xvEPA
            United States
            Environmental Protection
            Agency
             United States
             Public Health
             Service
National
Environmental
Health Association
EPA/400/3-91/002
July 1991
            Office of Air and Radiation (ANR-445W)
Introduction to
Indoor Air Quality

A Self-Paced Learning Module




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EPA/400/3-91/002
Introduction to
Indoor Air Quality

A Self-Paced Learning Module
United States       United States   National
Environmental Protection   Public Health   Environmental
Agency          Service      Health Association
July 1991

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IAQ Learning Module
Table of Contents
TABLE OF CONTENTS
INDOOR AIR QUALITY LEARNING MODULE
Foreword                                          vii

Acknowledgements                                 ix

Introduction                                        xi


Unit 1   UNDERSTANDING INDOOR AIR QUALITY

Lesson 1.  Historical Perspective                          1

Lesson 2.  Factors Affecting Indoor Air Quality              5

Lesson 3.  Human Response to Indoor Air Quality:
         Principles of Toxicology                      15

Lesson 4.  Human Response to Indoor Air Quality:
         Classification of Indoor Air Contaminants        29

Lesson 5.  Controlling Indoor Air Quality                45
 Unit 2    MEASURING AND EVALUATING PROBLEMS

 Lesson 6.  Indoor Air Quality Measurements               63

 Lesson 7.  Standards and Guidelines for Indoor Air
          Contaminants and Ventilation                  79
 Lesson 8.  Investigation Techniques                      89
 Unit 3    DEVELOPING A PROGRAMMATIC RESPONSE

 Lesson 9-  Establishing an Indoor Air Quality Program       99

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List of Figures
1AQ Learning Module
                                      LIST OF FIGURES

                                      Lesson 2

                                      Figure 2-1. Pathways of air exchange.                       10

                                      Figure 2-2. The stack effect.                               12

                                      Lesson 3

                                      Figure 3-1. Multifactorial model for the sick
                                                 building syndrome.                            18

                                      Figure 3-2. Dose-effect relationships.                       24

                                      Lesson 5

                                      Figure 5-1. Example of a residential heating system
                                                 with an outdoor air connection.                 52

                                      Lesson 6

                                      Figure 6-1. Examples of active samplers.                    66

                                      Figure 6-2. Examples of passive samplers.                   68

                                      Figure 6-3. Accuracy and precision.                        73

                                      Lesson 8

                                      Figure 8-1. Flow chart of an investigation strategy for
                                                 indoor air quality problems.                    92

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IAQ Learning Module                                                                 List of Tables


LIST Of TABLES

Lesson 2

Table 2-1.  Factors affecting indoor air quality and examples
           of the parameters which influence them.           7

Lesson 3

Table 3-1 •  Key factors affecting the hazard posed by toxic
           substances.                                    22

Table 3-2.  Subpopulations at greatest risk from exposure
           to indoor air contaminants.                     26

Lesson 4

Table 4-1.  Typical symptoms of contaminant classes and
           physical stressors.                              31

Table 4-2.  Health effects of selected contaminants.          40

Table 4-3.  Potential sources of selected indoor air
           contaminants.                                 42

Lesson 5

Table 5-1.  Examples of indoor  air contaminant
           control strategies.                              47

Table 5-2.  Public and private sector roles.                  61

Lesson 6

Table 6-1.  Factors to consider in the selection of
           measurement methods and equipment.           65

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IAQ Learning Module                                              	Foreword
FOREWORD

The Indoor Air Quality Learning Module and its companion docu-
ment, the Indoor Air Quality Reference Manual were produced under
a cooperative arrangement between the National Environmental
Health Association, the U.S. Public Health Service, and the U.S.
Environmental Protection Agency. The documents are designed
to provide an introduction to indoor air quality for environmental
health professionals.  The documents cover those aspects of indoor
air quality important for establishing and implementing an indoor
air quality program by a state or local governmental agency.

Because there  is substantial guidance already available from EPA
on radon and asbestos, the Learning Module and the Reference
Manual contain little information on these subjects. In addition,
while most of the information presented  is useful for all types of
indoor environments, the primary focus for both documents is on
residential indoor air quality.

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IAQ Learning Module
                             Acknowledgements
ACKNOWLEDGEMENTS

        1 he Indoor Air Quality Learning Module and
the Indoor Air Quality Reference Manual were devel-
oped under a cooperative arrangement between the
National Environmental Health Association, the
Bureau of Health Professions of the U.S. Public
Health Service, and the Indoor Air Division of the
Environmental Protection Agency.

The documents were written by:
Ingrid Ritchie, Ph.D., Associate Professor
School of Public and Environmental Affairs
Indiana University

The following persons are gratefully acknowledged
for their contributions:
Barry Stern had the foresight to recognize the
importance of indoor air quality issues and the need
to strengthen the competency of practicing environ-
mental health professionals in this area.  His
initiative in developing this project, his support,
and his patience have been fundamental to the
success of this work.
David Mudarri was the principal technical  advisor
for this project. He provided expert technical
guidance and made extensive and invaluable
editorial contributions.  His insight and thoughtful
assistance provided the framework for both docu-
ments, and his tireless effort and  encouragement
helped steer the project through many difficult
times.
Edward Culver (Bureau Administrator, Bureau of
Environmental Health, Health and Hospital
Corporation of Marion County, Indianapolis,
Indiana) contributed Lesson 9 of the Learning
Module, "Establishing an Indoor Air Quality
Program."
Geraldine Struensee spent many hours typing
complex tables and initially formatting the docu-
ments.  Her forbearance through innumerable
revisions is sincerely appreciated.
Reviewing Organizations

Individuals from the following organizations
reviewed and commented on all or part of the two
documents.

   Federal Agencies

Bonneville Power Administration,
   Department of Energy
Consumer Product Safety Commission
Department of Health and Human Services
   National Institute of Environmental Health
     Sciences
   National Institute for Occupational Safety
     and Health
   Department of Housing and Urban Development
     Office of Policy Development and Research
Environmental Protection Agency-
   Office of Air and Radiation
   Office of Pesticides and Toxic Substances
   Office of Research and Development
   Office of Water
General Services Administration
   Public Buildings Services

   State and Local Government Agencies

Association of Local Air Pollution Control Officials,
   Washington, DC
Central District Health Department, Boise, ID
Clark County Health Department, Las Vegas, NV
Connecticut Department of Health Services,
   Hartford, CT
Division of Environmental Services, Toledo, OH
Forsyth County Environment Affairs Department,
   Winston-Salem, NC
Health and Hospital Corporation of Marion County,
   Indianapolis, IN
Illinois Department of Public Health,
   Springfield,  IL
Lincoln-Lancaster County Air Pollution Control
   Agency, Lincoln, NE
Mansfield Health Department, Mansfield, MA
Maryland Department of Education, Baltimore, MD

                               (continued next page)

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Acknowledgements
                          IAQ Learning Module
Minneapolis Department of Environmental Health,
   Minneapolis, MN
Montgomery County Public Schools, Rockville, MD
Piano Health Department, Piano, TX
Southeastern Health District, Pocatello, ID
State College Health Department, State College, PA

   Other Organizations

Department of Environmental Health, East Carolina
   University, Greenville, NC
Indoor Air Quality and Safety Research,
   Gas Research Institute, Chicago, IL
Sponsoring Organizations

National Environmental Health Association
   Executive Director:   Nelson Fabian
   Project Coordinators:  Terry Johnson
                       Larry Marcum
   Grants Assistant:     Geraldine Struenesee

U.S. Department of Health and Human Services
   Project Officer: Barry Stern, M.P.H., R.S.
        Bureau of Health Professions
        Health Resources and Services
         Administration
        U.S. Public Health Service

U.S. Environmental Protection Agency
   Project Officer:  David H. Mudarri, Ph.D.
        Indoor Air Division
        Office of Air and Radiation
        U.S. Environmental Protection Agency

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IAQ Learning Module
                                                                                           Introduction
INTRODUCTION

OVERVIEW OF THE MODULE

        Indoor air quality is a topic of increasing concern to
environmental health professionals. Most people spend over 90%
of their time indoors, and for some contaminants, exposure to
indoor air poses a potentially greater health threat than outdoor air
exposures.

The last 15 years have been punctuated by concern over several
specific indoor air contaminants including formaldehyde, radon,
asbestos, and environmental tobacco smoke.  Emerging concerns
include exposure to combustion contaminants, microorganisms,
pesticides, volatile organic compounds, and mixtures of contami-
nants. In addition, it is becoming more evident that many indoor
air quality problems are inextricably linked to indoor climatic
conditions including temperature, humidity, and rates of ventila-
tion.

The purpose of this module is to introduce environmental health
professionals to the information needed to recognize, evaluate, and
 control indoor air quality problems.  A Reference Manual, which
 can be used  as a reference guide and a vehicle for continuing
 education, has been developed as a companion document to this
 module.  The Reference Manual contains more detailed information
 about topics related to the Learning Module.  Mastery of the
 information in the Reference Manual will provide the practitioner
 with a strong foundation for understanding specific contaminants,
 sources, measurement and interpretation of data, control methods,
 and investigation techniques.

 The Learning Module approaches the broad topic of indoor air
 quality by developing an understanding of the general principles
 needed to recognize, diagnose, mitigate, and prevent indoor air
 quality problems. Unit  1 provides an historical perspective on
 indoor air quality, presents background information on the factors
 which influence indoor air quality, lays the foundation for evaluat-
 ing health effects from indoor air contaminants, and discusses
 general principles for controlling the indoor air environment.
 Unit 2 discusses general principles of measuring indoor air
 contaminants, identifies standards and guidelines for ventilation
 and air contaminants, and describes techniques which can be used
  to investigate indoor air quality problems.  Finally, Unit 3
  provides the basic background needed to establish an indoor air
  quality program.
MODULE OBJECTIVES

After you complete this
module, you will be able to:

•  understand ond identify the sources
   and factors that affect indoor air
   quality;

•  discuss health effects and symptoms
   in terms of classes of contaminants
   and recognize the limitations of
   solving problems based on heahh
   effects alone;

•  discuss principles of measuring
   indoor air contaminants;
    of controlling indoor air quality;

    identify the types of standards and
    assist in the interpretation of indoor
    air i
    limitations of each;
    conducting an indoor air quality
    investigation and interacting with
    clients; and

 •  understand the bask administrative
    requirements for establishing an
    indoor air quality program.

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Introduction
                           1AQ Learning Module
The Reference Manual is divided into eight sections,
corresponding to the first eight lessons of the
Learning Module. If more detailed information is
needed on a particular subject, the reader can easily
find the relevant portion of the Reference Manual that
pertains to that subject. Frequent references to the
Reference Manual are also included within the text of
the Learning Module.  In addition, to further assist  in
locating information, parenthetical notations in
smaller typeface, which refer the reader to the
relevant sections in the Reference Manual, are occa-
sionally included next to section headings in the
Learning Module.

The material in the Learning Module (and the
Reference Manual) is directed primarily to residential
structures, but nonresidential buildings, including
schools, office buildings, and public buildings are
also addressed. EPA is developing guidance
documents for the investigation and control of
indoor air quality in nonresidential buildings.
HOW TO USE THIS MODULE

        .Each lesson in the module begins with
learning objectives that are the focus of the lesson,
and closes with a progress check that contains
questions about the material in the lesson. The
progress checks give you a measure of your under-
standing of the material contained in the lesson.
You should complete each progress check before
starting the next lesson. Answers to the progress
checks can be found within the text.

Be sure to review the lesson before going to the
next one if you answer any of the questions
incorrectly.

A final examination covering the material contained
in the lessons can be found at the end of the module.
If you wish to receive a certificate that acknowledges
your mastery of the material in the module, com-
plete the examination as  instructed. The National
Environmental Health Association (NEHA) will
score the examination and issue a certificate to you
if you complete the examination with an acceptable
score.

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SECTION 1.
OVERVIEW OF THE
REFERENCE MANUAL
        Ihe Indoor Air Quality Reference Manual is
the companion document to the Indoor Air Quality
Learning Module. The purpose of the Reference
Manual is to provide an opportunity for continuing
education plus useful reference material on selected
indoor air quality topics.

The Reference Manual is divided into 8 sections
corresponding to the first eight lessons  of the
Learning Module. Section 1 provides an overview of
the Reference Manual and suggests ways  that the
Reference Manual can  best be used as an  adjunct to
the Learning Module.  Sections 2-8 contain informa-
tion that supplements the corresponding lessons in
the Learning Module.  For example, Lesson 2 of the
Learning Module describes the factors that affect
indoor air quality, while Section 2 of the Reference
Manual shows how those factors  are combined in
indoor air quality modeling to simulate indoor
environments; Section 2 also provides specific
information and data on individual factors.
Sections 3 and 4 of the Reference Manual correspond
to Lessons 3 and 4 of the Learning Module and
contain information on the nature of human re-
sponses as well as health effects from specific
contaminants. Section 5 contains information about
air cleaning devices and  residential heating and air
mover systems.

The Reference Manual also contains information and
exhibits which can be directly used in field investi-
gations.  For example, Section 4 contains tables
which relate symptoms, contaminants, and sources
in a way  that could assist in diagnosing indoor air
quality problems; Section 6 provides information on
specific measurement techniques and equipment,
including availability of equipment from various
manufacturers; Section 7 provides a listing of public
health and occupational standards which can be
useful in interpreting measured data; and Section 8
includes specific forms and questionnaires which can
be used to collect data during field investigations.

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Unit I, Lesson I
                           IAQ Learning Module
CONTAMINATION OF INDOOR AIR

        Dissatisfaction with the quality of indoor
air is not new. Problems probably date to the time
when early man and woman discovered the use of
fire and were exposed to the products of incomplete
combustion. Mummified lungs from the pre-indus-
trial age show considerable carbonaceous pigmenta-
tion, and these people were probably also exposed to
carbon monoxide.

Early evidence of exposure to indoor air contami-
nants and efforts to control them comes from the
placement of fires in caves and the presence of vent
holes in the roofs of caves.  It is also demonstrated
by the way in which ancient native people in the
United States constructed noncave dwellings. This
can clearly be seen in the ruins of early settlements
in such locations as Mesa Verde, Colorado and
Chaco Canyon, New Mexico.

In modern times, the use of synthetic building
materials and fabrics has become commonplace.
After World War II, traditional building materials
such as wood were replaced with cheaper alternative
materials that could be produced and processed on
a large scale. New products such as plastics and
pressed-wood products were introduced as materials
for building construction and furnishings.

An explosion also occurred in the development of
personal care products, pesticides, and household
cleaners.  Relatively simple and less toxic household
cleansers such as baking soda, vinegar, soap, and lye
solutions were replaced by more sophisticated
chemical formulations. These consumer products
were increasingly packaged in convenient aerosol
cans which  released their contents directly into the
 indoor air.

 Most recently, the energy crisis of 1974 and the
 increase in the cost of oil from $3/barrel to $307
 barrel focused concern on conserving energy in
 homes and other buildings. The desire to reduce
heating and cooling costs led to changes in con-
struction techniques in both residential and com-
mercial buildings which reduced building ventila-
tion rates.  These changes included tighter building
envelopes; fewer and inoperable windows; decreased
use of operable windows in older construction; use
of sealant foams and vapor barriers; reductions in
the amount of outdoor air used for ventilation;
improperly sized and designed heating, ventilating,
and air-conditioning (HVAC) systems; renovations
of existing buildings without corresponding
changes to the HVAC systems; and inadequate
building maintenance.

These changes have had two basic effects: an
increase in the number and types of contaminants
released into the indoor environment, and a decrease
in the amount of fresh outdoor air that is introduced
into structures to dilute contaminants and satisfy
the health and comfort needs of occupants.

Now, the drafty, uninsulated home or office of the
first part of the century has been replaced by a new
structure that is tightly sealed by comparison. The
introduction of outdoor air available to dilute indoor
levels of contaminants has dropped from an esti-
mated 1.5 air changes per hour (ach) to about 0.5
ach or lower  in especially efficient residential
construction.

Increased insulation in buildings and changes in
acceptable operating temperatures increased energy
efficiency, but also resulted in tight buildings which
retained moisture and other contaminants and
provided a more favorable environment for micro-
bial growth. Decreases in the amount of outside
replacement air led to "stuffy" environments that
felt too damp and cold in winter and too warm and
stuffy during the summer. Some people switched to
auxiliary heating appliances such as unvented gas
 stoves and kerosene heaters to provide economical
 sources of heat.  These appliances raised concerns
 about respiratory health effects and potential
 asphyxiation.

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IAQ Learning Module
                                Unit 1, Lesson 1
The use of biomass fuels (wood, crop residues, and
dung) is an important source of contaminants
worldwide. In developing countries about 30% of
urban households and 90% of rural households use
these fuels (Smith,  1987).  It is estimated that
about half of the world's households use biomass
fuels as their principal source of energy for cooking.
Most of the cooking is done indoors using unvented
stoves. Indoor levels of contaminants (such as
carbon monoxide, formaldehyde, respirable particu-
lates—especially benzo(a)pyrene) have been shown to
be considerably higher than outdoor levels in these
countries (Smith, 1987).

HEA1TH CONCERNS

        rersons in the United States and Europe
generally spend over 90% of their time indoors
(U.S. EPA, 1989).  This means that the quality of
the air they breathe indoors is a dominant consider-
ation in determining their overall  exposure to air
contaminants.

Overall, changes in construction techniques,
ventilation rates, and the increased use of synthetic
products have resulted in an increasing number of
complaints about the quality of indoor air, both at
home and in the workplace.

Knowledge about the relationship between exposure
to indoor air contaminants and health has evolved
more slowly than knowledge about outdoor air
contaminants. Contact, including direct droplet
spread, was accepted for many years as the only way
in which contagious diseases were spread. This
theory was challenged beginning around 1935, but
even as late as 1946, a Committee to Evaluate the
Effectiveness of Methods to Control Airborne
Infection reported at the annual meeting of the
American Public Health Association:  "Conclusive
evidence is not available at present that the airborne
mode of transmission of infection  is predominant for
any particular disease" (Langmuir, 1980).
During the 1950s and 1960s it did become clear
that diseases could be spread by the airborne
transmission of microorganisms.  This was demon-
strated in a pivotal study by Riley et al. in 1959 in
which it was shown that vented air from a tubercu-
losis ward contained droplet nuclei capable of
infecting guinea pigs.

The ability to detect health effects and routes of
transmission has become more sophisticated. Now,
it is known that organisms causing diseases such as
Legionnaires' disease can be incubated and distrib-
uted indoors under the right conditions.  Also, it is
known that a wide range of contaminants can be
released into living spaces from building materials,
furnishings, combustion appliances, and as a by-
product of using various consumer and commercial
products.

Beginning  with the late 1940s, regulatory efforts
focused on  controlling outdoor air pollution because
it was assumed to be the main source of exposure to
air  contaminants outside of the workplace.  This was
largely a consequence of serious air pollution
problems that  occurred in large urban areas
throughout the world.  In the United States,
photochemical smog was recorded in Los Angeles in
the 1940s,  and the first "smokestack" episode
occurred in Donora, Pennsylvania in 1948. This
episode occurred when dust and fumes from steel
mills and zinc smelters became trapped in a stag-
nant air mass over the community. Over 6000
people became ill and twenty died as a result of
breathing the polluted air.

During the 1950s, 1960s, and early 1970s it was
assumed that being indoors would provide protec-
tion from outdoor air pollution.  Plans for emer-
gency action during episodes of high air pollution
were written to encourage susceptible individuals to
remain indoors during days of high outdoor air
pollution.  It is now known that the quality of air
indoors can be worse than outdoor air in some cases.

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Unit 1, Lesson 1
                                                                                 IAQ Learning Module
Beginning with the late 1960s and early 1970s, a
series of issues drew public attention to the poten-
tial health effects associated with exposure to indoor
air contaminants and focused scientific and govern-
ment attention on the need for more research and
programs in this area.

In the United States, the release of formaldehyde
from urea-formaldehyde foam insulation (UFFI) and
construction materials used in conventional and
mobile homes was widely perceived as a major
health threat reportedly related to effects ranging
from odor complaints to respiratory tract irritation
to cancer.  Subsequently, asbestos and radon were
recognized as major indoor air contaminants, and
Federal programs were developed to deal specifically
with these issues.

After the energy crisis, reports of discomfort effects
and illness among people living and working in
"tight," energy efficient buildings became wide-
spread. The mysterious Legionnaires' disease
outbreak in 1976 heightened concern about the
incubation and transmission of microorganisms via
HVAC systems.

Many of the advances in knowledge about health
effects were the direct result of technical advances in
the measurement of contaminants and exposures.
The development of personal exposure monitors
(PEMs) and measurement  concepts involving a
Total Exposure Assessment Methodology (TEAM)
                                                    have contributed to the ability of scientists to
                                                    evaluate indoor exposures as part of total environ-
                                                    mental exposures.  The TEAM studies and others
                                                    have shown that indoor concentrations of some
                                                    contaminants are often 2 to 5 times higher than
                                                    outdoor concentrations, and the primary route of
                                                    exposure for these contaminants is through the
                                                    indoor air (Wallace, 1987).

                                                    REFERENCES

                                                    Langmuir, A.D. 1980.  "Changing concepts of airborne
                                                    infection of acute contagious diseases: A reconsideration of
                                                    classic epidemiologic theories." Airborne Contagion. R.B.
                                                    Kundsin (ed.) Annals of the New York Academy of Sciences. 353:
                                                    35-44.

                                                    Riley, R.L. , C.C. Mills, W. Nyka, N. Weinstock, P.B. Storey,
                                                    L.U. Sultan, M.C. Riley, and W.F. Wells.  1959. "Aerial
                                                    dissemination of pulmonary tuberculosis: A two-year study of
                                                    contagion in a tuberculosis ward." Am.J.Hyg.  70:185-196.

                                                    Smith,  K.R. 1987. Biofuels, Air Pollution, and Health. A Global
                                                    Review.  Plenum Press: New York, NY.

                                                    U.S. Environmental Protection Agency (EPA).  1989. Report to
                                                    Congress on Indoor Air Quality.  Vol. II. Assessment and Control of
                                                    Indoor Air Pollution. EPA 400/1-89/001C. U.S. EPA, Office of
                                                    Air and Radiation:  Washington, DC.

                                                    Wallace, L.A. 1987. The total exposure assessment methodology
                                                    (TEAM) study: Summary and analysis.  Volume 1. EPA 600/6-
                                                    87/002a. U.S. Environmental Protection Agency, Office of
                                                    Research and Development: Washington, DC.
1.  e»*rwiiK«»hywioor»qiidtylabe^
                                                                            Wlxrt we some of ibe Afferent* in
                                                After 1 970, whot were some of the issues that focused attention on

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UNIT 1: UNDERSTANDING INDOOR AIR QUALITY


LESSON  2
FACTORS AFFECTING INDOOR AIR QUALITY

The quality of air indoors depends on many factors related to the
structure, the outdoor environment, and the occupants. An under-
standing of how these factors affect indoor air quality is important
to the successful prevention,  diagnosis, and mitigation of problems.
IESSON OBJECTIVES

At the end of this lesson you
     be able to:
•  identify and understand different
   factors that affect indoor air quality;

•  list important sources of indoor air
   contaminants and identify some of
   the major contaminants of interest;

•  understand the concept of air
   exchange rate and the factors that
   affect it; and

•  understand the concept of infiltration
   and identify major sources of air
   leakage in residential structures.

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Unit I, Lesson 2
                           IAQ Learning Module
FACTORS AFFECTING INDOOR AIR QUALITY
(KM 2)

        In general, the quality of the indoor air is a
combination of physical stressors and the concentra-
tion of contaminants.  Physical factors which
include temperature, humidity, noise, and light are
discussed in Lesson 4. The level of contaminants is
determined by the net influence of those factors
which emit, mix, and remove contaminants.  These
factors are introduced in this lesson, and may be
classified into five broad categories:  sources of
contaminants, air exchange rates, contaminant
removal mechanisms including chemical reactions,
volume of the structure, and mixing efficiency of
the indoor environment.

Table 2-1 summarizes some of the variables that
influence these factors. The listed factors are used
mainly in a qualitative way to evaluate contaminant
problems.  These factors can also be quantified to
varying degrees and are used in predictive math-
ematical models to evaluate indoor air quality.
Section 2 of the Reference Manual provides an
overview of a basic model that quantifies the
relationships among these factors.

Sources of  Contaminants 
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1AQ Learning Module
                                              Unit 1, Lesson 2
Table 2-1.  Factors affecting indoor air quality and examples of the parameters which
           influence them.
                                         EXAMPLE PARAMETERS
Factors
 Outside
Structure
 Inside
Structure
   Related
To Occupants
SOURCES


AIR
EXCHANGE






CONTAMINANT
REMOVAL


VOLUME
MIXING EFFICIENCY



outdoor air
geology
water supply
meteorology
topography
surrounding obstacles

structure orientation

season

time of day
building envelope







building materials
appliances
furnishings
heating,
ventilating, and
air-conditioning
(HVAC) systems
temperature

windows/doors

insulation and
weather-proofing
surface area and
materials
local exhausts
air filters/cleaners
building design
local exhaust
fans
location of vents
building design
occupant density
smoking
use of combustion
appliances and consumer
products
operation, maintenance,
use patterns for natural
and mechanical vent-
ilation






operation and mainte-
nance of air cleaning
devices



opened/closed doors
furniture placement



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Unit 1, Lesson 2
                           IAQ Learning Module
Consumer use patterns and activities are also
important in determining whether or not contami-
nants will be released by products or activities. Dry
sanding or open-flame burning of lead-based paint
can release lead; soldering can release lead and other
metals.  The use of solvents and pesticides in
enclosed or poorly ventilated spaces can pose special
hazards. The use  of unvented heating appliances or
improperly installed, operated, or maintained
heating appliances can result in elevated levels of
combustion contaminants indoors. Airborne
pathogens and allergens can result from poor
hygienic conditions, excess moisture, or water
damaged materials.  They can also become airborne
when using vacuum cleaners.

Perhaps the most  important source of indoor air
contaminants is tobacco smoke which contains both
organic and inorganic particles and gases; many  of
these contaminants are carcinogens or can promote
the carcinogenic potential of other contaminants.

Building sources: Many different types of VOCs,
including formaldehyde,  can be released by building
materials such as pressed  wood products; glues and
adhesives; sealants; insulating materials such as
styrofoam, urethane, and  urea formaldehyde foam
insulation (UFFI); floor and wall  coverings; plastics;
and electrical equipment.

Airborne pathogens and allergens can thrive in a
variety of building sources including wet or moist
insulation, wood, walls, or ceilings.  In addition,
poorly maintained humidifiers, dehumidifiers, air
conditioners, and heat recovery ventilators can also
heconie sources or airbomc pathogens and allergens.

If openings exist from the soil to the interior of the
building, radon and other soil gases can migrate
indoors. Occasionally, earth-derived building
materials such as  gypsum, brick, concrete, soil, or
rock from some areas can serve as a source of radon.

Combustion contaminants such as carbon monoxide
and the oxides of nitrogen can be released from
leaking furnaces,  chimneys, and flues; downdrafting
from wood stoves and fireplaces; improper stoking
of fires; gas cooking stoves; unvented kerosene and
gas heaters; and automobile exhaust from attached
garages. Polynuclear aromatic hydrocarbons (PAHs)
can be released from the combustion of wood and
coal.

The building can also be a source of particulates
such as asbestos from poorly maintained or damaged
insulating materials, lead from sanding lead-based
paint, and other fibers and dusts.

Humans, plants, and pets: Humans, plants, and
pets can  be sources of allergens (such as dander),
pathogenic viruses, and bacteria. Plants also can
release allergenic  spores into the air.  Pets can be an
additional source of pesticides (for example, con-
tamination from flea powder and other pesticides).
Also, small amounts of carbon monoxide, carbon
dioxide, and a variety of VOCs such as acetone,
acetic acid, alcohols, ketones, and aldehydes are
released when human and pets respire.

        Outdoor Sources

Contaminants in  the air, soil, and water from
outdoors can migrate indoors.  Outdoor air,
contaminated by  emissions from industrial plants,
motor vehicle exhaust, and residential heating units
can result in both trace and elevated levels of a
broad range of inorganic and organic particles and
gases indoors. Emissions from soil and/or drinking
water can result in elevated levels of radon gas, other
radioactive contaminants, and VOCs indoors.

The composition  of outdoor air varies from one
location to another.  The major constituents of
outdoor air include nitrogen (78.1 %) and oxygen
(20.9%); minor constituents include the noble
gases, methane, carbon dioxide, water vapor, and a
variety of contaminants from both natural and man-
made sources. Background concentrations of some
of these contaminants are in the range of 300 parts
per million (ppm) carbon dioxide, 0.02 ppm ozone,
0.1 ppm carbon monoxide, 0.003 ppm nitric oxide,
and 0.001 ppm nitrogen dioxide (ASHRAE, 1985).

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IAQ Learning Module
                                 Unit 1, Lesson 2
Concentrations of these contaminants in polluted air
vary, but values that are 5 to 10 times higher than
background levels have been measured in many
locations.

The building's envelope (roof, walls, and windows)
acts as a barrier to prevent outdoor air from entering
the living space, but it does not provide a perfect
seal and contaminants in the outdoor air enter the
indoor environment through infiltration and natural
ventilation. Whether or not outdoor air becomes a
major contributor to indoor air pollution depends
on outdoor contaminant concentrations, air ex-
change rates, and the extent to which the building
envelope (shell) removes the contaminants.

Generally, as outdoor concentrations of contami-
nants increase, so do indoor air concentrations. This
increase is at a slower rate and with a slight  lag in
time, but if the outdoor concentrations stay  at a
constant value, the indoor concentration could
eventually be expected to reach that of the outdoors
for most contaminants.

Outdoor air sources close to the building can
dramatically influence indoor air quality.  Contami-
nants from street traffic, outdoor pesticide applica-
tions, barbecue grills, trash storage areas, or similar
sources can enter through open doors and windows
or infiltrate through the building envelope.

In commercial buildings with mechanical ventila-
tion systems, a major contributor to indoor air
quality problems has been improperly located
outdoor air intake vents. When intake vents are
improperly located, contaminants from loading
docks, parking areas, roofing tars, and other sources
can enter through the intake vent and contaminate
the indoor environment. Also, contaminants from
building exhausts, including restroom exhausts, can
reenter the building through the outdoor air intake
vents when the exhaust and intake vents are located
close to one another.

Geology and soil structure are important determi-
nants of the potential contamination indoors by
radon and other contaminants. Radon is perhaps
the most widely known example of a gas that can
migrate from the soil into a structure.  Other gases
and chemical liquids can also enter the living space
from contaminated soils.  For example, methane,
carbon dioxide, and other gases can migrate from
sanitary landfills into basements; contaminants from
leaking storage tanks and hazardous waste sites can
also migrate through the soil and enter interior
spaces. The migration of these contaminants
indoors can occur when building interiors are
depressurized due to wind, by the operation of
exhaust fans, or by an  improperly balanced mechani-
cal ventilation system.

In addition, water contaminated with organic
chemicals or radon can release these contaminants to
the inside air during showering, dishwashing, and
similar activities.

Air Exchange Rates (RM 2.1)

The air exchange rate  is the rate at which indoor air
is exchanged with outdoor air, and it is expressed as
the number of times the air volume in a structure is
exchanged with the outdoor air each hour. Air
exchange in a structure occurs by infiltration,
exfiltration, natural ventilation, and mechanical
ventilation (Figure 2-1).

The air exchange rate has units of air changes per
hour (ach).  The  nominal air exchange rate can be
calculated as the rate at which outdoor air enters the
structure (m'/hr or ftVhr) divided by the volume of
the structure (m3 or ft3).

Assuming that a house has a volume of 500 m3, and
250 m3 of outdoor air enters the house each hour to
replace the same amount of indoor air, the nominal
air exchange rate is 0.5 ach.  In this example, air
equal to one half the volume of the house is replaced
by outdoor air every hour, and an exchange of air
equal to the total volume of the house will occur
every two hours if all  conditions remain the same.
This does not mean that every air molecule in the
house will be exchanged every two hours.  Air

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Unit 1, Lesson 2
                           IAQ Learning Module
Figure 2-1.  Pathways of air exchange.
                                        Exfiltration
                                     Natural
                                     Ventilation
SOURCE:  Adapted from Sandia National Laboratories (1982)
exchange is a complex process that depends on air
movement patterns and other factors (Table 2-1).
The specific molecules that are exchanged will
depend on the combined effect of all of these factors.

Generally, the outdoor air serves to dilute indoor air
contaminant levels. That is, for nonreactive con-
taminants, the difference between indoor and
outdoor levels will generally be inversely propor-
tional to the air exchange rate.

A wide range of air exchange rates  (as low as 0.1 ach
to over 3-5 ach) have been measured in residential
structures (ASHRAE, 1985). Air exchange rates for
newer construction are generally in the range of 0.5
ach, but they may be as low as 0.1  ach in
superinsulated houses (Lenchek eta!., 1987).
Median air exchange rates for older low income
houses of about 0.9 ach have been reported
(ASHRAE,  1985).

Air exchange rates in  mechanically ventilated office
buildings can vary significantly from their design
values, and depend, in part, on the ventilation
system design; its installation, maintenance, and
operation; and the tightness of the building enve-
lope.  In a comprehensive study of 14 buildings
covering a total of approximately 3000 measure-
ments, Persily (1989) reports that the mean value in
each building ranged from 0.29 ach to  1.73 ach
while the median value ranged from 0.41 ach to
1.65 ach.  The mean value for all buildings was 0.94
ach and the median was 0.89 ach.

        Infiltration and Exfiltration

Infiltration and exfiltration refer to the uncontrolled
leakage of air into or out of a structure, respectively,
through cracks and  other uncontrolled openings in
the envelope of the  building. The term infiltration
is sometimes used to refer to both infiltration and
exfiltration.  Cracks formed as the structure settles;
leaks around windows and doors; openings for pipes,
wires, and ducts; electrical outlets and recessed light
fixtures; baseboard  moldings; and connections
between structural  components can all  serve as
avenues for air movement.

Infiltration and exfiltration result from pressure
differences between indoor and outdoor environ-
ments. These pressure differences can be caused by
wind, temperature  differences including stack
effects, or by the operation of flues, chimneys, or
exhaust fans.  Air infiltration and exfiltration can
vary substantially as these factors change.

Wind effect: As the wind flows over a building, an
area of positive pressure is created on the windward
(facing into the wind) side and an area of lower
pressure results on the leeward (facing away from
the wind)  side.  Air is forced into the building on
the windward side,  which increases the internal
pressure of the building and forces air out of the
leeward side. The pressures on the other sides  of the
building can be negative or positive, depending on
the shape of the building, obstructions to airflow,
and the angle of the wind.  Generally, infiltration
will increase with wind speed, and it also depends
on topography and  obstacles  surrounding the
building. Structures that are protected from the

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IAQ Learning Module
                                 Unit 1, Lesson 2
wind will have reduced infiltration compared to
those without protection, assuming all else is equal.

Stack effect: The stack effect results from the
tendency of hot air to rise in a column within a
room, up a stairwell in a multi-story building, or
through a solar air shaft, stack, or vertical flue.
During the winter, the differences between indoor
and outdoor temperatures cause warm air to  rise,
creating a positive pressure which forces air through
available openings in the top of the structure.  At
the same time, reduced air pressure at lower  levels
draws in colder air to replace the escaped air
(Fig 2-2). The stack effect is greater in tall struc-
tures or when the difference between the inside and
outside temperature is large.

During the summer, the flows may be reversed and
are generally less dramatic because the temperature
difference between the inside and outside of the
structure is smaller.

