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Test Score Effects of Irritant Gases
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Better Classroom Ventilation Means Fewer Absences Association of classroom ventilation with reduced illness absenceMark Mendell Ekaterina Eliseeva Molly Davies Michael Spears Agnes Lobscheid William Fisk et al
Indoor Air Quality Scientific Findings Resource Bank (IAQ-SFRB)Indoor Environment Department of the Lawrence Berkeley National Laboratorywwwiaqsciencelblgovsfrbhtml
Research Shows the Absenteeism Effects of Irritant Gases
Desired level 1000 ppm gt 710 lsp (15 cfmp)
1 ls plus reduces absences by 16
34 fewer student absences
$33M higher state funding
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Actual Experience Shows Health Benefits of Ventilation in Schools
The 93 asthmatic students at School A were requesting their PRN inhaler at 2 to 3 times more than the 102 asthmatic students at School B
38
13
12
28
10
16
2320
11
60
3043
21
71
21
94
43 47
40
0
20
40
60
80
100
Total PRN per Month
Aug Sept Oct Nov Dec Jan Feb March April May
Month Since Opened
PRN Inhaler Use since School Opening
School A
School B
School A had low ventilation rates
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Actual Experience Shows Test Score Benefits of Ventilation in Schools
School B had higher percentages (up to 4 higher) of students passing reading writing and mathematics sections School B had 11 and 16 more students than School A obtaining the Commended Level on the reading and mathematics tests (students correctly answered 90 or better of the TAKS questions)
50556065707580859095
100
Pe
rce
nt
Me
t
Sta
nd
ard
Subject Area
2011 TAKS Tests Results
School B
School A
School A had low ventilation rates
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
bull Fan energy is required to force outside air intothe school building
bull Fan energy is requiredto exhaust air fromthe school building
bull Thermal energy is requiredto cool heat and dehumidify outside to indoor comfort conditions
bull Energy Cost is about $150Cubic FeetMinute
Source J Dieckmann et al ldquoAir Purification to Reduce Outside AirrdquoASHRAE Journal April 2009 pps 68-70
Ventilation Air Energy Penalty
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Benefits of ApplyingASHRAErsquos 621 IAQ ProcedureThe IAQ Procedure in ASHRAE Standard 621-2010 may be used to determine outdoor air ventilation rates
The IAQ Procedure requires the building and its ventilation system to be designed to achieve both objective and subjective criteria
ndash Identify contaminants of concern
ndash Determine acceptable contaminant concentrations
ndash Specify the perceived indoor air quality criteria
ndash Apply an acceptable design approach to achieve the performance criteria
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
bull Media is a combination of activated carbon and an activated alumina substrate impregnated with sodium permanganate
bull By using these media in combination the removal of most irritant gases is achieved
Gas Phase Filtration Media
Air Cleaning in Practice ndash School Sustainability and Commercial Building Field Study ResultshttpwwwpurafilcomPDFsTechnical20PapersCommercialAir20Cleaning20in20Practice20(IAQA202009)pdf
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
-+
Grounded screens
+7000 vdc applied to center screen7000 vdc applied to center screen
Polarized media fibersPolarized media fibers
+++++++
+++++++
_______
_______
+_
+
-++
_
- +
_
-+Passive fiberPassive fiber
Loading CharacteristicsLoading Characteristics
Polarized fiberPolarized fiber
Electrostatic attraction amp AgglomerationElectrostatic attraction amp Agglomeration Ability to collect particles lt 03 Microns Ability to collect particles lt 03 Microns
Polarized Media Filtration DevicesPolarized Media Filtration Devices
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
VolatileVolatile Organic Compounds Organic Compounds(VOC) in Perspective(VOC) in Perspective
bull Volatile Organic Compounds = VOCs Volatile Organic Compounds = VOCs = Odors amp Irritants ampToxicity= Odors amp Irritants ampToxicityndash Many sources include microbial life formsMany sources include microbial life forms
bull Too small to remove through regular filtrationToo small to remove through regular filtrationndash Many under 0001 micronMany under 0001 micron
ndash Removed by adsorption with carbon or other Removed by adsorption with carbon or other adsorbent material in gas phase filtersadsorbent material in gas phase filters
ndash Removed by capture with ultra fine particles inRemoved by capture with ultra fine particles in
ppolarized media filtration devicesolarized media filtration devicesndash Measurable with portable handheld devicesMeasurable with portable handheld devices
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Asthma Risk and VOC Level
Source Association of domestic exposure to volatile organic compounds with asthma in young children K Rumchev J Spickett M Bulsara M Phillips and S Stick