Combustion effect: Air leakage can also be affected
by wood stoves, fireplaces, and any other combus-
tion heating systems.  If indoor air is used for
combustion, a negative pressure results inside, and
room air that is exhausted through a flue or chim-
ney is replaced by outdoor air. An operating
fireplace, using indoor air for combustion, can
nearly double the infiltration rate; using outside air
for combustion does not have as significant an
effect. A continuous stack effect can occur in
chimneys or flues if the damper is open, or missing,
even if the appliance is not operating.

When the stack or chimney effect is strong,  infiltra-
tion increases. However, when the chimney or stack
draft is weak, infiltration decreases and "backdrafts"
can occur, pulling combustion products back into
the living space.

Neutral pressure level: Because of the positive and
negative pressure effects, some infiltration and
exfiltration will occur in all structures.  However, at
some locations in the structure, the internal pressure
will equal the external pressure. These points are
called the neutral pressure level (NPL), neutral
plane, or zero pressure point. The NPL depends on
how easily air infiltrates or exfiltrates; it does not
depend on how much air moves into or out of the
structure (ASHRAE,  1989).

Above the NPL, the interior pressure is greater than
the exterior pressure and air flows out of the struc-
ture. This is the normal case during the heating
season.  Below the NPL, the exterior pressure is
greater than the interior pressure and air infiltrates
more easily. The position of the NPL can be
changed through the use of vents, dampers, and
fans.

The location of the NPL has practical implications.
For example, a high NPL ensures that airflow
through the structure is in the form of infiltration,
which, in turn, minimizes the likelihood of conden-
sation  in cold isolated cavities.  However, if the
NPL is located too high, backdrafting can occur.

        Natural Ventilation

Natural ventilation is air that is supplied to the
interior of a structure by windows, doors, or other
openings that can be controlled. Natural ventila-
tion occurs because of temperature and wind
differences that cause air to  flow through the
openings.

Simple ventilation is  a weak force that is driven by
internal heating. It can be used to ventilate a single
floor by allowing warmer air to exit through high
openings and allowing fresh air to replace escaped
air through lower openings. Cross ventilation is a
strong force, driven by wind pressure, that moves air
horizontally across one floor of a house. When a
breeze blows, air flows into  available openings on
the upwind side and out of  openings on the down-
wind side.

        Mechanical or Forced Ventilation

Mechanical ventilation refers to supplying air by
means of fans and ducts. These can be installed to

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Unit 1, Lesson 2
                           IAQ Learning Module
Figure 2-2.  The stack effect.
SOURCE: Adapted from ASHRAE (1989); Mann (1989)

exhaust contaminants from localized areas (kitchen
and bath) or to ventilate whole houses or structures.

The type and location of mechanical ventilation will
affect contaminant concentrations.  Local exhaust
fans that are located in close proximity to a source
(for example, range hood fans and bathroom fans)
and exhausted outside can effectively remove
contaminants. Exhaust fans must be properly sized
to be effective, and they must be balanced by an air
supply to prevent chimney backdrafting and to
prevent unwanted infiltration.

In homes, mechanical (forced-air) systems are
generally used to circulate conditioned air through-
out the structure. In larger buildings, central
ventilation systems are used not only to circulate air,
but also to dilute contaminants by introducing
outdoor air into the occupied spaces. As efforts have
increased to make homes and offices more energy
efficient, builders are reducing infiltration, and
increasingly relying on mechanical ventilation
systems to provide sufficient outdoor air to the
interior of buildings.  In order to operate efficiently
and effectively, these systems must be properly
designed, installed, operated, and maintained. In
some instances, the mechanical system can become a
source of contaminants such as microorganisms
(from contaminated ducts and equipment), and
VOCs (from adhesives and ducting material).

Contaminant Removal (RM 2.1)

Some contaminants can be removed by air cleaning
devices, and some removal may also occur through
chemical reactions and mechanical interactions
between contaminants and surfaces inside the
structure.

Filters and other air cleaning devices can remove
gaseous and particulate contaminants; these meth-
ods and their effectiveness are discussed in greater
detail in Lesson 5. Removal of particulates in
residential and commercial environments by air
cleaning devices is more feasible and has been more
widely practiced than removal of gases.  Proper
installation, operation, and maintenance are critical
to maximize the success of these devices.

Not all contaminants are removed in the same way.
For example, carbon monoxide and carbon dioxide
are unreactive with indoor surfaces and are removed
primarily by air exchange.  Some removal of nitro-
gen dioxide, sulfur dioxide, and formaldehyde, on
the other hand, occurs through chemical reactions
with surfaces.  And, particles often settle out, attach
to surfaces, or are removed by air cleaning devices.

The rates of chemical  reactions with surfaces (for
example, furnishings, wall and floor coverings) have
not been thoroughly characterized for all contami-
nants, but the type of surface and the surface-to-
volume ratio are important in determining removal
rates. Removal rates have been calculated for some
contaminants (see Section 2 of the Reference Manual),
but they are subject to the same limitations as
calculations of source emission rates. Rough
textured walls and furnishings (carpet, upholstered

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IAQ Learning Module
                                   Unit 1, Lesson 2
furniture, curtains) are more effective in retaining
particles than are smooth-textured surfaces.  A large
surface-to-volume ratio also favors removal of
contaminants.  These surfaces can also become
sources if the contaminants are released back into
the air at a later time.

Volume of the Structure (RM  2.1)

In general, as the available volume for contaminant
dispersal increases, contaminant concentrations
resulting from a given source decrease. For ex-
ample, a kerosene heater operated for 2 hours in a
1000 ft2 space with 0.5 ach would likely result in
higher carbon monoxide concentrations than if the
same heater were operated under identical condi-
tions in a 2000 ft2 space.

The entire volume of the house is not always
available for contaminant dispersal. The extent to
which the entire volume is used depends upon
multiple factors including the configuration of the
space, location of walls and other impediments to
airflow, closed or partially closed doors that  separate
rooms, number of floors and  circulation of air
between floors, location of sources, thermal gradi-
ents, use of circulation fans and mixing of contami-
nants.

If a house has more than one floor, contaminant
concentrations will likely be greatest on the floor
that contains the source and  the floors above that
one due to thermal buoyancy, providing there is no
mechanical mixing of the air. In a house with three
levels, for example, radon concentrations generally
will be greatest in the basement and lowest in the
upper floor. If a fan is used to mix the air, the
concentrations on the lowest level will likely
decrease while the concentrations on the upper floor
will likely increase.  Concentrations on all floors
will become more uniform as long as the fan is
operating.

Mixing Efficiency (RM 2.1)

Mixing efficiency refers to the speed with which
contaminants become dispersed throughout the
interior space.  Mixing efficiency depends on the
volume of the interior space, the rate of air move-
ment, and whether or not local exhausts are used.
Mixing generally occurs at a faster rate in smaller
spaces than in larger spaces.  For smaller  residences,
complete mixing between rooms generally occurs
within an hour or less, while complete mixing in
larger homes may require more time.

REFERENCES

American Society of Heating, Refrigerating, and Air-Condi-
tioning Engineers (ASHRAE). 1985.  "Natural ventilation and
infiltration." Chap. 23.  1984 ASHRAE Handbook. Systems.
ASHRAE:  New York, NY.

American Society of Heating, Refrigerating, and Air-Condi-
tioning Engineers (ASHRAE). 1989.  "Infiltration and
ventilation." Chap. 23.  1989 ASHRAE Handbook. Fundamen-
tals. ASHRAE:  Atlanta, GA.

Lenchek, T., C. Matlock, and J. Raabe. 1987.  Superinsulated
Design and Construction. Van Nostrand Reinhold Co.: New
York, NY.

Mann, P.A. 1989.  Illustrated Residential and Commercial
Construction. Prentice Hall: Englewood Cliffs, NJ.

Persily, A.  1989. "Ventilation rates in office  buildings."
Presented at the ASHRAE IAQ 89 Conference. The Human
Equation: Health and Comfort.  ASHRAE:  San Diego, CA.

Sandia National Laboratories.  1982. Indoor Air Quality
Handbook for Designers. Builders and Users of Energy Efficient
Residences.  SAND 82-1773. Sandia National Laboratories:
Albuquerque, NM.

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Unit 1, Lesson 2                                                                    IAQ Learning Module
   PROGRESS CHECK



   1.  What are the factors lint affect the contwilratioB of towtammairts indoors?




   2.  Name fiw souras and one contaminam lor each source ihat eon be found iwteors.




   3.  What is the air exchange rate and what variables affect H?



   4.  WhatismeambyinfihrationondexfiltTation?




   5.  Whotare some sources of air leakage into slrucfures?



   6.  How does the stock effect affect air exchange?




   7.  How does the volume of the structure or inixmgeflicieiKyc^c()ncen1rotions?

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UNIT 1: UNDERSTANDING INDOOR AIR QUALITY

LESSON  3
HUMAN RESPONSE TO INDOOR AIR QUALITY:
Principles of Toxicology

Many sources of indoor contaminants release hundreds, perhaps
thousands, of chemical and biological agents into the air. These
contaminants do not exist in isolation;  they are present in complex
mixtures which have been referred to as "chemical soups."

We are used to thinking in terms of people reacting adversely to
individual contaminants, and much of our knowledge about toxicol-
ogy follows from that framework.  However, individuals can react
adversely to cumulative or interactive indoor stresses which include
mixtures of contaminants and the stresses from temperature, humid-
ity, light, or noise conditions.  Human reactions to these stressors can
also be affected by psychological or social factors in the individual's
environment.  In addition, there are significant differences in
individual sensitivities to various environmental parameters.

The purpose of this lesson is to help develop a broad framework for
understanding and interpreting human response to indoor air
quality  contaminants and stressors.
LESSON OBJECTIVES

At the end of this lesson, you
will be able to:

•  identify the general types of health
   and discomfort effects which can
   result from inadequate indoor air
   quality;

•  identify methods used to study
   health effects;

•  identify factors which affect potential
   health risks of contaminants;

•  discuss the concepts of concentration,
   exposure, and dose; and

•  identify susceptible subgroups of the
   population.

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Unit 1, Lesson 3
                                                                                IAQ Learning Module
TYPES OP ADVERSE RESPONSES TO INDOOR
AIR QUALITY PROBLEMS (RM 3)

        There is a continuum of human response
from exposure to contaminants and environmental
stressors that ranges from burdens which do not
manifest physiologic changes, at one end of the
spectrum, to mortality, at the other end. A wide
variety of health effects between these two extremes
has been associated with poor indoor air quality.

Classes off Effects

Human responses to contaminants and stressors can
be categorized according to the type and degree of
responses and the time frame in which they occur.
These general classes of effects can apply to expo-
sures in the occupational, outdoor air, and indoor air
environments, and a single exposure can result in
more than one effect.

Acute effects are those that occur immediately
 (usually within 24 hours) after exposure. For
 example,  chemicals released from building materials
 may cause headaches or pollen may cause itchy eyes
 and runny noses in sensitive individuals shortly after
 exposure. Generally, acute effects are not long-
 lasting and usually disappear shortly after the
 exposure  ends. However, some exposures (usually
 occupational or accidental exposures to high
 concentrations) can result in irreversible acute
 effects or even death.

 Chronic effects are long-lasting responses to
 contaminants which are generally the result of
 frequently repeated exposures to concentrations
 (often low) over an extended period of time. The
 manifestation of effects is generally delayed rather
 than immediate.  Emphysema which may be caused
 by smoking cigarettes is an example of a chronic
 effect which develops over time and fully manifests
 itself years after smoking begins. Cancer has been
 associated with exposure to contaminants such as
 asbestos, radon, environmental tobacco smoke, and
 organic chemicals such as benzene.
Subtle effects are those which are too small to be
readily noticeable by the individual. For example,
small changes in visual discrimination or pulmonary
function can be measured in response to chemical
exposures, but the person affected may not be able
to discern these changes.  The significance of some
of these changes is not known.

Discomfort effects such as being too warm or too
cold, typically result from climatic stressors such as
temperature and the rate and direction of air flow.
Mild irritation of the mucous membranes and
respiratory tract has been associated with low
humidities.  Eye strain and headache have been
related to light levels that are too low or bright.

Although the base of knowledge is expanding for
identifying adverse health effects of indoor air
contaminants, these effects are not fully known for
all contaminants or mixtures of contaminants. This
lack of dose-effect and exposure data can complicate
the interpretation of data and the evaluation of
individual indoor air quality problems.

 Emerging Concerns

         Contaminant Mixtures

 Exposure to low-level contaminant mixtures is an
 issue of increasing  interest. Contaminants do not
 exist in isolation, but as part of a complex and
 dynamic mixture which changes depending on
 time, human activities, and location. Contaminants
 in mixtures  can have effects which are antagonistic,
 additive, or  synergistic.  Of particular interest are
 synergistic effects in which the combined effect is
 greater than the sum of the effects of the individual
 components. For example, the risk of getting lung
 cancer from exposure to asbestos and cigarette
 smoke is greater than it is from each risk added
 together.  Antagonistic effects are those in which
 the combined effect is less than the sum of the
 effects from individual contaminants, and additive
 effects are those in which the combined effect is

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1AQ Learning Module
                                 Unit I, Lesson 3
equal to the sum of the effects from individual
contaminants.

Although the extent of chemical interactions in
mixtures is not known, they may play an important
role in causing the acute symptoms of various
building associated health effects.

        Building Associated Health Effects

Exposure to air inside buildings can result in
specific diseases and a variety of health complaints
that are primarily acute effects. These conditions
are generally closely related in time to the
individual's presence in the building.  There is also
concern that exposure to contaminants in building
environments could result in possible chronic effects
such as cancer and noncancerous respiratory diseases.
Generally, distinctions are made between those
building associated health effects which are clini-
cally defined and for which a cause can be identified
(building related illness) and those for which the
cause is unclear (sick building syndrome).

Building related illness (BRl) refers to an illness
brought  on by exposure to building air when
symptoms of illness, and clinical signs of pathology
are identified, and an airborne agent and pathway
for the agent are recognized. The causative agent
can be chemical; frequently, however, the agent is a
pathogen or a biological allergen. Typical sources of
biological agents include contaminated  humidifiers,
cooling towers, cooling coils, drain pans or filters,
and water-damaged building materials or furnish-
ings.

Symptoms may be specific or mimic more general
symptoms typical  of the flu, including fever, chills,
and cough; and serious lung and respiratory diseases
may occur. Legionnaires' disease, hypersensitivity
pneumonitis, and humidifier fever are examples of
building related illness.

Sick building syndrome (SBS) refers to a series of
acute, nonspecific complaints which occur in high
prevalence among building occupants.  SBS may
also be referred to as tight or closed building
syndrome.  Typically, these symptoms are associated
with being in the building and are relieved when
the individual leaves; but for some individuals,
symptoms may not subside on leaving the offending
environment.  Symptoms typically include irritation
of the eyes, nose and throat; sensation of dryness in
the mucosa and skin; erythema (reddening of the
skin), mental fatigue; headache; runny nose; asthma-
like symptoms; and odor complaints. Sensory
irritation normally dominates the symptoms.

SBS probably does not cause death or life-shortening
disease, but it does contribute to increased absentee-
ism, reduced work efficiency, discomfort, and
irritation (WHO,  1986).

Unlike building related illness, a specific etiology
for SBS is not known, and it is characterized by
minimal physical signs and an absence of clinical
abnormalities (laboratory studies, including spirom-
etry and x-rays, are normal). Investigators are
seldom able to identify any single exposure factor
which exceeds a generally acceptable health thresh-
old; as a consequence, specific causative agents are
seldom identified.  The causality, therefore, is often
assumed to be multifactorial involving the com-
bined effects of environmental and other stressors
(M01have,  1985; Berglund and Lindvall, 1986).  A
general model reflecting this hypothesis is presented
in Figure 3-1.

In this model, building and climatic factors can
operate additively, synergistically, or antagonisti-
cally to affect the exposed individual. Buildings at
highest risk appear to be new or recently remodeled
buildings with tight envelopes, especially those
with large ventilation systems that depend on
limited fresh air sources (WHO, 1986). Improper
ventilation, thermal conditions, and occupant lack
of control over climatic and working conditions are
other factors that may increase the likelihood of a
building being linked to sick building syndrome.

Atopic individuals with a history or findings
consistent with allergic rhinitis or asthma seem to

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Unit 1, Lesson 3
                                        IAQ Learning Module
Figure 3-1.  Multifuctorial model for sick building syndrome.
        Age, Sex, Health Status,
         Drug & Alcohol Use
           (other factors)
                                        BUILDING AND ATMOSPHERIC FACTORS
                                               Air Contaminants
                                                 Temperature
                                                  Humidity
                                                   Airflow
                                                (other factors)
                                          ADDITIVE, SYNERGISTIC AND/OR
                                             ANTAGONISTIC EFFECTS
INDIVIDUAL SUSCEPTIBILITY
     FOR EFFECTS
                                           THE SICK BUILDING SYNDROME
                                          Irritation of Eyes, Nose and Throat,
                                         Runny Nose, Asthma-like Symptoms,
                                             Mental Fatigue, Headache
                                                (other symptoms)
Psychosocial
  Factors
 SOURCE: Adapted from Indoor Air and Human Health, by R.B. Gammage and S.W. Kaye. Copyright 1985, Lewis Publishers, Inc.,
 Chelsea, MI. Used with permission.
 be at higher risk. An affected individual may
 respond with a number of symptoms that vary in
 intensity depending on the effect of other factors
 such as age, personal habits, and health status.  In
 addition, psychosocial factors can contribute to SBS,
 and they can enhance or minimize the attention
 given to certain symptoms.  However, the presence
 of a psychosocial feedback loop in Figure 3-1 should
 not be interpreted to mean that SBS is solely a
 psychological problem.

         Mass Psychogenic Illness

 A controversial syndrome that has been reported in
 some nonresidential investigations is  mass psycho-
 genie illness (less satisfactorily known as mass
 hysteria, mass conversion reaction, hysterical
 contagion, or epidemic psychogenic illness). This
 syndrome has been defined as a group of symptoms
 that develop in a group of individuals in the same
             indoor environment who are under some type of
             physical or emotional stress. It should be noted that
             the term mass psychogenic illness does not mean
             that individuals have a psychiatric disorder or that
             they are imagining symptoms.

             There are concerns about labeling indoor air investi-
             gations as psychogenic illness when no cause can be
             found for reported problems.  This diagnosis should
             be made carefully after thorough investigation and
             testing for suspected contaminants and stressors,
             and preferably, in consultation with an expert in
             psychogenic illnesses and a medical epidemiologist
             (Kreiss and Hodgson, 1984).  It is important to
             note that the diagnosis should not be made solely on
             the basis of excluding physical, chemical, and
             biological agents (Kreiss and Hodgson, 1984).

             It is hypothesized that a trigger such as unexplained
             or unpleasant odor, stuffy air, or low levels of

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IAQ Learning Module
                                 Unit 1, Lesson 3
respiratory irritants cause a physical reaction in a
susceptible population. This population is assumed
to have been stressed for a period of time by low-
level chemical exposures,  physical conditions,
workplace stresses, or other factors (Colligan and
Murphy, 1979; Colligan, 1981). The individual
perceives the trigger to be threatening, the auto-
nomic system is aroused,  and physical complaints
and symptoms result. These complaints and
concerns are thought to spread quickly throughout
the workplace.

The diagnosis of mass psychogenic illness is sug-
gested by symptoms that do not have an organic
basis or are inconsistent with exposure to any
suspected contaminants.  Another important
component of the diagnosis is that individuals
usually do not become ill unless they see or hear
that others are becoming ill (Fischbein, 1990).

Mass psychogenic illness  has been reported to occur
among workers in low-paying stressful jobs that
often involve boring and  repetitive work, an
unrealistic pace, rigid authoritarian organizations,
lack of social supports, and physical stresses from
noise and poor lighting (Colligan and Smith, 1978).

        Multiple Chemical Sensitivity

It is well recognized that individual sensitivities to
chemical and biological agents  in air, water, and
food can vary significantly, and that some persons
may be hypersensitive to particular agents at levels
which do not generate an observable response from
the general population. It is also recognized that
certain chemicals may be sensitizers, and once an
individual becomes sensitized to a relatively high
dose of a contaminant, the individual may be
sensitive to much lower subsequent doses.

In addition to these specific sensitivity issues, there
is a body of anecdotal evidence which suggests that
some subset of the population may be especially
sensitive to a broad range of chemicals at levels
common in today's home and working environ-
ments. This potential condition has come to be
known as multiple chemical sensitivity (MCS)
(Cullen, 1987), Reported symptoms include vague
feelings of not being well, joint and muscle aches
and pains, recurrent respiratory infections, food
intolerances, recent memory loss, and many others.

There is significant professional disagreement
concerning whether MCS actually exists and what
the underlying etiology might be.  The concept of
MCS was developed and is supported by physicians
known as clinical ecologists. Although there are
some areas of agreement between clinical  ecologists
(some of whom are also board certified allergists)
and traditional allergists, there are disagreements
about the levels of exposure that are necessary to
cause health effects, what symptoms or diseases are
associated with specific chemical exposures, and
what mechanisms come into play (Ashford and
Miller, 1989).

Based on their review of the literature and personal
interviews with medical practitioners, Ashford and
Miller (1989) conclude that there is sufficient
collective evidence (anecdotal and scientific studies)
to present a compelling case for MCS that warrants
further study. Other reviews have not found con-
vincing evidence to support the concepts underlying
clinical ecology or its methods of diagnosis and
treatment (American College of Physicians, 1989;
KahnandLetz, 1989).

Different hypotheses have been formulated in an
attempt to explain this apparent phenomenon.
These include, for example, a "spreading" phenom-
enon in which sensitization to one chemical spreads
to other, often unrelated chemicals; a process of
adaptation or addiction to  chemicals involving
overlapping stimulatory and withdrawal  effects; and
a total load concept in which the human  body
becomes overloaded with environmental  (and
possibly other) stressors (Asford and Miller, 1989).
Psychiatric disorders have also been suggested as an
explanation for reported symptoms (Black, Rathe,
and Goldstein, 1990).

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Unit 1, Lesson 3
                                                                                 IAQ Learning Module
SCIENTIFIC BASIS FOR IDENTIFYING ADVERSE
HEALTH EFFECTS (KM 3.3)

        Information about the health effects of
exposure to contaminants and physical stressors may
come from several sources. These include animal
data from controlled exposure studies and human
data from accidental exposures, occupational
studies, controlled human exposure studies, and
epidemiological studies. Ideally, health effects
guidelines or standards should be derived from
studies that represent contaminant concentrations
and exposure conditions that approximate the actual
exposures experienced by the general population.
However, the data base for the health effects of
contaminants and physical stressors is generally
limited, in part, because of the expense and inherent
problems associated with studies of health effects.

Animal Exposure Studies

Animal exposure studies are generally based on
 large doses of contaminants administered over the
 relatively short lifetime of the animal (typically, a
 rat, mouse, or rabbit, but  also other mammals,
 including dogs and monkeys).  Standardized
protocols which ensure highly controlled conditions
 are used. These studies usually involve 50 animals
 of each sex (for two species) treated at 2 to 3 differ-
 ent doses over  the life  expectancy of the animal
 (about 2 to 3 years for rats and mice). A control
 group is also required. Chemicals are administered
 by inhalation,  ingestion, injection, or dermal
 applications.  Relatively high doses are used to
 increase the sensitivity of the study. At the end of
 the exposure period, the animals are evaluated for
 effects, and the data are analyzed using statistical
 techniques.

 The evaluation of animal data is difficult because
 the test animals may not  reflect the human experi-
 ence accurately. For example, target organs may be
 different, and  humans and animals may not be
 equally sensitive to chemical exposures.
Nonthreshold effects (typically, carcinogens) must
be extrapolated down to the lower concentrations
that are usually experienced in occupational and
nonoccupational exposures. The mathematical
models used for these extrapolations can provide
results that may vary over several orders of magni-
tude for a single toxic substance. In spite of these
uncertainties, animal studies do provide good
evidence of the carcinogenic potential of toxic
substances in humans.

Results for observed threshold effects in animals are
not extrapolated to low doses in humans. These
results may be extrapolated across species by dose,
followed by the application of an uncertainty factor
to obtain a level at which effects are not observed
{no-observed-adverse-effect level ( NOAEL)]. There
is also concern in these evaluations about the
adequacy of the animal model.

Accidental  Human Exposures

Accidental exposures such  as those experienced in
disasters at Chernobyl, Russia (radiation), Seveso,
Italy (dioxin),  and others have provided additional
information  about the acute and chronic effects of
contaminants at relatively  high exposures.  Because
these exposures are uncontrolled and it can be
difficult, if not impossible, to reconstruct doses,
 these data usually provide  only anecdotal support
 and are usually not used to develop guidelines,
 standards, or risk assessments.

 Controlled Human Exposure Studies

 Controlled human exposure studies are conducted
 under strictly controlled conditions in a laboratory.
 Subjects are exposed for generally short time periods
 to low levels of various contaminants.  These studies
 are useful because dose-effect relationships at low
 concentrations can be evaluated. Limitations of
 these studies include the narrow populations studied
 (small number of healthy adults or those with mild
 disease are usually studied); the most hazardous

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1AQ Learning Module
                                 Unit 1, Lesson 3
chemicals cannot be studied for ethical reasons; and
studies are generally limited to short exposure
times.

Epidemiologic Studios

Epidemiology is the study of the distributions and
determinants of health- and disease-related condi-
tions in human populations. In an epidemiologic
study, the investigator observes the occurrence of
disease in people who are segregated into groups on
the basis of a common experience or exposure.
Epidemiologic studies can be used  to associate
health effects with the personal characteristics of
those who are affected, the places where they live,
work, or travel, and the time when effects occur.
Analytic techniques can be used  to determine the
risk factors associated with a health effect.

Epidemiologic studies of indoor  air quality may
involve asking participants a variety of questions
about products used, health status, and personal
habits, and may attempt to evaluate exposures
through the use of personal or fixed-site  monitoring.

Limitations of epidemiologic studies include the
expense of conducting studies which require large
study populations in order to observe effects;
difficulty in determining exposure rates; and the
difficulty of identifying and quantifying factors (for
example, occupation and smoking) which may also
account for observed effects.

While laboratory studies can establish the causal
association of a factor with a health effect more
conclusively than epidemiologic studies, epidemi-
ologic studies have provided and continue to
provide a major contribution to  our understanding
of many diseases.

One source of controversy that has emerged from
exposure studies is the interpretation of statistically
significant results.  A study of a large population
can yield statistically significant results  which
cannot easily be interpreted biologically, and effects
that are biologically important may not be statisti-
cally significant if the sample size is too small. As
Samet (1985) comments, epidemiologic studies (and
animal studies) describe the risks of groups, but not
of specific persons, and other types of data may be
needed to characterize susceptible persons and their
responses to contaminants.

Risk Assessment Studies

Epidemiologic, animal, and human  exposure studies
provide the basis of risk assessments which may be
used to determine policy. Risk assessments are
estimates of the health impacts on the general
population or specific subpopulations as a result of
exposure to contaminants. Risk assessments can be
conducted for both carcinogenic and noncarcino-
genic effects, but most of the emphasis has been on
carcinogenic effects.

EPA has published guidelines for exposure assess-
ments and for evaluating risks from carcinogens,
mutagens, teratogens, and chemical mixtures (U.S.
EPA, 1986a-e).  A four-step process begins with
hazard identification, which is a review of the scien-
tific literature to determine whether or not a
contaminant may pose a human hazard. The second
step, dose-response assessment, is the process of charac-
terizing the relationship between health effects and
specific doses of the contaminant. Exposure assess-
ment, the third step, is the process of measuring or
modeling the intensity, frequency, and duration of
human exposure to the contaminant.  The last step,
risk characterization, is the process of combining the
previous three steps to quantitatively estimate the
risk and identify the uncertainties involved in the
assessment. Section 3 of the Reference Manual
discusses the process of risk assessment in greater
detail.

FACTORS AFFECTING POTENTIAL HEAITH
RISKS FROM CONTAMINANTS (RM 3.1, 3.2)

         The potential health effects that will
result from exposure to indoor air contaminants
depend on a variety of factors interacting with one
another.  These include factors related to the toxic

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Unit 1, Lesson 3
                           IAQ Learning Module
substance, the dose, the environment, and the
occupant (Table 3-1).

Factors Related to the Toxic Substance

Toxicity is the  innate ability of a contaminant to
cause injury to  biological tissue. The toxicity posed
by natural and synthetic chemicals varies depending
on the contaminant's chemical and physical proper-
ties and how those properties interact with the
human body.

Two additional terms, hazard and risk, are some-
times confused  with toxicity. Hazard describes a
situation which may result in a health effect.  Risk
is the likelihood or probability  that the health effect
will occur in a specific exposure situation.

Solubility is simply the ability of one substance to
dissolve in another substance. Chemicals can be
classified as those that are soluble in polar solvents
and those that are soluble in nonpolar solvents.
From a health standpoint this difference is impor-
tant.  Chemicals which are polar in nature (such as
table salt) will be more easily excreted from the
body; chemicals which are nonpolar (such as PCBs
and DDT) will  not readily be excreted and will
remain in the body for long periods of time.

Vapor pressure is a term that describes how readily
liquids and solids vaporize or evaporate into the air.
Vapor pressure is important because those chemicals
having a high vapor pressure (for example, methyl-
ene chloride in paint strippers and toluene in paints)
will be more likely to be inhaled than those with a
low vapor pressure (for example, hydrocarbons in
solid floor waxes).

Chemical structure is one of the most important
characteristics of natural and synthetic chemicals
which determines toxicity. The body has receptor
molecules that recognize and react to chemicals as
helpful to the body or as harmful intruders.  For
example, when a banana is eaten, the carbohydrates
are recognized as helpful, and they are broken down
and used for fuel in the body. On the other hand,
the presence of harmful bacteria in the body ini-
tiates a different set of reactions aimed at destroying
the intruders and ridding the body of them.

The body has the ability to discriminate among very
subtle differences in chemical structure. For
example, two chemicals that have exactly the same
type and number of elements may have very differ-
Toble 3-1. Key factors affecting the hazard posed by toxic substances.
Factors Related to the Toxic Substance:
Chemical Properties
Physical Properties
Toxicity

Factors Related to the Dose:
Concentration
Duration of exposure
Route of entry
Factors Related to the  Environment:
Temperature
Humidity
Light and noise levels
Pressure differences
Presence of other contaminants

Factors Related to the Occupant:
Genetics
Sex
Personal habits
Diet
Age
Health status

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IAQ Learning Module
                                 Unit 1, Lesson 3
ent effects on the body simply because of the
location of the elements in relation to the overall
structure of the chemical.

Size and shape are important physical properties of
particles. Submicron-sized particles are more likely
to be inhaled deep into the respiratory tract. The
toxicity of asbestos is thought to be due to both its
size and needlelike shape.

Factors Related to the Dose

The body's response to toxic substances (contami-
nants) depends in large part on the dose. The dose
is the total amount of contaminant that is received
by the target tissues. It depends on the concentra-
tion, the duration of the exposure, and on the route
of entry.

        Concentration, Exposure, and Dose

Dose should not be confused with the terms expo-
sure or concentration. Concentration is the amount
of contaminant that  is present in the air at a given
time and place. Exposure characterizes the contact
between the contaminant and the person (skin, eyes,
respiratory tract).  The exposure will depend on
both the concentration of the contaminant in a space
and the length of time the person is in contact with
the contaminant in that space. Dose is the amount
of contaminant that  is actually absorbed by the
body. In many studies and assessments of risk,
concentration is used as a surrogate for exposure or
dose because the actual exposure or dose is difficult,
and sometimes impossible, to measure.

In general, as the concentration  of contaminants in
the air increases, the exposure, dose, and effects also
increase. People who are exposed to identical
concentrations of contaminants, however, can
receive different doses.  For example, the dose of
ozone received by a person who is sitting in a park
on a hot day in Los Angeles will be different from
the dose received by a person who is jogging in the
park. The jogger receives a greater dose of ozone
than the person who is sitting because the jogger is
breathing faster and more deeply, causing more
ozone to be in contact with the cells of the respira-
tory tract.

        Route of Exposure

Contaminants can enter the body through ingestion,
skin puncture, absorption through the skin, and
inhalation.  Except for inhalation, these routes of
exposure are generally unimportant in residential or
office indoor air quality problems. Inhalation is the
most important route of exposure for airborne
contaminants because chemicals are quickly and
rapidly absorbed from the lungs into the blood-
stream, where they can be carried to other parts of
the body.

Absorption through the skin can be an important
route of entry for certain organic substances. Some
substances can be absorbed through hair follicles,
and others dissolve in the fats and oils of the skin
(for example, organic pesticides and solvent com-
pounds). Ingestion could become an important
route of entry if improper fumigation with pesti-
cides resulted in contaminated food or dishes.

        Dose-Effect Relationship

The relationship between the dose and its effect on
the body is known as the dose-effect relationship,
and it can be represented graphically (Figure 3-2).
Small doses (characterized by low concentrations,
short exposure times, and low respiration rates)
usually cause minimal or no observable effects.  As
the dose increases (higher concentrations, longer
exposure times, higher respiration rates) progres-
sively more severe effects occur, which may  include
death at the highest doses.  It should be noted,
however, that a group of individuals who receive an
identical dose of contaminant, might not respond
uniformly because of human variability.

Attempts to relate health effects to exposure to air
contaminants are rooted in dose-effect curves, and
these curves are important tools in developing
public policy for chemicals and other toxic agents in

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Unit 1, Lesson 3
                           IAQ Learning Module
the environment. Two basic dose-effect curves are
used to describe the relationship between effects and
the dose.

Curve A in Figure 3-2 shows that no matter how
low the dose, an effect will occur. This curve is
called the linear dose-effect curve, and it is used to
describe the carcinogenic effect of exposure to
carcinogens such as asbestos and radiation.

Curve B describes a contaminant that will not cause
an effect below a certain dose.  This curve shows
that there is a threshold for the occurrence of effects.
For example, the lowest-observed-effect level for
decreased hemoglobin production and central
nervous system effects as a result of lead exposure in
children is reported to be 0.1-0.2 micrograms of
lead per milliliter of blood (WHO, 1987). In
adults, the lowest-observed-effect level (for de-
creased hemoglobin production) is in the range of
0.15-0.3 micrograms of lead per milliliter of blood.

In the standard-setting process, the dose-effect curve
is important because it, along with exposure
assessments, determines what levels of contaminants
are assumed to pose potential health risks.

Factors Related to the Environment

Environmental factors such as temperature, humid-
ity, light, and noise levels can have direct and
indirect effects on the host.  These factors can affect
the host directly by causing discomfort (for ex-
ample, eye strain or headache) or even dysfunction
(such as hearing loss). These factors may also affect
the susceptibility of the occupant to other environ-
mental contaminants or factors.

Temperature, humidity, and light alter the chemical
nature of some contaminants which can make them
more hazardous. In addition, high temperature and
humidity can increase the rate of volatilization of
organic chemicals such as formaldehyde.  High
humidity can foster the growth of microorganisms
or increase the rate of chemical reactions which form
acid aerosols.  Reduced barometric pressure inside
Figure 3-2.  Dose-effect relationships.
   Severity
     of
     the
    Effect
                CURVE A
                     Increasing Dose
   Severity
     of
     the
    Effect
                CURVE B
                      Increasing Dose
dwellings relative to the outside pressure can
increase the rate of entry of radon (and other soil
gases) into the interior environment.

Factors Related to the Occupant

The development of health effects in an individual
who is exposed to chemical, physical, and biological
stressors also depends on factors including genetics,
sex, personal habits, diet, age, and health status.
Table 3-2 identifies some of the subpopulations
with potentially greater susceptibility to indoor air
contaminants.