httpwwwncbinlmnihgovpmcarticlesPMC1747137tool=pubmed
For every 10 unit increase in the concentration of toluene and benzene (microgm3) the risk of having
asthma increased by almost two and three times respectively
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Source httpwwwewgorgfiles200910school-cleanersEWGschoolcleaningsuppliespdf
Research Shows the Benefits of Reducing VOCrsquos
Ten fold decease in Total VOCs after Green Cleaning in Room
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
bull North East ISD reported a savings of 30 in Custodial costs and a reduction of 25 in Sick Days among Custodial and Maintenance team
bull Lockport Township High School in Lockport Ill reported a 3 increase in the average daily attendance after the first year of implementing an Indoor Air Quality (IAQ) Management plan)
Actual Experience Shows Benefits of Reducing VOCrsquos
httpwwwhealthyschoolscampaignorgprogramsgcssuccessphphttpwwwcleaningforhealthyschoolsorgdocumentsFAQspdf
httpmediacefpiorgsouthernEPA_GreenCleaningpdf
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Source Control for Irritant Gases
Source httptransparencyperkinswillcomMain
Healthy Environments A Compilation of Substances Linked to Asthma
Perkins+Will prepared this report on behalf of the National Institutes of Health
Office of Research Facilities Division of Environmental Protection August 8 2012
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Assessing the Indoor Environment Infectious Microbes
Infectious Microbes
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Beneficial Microbesbull Human Microbiome Project
ndash 1000 species of bacteria on human skin
bull Home Land Security Projectndash 1800 types of airborne microbes in
Austin and San Antonio ambient air
Source Julia Segre et al
National Institutes of Health May 29 2009
Source Gary Anderson et al
Berkley National Laboratory
National Academy of Sciences December 19 2006
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Infectious MicrobesViruses bacteria amoebae fungi
and other microbial parasites can invade the human body
ndash 100 Trillion Bacteria cells onin human body
ndash 100 Bacteria species pathogenic to humans
ndash 33 Humans carry M
tuberculosisndash 50 Humans carry H pylorindash 50 Humans carry S Aureus
Source B Brett Finlay
The Art of Bacterial Warfare Scientific American
February 2010 pps 56-63
httpwwwploscollectionsorgarticlebrowseIssueactionissue=infodoi101371issuepcolv01i13
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Tracking Flu Activity
Peak of Seasonal Flu
Year 2010-2011 is shown in pink and peaked at 10 of visits due to Influenza like illness (ILI) in mid FebruarySource httpwwwdshsstatetxusidcudiseaseinfluenzasurveillance2011
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Actual Experience with Seasonal FluADA Rates for each 6 Week Periods of 10-11
981
973 971
955
975978
972
979
969965
956
970 969 968
975
966961
947
965 967964
94595
95596
96597
97598
985
1 2 3 4 5 6 7
Six Week Period
Att
en
da
nc
e
School A
School B
District Average
Total
School A had low ventilation rates
4th 6 Weeks are during Jan and Feb and has about a 2 drop in ADA from other 6 Week Periods
Seasonal Flu period
Li Y et al Role of ventilation in airborne transmission of infectious agents in the built environment a multidisciplinary systematic review Indoor Air 2007172-18
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Research Shows the Effects of Infectious Microbes
bull Research evidence suggests that a large portion of enteric and respiratory illnesses can be prevented through improved environmental hygiene with an emphasis on better hand and surface cleaning practices
Source International Scientific Forum on Home Hygiene 2002
The infection potential in the domestic setting and the role of hygiene practice in reducing infection httpwwwifh-homehygieneorg
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Actual Experience Shows Health Benefits of Hygiene in
SchoolsGood hand and surface hygiene can reduce illness and school absenteeism rate among children and adults by
30 to 50
Source Charles P Gerba PhD University of ArizonaCleaning Up Battling Germs in School Facilities School Business Affairs volume 75 number 2 Association of School Business Officials International February 2009
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Actual Experience Shows Health Benefits of Hygiene in Schools
Sources httpwwwitsasnaporgsnapaboutasp 1Matser D Longe SH Dickson H Scheduled hand washing in an elementary school population Family Medicine 199729(5)336-339
A study involving Detroit school children showed that scheduled
handwashing at least four times a day can reduce gastrointestinal illness and related absences by more than 501
Healthy Schools Healthy People Itrsquos a SNAP
(School Network for Absenteeism Prevention)
joint initiative of the Centers for Disease Control and Prevention and American
Cleaning Institute
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Clean Classroom Hygiene Standard