Genetic variability can range from individuals who
have no disease resistance from birth to those who
are seemingly never ill. Most people fall in between
these extremes, but even in this middle area there
can be significant variation in response to contami-
nants, particularly at the low level of exposures that
might be encountered in homes and offices.

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IAQ Learning Module
                                 Unit 1, Lesson 3
Men and women may also be affected differently by
exposures to contaminants and other stressors
because of their different chemical makeup.  For
example, men and women differ in the amount and
distribution of body fat; this, in turn, may lead to a
different distribution and accumulation of chemicals
and subsequent toxic effects.

Personal habits such as smoking, alcohol intake, and
other drug use can alter the body's ability to handle
exposures to contaminants.  Diet and psychological
factors may also play an important role in determin-
ing the body's response to exposures.  For example,
individuals experiencing high stress levels may be
more susceptible to the adverse effects of chemical
exposure (Calabrese, 1978). In addition, stress may
result in symptoms such as skin rash and anxiety
which  can appear to be chemically related.

Age is an important factor that affects sensitivity to
contaminants. Infants and children are more
sensitive to chemical exposures than adults.  Their
brains  are  not fully developed until they are about  6
to 7 years  of age, and they may experience irrevers-
ible changes in learning ability or behavior if
exposed to lead and mercury compounds.  They are
also more  sensitive because they have smaller body
size, faster breathing rates, immature immune and
lung systems, and they are generally oral (mouth)
breathers.  Oral breathing circumvents some of the
respiratory tract's defense mechanisms, resulting in
larger doses to the remaining respiratory tract.

Older people may also be more sensitive to the
effects of contaminant exposures because of the
effects of aging on the immune system. The effects
of aging and health status in response to chemicals
were clearly illustrated during the serious air
pollution  episodes of the 1940s and 1950s.  The
people who were most affected and experienced the
highest mortality were older people with preexist-
ing heart and lung conditions.

In general, immunosuppressed individuals or those
with chronic respiratory or cardiovascular diseases
are more susceptible to the effects of indoor air
contaminants, regardless of sex or age.

FATE OF CONTAMINANTS IN THE BODY
(RM 3.2)

        After a contaminant enters the body it
may be absorbed into the bloodstream, excreted
unchanged, or transported throughout the body.
Once it reaches the body's tissues it can be stored or
interact with the body to produce toxic effects.

Metabolism is the process by which a chemical is
changed in the body through the action of enzymes
to form a new chemical called a metabolite. Me-
tabolism, which occurs primarily in the liver and
kidneys, generally is not 100% efficient, so some of
the original chemical will remain. One of the main
purposes of metabolism is to detoxify harmful
chemicals by converting them  into less harmful
chemicals which can easily be excreted. Sometimes
metabolites are formed which are more harmful
than the original chemical.

After a chemical has been metabolized it may have
the same fate in the body as the original chemical.
It may be excreted or stored in the blood or other
parts of the body. Nonpolar compounds (PCBs,
chlordane, DDT) are stored primarily in the fat;
metals such as lead and cadmium may be stored in
bone, and others can be stored in the blood.

The kidney is the most important excretory organ in
the body and it is able to excrete polar molecules
such as alcohols, but it is less efficient with nonpolar
molecules such as xylene.  If a  nonpolar metabolite
is formed by the metabolism of a polar compound,
the metabolite will be hard to  excrete and may exert
a toxic effect on the kidney.  The original chemical
or its metabolites can also be excreted through the
feces, lungs, sweat, saliva, or breast milk.

The mechanisms by which toxic effects occur in the
body have not been determined for all contami-
nants, and the process is not well understood for

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Unit 1, Lesson 3
                                 IAQ Learning Module
Table 3-2. Subpopulations at greatest risk from exposure to indoor air contaminants.1
     SUBPOPULATION
   SIZE OF THE
SUBPOPULATION
 PERCENT OF
POPULATION2
     Newborns
     Young children
     Elderly
     Heart patients
     Persons with bronchitis
     Persons with asthma
     Persons with hay fever
     Persons with emphysema
     Smokers3
      3,731,000
     18,128,000
     29,172,000
     18,458,000
     11,379,000
      9,690,000
     21,702,000
      1,998,000
    46, 772,500
        1.5
        7.5
      12.1
        7.7
        4.7
        4.0
        9-0
        0.8
      26.5
SOURCE: Adapted from U.S. EPA (1989)
'All subpopulations except smokets ate based on 1986 data. Data fot live births, children < 5 yrs, and petsons >. 65 yrs are based on
U.S. Bureau of Census records. Data for persons with heart disease, bronchitis, asthma, hay fever, and emphysema are based on
National Center for Health Statistics records.
-1986 national population of 241,078,000 was used for all categories except smokers.
'Persons >. 17 yrs of age who smoked in 1986; Smoking and Health: A National Status Report. 1990. U.S. Department of Health and
Human Services (DHHS). DHHS (CDC) 87-8396.
many conditions.  However, it does appear that the
initial step of chemical exposures involves the
recognition of the toxic chemical by a specific
molecule(s) known as the receptor.  The chemical
binds itself to the receptor which initiates a chain
reaction that may lead to an adverse health effect.
As long as the receptor and the chemical are bound
together, adverse effects can occur.

Over time, a balance is reached between bound and
unbound receptors, and this balance can change as
exposures increase or decrease.  If a stored chemical
is released, the potential for a toxic  effect increases
as the substance combines with receptors. For
      example, if a person who has been exposed to a
      nonpolar chemical such as PCBs loses weight, that
      chemical will be released into the bloodstream and
      adverse effects could result if the PCBs are not
      excreted.

      The frequency of exposure also affects whether or
      not adverse effects occur. The body may be able to
      handle small exposures separated by long time
      periods during which the contaminant is metabo-
      lized and excreted.  However, if the periods of time
      between exposures are shortened, adverse health
      effects may appear. For this reason, it is important
      to characterize exposures accurately.

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IAQ Learning Module
                                       Unit 1, Lesson 3
REFERENCES

American College of Physicians. 1989.  "Clinical ecology."
Ann. Intern. Med.  Ill; 168-78.

Ashford, N.A. and C.S. Miller.  1989. Chemical Sensitivity: A
Report to the New Jersey State Department of Health. December.

Berglund, B. and T. Lindvall.  1986. "Sensory reactions to'sick
buildings.'" Environ. Intl.  12:147-159.

Black, Donald W, .A. Rathe, and R.B. Goldstein.  1990.
"Environmental Illness: A Controlled Study of 26 Subjects with
'20th Century Disease'." J. Am. Med. Assoc. 264(24): 3166-
3170.

Calabrese, E.J. 1978.  Pollutants and High-Risk Groups. The
Biological Basis of Increased Human Susceptibility to Environmental
and Occupational Pollutants.  John Wiley & Sons: New York,
NY.

Colligan, M.J. and L.R. Murphy.  1979.  "Mass psychogenic
illness in organizations:  An overview." J. Occup, Psychol.  52:
77-90.

Colligan, M.J. 1981.  "The psychological effects of indoor air
pollution." Bull. N.Y. Acad. Med. 57(10):  1014-1026.

Colligan, M.J. and M.J. Smith. 1978.  "A methodological
approach for evaluating outbreaks of mass psychogenic illness in
industry." /  Occup. Med.  20:  401-402.

Cullen, M.R. 1987.  "The worker with multiple chemical
sensitivities:  An overview of workers with multiple chemical
sensitivities." Occupational Medicine, State of the Art Revieu^s.
Vol. 2, No. 4. Hanley and Belfus, Inc.:  Philadelphia, PA.

Faust, H.S. and L.B. Brilliant.  1981. "Is the diagnosis of'mass
hysteria' an excuse for incomplete investigation of low-level
environmental contamination?" J. Occup. Med,  23: 22-26.

Fischman, M.L.  1990. "Building associated  illness." Chap. 33.
Occupational Medicine. J. LaDou (ed). Appleton & Lange:  E^.st
Norwalk, CT.

Kahn, E. and G. Letz. 1989.  "Clinical  ecology: Environmental
medicine or unsubstantiated theory?" Ann. Intern.  Med. Ill:
 104-105.
Kreiss, K. and M.J. Hodgson. 1984.  "Building associated
epidemics."  Chap. 6. Indoor Air Quality.  P.J. Walsh, C.S.
Dudney, and E.D. Copenhaver (eds). CRC Press: Boca Raton,
FL.

M01have, L.  1985. "Volatile organic compounds as indoor air
pollutants."  Chap. 31.  Indoor Air and Human Health.  R.B.
Gammage and S.V. Kaye (eds). Lewis Publishers:  Chelsea, MI.

Samet,J.M.  1985. "Defining an adverse respiratory health
effect."  Am. Rev. Resp. Dis.  131 (4): 487.

U.S. Environmental Protection Agency (EPA).  1986a.
"Guidelines for carcinogen risk assessment." Federal Register.
51 (185): 33991-34003. September 24.

U.S. Environmental Protection Agency (EPA).  1986b.
"Guidelines for mutagenicity risk assessment."  Federal Register.
51(185):  34005-34025. September 24.

U.S. Environmental Protection Agency (EPA).  1986c.
"Guidelines for the health risk assessment of chemical mix-
tures."  Federal Register.  51(185): 34013-34025.
September 24.

U.S. Environmental Protection Agency (EPA).  1986d.
"Guidelines for the health assessment of suspect developmental
toxicants."  Federal Register.  51(185): 34028-34040.
September 24.

U.S. Environmental Protection Agency (EPA).  1986e.
"Guidelines for exposure assessment." Federal Register.
51(185): 34041-34054. September 24.

U.S. Environmental Protection Agency (EPA),  1989.  Report to
Congress on indoor air quality. Vol. II: Assessment and control of
indoor air pollution. EPA 400-1-89-001C. U.S. EPA, Office of
Air and Radiation: Washington, DC.

World  Health Organization (WHO). 1986.  Indoor Air Quality
Research. EURO Reports and Studies 103.  WHO:
Copenhagen, Denmark.

World  Health Organization (WHO). 1987.  Air Quality
Guidelines for Europe.  WHO:  Copenhagen, Denmark.

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Unit 1, Lesson 3                                                                       IAQ Learning Module
   PROGRESS CHECK

   1.  Discuss some of the problems that can be encountered in trying to ft symptom and heahiie^^

   2.  Wlxrt ore ihe types of studies wbkhpravife

   3.  What is the difference between chronic effects and acute effects?

   4.  What are the different factors that can offett potential health risks of contaminants?

   5.  What ore important properties of gases wdportklesttKrt determine their jwtentiol for health effects?

   6.  Discuss the concept of dosMffed relationships.

   7.  Which host factors can affect the risk posed by indoor air contaminants?

   8.  Briefly explain the deferences between boikfing related illness ond sick building syndrome.

   9.  Briefly explain nwln^ chemical sensmviry and mass psycbogOTk illness. Whm are scmwwncenis about me»
      issues?

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UNIT 1: UNDERSTANDING INDOOR AIR QUALITY

LiSSON  4
HUMAN RESPONSE TO INDOOR AIR QUALITY:
Classification of Indoor Air Contaminants

The complaints and health effects which might be related to building
environments are sometimes similar to those from colds, flu, stress,
and other causes.  When the reported complaints are nonspecific and
diverse, it can  be difficult initially to determine if problems are
caused by the sources or conditions  in the building, and what can be
done to remedy the complaints.  A  building investigation is per-
formed in an effort to make these determinations.

In some instances, a specific source of contamination or a specific
building condition causing the complaints is readily obvious.  In the
majority of cases,  however, the investigator must consider all the
factors that relate to indoor air quality (Lesson 2) to identify
possible contaminants and stressors which could be responsible for the
reported complaints and effects.

Because the process of relating symptoms and health effects to stressors
and sources is  complex, a multilevel approach is probably most likely
to narrow the  universe of possible causes of the problems.  For
example, the investigator may begin by formulating hypotheses about
classes of contaminants or physical stressors based on the reported
symptoms.  These general classes of contaminants may then give rise
 to hypotheses concerning specific contaminants which are associated
 with specific sources in the building.  At the same time, the investi-
gator maintains an open mind about sources that may not be readily
 apparent and considers other causes, such as inadequate ventilation.
 Through a process of identifying and evaluating potential contami-
 nants, sources and other factors, the causal factors can frequently be
 identified.

 This lesson begins with an overview of the health effects and symp-
 toms of general classes of toxic substances and physical stressors and
 closes with effects of specific contaminants.
1ESSON OBJECTIVES

At the end of this lesson, you
will be able to:

•  discuss dosses of contaminants and
   physical stressors and symptoms
   related to these classes; and

•  identify health effects related to
   specific contaminants.

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Unit I, Lesson 4
                           IAQ Learning Module
SYMPTOMS AND CLASSES OF TOXIC
SUBSTANCES (RM 3, 4)

        Symptoms do not always fit "textbook"
patterns, and similar symptoms may be caused by
different contaminants.  In many instances reports
of symptoms will include "low-level" complaints
that are vague in nature and which could be attrib-
uted to any number of diseases or conditions.  Very
frequently, symptoms are characteristic of colds or
the flu, or they are similar to symptoms accompany-
ing stress and tension.  Some examples of com-
plaints include: "I feel tired and rundown." "I'm
usually never sick, but now I have a lot of head-
aches." "I've been nauseated and have had a slight
stomachache the last few months."  "My nose always
seems to be dry and my throat is scratchy."

Symptoms of different contaminants may also
overlap.  For example, formaldehyde can result in
irritation of the upper respiratory tract and the eyes,
but so can cleaning chemicals, airborne pathogens,
airborne allergens, and some solvents. In order to
sort through potential sources and interpret data,
one may need to obtain a careful symptom history
along with information about when and where
symptoms occur.  In doing this, the investigator
should also be aware of contaminants that may not
result in overt symptoms.

Indoor air contaminants can be classified by their
mechanisms of action in the body and resulting
symptoms. These  categories are typically used for
toxic substances and include irritants; asphyxiants;
narcotics and anesthetics; systemic toxicants;
reproductive and developmental toxicants; and
airborne pathogens and allergens. Physical stressors
such as temperature, humidity, light, and noise can
also affect health.  Symptoms which are commonly
associated with these categories are summarized in
Table 4-1.

 Irritants
damage when in contact with the body, particularly
the skin and mucous membranes. Irritants such as
formaldehyde, sulfur dioxide, nitrogen dioxide,
ozone, petroleum-based chemicals, soaps, deter-
gents, bleach, and other cleaning agents have been
associated with a wide range of health effects.  In
addition, irritation effects can result from fibers
such as fiberglass and other insulating materials;
volatile organics from fabric cleaners, paints, and
pesticides; disinfectants; oven cleaners; glues and
epoxy resins.

The most common reactions include irritation of the
eyes (redness and tearing), nose, throat, and upper
respiratory tract. Upper respiratory tract symptoms
typical of irritant contaminants are also very similar
to irritation effects resulting from low humidity
during the winter season and immunologic re-
sponses to airborne allergens.

Irritant chemicals can also result in acute and
chronic skin irritation including dry, scaling skin;
acne-like skin disease; pigment changes; and
ulceration.  Some are carcinogens.  Dermatosis is a
term that describes a skin disease from any cause.
Noninflammatory dermatoses can be caused by
excessive heat, low humidity, or sunlight interact-
ing with some prescription drugs.

Dermatitis (acute or chronic; irritant or allergic) is a
skin condition that has an inflammatory compo-
nent.  Examples include  staph or strep infections
caused by bacteria and exposure to biological
allergens and chemicals.  Epoxy resins, formalde-
hyde, metals, pharmaceutical drugs, plants, caustics,
detergents, oils and greases, animal danders, saliva,
and urine are some of the agents which can result in
dermatitis.  Usually, dermatitis is the result of
direct contact with the agent; however, once an
 individual is sensitized by contact, the response can
occasionally result from oral ingestion or even
 inhalation of the offending agent (Nethercott,
 1990).
 Irritants (including pulmonary toxicants) are highly
 reactive substances which result in nonspecific tissue

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Table 4-1. Typical symptoms of contaminant classes and physical stressors.
                                                    CONTAMINANT CLASSIFICATION
                                                                      PHYSICAL STRESSORS
                                    Irritant
                                    (includes
                                  pulmonary
                                   toxicants)
                                                                                                                                                           (O
                                                                                                                                                            r
Asphyxiant
                                                            Anesthetic/
                                                             Narcotic
Systemic
Toxicant
 Airborne
Pathogen/
 Allergen
Carcinogen'
Temper-
  ature
Humidty
Light/
Noise
                                                                                                                                           (noise)
SYMPTOMS

Eye Irritation, burning
Dry or sore throat
Skin irritation, dryness or scaling
Skin rash
Tightness in the chest
Runny nose
Asthma (exacerbation of)
Cough
Wheezing or other breathing problems
Chest pain
Changes in rate and depth of breathing
Changes in pulse rate
Visual disturbances
Dizziness
Fatigue
Depression
Clumsiness
Drowsiness
Headache
Fever
Repeated throat infections
Sinus irritation or infection
Muscular pains
Change in heart rhythm
Tingling or numbness in extremities
Muscle twitching/convulsions
Nausea or vomiting
Abdominal pain
Diarrhea                            	  	  	       ^       	  	  	   	   	
Loss of appetite                      	  	  	       *           V       	  	   	   	
Cold/flu symptoms                   	  		*^       	       *^       	   	
Cold extremities                     	  	  	   	   	  	       *^       	   	
Difficulty in sleeping                 	  	  	   	       */      	       */       	   	~	
Irritability                          	  	  	   	   	  	  	,	   	   	
Backache/neckache                   	  	  	   	   	  	  	   	   	_	
Eye strain                           	  	  	   	   	  	  	   	
"It is not possible to determine whether or not exposure ro a carcinogen will result in a cancerous tumor based on symptoms because of the lag time between exposure and
tumor development. However, carcinogens may also be classified as irritants, systemic toxicants, or anesthetic/narcotic, and may result in symptoms typical of these
contaminant classes.
                                                                                                                                         • (noise)
                                                                                                                                                            c:
                                                                                                                                                            **.

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Unit 1, Lesson 4
                           IAQ Learning Module
Pulmonary Toxicants

Acute and chronic exposure of the respiratory tract
to irritants over a long period of time may be
associated with increased susceptibility to bacterial
infection, decreases in pulmonary function, changes
in airway reactivity, and the development of lung
diseases, including cancer.

Depending on particle size and the solubility of
particles and gases, irritant contaminants can affect
the upper or lower respiratory tract. Large particles
and very soluble chemicals such as sulfur dioxide
primarily affect the upper respiratory tract, while
smaller particles and less soluble chemicals such as
nitrogen dioxide and ozone affect primarily the
middle and  lower respiratory tract. Pulmonary
toxicants also include airborne pathogens and
allergens. Over time, pulmonary toxicants can
contribute to the development of emphysema,
bronchitis, pneumonitis, and changes in pulmonary
function.

Emphysema (derived from the Greek, meaning
bodily inflation) is a condition in which the air sacs
in the lung become overinflated because the bron-
chioles that  feed air into the air sacs become hyper-
trophied and lose their elasticity. This means that
air can flow  easily  into the air sacs, but it cannot
flow out because the bronchioles are too narrow.
Because the  person cannot exhale efficiently, the air
remains in the air sacs. As air pressure builds up in
the cells of the air sacs, the cells rupture and  over
time the air  sac comes to resemble a balloon rather
than a cluster of grapes. There is less surface area for
gas exchange to take place and the individual
becomes oxygen deficient.  Emphysema is com-
monly  associated with smoking and some occupa-
tional exposures to contaminants, and the main
symptom is  shortness of breath which is likely to
become worse over a period of years.

Bronchitis is a condition in which the lining of the
bronchi or bronchial tubes becomes inflamed.
Acute bronchitis is usually caused when the same
viruses that cause colds spread into the bronchi, but
sudden increases in air pollution have also been
implicated. Chronic bronchitis has been defined as
a recurrent cough with phlegm  production that
occurs on most days during at least three months a
year, usually in winter, for at least two consecutive
years (Kung, 1982).

Bronchitis and other lower lung infections, particu-
larly in children, have been associated with exposure
to indoor air contaminants including environmental
tobacco smoke, respirable particulates, nitrogen
oxides, and sulfur dioxide. Chronic bronchitis
("smoker's cough") is typically caused by cigarette
smoke.

Both acute and chronic bronchitis result in cough-
ing and the production of phlegm. Other symp-
toms may include breathlessness, wheezing, fever,
and pain in the upper chest which gets worse when
the individual coughs. If chronic bronchitis is not
treated, it can progress into either pneumonia, or
over a longer period of time, emphysema.

Pneumonitis, alveolitis, and pneumonia are terms
that refer to an inflammation of the lungs. These
conditions are usually caused by exposure to physi-
cal agents (pneumonitis), microorganisms (pneumo-
nia), and allergic reactions (alveolitis). The terms
alveolitis and pneumonitis are sometimes used
interchangably. Examples of causative agents
include irritant gases and dusts, airborne bacteria
and viruses, and airborne allergens such as mold,
mites, and feathers. Symptoms  of all three types
include coughing, difficulty breathing (dyspnea),
fever, chills, and muscle pains.

Chronic pneumonitis and alveolitis can result from
repeated exposures to low levels of the agent or from
recurrent acute episodes. Chronic symptoms
include difficulty breathing, cough, fatigue, and
weight loss; fever is uncommon. Repeated expo-
sures to the agent can result in progressive lung
scarring.

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IAQ Learning Module
                                 Unit 1, Lesson 4
Changes in pulmonary function (lung volume and
lung capacity) can also result from exposure to
indoor contaminants such as environmental tobacco
smoke, nitrogen oxides, and sulfur dioxide. (Section
3 of the Reference Manual defines some of the terms
used in lung function testing). The significance of
these changes, particularly relatively modest
changes, has not been resolved.  Changes in pulmo-
nary function may or may not manifest themselves
in symptoms such as breathing difficulties.

Asphyxiants

Asphyxiants are chemicals that interfere with the
availability of oxygen for the tissues. A complete
absence of oxygen in the blood (anoxia) will result
in brain death in 3 to 5 minutes.  Partial asphyxia-
tion results in low levels of oxygen in the blood
(hypoxia), and may result in brain damage or death,
depending on the length of exposure.  The normal
oxygen level in the air is about 21%.  Levels of
oxygen in air below 19-5% are considered unsafe in
the workplace [29 CFR 1910. 94 (d) (9)].

There  are two classes of asphyxiants, simple and
chemical, that differ in their mode of action.
Simple asphyxiants are physiologically inert gases
that act by diluting or displacing oxygen in air
below  the level required for normal function.
Simple asphyxiants include carbon dioxide, nitric
oxide,  nitrous oxide, and nitrogen. Symptoms
associated with exposure to levels of concern
typically include drowsiness, headache,  and changes
in the  rate and depth of respiration.

Chemical asphyxiants react chemically with the
body to prevent the uptake of oxygen by blood or
interfere with the transport of oxygen from the
lungs  to the tissues.  Chemical asphyxiants include
carbon monoxide, hydrogen sulfide, hydrogen
cyanide, and others.  Of these, carbon monoxide is
the most likely to be encountered in indoor investi-
gations. Typical sources in residential investiga-
tions include heating and cooking appliances as
noted  above, and in  some instances, the ambient air
or emissions from automobiles in attached garages.
In nonresidential investigations any combustion
sources in the building or adjacent to air intakes
should be evaluated. Effects from exposure to
chemical asphyxiants can include the above symp-
toms plus depressed respiration, muscle spasms,
visual disturbances, loss of appetite, impaired gait
and balance, insomnia, weakness, and depression.

Narcotics and Anesthetics

Narcotics and anesthetics are chemicals that prevent
the central nervous system from performing nor-
mally. Narcotic substances can result in symptoms
that are similar to  those caused by asphyxiants.
Examples of narcotics and anesthetics include
aliphatic ketones (methyl ethyl ketone, methyl
isobutyl ketone, acetone), aliphatic alcohols (metha-
nol, ethanol, isopropanol), and aromatic and substi-
tuted hydrocarbons (xylene, toluene,  styrene,
chlorobenzenes). Many of these chemicals are
contained in paints, varnishes, pesticides, glues, and
organic solvents that are commonly used in and
around homes and in other nonindustrial settings.

Some of the anesthetic solvents can also result in
cardiac sensitization.  Inhalation of low levels of
these compounds can make the heart very sensitive
to certain chemicals (catecholamines) in the body,
which in turn, can result in ventricular cardiac
arrhythmias. There have been cases of cardiac
sensitization reactions which resulted in the death of
people who were working with solvents related to
hobbies and crafts in poorly ventilated rooms.
Caffeine and alcohol may enhance the ability of sol-
vents to produce heart arrhythmias (Benowitz, 1990).

Systemic Toxicants

Systemic effects are those that occur  after the
distribution and absorption of the chemical at a site
that is distant from the point of entry.  The wide
variety of ingredients in consumer products and in
materials encountered in the nonindustrial environ-
ment can result in a range of systemic effects that is
difficult to anticipate. Substances toxic to the liver
(hepatotoxicants), kidney (nephrotoxicants), blood

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Unit 1, Lesson 4
                           IAQ Learning Module
(hematopoietic toxicants), the nervous system
(neurotoxicants), and the reproductive system can
impair the functioning of these vital body systems.

Exposure of the kidney to chemicals can result in
scarring of the filtering tissues which may ulti-
mately lead to kidney failure. The liver has a crucial
role in regulating the composition of the blood and
also plays a role in other body processes. The
central and peripheral nervous systems are also
susceptible to damage from a wide range of toxic
substances including metals (lead, arsenic, mercury),
chlorinated hydrocarbons, volatile organic hydrocar-
bons, and various organic pesticides. Changes in
fertility as a result of exposure to systemic toxicants
have been documented for both men and women.

Acute or chronic exposures to chemicals which
affect the body's systems can result in a wide range
of symptoms  that include fatigue, weakness,
changes in blood pressure, changes in pulse rate,
skin rash, sweating, depression, muscle twitching
and convulsions, headache, tingling and numbness
of the extremities, double vision,  difficulty breath-
 ing, chest pain, wheezing, changes in respiration,
coughing, vomiting, diarrhea, decrease in urinary
 output (oliguria), menstrual irregularities, muscle
weakness, and others. Exposure to low concentra-
 tions may not result in immediate symptoms, but
 biochemical or structural effects can occur in the
 absence  of symptoms.

 Mutagens,  Carcinogens, Developmental,
 and Reproductive Toxicants

 Only a small  fraction of the chemicals  in commer-
 cial and consumer products have  been tested for
 their potential as mutagens, carcinogens, and
 developmental or reproductive toxicants, and even
 less is known about mixtures of contaminants.

 A mutagen is an agent that alters the genes or
 chromosomes of a living cell to cause mutations.
 Mutations can also occur spontaneously in the cell,
 and some are inherited.  Cancer is thought to
develop from a single cell that develops abnormally
because of an alteration or mutation in the genetic
material (DNA) which can occur spontaneously or
after exposure to carcinogenic agents. Cancer
usually develops years after exposure (7  to 40 years)
to the agent.

Radon, asbestos, cigarette smoke, and formaldehyde
are some of the agents in the indoor environment
which have received attention for their carcinogenic
potential.  Symptoms of cancer typically do not
occur until the tumor is already advanced.

Developmental toxicants are agents that cause some
defect or malformation in the fetus; some defects
may be so serious during the embryonic stage that a
spontaneous abortion occurs.  The fetus is most
susceptible to the effects of developmental toxicants
during the first three months of growth because this
is a time of rapid cell growth and when organ
systems begin to differentiate. Adverse effects,
however, can occur throughout gestation.

Known human fetal toxicants include lead, alcohol,
ionizing radiation, organic mercury, and some
cancer-fighting drugs. Many more chemicals such
as benzene; 2,4-D; nitrogen dioxide; PCBs;
 tetrachloroethylene; xylene; benzo(a)pyrene; phtha-
 lates; and others have been shown to be develop-
 mental toxicants in animal studies, but their effects
 on humans is not known (Rudolph and Forest,
 1990).

 Reproductive toxicants are agents that can result in
 menstrual disorders in women and  decreased
 fertility in men and women.  These agents typically
 are encountered through occupational exposures.

 Pathogens and Allergens

 Exposure to pathogens and allergens can result in a
 broad range of effects from mild irritation to life-
 threatening fevers and debilitating illness. These
 agents of illness can be particularly difficult to
 identify and relate to symptoms.

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IAQ Learning Module
                                                                                       Unit 1, Lesson 4
Airborne pathogens are infectious disease-producing
agents such as viruses, fungi, and bacteria that are
disseminated through the air. Common diseases
that are spread by aeropathogens include influenza
(virus), adenovirus and coxsackie respiratory diseases
(virus), and coccidioidomycosis (fungus); other
important diseases include Legionnaires' disease
(bacterium), Pontiac fever (bacterium), and hyper-
sensitivity  pneumonitis (a variety of agents).

Allergens are substances that cause an allergic
reaction in susceptible individuals.  The allergic
individual  produces large amounts of an antibody
when exposed to an allergen to which the individual
is sensitive. When an antigen-antibody reaction
takes place, histamine and other substances are
 released. Effects include dilation of blood vessels,
 mucus secretion, contraction of the bronchioles, and
 cellular inflammation.

 Physical  Stressors

 Physical stressors such as temperature, humidity,
 light levels, and noise can result in a variety of
 symptoms which usually produce discomfort. More
 severe symptoms and dysfunction, however, can
 result if physical stressors are not corrected within
 reasonable periods of time.

         Thermal Environment

 A comfortable thermal environment is a function of
 many variables including temperature, humidity,
 air movement, activity level, clothing, and cultural
 practices and habits. It  should be noted that
 guidelines can provide ranges of temperature,
 humidity, and air movement that will be perceived
 to be comfortable by most, but not all, people.
 Further, comfort  ranges developed for the United
 States may not be valid  for other countries where
 practices are different.

 Temperature conditions affect the human organism
 in several ways. The temperature of the body is
 normally  in the range of about 97.7°F to 99.5°F.
 When room temperatures are too cool, the body
reacts by shivering and vasoconstriction (narrowing
of the blood vessels). Vasodilation (widening of the
blood vessels) and sweating occur in warm environ-
ments.  Both of these reactions to warm or cool
temperatures are perceived as uncomfortable, and
individuals may react with complaints. Complaints
about stuffiness are more likely to occur in rooms
that are too warm, and complaints about drafts are
more likely to occur in rooms that are too cool.

In the United  States, most sedentary or slightly
active people who are in a room with slow air
movement will probably be comfortable at tempera-
tures in the range of 68°F to 75°F during the winter
and in the range of 73°F to 79°F during the summer
(ASHRAE, 1981). It should be noted that infants,
some elderly people, and those whose movements
are confined may require temperatures at the upper
end of the range or higher for  comfort. The
ASHRAE guidelines for thermal comfort also
recommend vertical temperature differences of not
more than 5°F from a level of 4 to 67 inches from
 the floor.

Humidity is  the amount of water vapor within a
 given space, and it is commonly measured as the
 relative humidity (RH). Relative humidity is
 defined as the percentage of moisture in the air
 relative to the amount it could hold if saturated at
 the same temperature. Humidity in the air has both
 direct and indirect effects of people. Low relative
 humidity (dry air) can dry the mucous membranes
 and irritate the eyes, nose, and throat. Dry air can
 also exacerbate respiratory infections and increase
 problems with allergic and asthmatic symptoms.
 Air that is too humid feels oppressive, especially if
 combined with higher temperatures. Relative
 humidities less than 30% and greater than 70% are
 perceived as uncomfortable by many people.
 Relative humidity above 50% can enhance micro-
 biological growth.

 Air movement will also affect perceptions of
 comfort.  Air movement less  than 30 feet per
 minute (fpm) in the winter and less than 50 fpm in
 the summer  is recommended (ASHRAE, 1981). If

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Unit 1, Lesson 4
                           IAQ Learning Module
temperatures are less than optimum in the winter, it
is important to maintain low air movements to
minimize discomfort from local drafts. In the
summer, increased air movement is desirable to
extend the comfort zone.

Lighting should be free of glare, reflections, flickers,
contrasts, and  it should have the proper spectral
distribution. The human eye can adjust to a very
large range of light intensity, but symptoms can
result depending  on the light source and if the
levels are too low or too high. When fluorescent
lamps are used as the predominant source of light,
many people describe the light as annoying, vibrat-
ing, or glaring; and they may develop eyestrain,
fatigue, headaches, and other symptoms.

The importance of proper lighting for good health
has been underscored in recent years with the
discovery of cases of winter depression in areas that
have a lack of natural light. This condition, which
is manifested by a broad range of symptoms includ-
ing fatigue, headache, and depression, can be cured
through the use of lamps with the proper spectral
distribution at home and the workplace.

In homes, artificial light levels of 6 footcandles over
the area of a room at a height of 30 inches above the
floor are considered adequate (CABO, 1989).  In
commercial buildings, proper lighting requirements
vary with the activity or task to be performed.
Illumination levels of 75 to 100 footcandles have
been recommended for offices (IES, 1981). A major
complaint of VDT operators is glare and/or contrast
problems. These can result in significant com-
plaints even if lighting levels are adequate, and
added measures may be needed to reduce glare and/
or contrast problems (Smith, 1984).

Noise is considered by some medical practitioners to
be one of the most significant stressors of modern
times. Noise can contribute to tension, fatigue,
hearing loss, deficiencies in attention span, ulcers,
high blood pressure, and heart disease. Sound levels
are measured by a relative scale. The preferred unit
for measuring sound in industrial, speech interfer-
ence, and community disturbance conditions is the
A-weighted decibel.  The A-weighting delineates a
frequency weighting scale which simulates the way
in which the human ear actually responds to sound.
The decibel scale is logarithmic, and the entire
range of audible sound pressure for individuals with
normal hearing can be expressed on a scale of 0 (the
threshold of hearing) to 140 dBA (deafening and
painful noise).

Levels below 40 dBA are considered to be comfort-
able.  The average residence without a stereo
playing will have a noise level of about 30 dBA,
while noise levels in an average office will be about
50 dBA (U.S. HUD, 1985). The hearing of most
people will probably be degraded by continuous
exposure to levels above 85  dBA (U.S. HUD, 1985).
It has been estimated that nearly half of the U.S.
population is regularly exposed to noise levels that
interfere with normal activities and 1 in 10 people
may be exposed to noise levels that are sufficient to
cause a permanent reduction in their ability to hear.

The U.S. Department of Housing and Urban
Development (HUD) has developed exterior noise
standards for new housing construction that is
assisted or  supported by the Department (U.S.
HUD, 1985). HUD's regulations do not contain
standards for interior noise levels, but the exterior
standard should ensure that noise levels indoors do
not exceed HUD's goal of 45 dBA for interior
spaces.

EFFECTS OF SE1ECTED CONTAMINANTS (RM 4)

         J. he previous section classified indoor air
contaminants and stressors  according to broad
classes and health effects which might typically be
associated with those classes.  This section provides
a summary of specific effects associated with
selected contaminants. When the terms high and
low concentrations are used they refer to concentra-
tions that could be found in occupational and
nonoccupational environments, respectively.  The
actual concentration ranges which have been
associated  with specific effects can be found in
Section 4 of the Reference Manual.

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IAQ Learning Module
                                 Unit 1, Lesson 4
Volatile Organic Compounds (VOCs)
including Formaldehyde

VOCs are compounds which volatilize readily;
VOCs include aromatic hydrocarbons, halogenated
hydrocarbons, alcohols, ketones, aldehydes, ethers,
esters, and others; several hundred VOCs have been
identified in indoor air (U.S. EPA, 1989).

VOCs can result in eye, nose, and throat irritation;
headaches; loss of coordination; loss of memory;
nausea; and damage to the liver, kidney, and
nervous system.  Some organic gases cause cardiac
sensitization reactions, and some are also known or
suspected of causing cancer in humans. Exposure to
mixtures of VOCs commonly found in building
materials may be an important source of sick
building complaints.  In general, however, the
health effects of exposure to VOCs through indoor
air are not well understood.

Formaldehyde, which is probably the best known
VOC, is often implicated as a cause of many indoor
air quality complaints. It is an irritant. Eye, nose,
and throat irritation, as well as symptoms including
headache, wheezing, coughing, fatigue, and skin
irritation may be experienced at the concentrations
encountered in nonoccupational environments.
Formaldehyde is also a known skin sensitizer. It has
been shown to cause cancer and mutations in
laboratory animal studies, and EPA has classified it
as a "Probable Human Carcinogen."

Pesticides

Pesticides include both organic and inorganic
chemically-based products which are used to kill
household and garden pests including weeds,
insects, termites, and  rodents.  Although  there are
data gaps for many pesticides, the EPA is in the
process of accelerated  re-registration of currently
registered pesticides.

Severe acute exposures are generally easy to deter-
mine because a history of exposure is usually
available and the symptoms are marked. Exposure to
high enough levels can result in damage to the
central nervous system, eyes, skin, heart, respiratory
tract, kidneys, and liver. Symptoms could include
headache, dizziness, blurred vision, skin rashes and
sores, apprehension, confusion, bizarre behavior,
convulsions, depression, loss of consciousness,
pulmonary edema, heart arrhythmias, muscle
weakness, paralysis, and others.

Chronic exposures can result in a variety of effects
including central nervous system dysfunction
(problems with memory, mood, fatigue), liver
damage (abdominal pain, weight loss, vomiting,
jaundice), tingling and numbness in the
extremeties, kidney damage (difficulty urinating,
incontinence), weakness, and other problems.  The
cancer-causing potential of some pesticide chemicals
is also of concern.

Mild acute intoxication or subacute poisoning is
more difficult to identify because a history of
exposure may not be apparent, and symptoms may
be nonspecific and similar to the flu.

Particulates

Particulates which can be released into the indoor
environment include inorganic fibers, metals, and a
variety of organic materials. Particulates  in the
inhalable range (10 microns aerodynamic diameter
or less) are potentially hazardous to health.

Lead exposure can affect both adults and  children,
but children (and fetuses) are at greater risk because
of their smaller body size, breathing patterns, and
the way lead is metabolized in their bodies. Health
effects include damage to the kidneys, nervous
system, red blood cells, and potential increases in
high blood pressure.  Lead exposure may  also  result
in decreased coordination and mental abilities. The
effects of lead exposure can be reversed if treatment
begins in a timely fashion and continues for the
prescribed course of therapy; however, if treatment
is delayed or stopped prematurely, then permanent
brain damage can result.

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Unit 1, Lesson 4
                           IAQ Learning Module
Exposure to lead can occur via air, water, and food.
Food is the largest contributor to the daily intake of
lead for most people, but water and air can be
important routes of exposure.

Asbestos is a naturally occurring mineral that can
separate into long flexible fibers which are micro-
scopic in size. Exposure to asbestos fibers does not
result in immediate  symptoms, but cancer and other
effects can develop years after the exposure occurs.
Mesothelioma, which is a cancer of the lining of the
lung or abdomen, is considered to be a marker
disease (specific to a contaminant) for asbestos
exposure.  Exposure to asbestos fibers can also result
in other lung cancers and asbestosis. High levels of
exposure are required to produce asbestosis, but
much lower exposures can result in asbestos-related
cancers. Smoking signficantly increases the risk of
developing  cancer. EPA has classified asbestos as a
"Known Human Carcinogen."

Combustion Contaminants

Potential contaminants from combustion sources
include carbon monoxide, carbon dioxide, oxides of
nitrogen, sulfur dioxide, formaldehyde and other
aldehydes, particulates, and water vapor.

Carbon monoxide at low concentrations can result
in fatigue and drowsiness in healthy people, and it
can cause shortness of breath and chest pain in
people with heart disease. At higher concentrations,
symptoms in healthy people can include irritability,
headaches, increased respiration, impaired vision,
lack of coordination, nausea, dizziness, confusion,
and  impaired judgment. Symptoms can be reversed
if prompt medical treatment is received. At very
high concentrations, coma and death result.

Carbon dioxide, which is also released from normal
metabolic processes, can act as both a respiratory
depressant and stimulant. Exposure to carbon
dioxide has been shown to change the blood pH and
carbon dioxide levels. It can also increase the
respiration rate and decrease the ability to perform
strenuous exercise. The long-term significance of
chronic exposure to carbon dioxide is not known,
but increases in respiratory and gastrointestinal
disorders have been postulated. Exposure to low
levels would not be likely to result in symptoms; at
higher concentrations rapid pulse and breathing
rates may be accompanied by a sensation of heavi-
ness in the chest, particularly if the person is
performing moderate activity.

Nitric oxide can interfere with the transport of
oxygen to the tissues and may increase cardiovascu-
lar stress. Symptoms of exposure to nitric oxide at
higher concentrations would be similar to those for
carbon monoxide.

Nitrogen dioxide is a deep lung irritant which can
also result in irritation of the eyes, nose, and throat.
Some epidemiological studies suggest that children
who are exposed to gas stove emissions experience
increased rates of respiratory illness, but the evi-
dence is mixed, and not conclusive. Changes in lung
function have also been observed in laboratory
studies of adults exposed to nitrogen dioxide, but
this evidence is also mixed. Asthmatics may be
particularly sensitive to nitrogen dioxide.

Sulfur dioxide, acting alone  or in combination with
particulates, can result in decreases in pulmonary
function at low levels, but the significance of these
decreases is not known. Irritation of the eyes, nose,
and throat can also result. Because of the variability
in response to sulfur dioxide in normal subjects and
asthmatic subjects, there may not be a no-observed-
adverse-effect level of exposure.

Respirable particulates from combustion sources
have been associated with eye, nose, and throat
irritation; respiratory infections; and bronchitis.
Symptoms of irritation may result at low exposure
levels. Some respirable polycyclic aromatic
hydrocarbons (PAHs) such as benzo(a)prene,
benz(a)anthracene, and others have been associated
with an increased risk of lung cancer and they are
classified as "Probable Human Carcinogens" by
EPA.

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IAQ Learning Module
                                                                                      Unit 1, Lesson 4
Radioactive Contaminants

Radon is a naturally occurring radioactive gas
which does not result in immediate symptoms. It is
estimated that about 15% of the lung cancer cases
in the United States are due to indoor radon expo-
sures (Pushen and Nelson, 1989). Smokers are at a
much higher risk than nonsmokers of developing
either asbestos-induced or radon-induced lung
cancer. Radon is classified as a "Known Human
Carcinogen" by EPA.

Airborne Biological Contaminants

Exposure to airborne pathogens and allergens such
as viruses, bacteria, fungi, dust mites, human or
animal dander, excreta from insects or arachnids, or
pollen can result in conditions such as Legionnaires'
disease, Pontiac  fever, allergic rhinitis,  bronchial
asthma, and hypersensitivity pneumonitis. Symp-
toms produced by these conditions include eye,
 nose, and throat irritation; shortness of breath;
 dizziness; lethargy; fever; digestive problems; and
 severe allergic reactions.

 Mycotoxins, which are produced by some fungi, are
 toxins which can result in direct or indirect effects
 on the body. Exposure to some mycotoxins can
 result in immunosuppression or direct effects such
 as gastrointestinal lesions, central nervous system
 impairment, and suppression of the blood-forming
 and reproductive systems. Nonspecific symptoms
 such as those associated with sick building syn-
 drome can also occur. Although the effects of these
 toxins are primarily associated with  ingestion, it is
 possible for inhalation to result in toxicity (U.S.
 EPA, 1989).

 Environmental Tobacco Smoke

 Environmental tobacco smoke can contain over
 3800 compounds, many of which are carcinogens
 and mutagens (NRC, 1986). Exposure to tobacco
 smoke has been associated with an increased inci-
 dence of lung cancer in healthy nonsmoking adults,
 and it may contribute to heart disease. Other health
effects from exposure to environmental tobacco
smoke include eye, nose, and throat irritation;
headaches; bronchitis; and pneumonia. Children
who are exposed to environmental tobacco smoke
have an increased risk of pulmonary and respiratory
infections. There is also some evidence that parental
smoking may affect the rate of lung growth in
children and increase the risk of chronic ear infec-
tions  (NRC, 1986).

SYMPTOMS,  CONTAMINANTS, AND SOURCES
(RM  4)

        As previously discussed, the health effects
of indoor air contaminants can range from  irritation
effects to death, and there is overlap among the
types of symptoms that could be caused by indi-
vidual contaminants or physical stressors.  Contami-
nants can be classified by their effects as irritants,
contaminants, narcotics and anesthetics, systemic
toxicants, carcinogens, developmental and reproduc-
tive toxicants, and airborne pathogens and allergens.
 Physical stressors include temperature, humidity,
 air movement, light, and noise.

 The  complexity of symptom patterns can complicate
 the task of relating symptoms to contaminants, but
 a knowledge of the sources of contaminants and
 general symptoms for different classes of contami-
 nants can facilitate the investigation of indoor air
 quality problems. Table 4-1 helps identify which
 specific symptoms could be caused by various
 contaminant  classes and physical stressors. This
 information can help the investigator narrow the
 contaminant  classes that are most likely causing the
 problem. Table 4-2 identifies specific contaminants
 that are associated with each contaminant class
 identified above, and Table 4-3 provides informa-
 tion on common sources of those contaminants.
 This information should help the investigator
 identify potential sources in the building that may
 be causing particular problems. More complete lists
 of sources, contaminants, and health effects are
 provided in Sections 2,  3, and 4 of the Reference
 Manual.

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Unit I, Lesson 4
                                              IAQ Learning Module
Table 4-2. Health effects of selected contaminants.1

CONTAMINANT                                 CONTAMINANT CLASSIFICATION2
                         I
A/N
                                                 ST
P/A
                                Comments
VOCs
                           x    many of these contaminants are neuro/
                                behavioral toxicants, hepatotoxicants, and
                                cardiac sensitizers
formaldehyde
                           x    may induce allergic responses
pesticides
lead
 carbon monoxide
 carbon dioxide
 nitrogen dioxide
 sulfur dioxide
                                many of these contaminants are
                                neurotoxicants, hepatotoxicants,
                                reproductive toxicants, and sensitizers
                                neurotoxic and behavioral effects which
                                may not be reversible
                                increased frequency and severity of angina
                                in patients; decreased work capacity in
                                healthy adult males; headaches, decreased
                                alertness, flulike symptoms in healthy
                                adults; exacerbation of cardiopulmonary
                                dysfunction in compromised patient
                                can also act as respiratory stimulant;
                                increased respiration and decreased ability
                                to perform strenuous tasks in humans;
                                changes in blood pH and pCO2; calcifica-
                                tion of kidneys and structural changes in
                                lungs of guinea pigs
                                decreased pulmonary function in asthmat-
                                ics; effects on pulmonary function in
                                children, perhaps adults; synergistic
                                effects with other contaminants in animals
                                and children; increased susceptibility to
                                infection in animals; animal studies
                                indicate decreased immune capability,
                                changes in anatomy and function of the
                                lungs
                                 decreased lung function in asthmatics and
                                 normal exercising males; animal studies
                                 show decreased lung function

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IAQ Learning Module
Unit 1, Lesson 4
Table 4-2.  Health effects of selected contaminants1 Continued).

CONTAMINANT                                  CONTAMINANT CLASSIFICATION2

                         I        A      A/N      ST      P/A       C    Comments
biological contaminants x
(bacteria, viruses, molds,
fungi, pollen, animal and
human dander, insects and
arachnid excreta)
environmental x
tobacco smoke
polycyclic aromatic x
hydrocarbons
asbestos x
radon
x infectious diseases; allergic reactions;
toxic effects
x irritation of mucous membranes,
cardiovascular stress, chronic and acute
pulmonary effects in children
x some are irritants and can result in
cardiovascular effects
x asbestosis at occupational exposures,
mesothelioma
x
 SOURCE:  Adapted from U.S. EPA (1989).

 'These are effects which have been associated or are thought to be associated with the individual contaminants based on toxicology or
 epidemiology studies. The concentration required for manifestation of the effect depends on a variety of factors. For some contami-
 nants, there is scientific disagreement about various effect levels, and for other contaminants, thete is insufficient data to determine
 effect levels.

 Classification Codes
 I - irritant  A - asphyxiant  A/N - anesthetic/narcotic  ST - systemic toxicant  P/A - pathogen/allergen  C - carcinogen

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Unit 1, Lesson 4
IAQ Learning Module
Table 4-3.  Potential sources off selected indoor air contaminants.
CONTAMINANT
VOCs
Formaldehyde
Pesticides
Lead
Carbon monoxide
Carbon dioxide
Nitrogen dioxide
Sulfur dioxide
RSP (Respirable participates)
PAHs (Polycyclic aromatic
hydrocarbons)
ETS (Environmental
tobacco smoke)
Biological contaminants
Asbestos
Radon
SOURCES
Perfumes, hairsprays
Furniture polish
Cleaning solvents
Hobby and craft supplies
Pesticides
Carpet dyes and fibers
Glues, adhesives, sealants
Particleboard, interior grade plywood
Cabinetry, furniture
Insecticides (including termiticides)
Rodenticides
Lead-based paint
Improperly operating gas or
oil furnace/hot water heater, fireplace,
wood stove
Paints, stains, varnishes, strippers
Wood preservatives
Dry cleaned clothes, moth repellents
Air fresheners
Stored fuels and automotive products
Contaminated water
Plastics
Urea formaldehyde foam insulation
Carpet, fabrics
Fungicides, disinfectants
Herbicides (from outdoor use)
Exterior dust and soil
Unvented gas heater/kerosene heater
Tobacco products, gas cookstove
Vehicle Exhaust
Combustion of sulfur-containing fuels
(primarily, kerosene heaters)
Fireplace, woodstove
Unvented gas heater
Fireplace, woodstove
Unvented kerosene heater
Tobacco products
Unvented kerosene heater
Tobacco products
Tobacco products
Plants, animals, birds, humans
Pillows, bedding, house dust
Wet or damp materials
Pipe and furnace insulation
Ceiling and floor tiles
Soil and rock
Some building materials
Standing water
Humidifiers, evaporative coolers
Hot water tank
Decorative sprays
Shingles and siding
Water

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IAQ Learning Module
                                       Unit 1, Lesson 4
REFERENCES

Benowitz, N.L.  1990. "Cardiovascular toxicology."  Chap. 19-
Occupational Medicine.  J. LaDou (ed). Appleton & Lange:
Norwalk, CT.

Council of American Building Officials (CABO).  1989. CABO
One and Two Family Dwelling Code.  CABO:  Falls Church, VA.

Illuminating Engineering Society (IES) of North America.
1981.  19811ES Lighting Handbook: Application Volume.
Waverly Press:  Baltimore, MD.

Kung,J.R.M.  1982.  The American Medical Association Family
Guide. Random House, Inc:  New York, NY.

National Research Council (NRC).  1986.  Environmental Tobacco
Smoke. Measuring Exposures and Assessing Health Effects. National
Academy Press: Washington, DC.

Nethercott, J.R. 1990. "Occupational skin disorders." Chap.
 17. Occupational Medicine.  J. LaDou (ed).  Appleton & Lange:
Norwalk, CT.
Pushen, J.S. and C.B. Nelson.  1989. "EPA's perspective on
risks from residential radon exposure." J. Air Poll. Control Assoc.
39(7):  915-920.

Rudolph, L. and C.S. Forest.  1990.  "Female reproductive
toxicology."  Chap. 23.  Occupational Medicine. J. LaDou (ed).
Appleton & Lange: Norwalk, CT.

Smith, M.J.  1984. "Ergonomic aspects of health problems in
VDT operators." Elsevier Series in Office Automation, 1.  Human
Aspects in Office Automation.  B.G.F. Cohen (ed).  Elsevier Science
Publishers B.V.:  Amsterdam, The Netherlands.

U.S. Environmental Protection Agency (EPA).  1989. Report to
Congress on Indoor Air Quality. Vol.11.  Assessment and Control of
Indoor Air Pollution.  EPA 400/1-89/001C. U.S. EPA, Office of
Air and Radiation: Washington, DC.

U.S. Department of Housing and Urban Development (HUD).
1985.  The Noise Guidebook.  U.S. HUD, Office of Community
Planning and Development:  Washington, DC. HUD-953-
CPD.
    PROGRESS CHECK

    1.  Identify the major dosses of toxic substances and give an example of an indoor contaminant and its source for each class.

    2.  Identify four physical stressors which may affect heohh.

    3.  A homeowner calk complaining of eye, nose, and throat irritation, fatigue, and wheezing. Which dosses of contaminants would
       you suspect?

    4.  Upon further investigation, you discover that the home is older and has not been remodeled recently. There was a broken
       water pipe, however, about 4 months ago which damaged a ceiling and carpeting. That is about the time when symptoms
       began. On which class(es) of contaminant(s) would you now focus your investigation?

    5.  What range of indoor temperature and humidity is comfortable for most people?

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UNIT 1: UNDERSTANDING INDOOR AIR QUALITY

LESSON  5
CONTROLLING INDOOR AIR QUALITY

There are three basic strategies for controlling the indoor air envi-
ronment. First, engineering strategies (source control, ventilation,
air cleaning) can be used to reduce levels of contaminants.  Second,
good building design and proper operation and maintenance of
equipment ensure the success of engineering controls.  Third, admin-
istrative controls, including both regulatory and nonregulatory
government policies, encourage or require the use of controls by
various parties such as manufacturers, building professionals, and
other individuals.

This lesson provides a summary of engineering control strategies;
discusses the importance of building design, operation procedures, and
maintenance procedures; and summarizes the potential use of admin-
istrative controls through public and private sector programs.
LESSON OBJECTIVES

At the end of this lesson, you
will be able to:

•  identify source control options for
   used to reduce contaminant
   concentrations;

   discuss the dilution and exhaust of
   contaminants by ventilation;

   discuss the removal of contaminants
   by air cleaning devices;

                       I",
   operation, and maintenance
   strategies that can be used to control
   indoor air quality; and

 •  identify and discuss administrative
   control strategies and the roles of
    public and private sectors in
    controlling indoor air quality.

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Unit 1. Lesson 5
                                                                                IAQ Learning Module
ENGINEERING STRATEGIES (RM 5.1, 5.2)

        Three basic engineering strategies can be
used to control indoor air quality. First, source
control methods reduce or eliminate contaminant
emissions from the source into the indoor environ-
ment.  Once contaminants are in the air, ventilation
can reduce concentrations by diluting indoor air
with outdoor air or by exhausting contaminants out
of the building.  Finally, contaminants can be
removed from the indoor air by air cleaning devices.

Each of these strategies is discussed below. Table
5-1 summarizes the application of these methods to
some specfic contaminants.

Source Control

Sources can be controlled by removal, substitution,
changes in their design or operation, encapsulation,
spatial confinement, or temporal use.

Removal of a source of indoor contamination is
 appropriate in situations where the source is known
 (for example, microbial contamination, cigarette
 smoking, asbestos) and is not required. In many
 cases less polluting alternatives can be substituted
 for sources. It should be noted that the removal of
 some contaminants such as asbestos and lead in
 lead-based painted surfaces can result in airborne
 emissions if removal is not conducted properly. In
 fact, in many situations in-place management of
 asbestos is more appropriate than removal.

 Emissions from some  sources can be reduced by
 changing the design of a source. This is usually
 done by a manufacturer.  Pilotless combustion
 appliances are a good  example.  However, the way
 in which individuals operate or use sources also
 affects emissions. For example, the flame adjust-
 ment on combustion sources or the application
 method for pesticides or cleaners can greatly
 influence emissions.
A source can also be encapsulated, as with the use
of sealants on building materials, so that the release
of a contaminant into the indoor air is restricted.
The use of some encapsulants, however, can release
contaminants such as VOCs into the indoor air for
varying periods of time.

Building occupants can control the release of
contaminants through the placement and use of
sources.  One technique, spatial confinement, is to
place a source in a confined area that has limited air
exchange with the remainder of the living space.
An example of spatial confinement is to place a hot
water heater in a garage.

The temporal use of sources can also reduce
exposure, even  though emissions are not changed.
Using solvents or pesticides when no one else is
present, for example, will minimize exposure.

Source control can significantly improve indoor air
quality, and in some cases, it is the only solution.
Most source control methods require little or no
upkeep and result in minimal energy penalties.
Disadvantages in some cases, however, include high
initial costs for using more expensive materials,
appliances, construction practices, or manufacturing
processes.

Ventilation

 Ventilation is needed in structures for  three basic
 reasons:  1) to replace air used by combustion
 sources; 2) to remove excess humidity; and 3) to
 remove contaminants released by indoor sources.

 Because ventilation systems are so closely tied to
 heating and cooling systems, all of these systems
 must be considered when evaluating indoor air
 quality.  The ventilation system is especially critical
 in energy efficient construction.  Section  5 of the
 Reference Manual provides a review of different
 heating and air supply systems that  might be
 encountered in residential investigations.

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IAQ Learning Module
                                Unit I, Lesson 5
Table 5-1. Examples of indoor air contaminant control strategies.

CONTROL METHOD                               CONTAMINANT

Source Control
Removal
stop smoking
eliminate kerosene heaters from living space

separate garage from house

remove pets from living space
construct physical barriers
for termite control

Substitution     x
use wood or metal building materials
and furnishings instead of interior
grade particleboard and plywood

use fiberglass or other type of
insulation instead of
urea-formaldehyde foam
replace combustion appliances
with electric appliances


replace a portable vacuum system
with a central system

replace materials that collect dust, have
water damage, or provide food sources
for insects with other materials

substitute materials which cause
allergies with those that don't

replace pesticides with physical
or biological controls

Changes in Design or Operation
pilotless combustion appliances and
more efficient burner design for gas
stoves, gas and kerosene heaters
adjust and maintain combustion
appliances to provide an efficient burn
HVAC system components that increase
outdoor air ventilation rates

heat exchangers with condensate  drains
environmental tobacco smoke
kerosene heater emissions

auto emissions

allergens

organics
formaldehyde, other
organics

formaldehyde
combustion contaminants:
oxides of nitrogen, carbon monoxide, sulfur
dioxide, particles, carbon dioxide
particulates


allergens
a variety of chemical and biological
allergenic agents
organics
combustion contaminants
combustion contaminants
allergens
allergens
                                                                                  (continued on next page)

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Unit 1, Lesson 5
                                                                             IAQ Learning Module
Table 5-1.  Examples of indoor air contaminant control strategies ((ontinued).

CONTROL METHOD                             CONTAMINANT

Source Control (continued)
Prevention	
do not build in areas of high radon
potential such as areas where uranium or
phosphate tailings have been used as fill materials

Encapsulation	
radon
cover materials that contain urea
formaldehyde with shellac, varnish,
or other barriers3

seal asbestos-containing building
materials

seal cracks in basements walls and
concrete slabs with polymeric caulksa

cover basement walls and concrete
slabs with epoxy paint, polymeric
sealant, or vinyl sheeting"

 Spatial Confinement	
formaldehyde, organics



asbestos


radon


radon
 place combustion appliances
 in isolated, ventilated rooms

 limit smoking to specific areas

 use solvents and other hazardous
 chemicals outdoors or in
 confined, ventilated areas

 Temporal Use	
combustion contaminants


environmental tobacco smoke

organics
 use solvents only when natural
 ventilation is adequate or
 when the number of people
 exposed is minimized
 use pesticides only when children,
 pets, and other adults are
 not exposed

 Ventilation

 Natural and Mechanical Ventilation
 organics
 organics
 use according to appropriate standards
 all contaminants
 "Note that the use of sealants can result in the release of contaminants such as VOCs for varying periods of time.

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1AQ Learning Module
                                Unit 1, Lesson 5
Table 5-1. Examples off indoor air contaminant control strategies ((ontinued).

CONTROL METHOD                              CONTAMINANT

Ventilation (continued)
Local (Exhaust) Ventilation
use in kitchens, bathrooms
ventilate crawl spaces
ventilate areas where solvents
and other organics are used
apply ventilation techniques
such as sub-slab ventilation

Air Cleaning

Filtration, Electrostatic Precipitation
cooking contaminants, moisture, microorganisms
radon and decay products; termiticides
organics

radon and other soil gases
use HEPA filtration and electro-
static precipitation
use flat or pleated filters for
HVAC equipment
dust, allergens, inhalable
particles
dust, some allergens
If outdoor air is of acceptable quality, ventilation
can effectively reduce contaminant concentrations
by diluting contaminated air with cleaner outdoor
air and exhausting contaminants to the outdoors. If
the outdoor air is contaminanted, it may have to be
treated to prevent the transfer of contaminants
indoors.  The exchange of outdoor air with stale
contaminated air occurs through the mechanisms of
infiltration and exfiltration, natural ventilation, or
mechanical ventilation.

        Infiltration

Minimizing infiltration is an energy conserving
strategy that can reduce heat loss,  maximize thermal
comfort, and allow for greater control of ventilation
rates. These advantages, however, can be offset by
the potential of increasing the damage caused by
condensation on cold surfaces.  Both of these factors
must be considered during construction, renovation,
and problem-solving.

Infiltration can be controlled by either reducing the
surface pressures driving the flow of air around  a
structure or reducing the air leakage into a struc-
ture.  Landscaping can be used to reduce surface
pressures on the building. Air leakage can be
reduced by first identifying the leakage points and
then sealing them. Leakage sites can be identified
using the fan pressurization method (independent of
weather), smoke sources, or by noting the leakage
points when the building is depressurized in cold
weather (ASHRAE, 1989). Caulking, weather-
stripping, and storm windows or doors  can be used
to seal leakage points.

One of the most effective ways of reducing air
leakage through the building envelope  is construc-
tion of a continuous air or air/vapor retarder. The
air/vapor retarder stops or slows the movement of air
and water vapor; an air retarder only controls air
movement, not water vapor. The air or air/vapor
retarder must be carefully installed and sealed at all
window and door openings; ceiling, wall,  and floor
junctions; electrical, plumbing, or other service
outlets. Details of construction techniques can be
found in Mann (1989), Lenchek et al. (1987), or
other housing construction books.

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Unit 1, Lesson 5
                                                                                 IAQ Learning Module
Examples of air/vapor retarders include polyethylene
sheeting, aluminum foil-faced foam insulation
boards, gypsum board primed with vapor-retarder
paint as a sealant, and paper-faced insulation batts.
Tyvek housewrap (spunbonded polyolefin) is an air
retarder (not a vapor retarder) that can reduce
infiltration by 30-40% (Mann, 1989). Vapor
retarders must be installed on the warm side of
insulation to prevent condensation from occurring
on the insulation.  Air retarders can be installed on
the warm or cold side of the framing wall, depend-
ing on the material.

Houses with low infiltration should have mechani-
cal ventilation systems or air intake openings to
ensure good indoor air quality and proper humidity
levels; combustion appliances should  be equipped
with a separate outdoor combustion air supply to
prevent backdrafting of flue gases.

         Natural Ventilation

 Natural ventilation can be provided through
 windows, skylights, roof ventilators,  doors, louvers,
 jalousies, specially designed inlet or outlet openings,
 stacks connected to registers, or other openings.  Air
 intakes should be located so that fresh air is drawn
 into the building, but contaminated  air from nearby
 sources is not. Exhausts should be located so that
 they do not exhaust  into air intakes of the same or
 other buildings.

 Opening windows, doors, and skylights can produce
 effective ventilation, but this method is limited by
 weather conditions.  Special openings such as wall
 vents can also be installed to provide fresh air
 ventilation. All windows should be  accessible and
 operable.

 For maximum effectiveness, windows should be
 located in opposing  pressure zones.  Two openings
 on opposite sides of a space increase  the ventilation
 flow. Ventilation to a greater area can be provided
 by locating openings on adjacent sides. If a room
 has only one external wall, widely spaced windows
 can maximize airflow.
Windows at the same level and near the ceiling will
be less effective. To take advantage of the stack
effect, the vertical distance between openings should
be maximized. Thermally induced ventilation is
least effective for openings close to the NPL.  The
greatest air flow per unit area of total opening will
result from inlet and outlet openings that are nearly
equal in size.

Roof ventilators are weather-proof air outlets that
use the wind to help draw air out of the interior
space. It  is important to position the roof ventilator
so it receives the full, unrestricted wind. Roof
ventilators, which can be powered or unpowered,
come in a variety of configurations that can be
installed on the roof or in gables. These devices
prevent moisture from trapping in the attic and
reduce cooling costs in the summer.   Stack or
vertical flues should also be located so that wind can
act on them  from any direction.

        Mechanical Ventilation

Mechanical ventilation results in air exchange by
 using fans to force the air to move between the
 inside and outside of a building. Mechanical
 ventilation can remove contaminants from entire
 buildings or from localized areas within a building.
 In each case, fans, which can range in size from
 small fans to large whole house fans, are used to
 force air out of or into a house, to recirculate air, to
 cool or heat air, or to clean air by passing it through
 a filter.

 Exhaust ventilation uses exhaust fans to draw air
 out of a building,  creating a slight negative indoor
 pressure  which draws fresh air in through available
 cracks and openings. Exhaust fans that are properly
 rated and ducted to the outside can effectively
 remove contaminants and moisture from entire
 houses or from localized areas such as kitchens,
 bathrooms, and clothes dryers.

 The best method of removing contaminants from
 the  kitchen (combustion gases, smoke, grease,
 moisture, and odors) is a range hood exhaust which

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IAQ Learning Module
                                 Unit 1, Lesson 5
is ducted to the outside. An aluminum mesh screen
filter, which can easily be removed and cleaned,
traps grease; and a fan or blower exhausts smoke and
moisture to the outside. Ductless hoods filter the
air through aluminum and activated carbon filters
and return the air back into the kitchen through
louvers in the front of the hood. These hoods have
been used more often in recent years as an economi-
cal alternative to ducting to the outside. The filters
must be cleaned regularly.  Ductless hoods are far
less effective than ducted hoods in removing
contaminants and are not recommended.

Fans which exhaust the entire kitchen can also be
used, but they are not as effective as ducted range
hoods. If kitchen exhaust fans are used they must
be ducted to the outside and should be located as
close to the range as possible.

Whole house ventilation can be very effective in
cooling an entire house without air-conditioning.
Whole house exhaust fans (sometimes called attic
fans) can be installed in a variety of locations
including in the attic, on the roof,  in a wall, or in a
window. Regardless of location, it is important for
air to circulate freely to the fan. Openings  may be
sealed during the winter to reduce  heat loss.  If the
exhaust fan is not balanced by  infiltration, air intake
vents, or windows, a backdraft from chimneys or
flues can result, or soil gases such as radon may be
drawn in through the basement foundation. If
radon is a problem, a whole house fan may  not be
advisable.

Supply ventilation uses supply fans to draw air
indoors, causing a slight positive indoor air pressure
which tends to force air outside through available
cracks or openings. Supply fans can be used to
ventilate entire homes or only  one  level of a home.
Advantages of using supply fans include reductions
in contaminant levels, reductions in cold drafts from
cracks, and the ability to control the source of
supply air.

Central forced-air systems are heating, ventilating
and conditioning systems that rely on fans  to
circulate room air through ducts, pass the air
through a filtering system to clean it, and redistrib-
ute the air throughout the home after the air has
been heated, cooled, or otherwise conditioned.
Residential central forced-air heating and cooling
systems can be modified to reduce contaminant
levels by installing air cleaning devices and/or an
outdoor air connection (Figure 5-1).

The outdoor air connection is a three-to six-inch
duct that brings outside air into the return side of
the furnace (where the room air enters the furnace).
The amount of outdoor air that is introduced is
controlled by a damper. Care should be taken to
ensure that the outdoor intake vent is located away
from outdoor sources  of contamination.

Some jurisdictions now require an outdoor air
connection in new houses.  The cost of an outdoor
air connection in most new construction is minimal
(about $100), but there is an energy penalty regard-
less of whether the house is new or older.

The outdoor air connection is different from the
combustion air supply for the furnace. Many
existing furnaces can  be retrofitted with an outdoor
air supply, but care should be taken to make sure
that the furnace  can accommodate  this kind of
connection. If an outdoor air supply can be in-
stalled, it can provide a reasonably cost effective
method for providing sufficient dilution ventilation.
During cold weather, condensation can occur.

Evaporative coolers (also known as swamp coolers)
can result in effective air exchange (10 to 20 ach),
and they can simultaneously cool and humidify the
air. They are most effective in dry climates.  As
outside air is forced through a water saturated filter
to the inside of a structure, the air is cooled as water
absorbs heat from the air and evaporates.  One
disadvantage of evaporative coolers is that the filters
can foster microbial growth, and they should be
cleaned and serviced regularly.

Ventilation with beat recovery can be an effective
method for providing outdoor air ventilation while

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Unit 1, Lesson 5
                           IAQ Learning Module
Figure 5-1.  Example of a residential heating system with an outdoor air connection.
    Conditioned
    Spaces
     Outdoor
     Air
     Connection
SOURCE: Adapted from Energy Design Update. Cutter Information Corp: 37 Broadway, Arlington, MA 02174. Used with permission.
 maximizing energy efficiency.  Heat recovery
 ventilators (air-to-air, ground-to-air, or water-to-air
 heat exchangers) provide controlled ventilation at
 high air exchange rates while conserving the energy
 needed for heating and cooling. A heat recovery
 ventilator usually consists of two small fans and a
 heat transfer unit which are mounted in a box that
 is connected to the interior and exterior of the house
 by metal ducts. There are many different types of
 heat transfer units which consist of a matrix of
 alternate layers of metal, plastic, or treated paper
 plates.  (Paper plates may pose problems because
 they tend to collect moisture and dirt and can
 become perforated).

 During the heating season the supply fan draws cold
 outside air through specific passages in the matrix
 before it is distributed throughout the house. At
 the same time, the exhaust fan draws warm room air
from the house through alternate passages in the
matrix. The heat from the exhaust air is absorbed
by the matrix and transferred to the supply air. The
two airstreams  never meet.

As the warm air comes into contact with the cool
plates of the matrix, condensation can form. The
condensed moisture is a problem for two reasons. It
can freeze and block the movement of air, and it can
become a reservoir for bacteria and fungi which can
be carried into  the room air. Improved units have
an automatic defroster and drain to prevent mois-
ture accumulation.

Heat recovery ventilators can effectively ventilate
tightly sealed areas and they are energy efficient.
The units typically are mounted in the basement,
crawl space, utility room, or attic; they can also be
mounted in walls or ceilings. Another advantage is

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IAQ Learning Module
                                 Unit I, Lesson 5
that they balance supply and exhaust air streams.
Disadvantages include cost ($150 to $1500) and
potential problems associated with condensation in
older units.  These units require regular cleaning to
reduce the risk of microbial contamination.  Calcu-
lations of overall energy efficiency should include
the energy required for the fans. Units tend to be
more cost effective in colder climates.

Air Cleaning Devices

Air cleaning devices can also be used to reduce the
levels of some contaminants, but they are not a
substitute for source control or adequate ventilation.
Contaminants can be removed either from the
outdoor air before it enters the home or from the
recirculating air inside the home. Air cleaners for
residential use can be effective in removing some
particles, but may be of limited value in removing
gases and vapors. If air cleaning devices are used,
they must be properly sized and maintained.