CIRI amp ISSA proposed K-12 Classroom Clean Standard Elements(a) basic or preliminary facilities walk-through(b) recommendations for subsequent ventilation studyIEQ measures(c) visual dust and soils criteria or settled and measurable dust(d) bio-contamination using adenosine triphosphate ATP luminescence based on(e) pre-cleaning and post-cleaning assessment of multiple interior surfaces and(f) record keeping and enhancements or corrective actions
Adenosine triphosphate (ATP) meter with capability
to measure the level of microbial life present on a
high touch and hard classroom surface
httpwwwissacomdataFileCIRICLEAN20STANDARD20OUTLINE_JUNE202012pdf
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
The Case for Touchless Fixtures and Devices
TEDxPhoenix 2009 presents Dr Charles P Gerba Professor at the Colleges of Public Health and Agriculture University of Arizona
httpwwwyoutubecomwatchv=9RhiHQne63Iampnoredirect=1
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Infiltration From Open Building PenetrationsThe Fourth I of IEQ
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
The 3 Mrsquos School Building Health
Mold Microbiome
Moisture
WWWmicrobeworldorg
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Pathways from Water to Health
Source httpwwweurowhoint__dataassetspdf_file001743325E92645pdf
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Water Damaged Buildings
httpwwwsurvivingmoldcomdocsbiotoxinpathwayritchieshoemakermdpdf
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Moisture in School Buildings NIOSH Alert 2013-102 Division of Respiratory Disease Studies Preventing Occupational Respiratory Disease from Exposures caused by Dampness in Office
Buildings Schools and Other Non-industrial Buildings WARNING Occupants within damp office buildings schools and other non-industrial buildings may develop
respiratory symptoms and disease httpwwwcdcgovnioshdocs2013-102
Revised ASHRAE Position Document
Limiting Indoor Mold and Dampness in BuildingsSpecial ASHRAE COMMITTEE OBSERVATIONS CONCERNING MOLD AND
MOISTURE PROBLEMS IN BUILDINGShttpwwwashraeorgabout-ashraeposition-documents
Upcoming EPA Guidelines Indoor Environments Division
ldquoMoisture Control In Public And Commercial Buildings Guidance For Design Construction And Maintenance Professionalsrdquohttpwwwgovenergycom2007pdfsbuildingsKolb_and_Brennan_Buildings_track_S8pdf
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Environmental Relative Moldiness Index (ERMI)
25th Percentile (Low) A home with a index of less than -4 is in the lower quarter (25) of all the homes The potential risk of significant indoor mold growth is low25th to 75th Percentile (Moderate) Homes with a index of -4 to 5 represent 50 of homes in the moderate range There is a moderate risk of indoor mold growth for this category75th Percentile (High) Homes with a index greater than 5 were in the upper 25 of all homes tested This category represents the highest potential risk of significant indoor mold growthMolds from a 36 species panel are divided into two groups The first group (Group 1) of 26 species represents molds associated with water damage and the other group (Group 2) represents common indoor molds The Index is calculated by log-transforming all mold concentrations then subtracting the sum of the second group from the sum of the first The resulting ERMI is a whole number usually between -10 and 20 with a standard deviation of plusmn 3
Source httpwwwepagovmicrobesmoldtechhtm
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Microbiome of Humans and Buildingsmicrobiome is the totality of microbes their genetic elements (genomes) and environmental interactions in a particular environment
The term microbiome was coined by Joshua Lederberg who argued that microorganisms inhabiting the human body should be included as part of the human genome because of their influence on human physiology
The human body contains over 10 times more microbial cells than human cells although the entire microbiome only weighs about 200 grams (71 oz)
Microbiomes are being characterized in many other environments as well including soil seawaterfreshwater systems and buildings Informationhttpwwwyourwildlifeorgthe-wild-life-of-our-bodies
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Microbiome of HumansOne person sheds each hour
2400000 skin cells
(Motionless up to 500000 particles per minute
When active this level can reach up to 45000000 particles per minute)
And 35000000 bacterial cells
ldquoAn important public health consequencehellipis that through direct inhalation of resuspended or shed organisms there is a potential for current or previous occupants of a room to contribute substantially
to inhalation exposure to bioaerosolsrdquo
Hospodsky D Qian J Nazaroff WW Yamamoto N Bibby K et al (2012) Human Occupancy as a Source of Indoor Airborne Bacteria PLoS ONE 7(4) April 18 2012
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Engineering Controls to Reduce Infectious Microbe Transmission
Strategies for Classrooms
Dilution Ventilation
Personalized ventilation Source capture