Commercially available air cleaning devices are
based on the principles of filtration, electrostatic
attraction, or adsorption.  Filtration and electro-
static attraction reduce particulate contaminants
and adsorption reduces gaseous contaminants.  Air
cleaners come in  many different sizes and configura-
tions, and their performance varies  considerably.

Portable units include small table top units and
larger console units which are intended for localized
situations.  Some air cleaners can be located cen-
trally, or in the HVAC ducts, to clean air from the
entire house.

It should be noted that expected removal efficiencies
for air cleaning devices are not the same as the
effectiveness of the unit in actual use.  Efficiency
only measures the percent removal  of contaminants
in the air that flows through the air cleaning device.
Effectiveness in use  depends on how much of the
interior air actually  goes through the unit in a given
time period. These differences are discussed in more
detail later in this lesson.  A summary of available
information on air cleaning devices is available from
EPA (U.S. EPA, 1990).

        Removal of Particles by Filtration

Filtration removes particles by a mechanical barrier
which allows only particles of a certain size to pass
through. Filters can be made of fiberglass, metal, or
natural fibers. Some filters are disposable, and
others must be cleaned for reuse.  As the air stream
passes through the filter, particles are removed by
the fibers through direct interception, inertial
deposition, diffusion, and electrostatic effects. The
relative importance of each of these collection
mechanisms varies with particle size. Diffusion
dominates for particles less than 0.01 microns in
diameter while interception and inertial impaction
dominate the removal of particles greater than 1.0
micron in diameter. For all filters, there is a particle
size for which the removal efficiency is at a mini-
mum. Some of the factors that affect filter efficiency
include fiber size, fiber density, air flow rate, and
particle diameter.

Mechanical filters can be grouped into panel filters
and extended surface filters, (including high
efficiency particulate air (HEPA) filters).  Section 5
of the Reference Manual compares the performance of
these types of filters based on standard ASHRAE
performance tests (tests are explained in the Reference
Manual).

Panel filters consist of a filtering medium (coarse
glass, animal hair, synthetic  fibers, animal fibers,
metals, foils) held in place by a rigid or flexible
frame.  The filter fibers have a low packing density
and are usually coated with a viscous substance (oil,
for example) which traps particles. Panel filters are
inexpensive (approximately $l-$2 for furnace
filters).  They are characterized by a low pressure
drop across the filter and a high removal efficiency
for very large particles such as lint, but a very low
removal efficiency for respirable particles.  Perma-
nent panel filters must be cleaned regularly, usually
with steam or water and detergent.

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Unit I, Lesson 5
                            I A Q Learning Module
The filters typically used in residential forced-air
heating and cooling systems are low air resistance
fiberglass panel filters that remove larger particles.
They are used primarily to keep the ventilation
system clean and, in part, to protect the equipment.
Some individuals may be sensitive to the oils, resins,
disinfectants, and scents that may be used in the
manufacture of the filters.  These low efficiency
filters are also used as prefilters in air cleaners.

Extended surface filters (also called pleated filters)
are basically panel filters that have been pleated or
folded to provide more filter surface per unit area of
filter face. The filter  media may stand alone or be
encased in a frame. These filters are more efficient
and can hold more dust than comparable panel
filters.  By extending the surface of the collecting
medium, the flow velocity through the filter is
reduced, and this reduces the pressure drop across
the filter. Therefore,  denser and more efficient filter
media can be used while maintaining acceptable
pressure drops.

High efficiency particulate air (HEPA) filters are
extended filters that remove submicron particles
with high efficiency (greater than 99-97% removal
efficiency for particles 0.3 microns and larger). In
some designs, HEPA filters consist of a core filter
that is folded back and forth over corrugated
separators that add strength to the core and form the
air passages between the pleats. The filter is
composed of very fine submicron glass fibers in a
matrix of larger fibers (1 to 4  microns).

In the typical furnace system, the standard low
efficiency filter can be replaced by a medium
efficiency filter but not by a HEPA filter. If it is
not part of the original installation, the HEPA filter
must be installed in a separate housing.  Some
manufacturers, however, do make HEPA filter-
containing furnaces.

HEPA filter room and whole house air cleaners
range in cost from about $200 to $2000. Air flow
capacity ranges from about 100 cfm for smaller
units to 2000 cfm for larger units.
Charged-media filters combine aspects of both
mechanical filters and electrostatic filters, and they
can be both ionizing and nonionizing.  The electret
filter is a relatively new product that consists of a
charged-media filter that attracts dust particles onto
permanently charged plastic films or fibers called
electrets.  The positive and negative charges can be
produced  by the friction of air flowing over the
filters or as a result of high-voltage  imprinting
during manufacture. These filters have high
particulate removal efficiencies, and they do not
produce ozone. However, they must be cleaned
regularly, and there is some controversy about their
efficiency after they have been loaded with particles
(Fisk */*/., 1987).

        Removal of Particles by Electronic
        Air Cleaners

Electronic air cleaners use an electrical field to trap
charged particles. Like mechanical  filters, they can
be installed in central heating and/or cooling system
ducts,  or they may be portable units with fans.
Electronic air cleaners include electrostatic precipi-
tators; ion generators are sometimes classified as
electronic air cleaners.

Electrostatic precipitators apply a charge to
particles which are then removed from the air by
becoming attracted to oppositely charged plates.
Electrostatic precipitators have a high removal
efficiency for small particles.

In residential and commercial applications, ionizing
flat-plate precipitators are widely used. Residen-
tial units  typically consist of two stages.  Particles
are ionized in the first stage and collected in the
second stage.  In some cases, the electrostatic
precipitators have prefilters to remove large particles
or adsorbents such as charcoal to remove gaseous
contaminants after air leaves the precipitator. The
removal of gaseous contaminants is discussed below.

Because of the high voltages which are used in
electrostatic precipitators, some safety precautions
are needed.  Electrostatic precipitators should shut-

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IAQ Learning Module
                                 Unit 1, Lesson 5
off automatically when doors to the high voltage
parts are opened.

The collection surfaces of electronic electrostatic
precipitators must be cleaned regularly
(manufacturer's recommendations may be once per
month to once every few months with soap and
water in residential  units) to remove the accumu-
lated dust particles. In some air cleaners the cells
must be removed  for cleaning, but in other designs
the cells are cleaned in place.

The generation of ozone may be a problem if there is
continuous arcing and brush discharge or if the
units are not properly ventilated or maintained.
Some individuals  may be sensitive to ozone concen-
trations of 0.1 ppm or less (WHO, 1987).

Average removal efficiencies of up to 98% at low air
flow velocities (150 to 350 fpm) can be achieved
with individual units (ASHRAE,  1989). Efficiency
decreases as the collecting plates become loaded or if
the collection velocity is variable or too high.
Whole house units have expected removal efficien-
cies of 50% to over  95% depending on the unit and
the paniculate to  be removed (ASHRAE, 1989).

Ion generators are portable devices that use static
charges to remove particles from the air. These
devices  charge particles so they are attracted to
surfaces such as walls, floors, draperies, occupants,
and furniture. These units may have a collector to
attract the charged particles back into the unit or
may be  equipped  with other removal devices such as
mechanical filters. If ion generators do not have
collection units, soiling of walls and other surfaces
may occur. Advertising claims may include state-
ments about the harmful effects of positive ions on
health and the beneficial health effects of negative
ions, but these claims are controversial.

        Removal of Gases

The technology for  removing gases from residential
and commercial buildings is not as established as
particulate control technology, and it is not possible
with current data to evaluate the overall effective-
ness of air cleaning devices in removing gaseous
contaminants.

Adsorption is a technique that is used to remove
gaseous contaminants from indoor air environments.
Gaseous contaminants are attracted to and retained
on the surface of materials such as activated char-
coal, alumina, and silica gel. The gas is the adsor-
bate and the solid material is the adsorbent.  The
degree of adsorption depends on the surface area of
the adsorbent, the volume and size of pores in the
adsorbent, the concentration of the contaminant,
and the chemical properties of the contaminant.
The efficiency of adsorption devices is inversely
proportional to the amount of contaminant which
has been captured. As the adsorbent is used over a
period of time, efficiency decreases.

Physical adsorption is a process in which the
contaminant  is retained on the surface of the
adsorbent by the forces of attraction between the
contaminant  and the adsorbent.  Eventually  the
adsorbent becomes saturated and  unable to remove
any more of the contaminant.  Chemisorption is a
process in which molecules of the contaminant
become chemically bonded to the surface of the
adsorbent. It is a more selective process than
physical adsorption, and it is often irreversible.

Adsorbents need a large surface area per unit mass
in order to efficently remove contaminants.  For air
cleaning applications, air can be passed through a
bed of adsorbent that is up to a few centimeters
thick.

Activated charcoal is  the most commonly used
adsorption medium.  When activated charcoal
becomes saturated, it must be replaced or regener-
ated.  Because it is nonpolar, it can remove some
organic compounds, particularly high molecular
weight compounds, such as those contained  in
cooking odors or in solvents which are used in
paints, polishes, waxes.

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Unit 1, Lesson 5
                           IAQ Learning Module
Until recently, tests evaluating the removal of
gaseous contaminants by activated carbon have been
conducted using high concentrations of contami-
nants. Recent work by EPA suggests that the useful
lifetime of activated carbon filters at the low
concentrations (ppb range) typically found in indoor
air may be short because contaminants quickly
penetrate the 6-inch deep carbon filters which are
currently marketed for odor control in in-duct
systems (Ramanathan et al., 1988). Another
concern is the ability of activated carbon to reemit
trapped contaminants (U.S. EPA, 1990).

Adsorbents can be impregnated with other chemi-
cals (potassium permanganate, phosphoric acid,
sodium sulfite, sodium carbonate, and metal oxides)
to improve their performance. Activated charcoal
alone, for example, is not effective for compounds
with low molecular weights such as formaldehyde.
Formaldehyde can be adsorbed by sorbents such as
activated alumina impregnated with  potassium
permanganate and by activated carbon impregnated
with sodium sulfide.  However, effectiveness of
formaldehyde removal during residential applica-
tions has not been verified, and some data suggest
that large quantities of sorbent and high air flow
rates may be needed for effective removal.

         Effectiveness of Air Cleaners

Efficiency vs effectiveness: Efficiency is a term that
refers to the ability of the collecting medium to
capture contaminants from the airstream that passes
through it.  Efficiency is usually expressed as a
percent. The effectiveness of an air cleaner refers to
its ability to reduce particulate concentrations in the
room air. The effectiveness of an air  cleaner is
determined by its efficiency, the amount of air
handled, position in the room, and other factors.

It is important to distinguish between  efficiency
and effectiveness.  A filter may be rated 99%
efficient which means that it will remove 99% of
the particles that move through it, but if the filter
has a low flow rate (if it only handles 10 cfm) it will
take a relatively long time to treat the air in a
typical room of 1000 ft3. This filter can be de-
scribed as efficient, but it is not effective.

Particulates: There is controversy about the ability
of air cleaners to reduce the health effects produced
from larger particles such as pollen, house dust,
molds, animal dander, and some other allergens. It
is thought that these larger particles settle on
surfaces before they can be captured by the air
cleaning device.

Pollen and some molds, however, can be effectively
controlled by an air conditioner. Also, it appears
that some household dust allergens can be as
effectively controlled by impermeable coverings on
mattresses as by air cleaners (U.S. EPA, 1990).

There are several factors which can affect the
performance of particle air cleaners. For example, if
filters do not fit snugly into holders, effectiveness
decreases because air bypasses the filter. Some
portable units, in particular, may not have effective
seals. Also, air cleaners should be properly sized for
the space to be cleaned. Undersized units will not
be effective.

The placement of portable devices is important.
When sources are known, units should be placed so
that the intake is near the source. The outlet of air
cleaners should not be blocked by walls, furniture,
or other obstructions.

The efficiency of air cleaning filters is rated by
ASHRAE  Standard 52-76.  This standard allows the
efficiency of different units to be compared with one
another, but it does not rate the effectiveness during
use. A  more recent standard developed by the
American National Standards Institute and the
Association of Home Appliance Manufacturers
(ANSI/AH AM AC-1-1988 standard) rates the clean
air delivery rate (CADR) for portable air cleaners
while in use (AHAM, 1988). The CADR is a
measure of the volume of air that a device cleans of a
specific test contaminant. A CADR rating of 100
for dust means that the air  cleaner may reduce dust
particles to the same concentration as would be

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1AQ Learning Module
                                 Unit 1, Lesson 5
achieved by adding 100 ft3 of "clean" air each
minute. The effectiveness of room air cleaners is
rated for test dusts of tobacco smoke, pollen, and
dust.  The ANSI/AHAM program is relatively new
and only a limited number of air cleaners have been
tested. Section 5 of the Reference Manual provides
more information on these standards.

Evaluations conducted by Consumers Union (CU,
1985; 1989) and others have shown that portable air
cleaners vary considerably in their ability to remove
particulates from indoor air.  In the 1989 evalua-
tion, units with electrostatic precipitators and
HEPA filters (CADRs in the range of 120-290 cfm)
more effectively removed particulates and smoke
than units with flat filters (CADRs in the range of
100-130 cfm). CADRs for 21 console units were
higher (30-290 cfm) than for 6 table-top units (10-
130 cfm).  Overall, there was considerable variabil-
ity among the  units.

Gases: There are limited data on the effectiveness
of air cleaners in removing gases. The performance
of solid sorbents depends on the flow rate of air
through the sorbent; the concentration of the
contaminant; the presence of other gases, vapors and
humidity; the amount of sorbent; and the physical
and chemical characteristics of both the contami-
nants and the sorbent. In general, as contaminants
accumulate on the sorbent the efficiency of the
sorbent decreases.

Cleaners for gaseous contaminants are usually rated
in terms of the sorption capacity and penetration
time, which is the amount of time before the
capacity of the sorbent is reached.  One problem in
evaluating these cleaners is that the testing methods
are not standardized, but the National Institute of
Standards and  Technology is in the process of
developing a standard method to be  used in evaluat-
ing the effectiveness of media used for gaseous
contaminant removal (U.S. EPA, 1990). Evalua-
tions are also limited because the effect of additional
contaminants on the removal process has not  been
evaluated, and the tests do not replicate the actual
indoor environment.  Preliminary information
indicates that air cleaning devices may be able to
reduce some specific contaminants at least on a
temporary basis, but they probably cannot remove
all of the various contaminants which are typically
present in an indoor environment (U.S. EPA, 1990).

DESIGN, OPERATION, AND MAINTENANCE
STRATEGIES (RM 5.1, 5.2)

        Adequate design, proper operation and
maintenance, and appropriate energy management
of commercial and  residential buildings are critical
for maintaining good air quality. Architects and
builders can play a significant role in minimizing
indoor air quality problems by ensuring the:

    •   consideration of proposed uses of space and
        potential sources of contaminants;

    •   design of interior spaces to provide good air
        flow, adequate light levels, and low noise;

    •   consideration of potential heat loads due to
        penetration of sunlight;

    •   use of low contaminant-emitting building
        materials;

    •   design of heating, ventilating, and cooling
        systems to exhaust contaminants from
        known sources and to ensure an adequate
        supply and distribution of outdoor ventila-
        tion air throughout the building;

    •   design of the heating, ventilating, and
        cooling system to prevent outside contami-
        nants from entering the outside air intake,
        and to provide adequate access to filters,
        condensate pans, ductwork, and other
        system components;

    •   adherence to minium code requirements;
        and

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Unit 1, Lesson 5
                           IAQ Learning Module
    •   incorporation of additional control mea-
        sures into the design, if necessary, to
        maintain a healthful indoor air environ-
        ment.

Responsibility for good air quality does not end with
the design and construction of buildings.  Building
managers and individuals can promote good air
quality in both new and older construction by:

    •   operating equipment properly;

    •   implementing maintenance activities such
        as regular cleaning of heating, ventilating,
        and cooling components which minimize
        indoor air quality problems;

    •   developing indoor air quality protocols for
        the use of cleaning products, paints and
        related supplies; pest management; roof
        repairs or replacement; and odor control;

    •   following energy management techniques
        consistent with good indoor air quality
        management practices.

Since the energy crisis of the 1970s, the concept of
energy management in buildings has become an
important objective of designers and managers of
residential and commercial buildings.  There has
been a push to tighten building envelopes and
reduce outdoor ventilation air in order to  save
energy costs. However, building managers and
homeowners should understand that energy conser-
vation strategies must  incorporate the need for outdoor
ventilation air.  The proper operation of HVAC
systems can be a very  effective strategy to control
indoor air contaminants at the same time that
energy is conserved.

ADMINISTRATIVE  CONTROLS

        Administrative controls include actions
which inform the public about indoor air quality
issues or actions which encourage or require that
certain steps be taken to protect building occupants.
The administrative control of indoor air pollution
problems includes both regulatory and
nonregulatory options.

Nonregulatory Approaches

Government, consumer protection professionals,
health professionals, and industry all play important
roles in furthering nonregulatory approaches to
indoor air quality problems.  Research, training and
technical assistance, public information, and
voluntary standards and guidelines may be used to
identify indoor air quality problems and solutions.

Research is used to determine the nature of the
problem, its magnitude, and methods of control.
The Federal government is a leader in conducting
and sponsoring research, and both the public and
private sectors benefit from Federal government
research activities through technology transfer
programs.  Academic institutions, industry, state
and local governments, and professional associations
also contribute to the scientific data base.

Training and technical assistance programs
develop expertise which can be used to implement
policy objectives, solve problems, or establish indoor
air quality programs.

Information dissemination to inform the public
about indoor air quality problems and solutions is
particularly important because a well-informed
individual can significantly reduce exposures
through the wise selection and use of products and
services.

Standards and Guidelines

Standards and guidelines are frequently issued by
private sector organizations and governments.
While the majority of private sector standards are
voluntary (nonregulatory), they can become the
basis  for acceptable professional practice, and are
often incorporated into government regulations by
reference.  Governments can issue standards and
guidelines as either regulatory or voluntary policies.

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IAQ Learning Module
                                Unit 1, Lesson 5
Standards and guidelines that are most important to
indoor air include:

Air quality standards which specify maximum
concentrations of a contaminant beyond which
health risks are deemed to be unacceptable;

Source emission standards which specify maximum
rates at which a contaminant can be emitted from a
source;

Ventilation standards which specify minimum
rates for the introduction of outdoor air into indoor
spaces;

Building codes which are frequently issued as
regulations by state and local governments and
provide design and construction specifications for
buildings and building systems;

Maintenance guidelines which specify procedures
and timetables for operating and maintaining
building equipment; and

Diagnostic and measurement protocols which
 establish methodologies for measuring and assessing
 indoor air quality problems.

 Regulatory Approaches

 Regulations impose requirements on individuals or
 organizations and carry the force of law.  Generally,
 they contain provisions for either civil or criminal
 penalties for noncompliance. The most common
 regulations relevant to indoor air are specific to a
 given contaminant or source.  Different types of
 regulations include:

     •   a  ban or restriction on the use of specific
         chemicals or products such as asbestos or
         chlordane;

     •   a  requirement that products meet certain
         standards such as  the requirements for
         oxygen sensors on unvented gas heaters or
       the product standards for formaldehyde in
       manufactured housing;

    •  requirements for testing and certification,
       such as for pesticides prior to manufacture;

    •  labeling standards for specific products such
       as cleaners, pesticides, sealants, paints, and
       solvents which require disclosure of infor-
       mation about chemical contents, effects,
       and instructions for proper use.

ROLES AND RESPONSIBILITIES (RM 5.3)

       .Many different entities in the public and
private sectors are responsible for the control of
indoor air quality through the implementation of
these strategies.  Some of their roles and responsi-
bilities are outlined in Table 5-2.  It is clear that
none of these groups or roles can stand alone; each
depends on the expertise and cooperation of the
others for the effective control of indoor air quality
problems.

Private Sector Roles

The private sector has a significant role to play in
both the policy-making process and in the design,
operation, and maintenance of systems and products
to ensure a healthful indoor air environment.

     •   Manufacturers, engineers, architects and
        builders can design, manufacture, and build
        products and structures that minimize
        indoor air quality problems.

     •   Occupants can properly use and maintain
        products and equipment, and building
        owners and managers can properly operate
        and maintain buildings to reduce indoor air
        quality problems.

     •   Environmental health and other related
         professionals can educate the public about
         indoor air quality, conduct research  to

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Unit 1, Lesson 5
                           IAQ Learning Module
        identify problems and recommend solu-
        tions, and participate in the policy-making
        process.

        Consumers are responsible for properly
        maintaining their homes and making
        intelligent choices about consumer goods
        and services.
Governmental Roles

Federal, state, and local governments have signifi-
cant responsibilities in the effort to control indoor
air contamination. For other environmental health
problems, the Federal government has developed
mandatory standards directed toward limiting the
levels of contaminants in the environment, but in
the area of indoor air quality, it has taken the lead in
research and in making new information available.
This shift in its role is due in part to the widespread
nature of indoor air quality problems and the
inherent difficulties in regulating the sources of
indoor air contaminants, especially in residences.

At the federal level, there are many agencies such as
the EPA, Department of Energy, Consumer Product
Safety Commission, Department of Transportation,
Department of Health and Human Services, and
others which are involved in indoor air quality
activities.  All of these agencies are important
resources for consumers, the private sector, and state
and local agencies. Current information about
federal agencies, their activities, status of programs,
and contact persons can be obtained from a publica-
tion which EPA updates on an annual basis (U.S.
EPA, 1990).  This publication, Current Federal
Indoor Air Quality Activities, can be obtained from
the Public Information Center, U.S. EPA, Washing-
ton, D.C. 20460.

The establishment of state and local indoor air
quality programs  is an important strategy for
ensuring programs and activities that are responsive
to state and local  needs. State and local govern-
ments must take  the lead in identifying and study-
ing local problems and adopting appropriate control
strategies. Sometimes these activities have been
conducted with the assistance of the Federal govern-
ment (for example, the radon testing program).
EPA in conjunction with the Public Health Foun-
dation has published a document, Directory of State
Indoor Air Contacts which identifies state agencies
and agency contacts by indoor air quality contami-
nants/problems (U.S. EPA, 1988).  This directory is
also available from the EPA Public Information
Center.

One of the primary ways that state and local
governments can  control indoor air pollution is
through the adoption and enforcement of building
codes for the design, construction, and ventilation of
residential and commercial buildings.

-------
Table 5-2. Public and private sector roles.
                                           PUBLIC AND PRIVATE SECTOR ROLES


Individuals
Find low
emission products
in purchasing
decisions.




Maintain and use
products to minimize
emissions.




Exercise discre-
tionary control
over ventilation
to ensure clean
air supply.


Be knowledgeable
of indoor air
quality problems
and take actions
to avoid personal
exposure.


Consumer
and Health
Professionals
Be knowledgeable
of symptoms, effects,
and mitigation and
advise clients.




Develop informa-
tion and education
programs to
constituent publics.




















Manufacturers
Adopt test proce-
dures and standards
to minimize product
and material
emissions.



Adequately label
products as to
emission level,
proper use, and
maintenance of
products.

Substitute mater-
ials to minimize
emissions from prod-
ucts manufactured.



Develop training
programs for
commercial users to
ensure low emissions.

Conduct research to
advance mitigation
technology.

Building Owners
and Managers
Adopt ventilation
maintenance
procedures to
eliminate and prevent
contamination and
ensure an adequate
supply of clean air
to building occupants.
Use zone ventila-
tion or local
exhaust for indoor
sources.



Develop specific
procedures for use
of cleaning solvents
paints, herbicides,
insecticides, and
other contaminants
to protect occupants.
Adopt investiga-
tory protocols to
respond to occupant
complaints.





Builders and
Architects
Adopt indoor
air quality as a
design objective.





Ensure compli-
ance with indoor
air quality
ventilation
standards.


Adopt low emis-
sion requirements
in procurement
specifications for
building materials
from manufacturers.

Contain or ventilate
known sources.







State and Local
Governments
Conduct studies
of specific problems
in state or local
area and adopt
mitigation strategies.



Establish build-
ing codes for
design, construction,
and ventilation
requirements to
ensure adequate
indoor air quality.
Enforce and
monitor
compliance.




Educate and inform
building community,
health community,
and public about
problems and
solurions.



Federal
Government
Conduct research
and technology
transfer programs.





Coordinate the actions
of other sectors.





Conduct specific
programs to inform
encourage, or
require specific
sectors to take
actions toward
mitigation.








                                                                                                                             to
                                                                                                                             r
                                                                                                                             I
                                                                                                                             §
SOURCE: EPA ([989)

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Unit 1, Lesson 5
                               IAQ Learning Module
REFERENCES

American Society of Heating, Refrigerating and Air-Condition-
ing Engineers (ASHRAE).  1985.  1985 ASHRAE Handbook.
Fundamentals. ASHRAE: Atlanta, GA.

American Society of Heating, Refrigerating and Air-Condition-
ing Engineers (ASHRAE).  1984.  1984 ASHRAE Handbook.
Systems.  ASHRAE: Atlanta, GA.

American Society of Heating, Refrigerating and Air-Condition-
ing Engineers (ASHRAE).  1988.  1988 ASHRAE Handbook.
Equipment.  ASHRAE: Atlanta, GA.

Consumers Union. 1985. "Air cleaners." Consumers Reports.
50(1):  7-11.

Consumers Union. 1989. "Air purifiers." Consumers Reports.
54(2):  88-93.

Fisk, W J., R.K. Spencer, D.T. Grimsrud, F.J. Offerman, B.
Pedersen, R. Sextro.  1987. Indoor Air Quality Techniques.
Radon, Formaldehyde, Combustion Products. Noyes Data
Corportation:  Park Ridge, NJ.

Lenchek, T., C. Mattock, and J. Raabe.  1987. Superinsulated
Design and Construction.  Van Nostrand Reinhold Co. New
York, NY.
Mann, P.A. 1989 Illustrated Residential and Commercial
Construction. Prentice Hall: Englewood Cliffs, NJ.

Ramanathan, K., V.L. Debler, M. Kosusko, and L.E. Sparks.
1988. "Evaluation of control strategies for volatile organic
compounds in indoor air." Environmental Progress. 7(4):  230-
235.

Sandia National Laboratories.  1982. Indoor Air Quality
Handbook. Sandia Report Sand82-177 3- Sandia National
Laboratories: Albuquerque, NM.

U.S. Environmental Protection Agency (EPA).  1988. Directory
of State Indoor Air Contacts. EPA/400/1-88/003. U.S. EPA,
Office of Air and Radiation:  Washington, DC.

U.S. Environmental Protection Agency (EPA).  1990. Current
Federal Indoor Air Quality Activities.  EPA 400/10-90/006.  U.S.
EPA, Office of Air and Radiation: Washington, DC.

U.S. Environmental Protection Agency (EPA).  1990. Residen-
tial Air-Cleaning Devices.  A Summary of Available Information.
EPA 400/1-90/002.  U.S. EPA, Office of Atmospheric and
Indoor Air Programs: Washington, DC.
    PROGRESS CHECK
    1.
    3.  Whidt removal options are based on increasing the exchange of contaminatdrarwim fresh, dean air?

    4.  Which options are based on the removal of contaminants from the air stream by physical or chemical means?

    5.  Compare ways of controlling or providing ventilation using infiltration, natural ventilation, and mechanical ventilation.

    6.  What is a fresh air connection? Evaporative cooler? Heat recovery ventilator?

    7.  What indoor air problems con result from a heat recovery ventilator?

    8.  What is the difference between a panel filter and a HEPA filter?

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UNIT 2:  MEASURING AND EVALUATING PROBLEMS

LESSON 6
INDOOR AIR QUALITY MEASUREMENTS

During the past few years technological advances have resulted in
the ability to detect ever smaller concentrations of contaminants with
equipment that is increasingly user friendly and compact. However,
the measurement of indoor air contaminants remains an undertaking
that requires careful thought and preparation in order to ensure that
data of high quality will be collected.  An investigator's develop-
ment of expertise in the measurement of indoor air contaminants
depends on an understanding of the basic principles of the measure-
ment process including options for sampling and analysis, sources of
error, and quality assurance. Detailed information on specific
methods and equipment is provided in Section 6 of the Reference
Manual.
IESSON OBJECTIVES

At the end of this lesson you
will be able to:

•  identify different options for
   equipment used to monitor indoor
   air contaminants;

•  identify sources of error in the
   measurement process and ways to
   minimize errors; and

•  describe important components of a
   quality assurance program.

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Unit 2, Lesson 6
                           IAQ Learning Module
TYPES OF MEASUREMENT METHODS (RM 6)

        The term "measurement" is a broad term
that encompasses the measurement of air contami-
nants; physical parameters such as temperature,
humidity, atmospheric pressure, ventilation rates,
and air exchange rates; characteristics of the build-
ings being investigated; and the health and activity
patterns of occupants.  This lesson focuses on the
measurement of air contaminants.

Before indoor air contaminants can be characterized
they must be collected and analyzed. Measure-
ment method describes the overall procedure that
is used (sampling plus analytical method). Sam-
pling method is a term that describes the collection
of the air contaminant; these methods and the
equipment used for collection  (samplers) do not
analyze the data. Sampling methods can be active
(pumps move air) or passive (air movement by
diffusion). Analytical method refers to the chemi-
cal method that is used to identify and quantify the
contaminant. Monitoring method refers to
measurement methods in which electronically-based
equipment is used to both collect and analyze the
air contaminant. Active or passive methods can be
used  to deliver air to the detector, but a power
source is typically required for analysis. In this
lesson, the terms sampling equipment and samplers
will also be used to refer to monitoring equipment
and monitors.

 Measurement methods can be direct or indirect
 reading.  Direct reading methods are those in which
 sample collection and analysis are accomplished in
 one step; the results are determined as the sample is
 collected. Many of these methods are electronically
 based in which a sensor detects an input signal that
 is converted by mechanical and electrical compo-
 nents into a concentration or other measurement
 that  can easily be interpreted.  Other direct reading
 methods rely on colorimetric  indicators to react
 chemically with a contaminant to produce a color
 change which can be interpreted according to a
 calibrated scale. Although most direct reading
 methods require moderate to  large capital expendi-
tures, they can be economical if many analyses are
required (for example, in routine sampling for
carbon monoxide, carbon dioxide, radon, particu-
lates, and other contaminants).

Indirect reading methods are those in which
sampling and analysis are accomplished in two
steps.  The sample is collected onto or into a
substrate which undergoes a separate analysis,
typically in a laboratory.  Particulates can be
collected onto a filter and gases can be collected into
a liquid or onto solid chemicals or chemically
treated papers. Some indirect reading analytical
methods such as the gravimetric analysis of particu-
lates are relatively moderate in cost (about $25 for
each gravimetric analysis), but other methods such
as gas chromatography and/or mass spectroscopy for
gases can be very expensive ($200-$300 per sample
analyzed). If the costs for sampling  and analysis are
combined, these methods can be characterized as
moderate to expensive.

Measurement methods can also be grouped accord-
ing  to required sampling times, portability, pres-
ence of an air mover system, and collection and
analytical methods. Section 6 of the Reference
Manual contains a summary of indoor air sampling
equipment with information on these and other
parameters including lower detectable limits,
sampling rates, estimated prices, weight, and
dimensions.  The final selection of equipment will
depend on operating and performance specifications,
labor requirements and costs which are outlined in
Table 6-1.

Sampling Time

 Based on the length of time a contaminant is
 measured, sampling equipment (and monitoring
 equipment) can be classified as continuous, inte-
 grated, or grab.

 Continuous samplers provide a real-time record of
 contaminant concentrations. The equipment can
 provide very reliable data, but it is generally

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IAQ Learning Module
                                       Unit 2, Lesson 6
Table 6-1. Factors to consider in the selection of measurement methods and equipment.
     Measurement Objectives:

     Operating Specifications:



     Performance Specifications:



     Labor Requirements:


     Costs:
screening or in-depth

size; weight; power source requirements; range; flow
rates; heat output; temperature requirements;
exhaust requirements; noise

accuracy; precision; range; minimum detectable
limits; zero and span drift; interferences; linearity;
recording capability; lag, rise and fall times

operation; calibration; maintenance; analysis;
personnel (number and expertise)

purchase of equipment and supplies; operation;
calibration;  maintenance; training
References that provide useful descriptions of equipment include Lioy (1983); Nagda and Rector (1983); Nagda, Rector and Koontz (1987); and
Wallace and Ott (1982).
expensive, time intensive, and requires extensive
training to use.

Integrated samplers provide an average concentra-
tion over a period of time ranging from minutes to
weeks to months. Some samplers can provide data
sequentially in an automatic mode without needing
a technician to change parameters.  One disadvan-
tage of integrated methods is that concentration
highs and lows are lost.  Equipment for integrated
methods is low to moderate in cost and some
training is required  for use, but the required
training is not as extensive as for continuous
methods.

Grab samplers provide a concentration measure-
ment at a single point in time.  The equipment is
inexpensive  to moderately expensive, depending on
the number  of samples to be taken.  Minimal
training is required, but the data are not very
reliable.
       Portability

       After the required time frame for sampling has been
       identified, sampling equipment can be selected
       based on the need for mobility or spatial variation.
       Based on this criterion, equipment can be classified
       as stationary, portable, or personal.

       Stationary samplers operate from a fixed location.
       The equipment is generally bulky, heavy and
       requires a power source. Continuous samplers are
       usually stationary.

       Portable samplers are small enough to be conve-
       niently carried from place to place. Most equip-
       ment uses batteries for power, but some also has the
       option of using direct current. Integrated and grab
       samplers are typically portable, but some continuous
       equipment can also be portable. (Note: Batteries
       should be removed from battery-operated samplers
       when not in use to ensure proper charge, especially
       when a battery level indicator is not present.)

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Unit 2, Lesson 6
                                      IAQ Learning Module
Personal samplers are lightweight, quiet, and can
easily be carried or worn by a person.  Although
personal samplers may be preferred for many
sampling problems, they are not available for all
contaminants.  If personal samplers are not avail-
able, portable methods are usually favored over
stationary methods because they are generally less
expensive and easier to use.

Air Mover Systems

Air mover systems, which are classified as either
active or passive, transport contaminated air into the
air sampling measurement device.  Particles and
gases can be sampled using either system.

        Active Samplers

Active samplers (Figure 6-1) use an air mover
system powered by a pump to draw the contami-
nated air through a collector or sensor. Continuous,
integrated, or grab samples of gases or particles can
be collected; these samples can be analyzed on-site
           or taken to a laboratory for further processing. The
           volume of air moving through an active sampler and
           the resulting concentrations can be determined
           more accurately than with passive samplers.  On the
           other hand, these samplers require more training
           than passive samplers, and they are also noisier and
           bulkier.

           Active samplers range in complexity from simple
           bellows and piston pumps which  are used with
           colorimetric tubes or dosimeter badges to mass flow
           controlled direct reading instruments.

           The personal sampling pump is an active air mover
           system that is widely used in indoor air measure-
           ments.  These compact battery-operated units can
           handle flow rates from 1 ml/min  to 4500 ml/min.
           They are easy  to operate, require minimal training,
           and can sample a broad range of contaminants using
           adsorption tubes, filters, bubblers, colorimetric
           tubes, and air bags to collect the contaminant for
           further analysis.
Figure 6-1.  Examples of active samplers.
      A. Portable Sampler for Gases
   Air In
Paniculate
  Filter
  Impinger
    With
  Absorbing
  Solution
 o
   t
                                         Trap
            (also bag or
          adsorption tube)
       B. Personal Sampler
Flowmeter
                              Airflow
      115V Adapter
      Charge Plug
                                                                                      Sample Cartridge
                                                                                                   ir In
                    Tubing
                         Personal Sampling Pump
                                     (also filter, adsorption tube,
                                        or colormetric tube)

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IAQ Learning Module
                                 Unit 2, Lesson 6
        Passive Samplers

Passive samplers (Figure 6-2) do not have pumps to
move the air through the sampling device; rather,
contaminants diffuse or permeate through the
collecting medium.  Contaminant concentrations
can be read directly or further analysis may be
required.  These samplers have the advantages of
being lightweight, compact, and inexpensive for
single samples. They are easy to use and require
little or no training. They are good for initial
screenings, and are commonly worn by an indi-
vidual to estimate personal exposures. Disadvan-
tages include decreased sensitivity and limited
accuracy (usually ± 25% or more). Passive samplers
provide integrated data rather than real  time data.
If the sampler is not direct  reading, the  additional
time required for analysis may be a drawback to its
use. Section 6 of the Reference Manual  provides a
summary of some passive sampling methods.

Collection Methods

        Particles and Aerosols

Particles and aerosols can be sampled using filtra-
tion, inertial, gravity, electrostatic, or thermal
collectors.  Section 6 of the Reference Manual
summarizes some commonly used collection
methods for asbestos, other fibers, inhalable particu-
lates, and metals. Filtration and inertial collectors
have been the most widely used methods because of
ease of use, low cost, and broad applications.

Filtration is a technique  in which filters are used to
collect particles which are subsequently analyzed for
metals, organic compounds, fibers, microorganisms,
and radon progeny.  The choice of filter type in a
given situation depends on the general  characteris-
tics of the filter, background filter impurities, flow
resistance over time, collection efficiency, ease of
analysis, cost, and availability. A wide  variety of
filters is available including cellulose, glass fiber,
membrane, and nucleopore.  Interest in collecting
respirable particles (those that are 10 microns or less
in diameter) has resulted in the increased use of
inertial collectors.  These collectors can separate
particles  in the gas stream according to particle size
using impaction, impingement, or centrifugal force.

        Gases and Vapors

Gases and vapors can be collected using both active
and passive systems with two basic collection
techniques:  1) collection into a suitable container
such as a bag, bottle, or canister; and 2) removal
from the air and concentration by adsorbing or
absorbing the gas onto a solid or into a liquid
solution.

Plastic sampling bags can be used for collecting
integrated samples for periods ranging from instan-
taneous samples to 8-hour samples.  Samples can
remain stable for hours to several days.  Some
common bag materials include Mylar*1, Teflon®, and
polyethylene.

Absorption is a process in which gases are trans-
ferred into a liquid or solid medium in which they
dissolve.  The concentration of the gas that is
dissolved in the liquid or solid increases until an
equilibrium is established with the concentration of
the gas in the air.  Continued sampling past this
point  will not increase the concentration of the gas
in the solution.

Adsorption is a method of collecting gases in which
the gas is attracted to, concentrated in and retained
on a substrate.  After the gas has been collected, it
can be removed from the adsorbent for analysis by
treatment with chemicals, heat, or inert gases. Solid
sorbents have been used to determine volatile
organic  compounds in indoor air; activated charcoal
has been a commonly  used sorbent in passive and
active samplers. Other adsorbing agents include
activated alumina, silica gel, and porous polymers
(Tenax-GC, Chromosorb, Porapak Series, Amerlite
XAD-2).

 Solid  sorbents can provide an integrated sample of
varying time (typically 8-12 hours), and because of

-------
Unit 2, Lesson 6
                           IAQ Learning Module
Figure 6-2.  Examples of passive samplers.
        a. HCHO Diffusion Monitor     b. N02 Diffusion Monitor
               CSOjPassive Bubbler
                                                                Breathing
                                                                 Zone
                                                                Sampling
                                                                                Area Sampling
        a. ©3M Occupational Health and Safety Products Division. With permission.
        b. Air Quality Research International. With permission.
        c. Air Technology bbs. With permission.
 the small size of sampling tubes and pumps, they
 are easy to use in a variety of indoor situations.

 Analytical Methods

 The number of analytical methods available for
 identifying and  quantifying contaminants and
 physical stressors can be overwhelming. Most
 indoor air quality investigations will be handled by
 relatively few methods, but it is useful to have an
 awareness of other methods that could be used in
 special circumstances.

        Physical Stressor Detectors

 Temperature: Room air temperature can be
 measured by liquid-in-glass thermometers (alcohol
or mercury), resistance thermometers (platinum,
thermisters), thermocouples, and bimetallic ther-
mometers. Analog thermometers can be purchased
for less than $10, and the cost of digital thermom-
eters is about $35 to $100.

Humidity: Humidity is commonly measured as the
relative humidity which is the ratio of the amount
of water vapor in the air at a specific temperature to
the maximum amount of water vapor that the air
could hold at that temperature. Relative humidity
can be measured using hygrometers or psychrom-
eters.

Analog hygrometers can be purchased for as little as
$35; digital units that can also measure temperature
and are traceable to the National Institute of

-------
IAQ Learning Module
                                 Unit 2, Lesson 6
Standards and Technology (NIST), formerly the
National Bureau of Standards (NBS), can be pur-
chased for about $200. (See discussion below under
standard materials)

The sling psychrometer has a thermometer holder
that telescopes into a swivel handle which  has a
slide rule that contains scales for relative humidity
and wet- and dry-bulb temperatures.  The psy-
chrometer is whirled by hand to produce the air
velocity required to determine the wet-bulb tem-
perature which is needed along with the dry-bulb
temperature to read the relative humidty.  Sling
psychrometers can be purchased for about  $75. A
powered psychrometer can be purchased for about
 $350, but this level of expense is not needed.

 Light:  The intensity of visible light can be mea-
 sured using light meters. These meters measure the
 quantity of light per unit area in foot-candles (ft-c).
 Light meters can measure light intensities over a
 broad range (from 0 to 99,900 ft-c). Analog meters
 can be purchased for about $100 and digital meters
 can range from about $150 to $300, depending on
 the range of light to be measured and whether the
 meters  are traceable to NIST.

 Air Motion: In most situations air movement can
 be measured using analog or digital meters and
 smoke  tubes. When using meters to measure air
 motion it is important to use devices that are
 nondirectional or to monitor the orientation of the
 meter carefully to ensure that the true air speed is
 being measured.

 Air velocity can be measured in rooms  or inside
 heating and ventilating  ducts, grilles, and diffusers.
 The unit of measurement for air velocity  is feet per
 minute (fpm) or meters  per second (mps). Some
 meters also contain scales for measuring static
 pressures in ducts. A mechanical air velocity meter
 kit that can measure velocities, and differential
 pressures at a variety of locations costs  about $1000.
 Mini-sized air velocity meters, which can measure
 the same air velocity range but not static pressures,
can be purchased for about $250 to $500. These
mechanical systems do not require power sources or
batteries.

Direct readings of airflow [in cubic feet per minute
(cfm) or cubic meters per second (cms)} can be
obtained with air volume meters.  Standard-sized
units cost about $1700 and mini-sized meters cost
about $1000. Both units have hoods of different
sizes which fit directly over supply and exhaust
openings that channel the air through a manifold to
a specially designed base that senses airflow and
averages the  results. A wide range of flows can be
measured  (0 to about 2000 cfm).

Smoke tubes or smoke candles release visible smoke
which blends readily with air to aid in  observing
airflow.  These devices should be used cautiously
because they can trigger fire alarms and the smoke
can be irritating.  Smoke tubes or candles can be
purchased in different sizes depending  on the
 amount of smoke to be generated. Costs are about
 $2 to $7 per tube or candle.

 Noise: There is a variety of equipment available for
 measuring noise.  For most evaluations, the sound
 level meter (A-weighted scale) will provide suffi-
 cient information. In some instances an octave band
 analyzer may be needed. Meters with the A-
 weighted scale only can be purchased for about
 $300; an acoustical calibrator (about $200) must
 also be purchased. Meters that have more capability
 are slightly  more expensive.

         Particle and Aerosol Detectors

 Particles and aerosols are most commonly collected
 onto a filter medium and the analyzed gravimetri-
 cally or by other methods, but instruments are
 available which can provide a direct reading of
 particles without an intermediate step. These
 instruments are relatively complex and expensive
 (from $500 to over $10,000).  They operate by
 sensing some property of the particulate such as
 size, electrical charge, or mass.

-------
Unit 2, Lesson 6
                                                                                 IAQ Learning Module
Instruments for measuring particulates can be
grouped into four categories: optical detectors,
piezoelectric detectors, beta attenuation detectors,
and electrical detectors. Optical detectors can be
useful in routine indoor air quality investigations.
The other techniques are probably more appropriate
in outside air quality, occupational, or research
investigations.

Optical detectors are based on the interaction of
particles with light. These instruments can deter-
mine particle size and number. Particles in the size
range from 0.5 to 10 microns can be detected with
single particle detectors.  Instruments which can
analyze fibrous aerosols, including asbestos, are also
available.

        Gas and Vapor Detectors

There are many instruments that can detect con-
taminants in the gaseous phase at the same time
they are being sampled. Although they are more
expensive than indirect reading methods (typically,
 several thousand dollars to over $10,000) and
 require skilled operators, they may be cost effective
 for contaminants which are routinely measured.

 Some situations such as the investigation of faulty
 furnaces or gas leaks require direct reading instru-
 ments. In other situations, the convenience of a
 direct reading is attractive because it eliminates
 potentially lengthy turnaround times in a labora-
 tory.

 In general, there are seven analytical methods that
 can be applied to the analysis of gases and vapors
 (Nader, Lauderdale, and McCammon, 1983). These
 methods are electrical, electromagnetic,  chemi-
 electromagnetic, thermal, gas chromatography,
 magnetic, and radioactive.  They can be incorpo-
 rated into direct reading field instruments or
 laboratory-based instruments and techniques.  They
 are described in Section 6 of the Reference Manual.
        Direct Reading Colorimetric Indicator
        Devices

One of the most commonly used techniques for
gases (and some particulates such as lead) is the
colorimetric indicator device. These devices, which
can be active or passive, are widely used in indus-
trial hygiene and emergency response applications
to sample contaminants at relatively high concentra-
tions (in the range of the OSHA standards). This
technique is generally inadequate for indoor air
monitoring because of the lack of specificity of some
tubes and accuracy.  Nevertheless, there may be
some instances when these devices can be usefully
employed.

These devices rely on the chemical reaction between
a contaminant and a reagent to produce a color
which can be  interpreted visually or optically. They
may consist of liquid reagents, chemically treated
papers, and glass indicating tubes containing solid
chemicals. The color changes can be observed as a
length of stain on a calibrated tube or a color change
in a tube or badge which is compared to a standard
color chart.

If these methods are used, cautions should be
observed. Devices should be refrigerated, stain
fronts or color changes  should be read immediately
after sampling, and  pumps should be checked for
 leaks and calibrated regularly.  And, most impor-
 tant, the accuracy and lower detectable limits
 should always be foremost in the mind of the
 investigator when selecting these devices and
 interpreting results.

 MINIMIZING ERRORS (RM 6.2,  63, 6.4)

 Sampling Protocol

 One important way of minimizing errors is to
 develop a sampling protocol or written plan before

-------
IAQ Learning Module
                                 Unit 2, Lesson 6
sampling begins. The protocol is a valuable tool
which can ensure that the measurement problem has
been thought-out, and that time, money, and
resources will be optimized to provide quality data.
The protocol should include basic information such
as what will be sampled and how, where, when, and
by whom the sampling will be accomplished.  A key
component of the protocol is  the evaluation of data
reliability through the use of a quality assurance
plan.

The selection of appropriate equipment, and the
proper operation, routine maintenance, and calibra-
tion of equipment are critical to the success of any
sampling program. Calibration is a check on the
sample collection system and the  analytical method
to verify that accurate measurements are made. It is
the cornerstone of any sampling protocol and can
make or break the validity and usefulness of the
collected data.

It is the investigator's responsibility to know each
piece of equipment or method that  will be used and
to identify maintenance and calibration require-
ments before sampling begins. Maintenance and
calibration schedules should be delineated in the
protocol and followed strictly.

Instructions should also be included on sample
handling, storage, and transport.  Directions for
calculations and criteria for accepting data should
also be included in the protocol along with other
quality assurance procedures.  In developing the
protocol, it is a good idea to seek  advice from both a
chemist, industrial hygienist, or other person who
has expertise with the proposed analytical methods
and a statistician, if the project involves multiple
locations or  measurements. If the sample is to be
collected and then analyzed at a later time  in the
laboratory, the investigator must  also be sure that
the laboratory personnel follow a  quality assurance
program.

A major objective in designing a  sampling program
is to collect  a representative sample—one that
reflects the exposure that is being experienced. This
requires careful attention to sample size and selec-
tion of methods (Section 6 of the Reference Manual).
Failure to collect a representative sample can be an
important source of error in any investigation.

Quality Assurance

Quality assurance (QA) describes the activities
needed to provide assurance that high quality data
are being collected. The objectives of a quality
assurance program are to ensure that the data are
accurate, precise, complete, representative, and
comparable. Factors in a quality assurance program
include:

    1)  adequately trained and experienced person-
        nel;

    2)  proper equipment and facilities in good
        working order;

    3)  written sampling, calibration, and mainte-
        nance procedures and schedules;

    4)  data validation programs;

    5)  chain-of-custody procedures; and

    6)  a supportive management team.

Quality control refers to that part of the quality
assurance plan that directly measures data reliability
through calibrations and other checks such as blanks
and duplicates.

Ideally, a good indoor air quality sampling program
will have a written plan that incorporates as many of
the components of an ideal quality assurance
program as possible. Although such a plan may not
be required, it is sound practice to develop and use
as many of the components as feasible.  Additional
information on the elements of quality assurance
programs for quality measurements  are discussed in
EPA ambient air quality assurance documents (U.S.
EPA 1975, 1977, and 1980) and in  the compen-
dium of methods for indoor air (U.S. EPA, 1989).

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Unit 2, Lesson 6
                           IAQ Learning Module
An example quality assurance plan for indoor
environments is given in GEOMET Technologies,
Inc. (1985).

        Accuracy and Precision

All measurement methods are subject to error.
Accuracy and precision are two measures of data
quality that help evaluate errors in the measurement
process (Section 6 of the Reference Manual discusses
each in greater detail). Accuracy is a measure of
how close data points are to the true result, and
precision describes the variation or scatter among
the results (Figure 6-3).  Precision is a measure of
the uncertainty of the average concentration—it is
not related to the true concentration.

Accuracy is affected by sources  of error that can be
identified and controlled. These errors are known as
systematic errors because they result in measured
values that are consistently above or below the true
value. Systematic errors can arise from many sources
including errors in calculation, incorrect calibra-
tions, contaminated reagents, interferences, im-
proper operation of equipment, and improper
handling and storage of samples.  Systematic errors
cannot be treated by statistical methods.

Precision is affected by sources of error that are
random and cannot be controlled. Sources of
random error include variations in equipment such
as airflow fluctuations, variations in the contami-
nants being tested, and variation  in the analytical
methods, including instrument responses.  Random
errors can vary in magnitude and direction, and they
are never completely eliminated.  Random errors
can be accounted for and minimized by statistical
techniques.  For example, random errors can be
minimized by increasing the size of the sample.

Ideally, the sampling or analytical method that is
employed will be both accurate and precise.  How-
ever, it is possible for a method to have high
precision, but  low accuracy because of improperly
calibrated equipment or inaccurate measurement
techniques.  Alternatively, a method can be accu-
rate, but imprecise, because of low instrument
sensitivity or factors beyond the investigator's
control.

        Interferences

Interferences are chemicals or factors other than the
contaminant of interest which react during sam-
pling or analysis to give concentrations that are
higher or lower than the true value. Interferences
can result in significant sampling errors and must
be considered before a sampling method is selected.
Most standard methods and equipment specifica-
tions identify major interferences.

When standard methods are not used, it is impor-
tant to review the literature to obtain information
on potential interferences.  The potential impact of
interferences on the data can be estimated, and then
a decision can be made to try another method,
ignore the interference, or correct for the interfer-
ence. Ignoring interferences and correcting results
are common practices, but they should be ap-
proached cautiously.

Reporting only corrected results obscures informa-
tion that affects the validity of the data.  For
example, data that have a 5% correction factor for
interferences will likely be viewed differently than
those that have a 25% or 50% correction factor. If
correction factors are applied, they should always be
reported along with the data.

         Limit of Detection and Limit of
         Quantification

The limit of detection (LOD) is the smallest
quantity or concentration of a contaminant for
which an analytical method will show a response.
The limit of quantification (LOQ) is the smallest
quantity or concentration that can be quantified in
an environmental sample.

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IAQ Learning Module
                                                       Unit 2, Lesson 6
Figure 6-3. Accuracy and precision.
       Imprecise and
        Inaccurate
Precise but
Inaccurate
        Accurate but
         Imprecise
Precise and
 Accurate
SOURCE: Adapted from The Industrial Environment - Iti Evaluation and
Control. C.H. Powell and A.D. Hosey. (eds). 1965. Health Services
Publication No. 614. U.S. Dept. Health, Educ., and Welfare:
Cinncinati, OH.
        Blanks, Duplicates, and Standard
        Materials

Blanks: The term "sample blank" refers to the
concentration of a contaminant that is present in the
medium (chemical, filter) that is used to collect the
sample. For example, if radon is sampled using
track-etch detectors and all samplers are deployed,  it
will not be possible to know if there is any contami-
nation of the sampler.  However, if a number of
samplers are held back and remain sealed and
unexposed, then they can be sent back to the
laboratory and analyzed, allowing any contamina-
tion to be detected. The value of the sample blank
should always be subtracted from the measured
concentration.  If the blank concentration is greater
than the measured concentration, the collected data
should be regarded as invalid.
About 10% of the total number of samples collected
should be blanks, and at least one blank should be
included in each measurement batch.

Duplicates: Duplicate samples are those which are
collected and handled in exactly the same way as the
regular samples. Duplicate samples should be
collected for indirect reading methods and some
direct reading methods. The use of duplicate
instruments for direct reading methods is usually
reserved only for research applications when the
method is being investigated.

Duplicate samples provide an additional check on
the quality of the data, and they should agree very
closely with one another.  A useful guideline is to
have duplicates for about 10% of the total number
of samples collected.

Standard Materials: Standard materials are those
for which purity and concentration have been
verified by an outside agency.  NIST, EPA, and
NIOSH all provide standard materials that can be
used in the calibration of equipment and laboratory
analytical methods. Section 6 of the Reference
Manual contains a list of materials which can be
obtained from NIST; a list of the EPA's regional
Quality Assurance Offices which can be contacted to
obtain more information about standard materials is
also included. EPA does provide, at no charge,
cylinders of standard gases, including hazardous
organic compounds, that may be used to audit the
performance of indoor air measurement systems.

        Calibration

Calibration is the establishment of a relationship
between various standard materials and the mea-
surements of them obtained by all or part of a
measurement system. The levels of standard
materials which are used should bracket the range
of levels for which measurements will be made.

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Unit 2, Lesson 6
                                                                                 1AQ Learning Module
In the case of direct reading instruments, calibration
standard materials (calibration standards) are used to
quantify the relationship between the output of a
sensor and contaminant concentrations.  This
relationship allows the user to know that the
instrument is responding accurately (or inaccu-
rately) to contaminants in the air.

Without proper calibration of equipment and
methods, the sampling results cannot be assumed to
be accurate and reliable. Considerable money and
time can be wasted in the long run when investiga-
tors skimp on calibration.

Sampling pumps, flowmeters, analyzers, calibration
gases, and laboratory analytical procedures must all
be calibrated.  It is essential for any chemical
reagents or gases that are used in the calibration to
be of the highest reliability.  This means they must
be certified in some manner; materials that are
traceable back to NIST will provide the highest
 reliability.

 The frequency of calibration varies depending on
 the requirements of data acceptability, performance
 between scheduled calibrations, and manufacturer's
 recommendations. The conditions under  which the
 instruments are used and the number of people
 using the instruments and their skill levels should
 also be considered.  A general rule is to calibrate
 before and after each sampling period if equipment
 is turned off or transported between measurements.

 Methods of calibration for equipment and laboratory
 methods are specified in EPA methods and several
 references (Taylor, 1987; Katz, 1977; and EPA,
 1977; 1989; NIOSH, 1984); these should be used
 whenever possible. Section 6 of the Reference Manual
 contains more information on the calibration of
 equipment.

          Proficiency Testing

 Proficiency testing is an external quality  control
 check that involves the analysis of reference samples
 once or twice a year. Certified samples are sent to
laboratories for analysis. The laboratory's perfor-
mance is judged by the accuracy of the analysis.
Proficiency testing is a commonly used technique in
industrial hygiene and environmental analysis. It
provides additional assurance about the quality of
the data produced by laboratories.

Proficiency testing is not routinely available in
indoor air quality work; however, programs do exist
for the measurement of radon and asbestos.  These
programs are administered by EPA, and EPA
publishes a list of companies that pass the perfor-
mance tests.  Selecting a company that passes the
proficiency test provides additional assurance that
quality data will result. EPA also provides compari-
son standards (audit materials) for the compendium
methods through the Atmospheric Research and
Exposure Assessment Laboratory, Quality Assurance
Division, MD-77B, Research Triangle Park, NC
 27711.

         Validation of Collected Data

 The validation of data is a final critical point in the
 measurement process, and the investigator should
 have a set of criteria by which to judge the validity
 of collected data. These criteria should include the
 following:

     1)  instruments should operate properly during
         sampling periods (if an instrument or pump
         is not operating at the end of a designated
         sampling period, the data collected during
         that time period should not be used);

     2)  analysis of blanks and duplicate samples,
         and calibrations must be performed prop-
         erly and be within pre-determined limits
         during the times the data were collected;

      3)  extreme values must be checked to deter-
         mine causes;

      4) calculations and data transfers must be
         performed properly; and

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IAQ Learning Module
                                 Unit 2, Lesson 6
    5)  results should be evaluated to determine if
        they are consistent with other measure-
        ments.

In general, it is best to flag data which are outside
the designated data validation criteria. Data which
do not meet the designated acceptable criteria, with
few exceptions, should not be included in statistical
summaries. There is a real temptation to rationalize
the inclusion of data that are outside the designated
data validation bounds because of the effort that
goes into data collection, but this should be resisted.
Report only those data in which there is confidence.

There are instances when data will be useful in a
qualitative evaluation even though they may not
pass all of the validation criteria.  If data that have
not met  the inclusion criteria are included  in a
report, be sure to flag them  for the reader,  clearly
pointing out the problems and deficiencies.

Always keep in mind how data will be used. Will a
decision about a health risk be made?  Will a policy
decision be made?  If the data are to be used for
critical decisions, it is far better to repeat measure-
 ments and incur the extra expense, rather than
 including lesser quality data that may have far-
 reaching consequences.  The investigator must
 exercise  careful judgment in deciding the validity of
 data.

 Data that are within pre-designated acceptable
 criteria but are either much higher or lower than
 other measurements should be included in the data
 summary. Statistical tests can be applied to deter-
 mine if a value is an "outlier," but even when
 outliers  are verified statistically,  they should be
 included in the report of the data.  Under  no
 circumstances should data arbitrarily be excluded
 from a report simply because they do not fit the
 mold. If, after careful evaluation of the entire
 sampling process, no reason can be found to exclude
 the data, they should be reported as valid.  How-
 ever, outliers may be treated differently in the
 analysis and interpretation of data.
STANDARD METHODS (RM 6)

        Standard methods or procedures do not
currently exist for the measurement of all indoor air
pollutants, but EPA has developed 21 methods for 9
categories of contaminants plus two methods for
determining air exchange rates (U.S. EPA, 1989).
In addition, there are some ambient air quality and
industrial hygiene procedures which are suitable for
indoor air quality investigations.

EPA's Compendium off Methods for
Indoor Air

In response to the  need for specific guidance on the
determination of indoor air contaminants, EPA has
developed methods for the determination of selected
contaminants in indoor air.  However, EPA cautions
that these methods at this time are not certified and
are not officially recommended or endorsed by EPA.
The following methods have been developed:

     1)  volatile organic compounds using summa®
        stainless steel canister sampling or solid
        adsorbents;

     2)  nicotine using XAD-4 solid adsorbent,
        active filter cassettes, or passive filter
        cassettes;

     3)  carbon monoxide and carbon dioxide using
        nondispersive infrared spectroscopy or gas
        filter correlation;

     4)  nitrogen dioxide using continuous luminox
        LMA-3, Palmes diffusion tube, passive
        sampler badge, or a transducer technology
        electrochemical technique;

     5) formaldehyde using solid adsorbent Sep-
        PAK 2,4-DNPH cartridge, passive sampler
        badge, or a continuous CEA monitor;
     6)  benzo(a)pyrene and other polynucl
         aromatic hydrocarbons in air using ,
         combination quartz filter/adsorbent
lear

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Unit 2, Lesson 6
                                                                        IAQ Learning Module
    7)
cartridge with subsequent analysis by gas
chromatography with flame ionization and
mass spectrometry detection or high
performance liquid chromatography;

selective pesticides using low volume
polyurethane foam sampling with gas
chromatography/electron capture detector;
    8)  acid, bases, aerosols, and paniculate matter
        using an annular denuder coupled with
        filter pack assembly or transition flow
        reactor;

    9)  paniculate matter using an impactor with
        filter pack assembly or a continuous
        paniculate monitor; and

    10) air exchange rate using perfluorocarbon
        tracer or tracer gas.

Whether or not a specific method will be appropri-
ate for a given application will depend on economic
resources, available expertise, and the application
itself. Not all methods will be appropriate or
possible for routine sampling applications.

Information on the EPA methods can be obtained
from the EPA Atmospheric Research and Exposure
Assessment Laboratory, Research Triangle Park,
NC 27711.

Canadian Indoor Air Test Kit

The Building Performance Division of Technology,
Architectural and Engineering Services within
Public Works Canada has developed an indoor air
quality test kit (Public Works Canada, 1988) which
is intended to be simple, easy to use, and require
little technical training.  This kit includes an
investigation strategy that begins with a prelimi-
nary assessment followed by measurements with
simple instruments and complex instruments, if
needed.

Step-by-step instructions are contained in the test
kit which includes equipment for measuring carbon
dioxide, carbon monoxide, formaldehyde, radon,
volatile organic compounds, relative humidity,
temperature, and air movement.

More information about this kit can be obtained by
contacting the Architectural and Engineering
Services Division, Public Works Canada, Sir Charles
Tupper Building, Riverside Drive, Ottawa, Ontario,
K1AOM2.

MIOSH Analytical Methods

The National Institute for Occupational Safety and
Health (NIOSH) publishes a manual of analytical
methods that includes 350 methods for over 600
substances (NIOSH, 1984). However, these
methods were developed for the industrial environ-
ment, and many of the substances are not relevant
for other indoor air quality problems. Nevertheless,
some of the methods, particularly those for formal-
dehyde and volatile organic compounds are used
successfully by NIOSH in investigating nonindus-
trial workplaces. The manual is available from the
U.S.  Government Printing Office.

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IAQ Learning Module
                                       Unit 2, Lesson 6
REFERENCES

GEOMET Technologies, Inc. 1985. "Quality Assurance Plan
for Indoor Environment Program," GEOMET Report No. ES-
1528, GEOMET Technologies, Inc.:  Germantown, MD.

Katz, M. (ed).  1977. Methods of Air Sampling and Analysis.
2nd edition.  American Public Health Association: Washing-
ton, DC.

Lioy, PJ. (ed). 1983.  Air Sampling Instruments for Evaluation of
Atmospheric Contaminants.  6th edition. American Conference of
Governmental Industrial Hygienists:  Cincinnati, OH.

McConnaughey, P.W., E.S. McKee and I.M. Pritts.  1982.
"Passive colorimetric dosimeter tubes for ammonia, carbon
monoxide, carbon dioxide, hydrogen sulfide, nitrogen dioxide,
and sulfur dioxide".  Toxic Materials in the Atmosphere: Sampling
and Analysis. ASTM Special Technical Publication 786.
 American Society for Testing and  Materials: Philadelphia, PA.

 Nader, J.S., J.F. Lauderdale, and C.S. McCammon. 1983.
 "Direct reading instruments for analyzing airborne gases and
 vapors." Chap. V. Air Sampling Instruments. 6th edition.
 American Conference of Governmental Industrial Hygienists:
 Cincinnati, OH.

 Nagda, M.L. and H.E. Rector.  1983. Guidelines for Monitoring
 Indoor Air Quality. EPA-600/4-83-046. U.S. Environmental
 Protection Agency: Washington, D.C.

 Nagda, N.L., H.E. Rector, and M.D. Koontz.  1987. Guidelines
 for Monitoring Indoor Air Quality.  Hemisphere Publishing Corp.:
 Washington, D.C.

 Public Works Canada.  1988. Indoor Air Quality Test Kit User
 Manual. AES/SAG 14:88-4. Public Works Canada, Architec-
 tural and Engineering Services: Ottawa, Canada.
Olishifski.J. B. 1988.  "Methods of Evaluation." Chap. 17.
IN: Fundamentals of Industrial Hygiene.  3rd edition. B. Plod
(ed). National Safety Council: Chicago, IL.

Taylor, J.K. (ed).  1987. Sampling and Calibration for Atmospheric
Measurements.  ASTM STP 957. American Society for Testing
and Materials: Baltimore, MD.

U.S. Environmental Protection Agency (EPA). 1975. Quality
Assurance Handbook for Air Pollution Measurement Systems.
Volume 1 - Principles. U.S. EPA, Quality Assurance and
Environmental Monitoring Laboratory, Office of Research and
Development: Research Triangle Park, NC.

U.S. Environmental Protection Agency (EPA). 1977. Quality
Assurance Handbook for Air Pollution Measurement Systems.
Volume II - Ambient Air Specific Methods. (Revised 7/84 and 9/85)
EPA-600/477-027a.  U.S. EPA, Environmental Monitoring
Systems Laboratory, Office of Research and Development:
Research Triangle Park, NC.

U.S. Environmental Protection Agency (EPA). 1980. Interim
Guidelines and Specifications for Preparing Quality Assurance Project
Plans. EPA QAMS-005/80. U.S. EPA, Office of Monitoring
Systems and Quality Assurance, Office of Research and
Development: Washington, DC.

U.S. Environmental Protection Agency (EPA).  1989.  Compen-
dium of Methods for the Determination of Air Pollutants in Indoor
Air.  Draft. U.S. EPA, Atmospheric Research and  Exposure
 Assessment Laboratory, Office of Research and Development:
 Research Triangle Park, NC.

 U.S. National Institute for Occupational Safety and Health
 (NIOSH). 1984. NIOSH Manual of Analytical Methods.  3rd
 edition. P.M. Eller (ed). NIOSH:  Cincinnati, OH.

 Wallace, L.A. and W.R. Ott.  1982.  "Personal monitors: A
 state-of-the-art survey." J. Air Pali. Cant. Assoc.  32(6):
 601-610.

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Unit 2, Lesson 6                                                                   IAQ Learning Module
   PROGRESS CHECK

   1.  Briefly expkw the dossifkotwn of meosuren^

   I

   3.
   4. What ore some (kowtaks to using coloring


   5. Idenlifydhlerentdetectkwmetlwdsaiid/eirtnstnjm^


   6. Briefly exiiUnvhat is ineam by saiivlngiirotod
      important?

   7. Briefly explain the terms precision, accuracy, interference, LOD and LOQ, blanks, duplicates, standard materials, and
      .r.Mi.i.lin.1
      canranon.

   8. What are some general guide6n« for evniuotjngtnequotityofdoto?

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UNIT 2:  MEASURING AND EVALUATING PROBLEMS


LESSON 7
STANDARDS AND GUIDELINES FOR INDOOR AIR
CONTAMINANTS AND VENTILATION

Standards and guidelines were discussed in Lesson 5 as one of the
policy tools available to both government and private sector organi-
zations to control indoor air quality.  This lesson summarizes
standards and guidelines, and discusses their applicability to indoor
air quality.
LESSON OBJECTIVES

At the end of this lesson, you
will be able to:

•  identify and discuss the primary
   public health and occupational air
   quality standards and guidelines;

•  identify and discuss the primary
   ventilation stondords/guidelmes;
                                                                      provisions that affect indoor air
                                                                      quality; and

                                                                      understand the strengths and
                                                                      weaknesses of existing standards

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Unit 2, Lesson 7
                           IAQ Learning Module
AIR QUALITY STANDARDS AND GUIDELINES
(KM 7)

        Air quality standards and guidelines
specify maximum concentrations and exposure
times for specific contaminants for indoor and
outdoor environments. They are designed to protect
specified classes of individuals from adverse health
impacts. Different standards are designed to protect
different classes of individuals, and to different
degrees, depending on the nature and purpose of the
standards.

There are two broad types of standards and guide-
lines: public health standards and occupational
standards.  Public health standards are designed to
protect the general public, and are therefore most
applicable  to residential, educational, commercial,
and public building environments. Occupational
standards,  on  the other hand, are designed to protect
workers, and are  generally applied to industrial
work environments.

Public health standards are generally one to two
orders of magnitude lower (more protective) than
occupational standards for several reasons.

     •  Occupational standards protect healthy
        adult workers while public health standards
        are designed to protect all segments of the
        population, including potentially sensitive
        subgroups—the elderly, infants and chil-
        dren, pregnant women, and those with
        preexisting heart and lung diseases.

     •  Occupational standards protect workers for
         limited  periods of time (usually the 8-hour
         work day) while public health standards
         generally protect the public for continuous
         lifetime exposures (24 hours/day).

     •   Occupational standards factor cost and
         technical feasibility into the recommended
         limits while public health standards are
         often established without regard to cost or
         feasibility.
In the United States there are no Federal standards
that have been developed specifically for indoor air
contaminants in nonoccupational environments.
There are related existing standards and guidelines
that can be used for some comparisons, but most of
these are not directly applicable to indoor air quality
problems.

The limited inventory of public health standards
and guidelines for most of the contaminants com-
monly found in indoor environments complicates
the interpretation of data. Occupational standards
are sometimes divided by  an arbitrarily selected
protection factor (somtimes 10 to 1000), and the
resulting number is used as a benchmark for
evaluating indoor environments. This practice is not
recommended because these standards were not
derived to protect the general population,  and the
application of protection factors can result in
significant inconsistencies among contaminants.
The resulting numbers  may not provide sufficient
protection, or they  may be unduly restrictive.

In the absence of standards for specific contami-
nants, or in the face of several standards or guide-
lines for a single contaminant, good public health
practice requires a conservative approach to the
interpretation of measured data. If there are several
published standards or guidelines for a particular
contaminant, it is appropriate to use the lower end
of the range for the interpretation of data. If there
are no indoor air quality standards or guidelines, for
a particular contaminant, a review of the literature
can be useful along with obtaining advice from
experts.

Setting standards for indoor air quality contaminants
is in its infancy.  Section 7 of the Reference Manual
identifies contaminant  levels and exposure times
specified by organizations and government agencies
which have published standards and guidelines.
This  lesson reviews these  standards and guidelines
 in terms of their general concepts, terminology, and
guiding principles.

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IAQ Learning Module
                                Unit 2, Lesson 7
Public Health Standards and Guidelines

        Ambient Air Quality Standards

The EPA National Ambient Air Quality Standards
(NAAQS) [U.S. EPA, 1989] apply to the outdoor
air, and they are developed under the authority of
the Clean Air Act. These standards are enforced by
the states  which may either adopt the Federal
standards or promulgate more stringent standards.
Standards have been developed for six contaminants
(sulfur dioxide, nitrogen dioxide, ozone, lead,
particulates, and carbon monoxide).

Primary standards are designed to protect human
health and secondary standards are designed to
protect the public welfare (buildings, crops and
other vegetation, animals). The standards protect
against short-term and long-term effects that might
result from exposure to  contaminants in the outdoor
air.