Central system filtration
Local filtrationcleaning Duct UVGI
The ASHRAE Position Document on Airborne Infectious Diseases January 2012
by the Societyrsquos Airborne Infectious Diseases Position Document Committee httpwwwashraeorgabout-ashraeposition-documents
Add Shed and Resuspended Particles
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Built Environment Microbiome Project
The BioBE Center is based at the University of Oregon and led by
Jessica Green (Director)
Brendan Bohannann
GZ (Charlie) Brown
httpbiologyuoregonedubiobe
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Jessica Green on Building Microbes
httpwwwtedcomtalksjessica_green_are_we_filtering_the_wrong_microbeshtmlhttpbiologyuoregonedupeoplegreenScience-2012-Humphriespdf
Architectural design
influences the diversity
and structure of the
built environment
Microbiomehttpwwwnaturecomismejjournalv6n8pdf
ismej2011211apdf
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Living Wall as a Biofilter to Clean Indoor Air of Airborne VOCrsquos
httpwwwsuzukipublicschoolcabuilding-featureshtml
httpwwwhpbmagazineorgcase-studieseducationaldr--david-suzuki-public-school-windsor-ontario-canada
Living Walls break down airborne VOCs through the process of
bio-filtration
In controlled laboratory studies a system
removed up to 90 of VOCs in a single pass
httpwwwnaturairecomfunction
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Manage the 3 Irsquos for Green and Healthy
Schools and High Achieving Students
Apply IEQ Research Results to improve Classroom Physical Space
Use Modern IEQ Instrumentation to verify Classroom IEQ Conditions
Place Occupancy Limits on Rooms based on Design Specifications
Include IEQ Expertise on Design and Construction Teams
Monitor Health Clinic Visits to detect any Unforeseen Conditions
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Latest Estimates on Better IEQ Benefits
bull Fisk and Brunner IEQ in Office Study The estimated benefits of the IEQ scenarios analyzed are substantial in magnitude The combined potential annual economic benefit of a set of non-overlapping IEQ scenarios is approximately $20 billion
bull Trasande and Liu Environmental Illness in Children Costs StudyPoor childhood health caused by environmental factors
costs the United States $766 Billion in 2008
See the October 2011 issue of Indoor Air from the International Society of Indoor Air Quality and Climate ndash ISIAQ
See the May 2011 issue of Health Affairs
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
EPA References for Improved Academic Performance Student Health and Teacher Retention
Sources httpwwwepagoviaqschoolsstudent_performanceindexhtml
Test scores uniformly increase as building conditions improve
Test scores can increase by 3 percent to 17 percent
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
EPA Guidelines for School Siting and Environmental Health Programs
EPArsquos voluntary School Siting Guidelines encourage consideration of environmental factors in local
school siting decision-making processes httpwwwepagovschoolssiting
EPArsquos voluntary State K-12 School Environmental Health Program Guidelines provide a framework for improving the health and well-being of students by creating and sustaining healthy safe and productive school environments
httpwwwepagovschoolsehguidelinesdownloadsehguidelines-draftpdf
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Center for Green SchoolsUSGBC
httpwwwcenterforgreenschoolsorgdocsUSGBC20Mayors20Summit20Report_FINALpdf
bull The report provides a comprehensive review of the benefits of green schools
bull a summary of local state and federal policy solutions
bull leadership profiles of green school advocates and
bull case studies from both large cities and small communities
bull these resources serve as a roadmap on the journey to green schools
Local Leaders in Sustainability Special Report from Sundance
A National Action Plan for Greening Americas Schools
The Impact of School Buildings on Student Health and Performance
The report is an accessible account of current research connecting school buildings with student health and performance and includes a summary of research needed and how individual groups (teachers and students design professionals government agencies etc) can help in the effort to draw connections between where students learn and their well being
httpcenterforgreenschoolsorgstudiesaspx
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
Additional References on Impacts of Indoor Environments on Human
Performance and Productivity
Source and httpwwwiaqsciencelblgov
Impacts of Building Ventilation on Health and PerformanceIndoor Dampness Biological Contaminants and HealthIndoor Volatile Organic Compounds (VOCs) and HealthImpacts of Indoor Environments on Human Performance and ProductivityBenefits of Improving Indoor Environmental Quality
Scientific Findings Resource Bank (IAQ-
SFRB) Lawrence Berkeley National Laboratory
We Learn Here and
Where We Learn Matters
httpvimeocom46229583
We Learn Here and
Where We Learn Matters
httpvimeocom46229583