Under the Clean  Air Act, primary standards are to
be developed with an adequate margin of safety to
protect the public health without consideration of
cost. Primary standards should also protect the
 most sensitive subgroups of the population (for
 example,  asthmatics or  those with chronic respira-
 tory problems).

 The required margin of safety is established by the
 Administrator of the EPA, and it can vary from
 contaminant to contaminant. When it establishes
 standards, EPA considers the uncertainty in the
 scientific information, the activity level of the
 exposed population, and to some extent the possibil-
 ity of other exposure routes. These standards may
 not be directly applicable to indoor air environ-
 ments because of differences in averaging times.

         Air Quality Guidelines for Europe

 The World Health Organization (WHO) Air
 Quality Guidelines for Europe is a compilation of air
 quality guidelines and summaries of the scientific
 evidence for 28 organic and inorganic  substances
(WHO, 1987). The major consideration in estab-
lishing the guidelines was health effects, but
ecological guidelines are recommended for some
contaminants. The guidelines include both short-
term and long-term exposure limits designed to
protect sensitive subgroups in the population.

For some contaminants, the guidelines provide an
estimate of lifetime cancer risk arising from expo-
sure to substances that are proven human carcino-
gens or substances for which there is at least limited
evidence of human carcinogenicity. For other
contaminants the guidelines identify concentrations
combined with exposure times, at which no adverse
noncarcinogenic effect is expected.

        Canadian Exposure Guidelines

The Canadian Exposure Guidelines for Residential
Indoor Air Quality were developed under the author-
ity of the Minister of Health and Welfare by the
Federal-Provincial Working Group on Indoor Air
(Environmental Health Directorate, 1987).  The
guidelines contain specific quantitative limits for
ten contaminants or contaminant categories (total
aldehydes, carbon dioxide, carbon monoxide,
formaldehyde, nitrogen dioxide, ozone, particulate
matter, sulfur dioxide, water vapor, and radon).
Recommendations are also included to eliminate or
control exposure for other contaminants for which
specific exposure limits were not practical. The
guidelines were developed by evaluating human and
animal studies.  They include an Acceptable Long-
 Term Exposure Range (ALTER) which is based on a
 lifetime of exposure without undue risk to health
 and an Acceptable Short-Term Exposure Range
 (ASTER) which is based on exposures of varying
 time periods (5 minutes to 1 hour).

 The guidelines are intended to ensure that there is
 "negligible" risk to the health and safety of occu-
 pants in residences; however, the Working Group
 notes that complete protection for the hypersensi-
 tive portion of the population may not be provided
 by the guidelines.

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Unit 2, Lesson 7
                          1AQ Learning Module
Occupational Standards and Guidelines

        ACGIH Guidelines

The American Conference of Governmental Indus-
trial Hygienists (ACGIH) is an association of
occupational health professionals that is devoted to
the development of administrative and technical
policies for worker health protection. Through its
technical committees, ACGIH regularly reviews the
best available information from industrial studies,
epidemiological studies, and animal studies to
develop new limits and revise old ones.

ACGIH first published its limits, Threshold Limit
Values (TLVs), in 1968, and they are updated
annually (ACGIH, 1989). The TLVs are concentra-
tion limits and conditions to which it is thought
nearly all workers may be repeatedly exposed day
after day throughout their working lifetime without
adverse effects. However, because of the individual
variation  in response to chemical exposure, the
ACGIH recognizes that a small percentage of
workers may experience discomfort at levels below
the TLVs, and an even smaller percentage may
experience more serious effects such as aggravation
of a preexisting condition or the development of an
occupational illness at levels below the TLVs.

Some of the limits protect against impairment of
health while others protect against irritation,
 narcosis, nuisance, or other forms of stress. Because
 of the increasing evidence that physical irritation
 can initiate, promote, or accelerate physical impair-
 ment, ACGIH states that limits based on physical
 irritation should be no less binding than  those based
 on physical impairment.

 ACGIH disclaims liability for the improper use of
 TLVs, and it specifically cautions that the limits are
 intended for use in the workplace and not for other
 uses such as the control of community air pollution
 nuisances, estimating the toxic potential of continu-
 ous, uninterrupted exposures, or as proof or disproof
 of an existing disease or physical condition. The
ACGIH guidelines are recommendations; they are
not legally binding.

Three categories of TLVs are defined.

    •   The Time Weighted Average (TLV-TWA) is
        the time-weighted average concentration
        for a normal 8-hour workday and a 40-hour
        workweek to which workers can be exposed
        day after day without adverse effect.

    •   The Short Term Exposure Limit (TLV-STEL)
        is the concentration to which workers can
        be exposed continuously for a short period
        of time without experiencing irritation,
        chronic or irreversible tissue damage, or
        narcosis to a degree that would increase
        accidental injury rates, or reduce work
        efficiency significantly.  The STEL is
        defined as a 15-minute time-weighted
        average exposure which  should not be
        exceeded at any time during a work day or
        occur more than 4 times each day. In
        addition, there should be at  least 60
        minutes between  successive exposures at the
        STEL.

     •  The Ceiling Limit (TLV-C) is a concentra-
        tion that should not be exceeded during any
        part of the working exposure.

        OSHA Standards

 The Occupational Safety and Health Administration
 (OSHA) is responsible for protecting workers from
 unsafe or unhealthy work  environments. Standards
 for the workplace are promulgated by the Secretary
 of Labor under the Occupational Safety and Health
 Act of 1970 (U.S. DOL, 1989)-  These are manda-
 tory standards.

 The exposure standards for air contaminants are set
 at levels which will protect a worker from "material
 impairment of health or functional capacity" even if
 the worker is exposed for  8 hours per day for an
 entire working lifetime. The occupational health

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IAQ Learning Module
                                Unit 2, Lesson 7
standards are based on a healthy adult worker; they
do not take into account the variability of the
general population.

The OSHA standards which encompass 600 chemi-
cals were revised in 1989 (U.S. DOL, 1989).  The
first OSHA standards included Permissable Exposure
Limits (PELs) which were the 8-hour time-weighted
average limits developed by ACGIH in 1968. The
revised standard essentially adopts the ACGIH
guidelines for most contaminants, and it includes
the TWA, STEL, and ceiling limits. Some of the
new standards are more stringent than before and
some have been relaxed.

The National Institute of Occupational Safety and
 Health (NIOSH) is part of the U.S. Department of
 Health and Human Services and it acts as the
 research institution for the Occupational Safety and
 Health Administration.  NIOSH uses the most
 complete and current scientific information to
 develop and  periodically revise recommended
 exposure limits to potentially hazardous substances
 or conditions in the workplace.  The recommended
 exposure limits and supporting information are then
 submitted to the Department of Labor for consider-
 ation in developing PELs.  NIOSH recommenda-
 tions are published in criteria documents which can
 be obtained  by contacting NIOSH.

 SOURCE EMISSION STANDARDS

         Source emission standards specify maxi-
 mum rates at which contaminants can be released
 from a source. Source emission standards may be
 developed by governmental agencies such as the
 Consumer Product Safety Commission (CPSC), the
 Department of Housing and Urban Development
 (HUD), or by professional associations.

  HUD has issued a product standard which limits
  the level of formaldehyde emitted from pressed
  wood products installed in mobile and manufac-
  tured homes. The HUD rule requires formaldehyde
  emissions not to exceed 0.2 ppm from plywood and
  0.3  ppm from particleboard as measured by speci-
fied air chamber tests. (U.S. HUD, 1990a). The rule
was established to provide indoor formaldehyde
concentrations less than 0.4 ppm when the indoor
temperature does not exceed 77°F, the relative
humidity is less than 50%, the ventilation rate is at
least 0.5 ach, and there are no other major emitters
of formaldehyde in the home (U.S. HUD, 1984).
The rule does not consider the carcinogenic poten-
tial of formaldehyde and other limits are more
stringent.

Underwriters' Laboratories, CPSC, and the National
Kerosene Heater Association are working together
to develop limits for oxide of nitrogen emissions
from unvented kerosene heaters; this standard
however is not currently available.

VENTILATION STANDARDS (RM 7)

         Ventilation standards specify minimum
 rates for the introduction of outdoor air into indoor
 spaces. The most widely used ventilation require-
 ments are specified by the American Society of
 Heating, Refrigerating, and Air-Conditioning
 Engineers, Inc. (ASHRAE), a private standard-
 setting trade association, in ASHRAE Standard 62-
 1989. Other ventilation standards include model
 building codes, standards of HUD and the Ameri-
 can Public Health Association (APHA) model
 housing code.

 ASHRAE Standard 62-1989

 ASHRAE Standard 62-1989, Ventilation for Accept-
 able Indoor Air Quality, specifies minimum ventila-
 tion rates which are expected to be acceptable to
 occupants and avoid adverse health effects
 (ASHRAE,  1989). This standard was developed by
 an interdisciplinary committee, and it reflects a
 consensus opinion that attempts to balance the
 requirements of acceptable indoor air quality and
 efficiency in energy consumption. The standard
 applies to all indoor or enclosed spaces which people
 may occupy including residential and commercial
 spaces, classrooms, bathrooms, kitchens, locker
 rooms, swimming pools, and saunas. Acceptable

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Unit 2, Lesson 7
                           IAQ Learning Module
indoor air quality is defined by ASHRAE as "air in
which there are no known contaminants at harmful
concentrations as determined by cognizant authori-
ties and with which a substantial majority (80% or
more) of the people exposed do not express dissatis-
faction." However, ASHRAE recognizes the stan-
dard does not, and cannot, assure that no adverse
health effects will occur.

Acceptable air quality can be achieved in two ways.
The Ventilation Rate Procedure specifies the rate and
quality of ventilation air which must be supplied to
a given space, and it also specifies methods to
condition the air. The Indoor Air Quality Procedure
provides an alternate performance method in which
acceptable concentrations of some contaminants are
identified, but ventilation rates or air treatment
methods to achieve those concentrations are not
specified.

        The Ventilation Rate Procedure

The ventilation rate procedure specifies minimum
ventilation rates for about 85 types of residential,
commercial, institutional, vehicular, and industrial
spaces (Section 7 of the Reference Manual). In order
to achieve these rates, the procedure specifies the
quality of outdoor air used for ventilation. Accept-
able outdoor air quality is basically air that meets
the National Ambient Air Quality Standards;
however, these standards include only six contami-
nants.  If outdoor air contaminant levels exceed the
NAAQS, the standard specifies that the air can be
treated by filtering or other appropriate air cleaning
devices.

The outdoor air requirement as defined by
ASHRAE is 15 cfm or more per occupant for
different spaces. For example, the office space
requirement is 20 cfm per occupant. The outdoor
air requirement for residential living areas is 0.35
ach but not less than 15 cfm per occupant. This is a
level which should be met during all occupied
periods and during all seasons. In kitchens, a  rate of
100 cfm is required if intermittent exhaust ventila-
tion is used and 25 cfm for continuous ventilation.
The outdoor air requirement for baths and toilets is
50 cfm for intermittent ventilation or 25 cfm for
continuous ventilation. Ventilation requirements in
kitchens, baths, and toilets can be met with oper-
able windows. The ASHRAE standard also specifies
that the combustion system, kitchen, bathroom, and
clothes dryer vents should not be exhausted into
attics, crawlspaces, or basements.

The outdoor air requirement for residential garages
is 100 cfm per car which is normally satisfied by
infiltration or natural ventilation.

        The Indoor Air Quality Procedure

This alternate procedure specifies minimum levels
of indoor air contaminants as defined by generally
accepted air quality standards and guidelines, but it
does not specify ventilation rates or air treatment
methods to achieve those levels.  The contaminants
which are specified within the standard include
those identified in the EPA ambient air quality
standards plus carbon dioxide, chlordane, ozone, and
radon gas. ASHRAE also recommends that relative
humidity in habitable spaces should be maintained
between 30% and 60% to minimize the growth of
allergenic or pathogenic organisms. In addition,
Standard 62-1989  refers the reader to Appendix C
which contains tables of standards and guidelines of
contaminants which are used in the United States,
Canada, and by the World Health Organization.
Appendix C is not part of Standard 62-1989, but it
is intended to provide guidance on acceptable
contaminant levels for the indoor environment.

Other Ventilation Requirements

        HUD Ventilation Requirements

HUD ventilation requirements are incorporated
into its minimum  property standards for residences
(U.S. HUD, 1990b) which are part of its mortgage
insurance and low  rent public housing program and
in construction requirements for manufactured
housing (U.S. HUD, 1990c).

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IAQ Learning Module
                                 Unit 2, Lesson 7
Ventilation for the construction of manufactured
housing can be met in two ways.  The rule specifies
that an area equivalent to not less than 8% of the
floor area must be available for natural ventilation
(windows or doors), or alternatively, a mechanical
system must be capable of changing the room air
every 30 minutes (that is, 2 ach).  Bathrooms and
toilet compartments require either 1.5 ft2 of
openable glazed area or a mechanical system capable
of producing 5 ach. The mechanical system must
exhaust directly outside the house.

The rule for manufactured housing construction
specifies the venting of combustion appliances and
requires purchasers to be presented with options to
improve overall ventilation.  HUD is now consider-
ing ways to improve this standard.

        Ventilation Requirements in
        Model Codes

Building codes identify design and construction
specifications for buildings.  The primary building
codes that are in use in the United States include
those written by the Building Officials and Code
Administrators International (BOCA), the Southern
Building Code Congress International  (SBCCI), the
Council of American Building Officials (CABO),
and the American Public Health Association
(APHA) model code.

These codes are updated periodically to reflect new
knowledge and incorporate standards developed by
other organizations.  State and local governments
can either adopt these codes in their entirety or
revise them as needed. Sufficient time has not
elapsed for these organizations to consider incorpo-
rating provisions of the  new ASHRAE Standard 62-
1989.

The ventilation requirements of the CABO and
APHA codes are summarized as follows;  relevant
portions of the Uniform Building Code and addi-
tional CABO requirements are summarized  in
Section 7 of the Reference Manual.
The CABO One and Two Family Dwelling Code
(1989 edition): The CABO code specifies ventila-
tion requirements in habitable rooms as follows.

    •   All habitable rooms must have window
        space of not less than 8% of the floor area of
        such rooms and at least one half of the
        required area must be openable.

    •   Windows do not have to be operable if a
        mechanical ventilation system can provide
        1 air change every 30 minutes (2 ach).

    •   Bathrooms, toilet compartments, and
        similar rooms must have window space of
        not less than 3 ft2, one-half of which must
        be operable. The window space is not
        required if a mechanical ventilation system
        can provide a change of air every 12
        minutes (5 ach). Bathroom exhaust must be
        vented directly to the outside.

    •   Crawl spaces must have enough ventilation
        openings to ensure ample ventilation; these
        openings should  not be less  than 1 ft2 for
        each 150 ft2 of crawl space area, and one
        opening should be within 3 ft of each
        corner of the building.  The required space
        can be reduced to 1/1500 of the underfloor
        area where the ground surface is treated
        with an approved vapor barrier and one
        opening is within 3 ft of each corner of the
        building. The  vents may have operable
        louvers.

    •   When a building official determines that
        attic ventilation is  necessary, attics must
        have cross ventilation for each separate
        space.  The net free ventilating area should
        not be less than a ratio of 1 to 150 of the
        area of the space ventilated.  This can be
        increased to 1  to 300, provided that certain
        requirements are met.

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Unit 2, Lesson 7
                                                                                IAQ Learning Module
APHA Model Housing Code: The APHA model
code (Mood, 1986) also specifies ventilation air
requirements. In the model code, ventilation
requirements can be met in three ways: 1) each
habitable room must have at least one window or
skylight facing directly outdoors that can be opened
easily, 2) the habitable room must be connected to
a room or area used seasonally that provides ad-
equate ventilation, or 3) some other devices can be
used to ventilate the room adequately. The total
operable window or skylight area in every habitable
room shall be equal to at least 45% of the minimum
window or skylight area which is 8% of the floor
area of the room. The code also requires HVAC
units which are integral to the structure to be
operated continuously; if the unit becomes inoper-
able alternate provisions for ventilation are to be
provided.

The code also contains a provision which requires
ventilation, either natural or mechanical, to provide
acceptable indoor air quality in every habitable
 room at all times when occupied. In addition,
 bathroom and kitchen exhaust air cannot be
 recirculated.

 The model code does not specify numerical limits
 for indoor air contaminants. Instead, it defines
 acceptable indoor air quality as indoor air in which
 there are no known concentrations which are in
 excess of those which have been established by the
 Director of Health. This provision provides local
 jurisdictions with additional flexibility and control
 because the local health officer has the authority to
 declare  a particular situation a health hazard and
 require remediation.

 THERMAL COMFORT STANDARDS (RM 7)

         Thermal Environmental Conditions:
 ANSI/ASHRAE Standard 55-81 specifies thermal
 conditions which will be acceptable to 80% or  more
 of occupants in a building. Establishing appropriate
 thermal environmental conditions is important to
 minimize energy costs, maximize worker productiv-
 ity, and minimize discomfort effects.
There are many factors which influence the percep-
tion of comfort, temperature, and thermal accept-
ability.  Important environmental factors include
temperature, radiation, humidity, and air move-
ment; personal factors include clothing and activity
level. Section  7 of the Reference Manual provides a
summary of the acceptable ranges of temperature
and humidity  for winter and summer conditions.
ASHRAE 55-81 also provides acceptable thermal
conditions for different types of clothing, air
movement, nonsteady state conditions (temperature
cycling, temperature drifts), and nonuniform
conditions (vertical temperature differences, radiant
assymetry, floor temperatures).  Some of these are
summarized in Lesson 4.

SUMMARY AND CONCLUSIONS

        Indoor air quality can be controlled
 through the development and implementation of air
 quality standards and guidelines, source emission
 standards, ventilation standards, and thermal
 comfort standards.

 The development of standards and guidelines for
 contaminant levels indoors and sources of contami-
 nants is still in its formative stages.  More research
 is needed before comprehensive standards can be
 developed that specifically address indoor air quality
 concerns.

 Inadequate ventilation is one of the major causes of
 indoor air quality problems, and ventilation stan-
 dards are an important method of control.  Prob-
 lems, however, do exist in  relying on ventilation
 standards in building codes as the sole protector of
 the public health.  Some underlying problems are
 enumerated below.

     •   The  current building stock has been
         constructed under different building codes
         with different requirements.

     •   The current codes may be dominated by
         energy efficiency considerations, and code
         requirements may not be sufficient to

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IAQ Learning Module
                                   Unit 2, Lesson 7
         provide adequate ventilation for indoor air
         quality purposes.

     •    There is  no guarantee that builders follow
         current code requirements or that they did
         so in the past.

     •    Most jurisdictions do not have adequate
         inspection and enforcement capability to
         ensure that code requirements are followed.

     •    If energy efficiency measures have been
         employed that generally tighten buildings
         or exceed the designed  capacity, inadequate
         ventilation may result.

     •    Even if newer buildings are designed to
         meet the most current ventilation stan-
         dards, improperly operated and poorly
         maintained systems will defeat the design
         loads and reduce  ventilation efficiency.

     •    Another problem in new construction is
         that ventilation requirements  can be met
         using either operable windows or mechani-
         cal ventilation. New residential construc-
         tion techniques that  result in tight build-
         ing envelopes without outdoor air intakes
         (in addition to combustion air) will be
         more likely to have indoor air quality
         problems because windows may not be used
         to provide outdoor air.

 In spite of the inadequacies in both air quality
 contaminant and ventilation standards, these two
 approaches can be used  to control indoor air con-
 taminants in both old and new  construction. New
 approaches, such as using performance standards for
 operating HVAC equipment in commercial struc-
 tures, may provide additional measures to ensure
 adequate indoor air quality in both residential and
 commercial buildings.
REFERENCES

American Society of Heating, Refrigerating, and Air-Condi-
tioning Engineers, Inc. (ASHRAE). 1981. Thermal Environmen-
tal Conditions for Human Occupancy.  ASHRAE Standard 55-1981.
ASHRAE:  Atlanta, GA.

American Society of Heating, Refrigerating, and Air-Condi-
tioning Engineers, Inc. (ASHRAE). 1989- Ventilation for
Acceptable Indoor Air Quality. ASHRAE Standard 62-1989.
ASHRAE:  Atlanta, GA.

Building Officials & Code Administrators (BOCA) Interna-
tional, Inc. 1989. BOCA Basic/National Building Code.  BOCA
International, Inc: Country Club Hills, IL.

Council of American Building Officials (CABO). 1989. CABO
One and Two Family Dwelling Code. CABO: Falls Church, VA.

Environmental Health Directorate. 1987.  Exposure Guidelines
for Residential Indoor Air Quality. Environmental Health
Directorate, Health Protection Branch: Ottawa, Canada

International Conference of Building Officials (ICBA).  1988.
Uniform Building Code. ICBA: Whictier, CA.

Mood, E. (editor) 1986.  APHA-CDC Recommended Minimum
Housing Standards. American Public Health Association,
Committee on Housing and Health: Washington, D.C.

Southern Building Code Congress (SBCC) International, Inc.
1986. Standard Building Code. SBCC:  Birmingham, AL.

U.S. Department of Housing and Urban Development (HUD).
1984.  "Manufactured home construction and safety standards;
final rule." Federal Register. 49(55):  31996-32013.

U.S. Department of Housing and Urban Development (HUD).
1990a. "Manufactured home construction and safety standards."
Code of Federal Regulations, Title 24, Part 3280, Sections
3280.308 and 3280.406.

U.S. Department of Housing and Urban Development (HUD).
1990b.  "Minimum property standards." Code of Federal
Regulations, Title 24,  Part 200, Subpart S, Sections 200.925
and 200.926.

U.S. Department of Housing and Urban Development (HUD).
1990c. "Manufactured home construction and safety standards."
Code of Federal Regulations, Title 24, Part 3280, Sections
3280.103 and 3280.710.

U.S. Environmental Protection Agency (EPA). 1989. "National
Primary and Secondary Air Quality Standards." Code of Federal
Regulations, Title 40, Part 50, Sections 50.1-50.12.

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Unit 2, Lesson 7                                                                      IAQ Learning Module
U.S. Department of Labor (DOL). 1989. "Occupational Safety        World Health Organization (WHO). 1987. Air Quality
and Health Standards." Code of Federal Regulations, Title 29, Part      Guidelines For Europe. WHO:  Copenhagen, Denmark.
1910.
    PROGRESS CHECK

    1. Wliot ore the differences between pubkheoMo^

    2. What are the primary puUc healths^
       each.

    3. What is a source emission standard? Give an example.
    4. What are ihe sane of iheveimlatMmstaio^^
       and identify the main provision of each.

    5. Discuss the advantages and disadvantages of existing standards/guidelines for indoor air quality contaminant levels and
       vBrrtuonon.

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UNIT 2:  MEASURING AND EVALUATING PROBLEMS

LESSON 8
INVESTIGATION TECHNIQUES

The investigator may be called upon to evaluate a variety of situa-
tions including complaints at residential, public, and commercial
buildings.  In other situations, the investigator may want to conduct
a survey or study for research purposes. The specific investigation
techniques may vary with each of these cases, but the underlying
principles will be the same.

The complexity of indoor air quality investigations can range from
those in which the sources, health effects, and solutions can be
identified easily to complicated investigations which are difficult to
resolve.

Before embarking on any investigation, the investigator should have
a basic understanding of the types  of factors that can influence
indoor air quality (Lesson 2); health effects related to indoor air
contaminants (Lessons 3 and 4); measurement methods (Lesson 6);
and standards and guidelines for indoor air quality and ventilation
 (Lesson 7).  The investigator will have to integrate this knowledge
during the course of the investigation  to solve a specific problem or to
 research a specific issue.

 The focus of this lesson is the investigation  of residential indoor air
 quality problems. Section 8 of the Reference Manual provides a
 detailed discussion of techniques for individual contaminants.
 Information on the investigation of nonresidential buildings can  be
 obtained by contacting the  Indoor Air Division of EPA (see
 Resources).
LESSON OBJECTIVES

At the end of this lesson you
will be able to:

•  discuss the methods of gathering
   data;
   investigating indoor air quality
   problems;
   in residential indoor air quality
   investigations; and

 • discuss the principles for achieving
   effective communication with clients.

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Unit 2, Lesson 8
                           IAQ Learning Module
INVESTIGATION PROTOCOIS (RM 8)

        As yet, there are no widely accepted
standard methods or protocols  for indoor air quality
investigations, particularly residential investiga-
tions. This should not be interpreted to mean that
none should be used. In fact, it must be emphasized
that a systematic approach is needed in both
residential and nonresidential investigations. Several
approaches have been developed for nonresidential
investigations, (Woods etal., 1989; Sterling etal.,
1987; NIOSH, 1987). and these can either be used
directly or adapted for a particular purpose. Several
professional associations are also developing or
considering the development of protocols for indoor
air quality investigations. For example, the Ameri-
can Society for Testing and Materials (ASTM) has
established Subcommittee D22.05 on Indoor Air to
develop standard methods and practices applicable
to indoor  air quality surveys and investigations.
The Indoor Air Division of EPA can also  be con-
tacted for the latest EPA information and guide-
lines.

While standard protocols are limited, there are basic
principles which are emerging as statements of good
practice in investigating complaints, regardless  of
the type of building. The investigation of indoor air
quality problems is similar to  detective work; the
investigator must search through the potential clues
carefully to solve the case. Because of the inherent
potential  complexity of many  indoor air quality
problems, it has been recommended that  a multi-
disciplinary team of individuals with expertise in
the measurement of contaminants, building  sys-
tems, and health effects should be employed to
evaluate complex indoor air quality problems. This
approach  may be required, for example, in the
investigation of high rise office buildings. How-
ever, the  majority of indoor air quality complaints,
especially in residences  and smaller buildings, can
often be handled by a knowledgeable person who
understands the technical framework for  solving
indoor air quality problems. This lesson develops an
investigation strategy for residences and smaller
buildings. Some aspects of large office building
investigations will differ from the approach outlined
in this lesson and additional guidance can be
obtained from the previously mentioned sources.

STANDARDIZED SURVEY FORMS (RM 8)

        Several stages are involved in gathering
information in an indoor air quality investigation
(see below). In each of these stages, survey forms
(questionnaires, activity logs, checklists) may be an
important way of gathering information in a
standard form.  These forms (sometimes called
instruments) can be developed for individual
projects or "off-the-shelf forms can be used.

Two basic types of forms are used for investigations:

    •   Questionnaires consist of a series of
        questions posed either by the investigator
        in person, over the telephone, or by mail to
        the subject about him/herself, other
        occupants, or the structure.  The investiga-
        tor can also complete a questionnaire about
        the structure without the input of the
        occupant during a walk-through of the
        structure (discussed below). Questionnaires
        can include open-ended questions or simple
        yes/no questions.  Forms with yes/no type of
        responses are sometimes called checklists.

    •   Activity logs are diaries that are kept by the
        occupant on his/her activities during the
        course of a day, week, month, or longer.
        The activity log may require the occupant
        to note either in longhand or on a checklist
        when certain activities occur (for example,
        turning on a kerosene heater) and when
        symptoms occur.

 In any investigation, procedures should be devel-
 oped to ensure that the confidentiality of informa-
 tion contributed by clients is protected.

 For most routine investigations of residential
 properties, a single instrument can be used to
 evaluate health complaints and the systems of the

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IAQ Learning Module
                                 Unit 2, Lesson 8
structure. An example questionnaire is provided in
Section 8 of the Reference Manual.

When new forms are developed, extreme care must
be taken to ensure that unbiased information will be
collected. The survey form should meet two
criteria:  1) the information to be collected must
meet the objectives for doing the survey, and 2) the
wording of questions, directions, and other commu-
nications must ensure that the information obtained
will be accurate, complete, and consistent.

The design of questions is a separate field of study.
Because  there are many ways in which bias can enter
a study or investigation, it is wise to consult with
someone who has expertise in questionnaire design
to make  sure that a new questionnaire will result in
the collection of accurate and unbiased data.

STAGES IN AN INVESTIGATION (RM 8)

         JMost investigations will probably be in
response to residential complaints or requests before
a house is occupied, during the time a house is
occupied, or when a real estate  transaction is
contemplated. In the future, indoor air quality
investigations may become an important component
of residential real estate environmental audits.

An indoor air quality investigation is an iterative
process involving discussions with the client, direct
observations of the building, and, in  some cases,
 measurements of environmental conditions.
 Throughout this process, the investigator develops
 and tests hypotheses and, through a process of
 elimination and narrowing, attempts to seek a
 solution.

 Often, the client may be helped to a solution simply
 by following a number of suggestions made by the
 investigator based on knowledge of "good practice,"
 without ever identifying a specific contaminant,
 source, or cause of the problem.  Proper care and
 operation of appliances, provisions for adequate
 ventilation, and controlling microbiological con-
tamination are examples of good practice that may
solve some indoor air quality complaints.

Investigations are most efficiently conducted using a
phased approach that opens with an initial contact,
progresses to an investigation which may or may not
include a characterization of contaminants, follows
with an evaluation of results, and finishes with a
report of results which may include recommenda-
tions for referrals.  If recommendations or referrals
are followed, the investigator evaluates the effective-
ness of each and closes the case by reporting on the
results (Figure 8-1).

At each of these stages the investigator plays an
important role in educating the client about indoor
air quality and general environmental health
problems that come to the investigator's attention
during the course of the investigation.

The Initial Contact

Investigations are usually initiated by a telephone
call from an individual who has a concern or a
problem.  The initial contact is a time for informa-
tion gathering, and the investigator begins  to
develop preliminary ideas about the problem. The
initial interview should begin to answer the follow-
ing questions:

    •   What is the problem?

    •   Where is the problem?

    •   Who is affected?

    •   When does the problem occur?

Much can be accomplished during the initial
contact, and its importance should not be underesti-
mated. At this stage, it is possible to:

    •    solve the problem;

    •   provide information or literature that may
         be useful to help the client understand

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Unit 2, Lesson 8
                                                                                   IAQ Learning Module
Figure 8-1.   Flowchart of an investigation statogy for indoor air quality problems.
     Who?
     What?
     Where?
     When?
                         Referrals to Other
                         Service Providers
1
n
s
P
e
c
t
i
0
n










                       Health
                        and
                      Symptom
                       History
                             Standards,
                             Guidelines,
                                 or
                          Scientific Literature
                       Building
                      Inspection
                                                             Characterization
                                                                  of
                                                              Contaminants
                                                      Referrals to
                                                     Other Service
                                                       Providers
                                            Report
                                         Effectiveness
         indoor air quality, take actions to improve

         indoor air quality, or find a solution to

         identified problems;


      •   suggest initial actions that will test pre-

         liminary hypotheses to help narrow the

         possible causes;


      •   schedule an appointment for a site visit; or


      •   refer the client to other service providers.
Although standardized forms do not need to be used

at this point, it is important to use a systematic

approach when obtaining preliminary information.

Try to get information that is specific. For example,

if there is a health complaint, a general statement,

"I haven't felt well in weeks," does not give much

insight. However, complaints of headache which

are limited to times when unvented combustion

sources are present, or upper respiratory tract

irritation which started when a room was remod-

elled, give more clues about possible  causes. Some-

times, however, complaints will not be specific and

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IAQ Learning Module
                                 Unit 2, Lesson 8
clients will not be able to relate complaints to
specific events.

Because there are many factors which can influence
the response to contaminants, it is important to
remember that there can be a wide range of re-
sponses from individual to individual and within a
single individual.  This means that it is possible
during an indoor air quality investigation to
encounter only one person in a household or a few
people in an office setting who complain of health
symptoms. Their symptoms may be real and
legitimate even though no one else is experiencing
them, and the investigator has the responsibility of
maintaining an open mind and following all leads
that may be able to explain the complaints.

The time when the symptoms began is important.
If the symptoms started three months ago, try to
ascertain what major actions  took place just prior to
the onset—new home, new furniture, new furnace,
change of season, new pet, and other changes.
Questions can also help the client associate the
symptoms with given activities or events. Ques-
tions of this nature may give clues about the
potential cause, around which preliminary hypoth-
eses can be formulated and verified by the client.
The client may then be able to solve the problem,  or
at least call back at a later date with more informa-
tion after taking some actions to test preliminary
hypotheses.

For example, if the symptoms occur only after the
client has gone to bed, the client might try sleeping
in another room.  If the symptoms go away, the
source of the problem is probably in the bedroom.
Or, the client might try removing potential sources
or increase ventilation (for example, sleeping with
the window cracked open) to see if the problems
persist.  If it is not clear that the cause of the
symptoms is the air in the home, it may be possible
for the client to spend several days away from home
(for example, staying with a neighbor or relative) to
see  if the problems persist. If they do, the cause of
the symptoms may be unrelated to the air in the
home.
The Inspection

The best approach for conducting an inspection is to
use standard forms (questionnaires, checklists,
diaries) in all phases of the inspection. This reduces
problems with information recall, lost notes,
deciphering cryptic messages, and bias. Another
reason for using standard forms is that the
investigator's records may become part of a legal
action.

        Health Effects Evaluation

The inspection should begin with the administra-
tion of a health effects questionnaire which can be
completed either by the client or administered to
the client by the investigator.  A health effects
questionnaire should be broad enough so that other
confounding health problems will be elucidated.

When an occupant perceives an indoor air quality
problem, it is usually in response to a health or
discomfort symptom or an odor.  Because of the
overlap of symptoms and the sometimes general
nature of symptoms ("I just don't feel right."),
health and comfort complaints must be interpreted
carefully. The health effects questionnaire will be a
useful tool in guiding the investigation, but it
should never be the sole focus. If the investigator
becomes fixed on symptoms, it is possible that other
important indoor air-related factors may be  ob-
scured or overlooked.

Health effects forms can range from a simple
checklist to more sophisticated questionnaires that
employ a combination of checklists, open-ended
questions, and yes or no questions.

A useful approach in obtaining information about
health symptoms is to utilize a checklist of symp-
toms that begins to identify both the severity and
frequency of symptoms (Section 8 of the Reference
Manual). It is also important to obtain histories of
smoking, caffeine intake, medical problems and  use
of medicines, occupation, hobbies, and craft activi-
ties. Health care providers such as family physicians,

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Unit 2, Lesson 8
                                                                                 1AQ Learning Module
nurses, allergists, and pulmonary specialists should
be consulted as needed (always with permission
from the client). All of this information may be
useful in narrowing the scope of the investigation
and identifying potential indoor air quality causes of
symptoms.

        Building Evaluation: Walk-Through

After the health history  is obtained, the investigator
may then proceed to evaluate the structure and its
environs (Section 8  of the Reference Manual). The
client should be invited to accompany the investiga-
tor on the walk-through.  A standard form should
be employed to evaluate the different systems of the
house or building both for sources of contaminants
and condition. Rooms should be evaluated to
determine if they are being used as intended. The
walk-through should also include an evaluation of
the exterior of the structure and the site. Finally,
the evaluation should identify the use of chemicals
in the building and any new events or activities
which might affect indoor air quality or health.

When conducting the walk-through, the investiga-
tor should keep an  open mind. If the investigator
focuses on finding sources of a particular contami-
nant, other problems can be overlooked.  The walk-
through of the home should systematically evaluate
 the following areas.

     •   The Site
         air pollution, geology and soil, water
         supply (especially private sources), sur-
         rounding obstacles, noise, electromagnetic
         fields, accumulated bird droppings,  other
         potential sources of contamination

     •   Building Materials
         roofing materials, exterior finishes, interior
         surface materials, interior surface finishes,
         insulating materials, signs of moisture
         accumulation or damage, presence of
         asbestos-containing building materials
   •  Heating, Ventilating, and Air-Condi-
      tioning Systems
      combustion and noncombustion sources,
      venting of combustion sources,
      backdrafting of flue gases, venting of
      kitchen and bathroom, ducting materials,
      humidifiers, energy conservation measures,
      temperature, humidity, airflow and bal-
      ance, microbial contamination, presence of
      asbestos insulation

   •   The Foundation
       drainage and condition, recent treatment or
       pesticide applications

   •   The Basement
       dampness and condition, recent termiticide
       treatment or other pesticide applications,
       radon, other soil gases

    •   The Crawl Space
       drainage, ventilation, condition, and recent
       termiticide treatments or other pesticide
       applications

    •   Client Activities
       use of chemicals and consumer products
       which may produce air contaminants

    •   Building Interiors
       changes in building  or room use; changes in
       interior design; recent decorating changes
       or renovation; evidence of mold; condition
       of appliances; presence of unvented com-
       bustion appliances

    •   Attached Garage
       potential flow of contaminants into the
       living space

During the walk-through, the investigator should
mentally review the reported health effects, poten-
tial sources of contaminants, and the condition of
different  systems in the building. This helps the

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IAQ Learning Module
                                Unit 2, Lesson 8
investigator to develop a picture of the total envi-
ronment and how that environment could contrib-
ute to indoor air quality problems.

Special attention should be given to indicators of
inadequate ventilation in residential and non-
residential investigations. The investigator should
always consider evaluating humidity, temperature,
and airflow in the home to complete the basic
profile. In addition, the adequacy of outdoor air (and
perhaps carbon dioxide as an indicator of the
adequacy of ventilation) should be considered in the
evaluation of nonresidential buildings.  After this
preliminary information has been obtained, the
investigator can decide whether or not to sample for
the presence of indoor air contaminants. In many
investigations,  the walk-through and health
effects screening are enough to identify the
problem, and the measurement of contaminants
is not needed.

Characterizing Contaminants

If the investigator decides that a characterization of
contaminants is needed, sampling can be conducted
on-site if the equipment is available.  If not, a
follow-up appointment is required. It is best to
evaluate carefully the results of the health screening
and the inspection before making a decision to
monitor in order to maximize resources and mini-
mize disruption by repeat visits.  Testing should be
selective and include  only those contaminants or
agents suspected of causing problems. An exception
to this selective approach is sampling for radon
(recommended by EPA for all residences) and
 identifying potential  asbestos-containing materials.

 Monitoring for contaminants and physical param-
eters should be conducted in a systematic fashion to
 characterize both worst-case and average exposures.
 Knowledge of both of these exposures is needed to
 evaluate the potential risk to those who are exposed.
 Average exposures refer to conditions that usually
 exist in the household.  In order to obtain worst-case
 exposures, conditions may require modification.
 Short-term sampling (for example, for radon,
formaldehyde) requires that the house be closed as
much as possible for 12 hours before sampling and
during sampling.

Contaminants should be sampled where and when
symptoms are experienced, where the individual
spends the most time, and where suspect sources are
located. The investigator must sample for a suffi-
cient time to collect samples that will yield mean-
ingful data.

Proper placement of samplers is critical. Samplers
should be located at breathing height. They must
be located away from dead air spaces; locations next
to windows and doors may bias results due to high
infiltration/exfiltration.  Samplers should be located
sufficiently away from objects such as curtains and
partitions that affect air flow.

In some situations, it may be appropriate to test
materials (for example, potable water from private
wells for radon or VOCs, and insulation for asbestos).

Evaluation and Reporting of Results

The evaluation of the  health, inspection, and
monitoring data is perhaps the most difficult aspect
of the investigation for several reasons.

     •   There is considerable variability in  human
        response to contaminants, and many of the
        symptoms resulting from exposure  to
        indoor air contaminants are similar to those
        of other health  problems and stress.

     •   There is a lack of standards and guidelines,
        and even when standards or guidelines
        exist, they cannot be used in a cut-and-
        dried manner because of the variability in
        response.

     •  The symptoms experienced may be from
        exposure to multiple contaminants at
        relatively low levels of exposure.  Analysis
        of individual contaminants in these circum-
        stances will not yield meaningful results.

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Unit 2, Lesson 8
                           IAQ Learning Module
When monitoring is conducted, these data must be
integrated into the results of the health screening
and inspection to identify sources of problems and
recommend solutions.  In some instances the
investigator may have to consult the scientific
literature to evaluate reported symptoms and
measurements.

If in the investigator's judgment,  monitoring is not
needed, but an indoor air quality problem exists,
remedial actions may be recommended either for the
original complaint or for subsequent problems
which are revealed during the inspection.

Finally, after all of the information has been col-
lected, digested, and evaluated, the client should be
informed of the results of the investigation. Results
may be given initially by telephone, but a written
report or letter which summarizes the investigation
and its results should always be sent.  A written
report that is complete and understandable (without
bureaucratic and technical jargon) will save the
investigator's time, and it provides the client with a
permanent record  that should not be subject to
conjecture.  Copies may also be sent to interested
parties such as physicians (upon the request or
approval of the client).

        Referrals to Other Service Providers

There will be instances  when, in spite of the
investigator's efforts, no apparent cause of reported
symptoms can be found. This situation can be
frustrating to both the investigator and the client,
but it should be handled in  a direct manner with
the client.  If there are other potential avenues of
exploration that the  investigator was unable to
follow,  these should  be  communicated to the  client.
The investigator may also recommend that the
client contact other agencies or medical personnel to
pursue health and environmental  complaints  which
are beyond the jurisdiction of the investigator.
Clients should always be advised to consult with
their health care provider.
If referrals to private laboratories, consultants, and
remediation services are needed, the investigator
should furnish the client with a list of potential
vendors. The investigator should not be placed in
the position of recommending a single individual or
company.

COMMUNICATIONS (RM 8)

        One of the most important, but often
overlooked, components of a successful indoor air
quality program is the way in which complaints,
inspections, and requests for information are
handled. Communication with the client is an
integral part of all aspects of the investigation of an
indoor air quality problem beginning with the
initial contact and ending with the communication
of results.  Effective communication  is the key to
success, and it requires skill and practice to achieve.

The investigator should share information with the
client as the investigation progresses; this will make
the process less mysterious, alleviate anxiety, and
ensure that effective communication takes place.
During all phases of the investigation, the attitude
of the investigator and the ability of the investigator
to communicate with the client will influence the
overall success of the investigation. Guidelines that
have been developed for successful complaint
investigation also apply to indoor air quality
investigations. These include:  listening, caring,
informing, taking action, documenting, and
following-through (Herman, 1983).

Communications During the Initial Contact

Initial contacts are usually made by telephone, and
this opportunity should be used to explain capabili-
ties and gather as much information as possible to
assist with developing an overall strategy for
problem-solving.

Keeping an open mind is a cardinal rule. Situations
should not be prejudged based on reactions to a

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IAQ Learning Module
                                 Unit 2, Lesson 8
client. When a homeowner or other person com-
plains about an indoor air quality problem, he may
share his own frustration about dealing with the
bureaucracy, physicians, or private industry.  The
individual may be anxious or angry. Typical
questions include:  "Have you ever heard of this
before?"  "Why is this chemical/product allowed to
be used?"  "Can you make someone do something
about this?" "Should anyone have to live/work like
this?"

It is important to demonstrate a healthy concern
about the problem that is being presented. Listen
carefully, take notes, ask questions or get clarifica-
tions, and be professional and polite during all
contacts. Keep the discussion focused on the issue
in an organized manner to yield information for
diagnosing and solving the problem. Occasionally,
individuals who are very anxious or seem unduly
panicked will call. These calls should receive the
same consideration as any other call to determine if
the symptoms reported are associated with the
quality of the indoor air.  Under no circumstances
 should a caller ever be handled in a cavalier or
 demeaning manner.

 In extreme cases, referral to appropriate legal or
 social service agencies may be needed.  Permission
 of the client may be required in some jurisdictions
 for referral to a physician or other health care
 provider.

 When asking questions, use a systematic approach,
 and repeat information back to the client so poten-
 tial errors will be minimized. It is important to
 allow the individual to explain the problem and
 symptoms, and to refrain from leading; the investi-
 gator should always be aware of the potential to
 lead.

 After collecting preliminary  information, some ideas
 about possible avenues for further investigation may
 emerge. This is the time to explain your capabili-
 ties to the caller.  Does the department handle these
 types of complaints?  If so, when can an investiga-
 tion be scheduled? Will there be a fee for any of the
services that could be provided? Explain the
procedure for investigating a complaint; explain
your goals in investigating the complaint.  If the
person wishes you to follow up, schedule an ap-
pointment.

In order to maintain a good working relationship,
be on time for scheduled inspections. It is always a
good idea to confirm an appointment by telephone.

If the investigator has any important observations
after obtaining the health  and symptom history,
these should be shared with the client before
proceeding with the investigation. For example,  if
the individual is concerned about radon, but is
complaining about watery eyes, it is appropriate to
let him know that watery  eyes are not related to
radon exposure, but there  may be other possible
explanations.

Communications During the Investigation

During the investigation, potential sources that will
be of particular interest can be identified to the
client; if nothing appears  to stand out,  that can also
be shared. Remember, it  is anxiety-producing not
 to have information.  Sharing information is also
 likely to result in more information and cooperation
 from the client.

 In some instances, the investigator may need to
 speak to a client's physician to get a more detailed
 history for a specific complaint. Although it is
 possible for a client to call health care providers and
 give them permission to talk to the investigator,
 this is not a good practice. The client  should be
 asked to send the physician or other provider a
 release request that specifies the information that
 can be released.

 If contact with a physician or other health care
 provider is necessary, be sure to explain your role,
 obtain the needed information, identify any hypoth-
 eses that you have, and get feedback from the health
 care provider on your hypotheses and the reported
 health complaints. The health care provider may

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Unit 2, Lesson 8
                             IAQ Learning Module
want to conduct medical tests on the client which
may be helpful, or these data may have already been
obtained. This may also be a good opportunity to
share information that will inform the health care
provider about indoor air quality problems with
which he/she is not familiar.

If monitoring is needed, explain to the client what
tests are needed and what the results may or may
not reveal.  If preliminary and conclusive results are
available at the site, share them with the client,
explaining how the data relate to standards or
guidelines. Any limitations of the data should be
communicated clearly.  Indicate that the informa-
tion is preliminary and that a final report will
follow.

Time  spent during the inspection to keep  the client
informed will help the client become knowledgeable
and less apprehensive about indoor air quality
problems.
REFERENCES

Herman, R.E. 1983. "How to handle complaints." J Environ
Health.  45(5): 238-240.

National Institute for Occupational Safety and Health
(NIOSH). 1987.  "Guidance fot indoor air quality investiga-
tions."  25pp. NIOSH.  1989. Indoor Air Quality Selected
References. NIOSH, Division of Standards Development and
Technology Transfer: Cincinnati, OH.

Sterling, E.M., E.D. Mclntyre, C.W. Collett, J. Meredith and
T.Sterling.  1987. "Field measurements for air quality in office
buildings: A three-phased approach to diagnosing building
performance problems." Sampling and Calibration for Atmospheric
Measurements. J.K. Taylor (ed). ASTM STP 957. American
Conference of Governmental Industrial Hygienists:
Cincinnati, OH.

Woods, J.E.,Morey, P.R. and D.R. Rask. 1987. "Indoor air
quality diagnostics:  Qualitative and quantitative procedures to
improve environmental conditions."  Presented at the ASTM
Symposium on Design and Protocols  for Monitoring Indoor Air
Quality. April 26-29- Cincinnati, OH.
   PROGRESS CHECK
   1. What an the two bask types of survey ferns, aid whot criteria should my survey form meet?

   1 Wta bask elements neiiwol^
   3. What are the systems mot should be evohny during an inspecfion?

   4. Explain on effective approach to dmmtoiriig contmrananls.
   5. Wte« the bosk elements of effedweconmunwrtion?

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UNIT 3:  DEVELOPING A PROGRAMMATIC RESPONSE

LESSON 9
ESTABLISHING AN INDOOR AIR
QUALITY PROGRAM

The responsibility for developing new environmental health services
often rests with environmental professionals who are not involved in
day-to-day program administration.  This unit is provided for the
reader who either may want to propose an indoor air quality
program within an organization or may actually be given the
responsibility for implementing a program without having had
previous administrative experience.  In either case, understanding the
basic elements of program management will be critical to one's success
in nurturing a new program.
LESSON OBJECTIVES

At the end of this lesson you
will be able to:

•  identify the basic elements of
•  know how to develop program
   objectives;

•  identify the principal components of
   a program budget; and
                         am
                                                                      evaluation.

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Unit), Lesson 9
                           IAQ Learning Module
Defining Program Need

The need for any new service must be carefully
justified, especially one that is still relatively
unfamiliar to most people. In the case of indoor air
pollution, one must be prepared to educate decision-
makers and others likely to influence the allocation
of resources about the types of indoor air hazards
and associated health risks. As much as possible,
these risks should be discussed within the context of
the population served by the organization.

It will be necessary to make a persuasive case that
there are potential indoor air problems, and the
needs of the community are not being met.  Docu-
menting actual indoor air problems within the
geographical area of concern without having an
active indoor air program may  be difficult.  How-
ever, there are now numerous research studies and
articles in the popular press and trade journals
which provide a basis for assessing the potential
magnitude of indoor air contaminants on  the
population within a given area. Some types of
information which can be used to support the need
for  indoor air quality services include:

    •   Records of requests for service from citizens
        who believe they are being exposed to
        indoor air hazards.

    •   An aging housing stock can be a  source of
        carbon monoxide  caused by faulty furnaces,
        or these structures can contain friable
        asbestos.

    •   The indoor air problems encountered in
        both new and old commercial office
        buildings are well-documented and are
        common to most geographical areas.

    •   The U.S. EPA and the Surgeon General
        have recommended testing all residences for
        radon.
    •   A large number of manufactured housing
        units in the community could be an
        important source of formaldehyde exposure.

Program proposals seldom succeed on their merits
alone.  It is important to adhere to the organiza-
tion's chain-of-command when proposing a new
program, and one must be alert to the politics of the
organization. As the proposal progresses one should
be prepared to provide clarifying  information to key
decision-makers, such as board members, elected
officials, and interest groups whose support will be
important both before and after the program is
implemented.

One should be prepared to respond to questions
about the most common indoor air quality prob-
lems, resource needs, federal and  state activities,
what the program will do, and how it will be done.

Elements ol a Program

Basic elements of a program which could be consid-
ered include:

     1)  mechanisms to respond to complaints;

     2)  providing public information and guidance;

     3)  analytic studies to define the nature  and
        magnitude of the problem in the jurisdic-
        tion;

     4)  conducting residential and commercial
        building investigations;

     5)  special programs to deal with individual
        hazards such as radon, asbestos, and  pesti-
        cides;

     6)  distribution of federal and state guidance to
        the building community and the public;

     7)  publishing directories of contacts within
        the jurisdiction for individual subject areas
        relevant to indoor air;

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IAQ Learning Module
                                Unit 3, Lesson 9
    8)  coordinating activities with other agencies
        at the local, state, and federal levels; and

    9)  developing an appropriate legal framework
        and enforcement capability.

Program Resources

During the initial planning stages one seldom
knows exactly how much money is likely to be
committed to a new program.  Preparing several
options with cost estimates may be desirable for at
least two reasons.

    •    First, it starts to bring the major program
         priorities into focus and provides the
         program manager with an outline of an
         action plan once the funding level is
         determined.

     •    Second, the people who decide upon the
         funding level can more easily reach a
         decision if they can review a limited
         number of options spelled out in reasonable
         detail.

 As a practical matter, everyone in the decision-
 making process will feel more confident about the
 proposal if they believe  the person who initiated it
 has both a command of the details and an open-
 minded view of the alternatives. Each program
 alternative should include cost estimates.  Potential
 costs include:

     •   Personnel Costs—wages, salaries, and
         benefits for full-time and part-time person-
         nel; benefits include social security, retire-
         ment, medical  insurance, life insurance, and
         other programs offered to employees by the
         organization;

     •    Equipment-items for conducting indoor
          air investigations, office equipment,
          computer hardware, and furniture;
   •   Supplies—items such as paper, pens,
       pencils, postage, batteries, and computer
       supplies;

   •   Building rental or purchase costs;

   •   Utility payments;

   •   Training programs;

   •   Consultant fees;

   •   Maintenance Costs—includes field testing
       equipment and major office equipment;

   •   Vehicle costs or mileage payments for field
       personnel;

    •   Computer software;

    •   Computer access time; and

    •   Laboratory fees.

The preceding list is not intended to be comprehen-
sive, but  it should provide a general guide to overall
program  costs.  Specific cost information for items
not unique to an indoor air program usually can be
obtained from purchasing or accounting specialists
within the organization. Information about wage
and salary classifications as well as benefits, should
be available from line managers within  the chain-of-
command or from personnel specialists.

For information about special equipment  needs and
costs, other public agencies involved in indoor air
investigations can be helpful. Equipment vendors
are very accommodating about providing  specifica-
tions and pricing information. Professional environ-
mental health associations and academicians are
other valuable resources within the information
network.

The costs of the indoor air program should be
projected beyond the "start-up" period. Additional
overhead costs will  be incurred by  the organization

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Unit 3, Lesson 9
                           IAQ Learning Module
if a new program and additional staff are added;
support functions such as personnel, payroll, and
accounting will have to absorb an additional
workload.

The indoor air program may be able to generate
revenue to offset costs. Charging fees for services
has become increasingly popular in the public sector
as traditional revenue  sources have been stretched to
the limit. This is an issue worth exploring, but be
aware that the politics can be more complex than
the economics, and acquiring an understanding of
the prevailing policies toward service fees within the
political subdivision is important.

        Personnel

Initial staffing requirements will depend upon both
the nature of the program's objectives and the
funding commitment. Most state and local indoor
air programs have modest beginnings, with one or
two full or part-time environmental health special-
ists. Job descriptions, candidate qualifications, and
position salary classifications should be determined
in conjunction with personnel specialists; however,
the program manager will be relied upon to help
define the educational and experience background
needed by the indoor  air specialist.

An entry-level indoor air specialist usually has an
academic background in environmental health,
industrial hygiene, or other closely related area.
Candidates should also have a working knowledge
of environmental chemistry,  toxicology, air sam-
pling techniques and  instrumentation, and a
 knowledge of ventilation systems.  It may be
possible to correct deficiencies in these and other
 areas through formal  training programs, self-
 instruction courses, or on-the-job experience.

 Training programs in indoor air quality and various
 sub-specialties are available from many sources.
 Agencies of the Federal government provide
 periodic training programs on a variety of topics at
 regional centers.   Many universities now offer short-
term educational programs, and faculty members
may individually assist state and local government
personnel with technical issues. Professional
associations such as NEHA, ASHRAE, ACGIH, Air
and Waste Management Association, American
Society for Testing and Materials, Health Physics
Society, and others conduct educational conferences
and meetings, often specifically related to indoor air
quality topics. These opportunities for "network-
ing" with other indoor air professionals can be
extremely valuable.

Program Implementation

Once the resources are secured, a program manager
will be designated to implement the indoor air
program. It is the program manager's responsibility
to make the most effective and efficient use of
available resources. Very simply, the manager  must
have a plan, and planning involves specifying
program objectives.

An objective is basically a statement of a result
which one intends to achieve. Ideally, the statement
should say what the  result will be and when it  will
be accomplished.  It should also be clear who is
expected to achieve the objective.  Of course, all
objectives which are set should relate to the overall
goal(s) established for the indoor air program.  A
broad goal might be to reduce risks to human
health related to indoor air hazards. This serves to
remind everyone why they are there, and that
everything they do should help move  the program
toward that goal.

More specific objectives should focus on major
priorities. Initially, the objective might be to
establish a fully operational indoor air program by a
particular date.  Objectives must be realistic,
 measurable, and attainable. The success of an
 objective can be increased by devising action plans,
 which are simply stepping stones toward the desired
 result.  All of these plans need the full involvement
 and commitment  of those who will have responsi-
 bility for implementing them.

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IAQ Learning Module
                                Unit 3, Lesson 9
While major program objectives are contingent
upon area needs, as well as organizational priorities
and resources, the following are a few examples of
objectives pursued by existing indoor air programs:

    a)  conduct a radon exposure study in ran-
        domly selected residences to be completed
        by (date);

    b)  correct hazards (specify percent) identified
        during building complaint investigations;

    c)  identify and correct all friable asbestos
        conditions within municipally-owned
        buildings by (date); or

    d)  conduct  a survey to determine if unvented
        space heaters are being used in a manner
        which is creating indoor air contamination
        problems.

 There are other policy and procedural issues that
 will need to be addressed, and a few of these may
 have a bearing on the general direction of the indoor
 air program.  One major question is whether the
 program will be purely consultative and educa-
 tional, or whether enforcement will be a component
 of the program.  If there is to be enforcement, a
 legal structure will have to be in place, including
 ordinances or statutes, an administrative appeal
 process, a willing prosecutor, and legal staff.

 Community awareness of the indoor air issues and
 program  services is another consideration in plan-
 ning health education objectives, and it can also
 affect staff workload.  Publicity about the program
 will generally result in more requests for service,
 which affects both field investigation and clerical
 staffs.  Program management, as much as possible,
 should influence the nature and timing of public
 information so that it will have maximum educa-
 tional benefit, minimize public confusion and
 overreaction, and not tax program  resources with
 the demand for services that will likely result from
 the release  of information.
Program Evaluation

The process of evaluating a new program starts
during the implementation phase and culminates
with an assessment of what was actually accom-
plished compared to the expectations defined by the
major objectives.  The only way to evaluate a
program at any stage is to have an adequate amount
of information that reflects what is happening and
what is being achieved.  A thorough record-keeping
system must be developed which indicates how
program personnel spent their time and what they
accomplished. As with all environmental health
programs, inspections and other field activities will
have to be thoroughly documented.  The organiza-
tion will also have to document the expenditure of
funds for all of the items specified in the budget.

A primary function of the program manager is to
review summary data derived from records kept by
field and support staff. Time must also be spent
communicating with all staff members, whether in
informal discussions or in a more structured setting
such as a staff conference, in order to understand
staff concerns and to benefit from ideas about
program improvement.

The point of program evaluation is to determine
whether the program is effective and efficient.
Determining program efficiency involves comparing
the level of input to  the level of output, or relating
costs to the amount of services produced. Over
 time, efficiency information can help determine
what level of services can be provided for a given
 amount of money, and it can also help the program
 manager diagnose operational problems. However,
 drawing meaningful, precise, cost efficiency infor-
 mation can be a complex task because the cost of
 each activity in the indoor air program will have to
 be calculated.  The program manager will either
 have to become familiar with cost accounting
 procedures, or seek the assistance of someone who is
 knowledgeable.  Most initial program evaluation
 efforts, however, will probably focus on determining
 program effectiveness rather than efficiency.
 Effectiveness in the public sector is a measure of a

-------
Unit 3, Lesson 9
                            1AQ Learning Module
program's success in fulfilling important public
needs. The major objectives of the indoor air
program should reflect the community's needs and
the program manager must be able to determine the
program's level of achievement. If any objectives
were not met, the manager must identify the
reasons based on available information.  It may be
that the resources were inadequate or personnel did
not perform up to expectations. Similarly, other
obstacles may have arisen which were not identified
at the outset.

The process of program evaluation is a time for
reassessment and a preparation for future objective-
setting. Although objectives should be taken
seriously, they are not carved in stone and should be
modified whenever it is clear that one's initial
assumptions were not valid.  Similarly,  if the
objectives were valid but unmet, it is necessary to
find and correct deficiencies in the operation.
Finally, the manager must clearly communicate to
key decision-makers the successes, and thus the
effectiveness, of the indoor air program  in order to
ensure future support.
REFERENCES

Epstein, P.D.  1984. Using performance measurement in local
government. A guide to improving decisions, performance, and
accountability. Van Nostrand Reinhold Co.:  New York, NY.

McConkey, D.D. 1975. M.BO for nonprofit organizations.
AMACOM: New York, NY.

Ruchelman, L.I.  1985. A workbook in program design. State
University of New York Press: Albany, NY.

U.S. Department of Health and Human Services (DHHS).
(undated). Program management.  A guide for improving program
decisions.  U.S. DHHS, Centers for Disease Control: Atlanta,
GA.
   HKOtftESS CHECK
   I.  IMI types of HumHwUuH ore needed to justify we MM for on MOW w pro^ Uni?
   2.  MOM six major budget items not should IK nduded in o program proposal and nacote where you would obtain the cost
   3. VM! •• SQM possBii MMWris of Q program objective?

   4. VIM tossBM finds snowd a prognm monaojer ton nto account onion decking to

   5. Mrt an pes^rMsem for folded effectiveness of wm^

-------
IAQ Learning Module
                                   Resources
RESOURCES

Notional Hotlines and Information Services

Public Information Center (PM 211 B)
Environmental Protection Agency
401 M Street, SW
Washington, D.C.  20460
202-382-2080
(Distributes IAQ Publications)

National Pesticides
Telecommunications Network
1-800-858-PEST
In Texas: 806-743-3091
(Provides information on pesticides)

TSCA Hotline Service
202-554-1404
(Provides information on asbestos  and other toxic
substances)

Safe Drinking Water Hotline
202-382-5533

CPSC Product Safety Hotline
 1-800-638-CPSC
Teletypewriter for the hearing impaired
Outside Maryland 1-800-638-8270
Maryland only 1-800-492-8104

federal Agencies

 Indoor Air Division (ANR-445W)
Environmental Protection Agency
401 M Street, SW
 Washington, D.C.  20460

 Office of Conservation and Renewable Energy
 U.S. Department of Energy
 1000 Independence Avenue, SW
 Washingon, D.C.  20585

 Office of Smoking and Health
 U.S. Public Health Service
 5600 Fishers Lane Room 1-10
 Rockville, MD 20857
Consumer Product Safety Commission
Chemical Hazards Program
5401 Westbard Avenue, Rm. 419
Bethesda, MD 20207

National Institute for Occupational Safety and
  Health
Hazards Evaluations and Technical Assistance
  Branch (R-9)
4676 Columbia Parkway
Cincinnati, OH 45226

Occupational Health and Health
Administration
U.S. Department of Labor
200 Constitution Avenue, N.W.
Washington, D.C. 20210

Bonneville Power Administration
Residential Programs Branch
P.O. Box 3621-RMR
Protland,OR 97208

Tennessee Valley Authority
Industrial Hygiene Branch
328 Multipurpose Building
Muscle Shoals, AL 35660

Health/Consumer Organizations

Your Local Lung Association, or the
American Lung  Association
 1740 Broadway
New York, NY  10009

Consumer Federation of America
 1424 16th Street  NW, Suite 604
Washington, D.C. 20036

 Professional/Industrial Associations

 American Society of Heating, Refrigerating, and
 Air-Conditioning Engineers
 1791 Tullie Circle NE
 Atlanta, GA  30329

 American Conference of Governmental
 Industrial Hygienists
 6500 Glenway Avenue
 Building D-7
 Cinncinati, OH 45211

-------
Resources
                         IAQ Learning Module
American Industrial Hygiene Association
P.O. Box 8390
345 White Pond Drive
Akron, OH 44320

American Society of Testing Materials
Subcommittee D22.05 Indoor Air Quality
1916 Race Street
Philadelphia, PA  19103

Canada Mortgage and Housing Corporation
National Office
682 Montreal Road
Ottowa, Ontario Canada KIAOP7

National Air Duct Cleaners Association
1518KStreetNW
Washington, D.C. 20005

National Association of Home Builders
15th and M Street, NW
Washington, D.C. 20005

National Center for Appropriate Technology
P.O. Box 3838
Butte,MT  59702

National Environmental Health Association
720  South Colorado Blvd.
South Tower Suite 970
Denver, CO 80222

National Pest Control Association
8100 Oak Street
Dunn Loring, VA 20027

Home Ventilating Institute
39 West University Drive
Arlington Heights, IL 60004
 EPA REGIONAI OFFICES

 (Write to the Indoor Air Contact at the appropriate
 office below)

 EPA Region 1
 JFK Federal Buildig
 Boston, MA 02203
 (CT, MA, ME, NH, Rl, VT)
EPA Region 2
26 Federal Plaza
New York, NY 10278
(NJ, NY, PR, VI)

EPA Region 3
841 Chestnut Street
Philadelphia, PA  19107
(DE, MD, PA, VA, DC)

EPA Region 4
345 Courtland Street, NE
Atlanta, GA 30365
(AL, FL, GA, KY, MS, NC, SC, TN)

EPA Region 5
230 South Dearborn Street
Chicago, IL 60604
(IL, IN, MN, OH, Wl)

EPA Region 6
1445 Ross Avenue
Dallas, TX  75202-2733
(AR, LA, NM, OK, TX)

EPA Region 7
726 Minnesota Avenue
Kansas City, KS 66101
(IA, KS, MO, NE)

EPA Region 8
One Denver Place
999 18th Street, Suite 1300
Denver, CO 80202-2413
(CO, MT, ND, SD, VT, WY)

EPA Region 9
215  Fremont Street
San Francisco, CA 94105
(AZ, CA, HI, NV, AS, GU, TT)

Region 10
 1200 Sixth Avenue
Seattle, WA 98101
(AK, ID, OR, WA)

-------
FINA1 EXAMINATION  INSTRUCTIONS

The final examination consists  of 86 multiple choice questions on the
content of the entire module. It is a learning tool as well as a
measure of your understanding of the material.

Use Answer Sheet

Mark your answers on the answer sheet provided, being sure to
follow the directions given. Make certain that you complete all the
information requested on the answer sheet.

Read Carefully

Read each question carefully. There is only one correct answer to
each question. NEHA will score your exam and return your
corrected answer sheet.
MAIL YOUR ANSWER
SHEET TO:

   Notional Environmental Health
   Association
   720 South Colorado Blvd.
   #970 S. Tower
   Denver, CO 80222
Minimum Score

Since this is an "open-book" exam, a minimum score of 75 percent
correct must be achieved. You will receive a certificate of comple-
tion if you score this minimum or higher.

Time for Completion of the Module and Final
Examination

Please indicate in the space provided the amount of time you spent
in studying  the material and completing the final examination.
This information will assist NEHA in determining the number of
continuing education credits that will be granted for this course.

-------
Final Examination
                          IAQ Learning Module
FINAL EXAMINATION

1.  Which of the following are reasons for
    concern about indoor air today?
    a.   people spend most of their time indoors
    b.   the use of natural ventilation has decreased
    c.   many buildings and furnishings are pro-
        duced from synthetic chemicals
    d.   all of the above are reasons for concern

2.  Which of the following statements is
    correct?
    a.   the relationship between indoor air pollu-
        tion and health  has been intensively studied
        for about 30 years
    b.  staying indoors always protects inhabitants
        from outdoor air pollution
    c.   the reduced air  changes in new construction
        is one reason for the deterioration of indoor
        air quality
    d.  people are probably exposed to fewer indoor
        air contaminants today than 50 years ago

 3.  Which of the following can affect the
    quality of indoor air?
    a.  vegetation surrounding the house
    b.  quality of water supply
    c.  geology
    d.  all of the above can affect indoor air quality

 4.  Which is most likely to be a potential
     source of formaldehyde?
     a.  particleboard subflooring
     b. roofing felt
     c.  paint
     d. solid hardwood floors

 5.   Volatile organic compounds are most likely
     to be released from which of the following
     sources?
     a.  asbestos insulation
     b.  freshly painted interior room
     c.  recently poured concrete basement floor
     d.  old, moldy carpet
6.  Which contaminant is more likely to result
    from an outdoor source than an indoor
    source?
    a.   asbestos
    b.   radon
    c.   volatile organic compounds
    d.   pollen

7.  Which statement about air exchange rate is
    correct?
    a.   air exchange rates of older houses that have
        not been weatherproofed are typically in the
        range of 0.10 ach to 0.5 ach
    b.   air exchange generally increases with strong
        winds
    c.   air exchange can be increased through the
        use of vapor barriers
    d.  indoor air contaminant concentrations will
        always be inversely proportional to the air
        exchange rate

 8.  Assuming all other factors are constant,
    which conditions will result in the highest
    infiltration rate?
    a.   outside temperature of 32°F, inside tem-
        perature of 68°F
    b.  outside temperature of 70°F, inside tem-
        perature of 75°F
    c.  outside wind calm
    d.  cloud cover and rain

 9.  If a house has a volume of 15,000 ft3 and air
    is replaced at a rate of 500 ft3 per minute,
    how many air changes are occurring each
    hour?
    a.  .5 ach
     b.   1  ach
     c.  2  ach
     d.   .25 ach

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IAQ Learning Module
                                                                                  Final Examination
10. Which of the following statements is
    correct about providing natural ventilation
    through -windows?
    a.   windows should be placed at the same level
        and near the ceiling for the most effective
        ventilation
    b.  inlet and outlet openings of unequal size
        provide the greatest flow per  unit area of
        total opening
    c.  windows should be located opposite one
        another to increase ventilation flow
    d.  a bank of windows should be oriented on
        the leeward side of a building to provide
        the greatest inflow of air

 11. Which of the following statements about
     health studies is  correct?
     a.  animal studies can be conducted using
         invasive techniques that would not be
         allowed in human studies, and they provide
         data at exposures  that are typical of indoor
         air concentrations
     b.  epidemiologic studies can evaluate the
         effects of contaminants as people conduct
         their day-to-day activities, but it can be
         difficult to separate the effects of some
         factors
     c.  human exposure studies can be conducted
         on healthy and ill subjects, and experimen-
         tal conditions can be strictly controlled
      d.  risk assessments are based solely on
         epidemiologic studies because of the
         limitations associated with animal and
         human exposure  studies

  12. Which term correctly identifies the occur-
      rence of eye, nose, and throat irritation in a
      person who walks into a new home?

      a.   acute effect
      b.  chronic effect
      c.   subtle effect
      d.  delayed effect
13. Which of the following is not a factor that
    determines whether or not health effects
    will result from exposure to indoor con-
    taminants?
    a.   physical properties of the contaminant
    b.   age and body size
    c.   humidity level
    d.   education level

 14. Which of the following are important
    properties of gases or particulates that
    determine whether they will affect the
    pulmonary region of the lung?
    a.   particle size and shape
    b.  solubility
    c.  chemical characteristics
    d.  all of the above are correct

 15. Which of the following statements about
    dose is correct?
     a.  as the dose increases, effects usually reach a
        plateau and then decrease
     b.  a person at rest receives a greater dose than
        one who is active because the air is in
         contact with the lungs for a greater length
         of time
     c.   the dose received through skin absorption is
         greater than through inhalation because
         chemicals are directly absorbed into the
         body
     d.  two people who are exposed to the same
         concentration of chemicals may or may not
         receive the same dose
                                                        Examination continues on next page

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Final Examination
                          IAQ Learning Module
16. Which of the following statements about
    the dose-effect curve is correct?
    a.   the linear dose-effect curve indicates that
        there is a dose below which effects do not
        occur
    b.  the threshold dose-effect curve indicates
        that effects occur at all doses, no matter
        how low the dose
    c.   carcinogens are generally considered to
        follow the threshold dose-effect curve
    d.  none of the above are correct

 17. Which of the following is an example of a
    subgroup of the population which is prob-
    ably more susceptible  to health effects from
    chemical exposure than the general popula-
    tion?
    a.  infants and children
    b.  pregnant women
    c.  the elderly
    d.  all are examples of subgroups that are
        probably at greater  risk to health effects
        from chemical exposures

 18. Which of the following is  an example of an
    irritant?
    a.  formaldehyde
    b.  carbon dioxide
    c.  carbon monoxide
    d.  radon

 19. Which of the following is an example of a
     contaminant that could act as an irritant
     and also  affect the central nervous system?

     a.   lead
     b.   chlordane
     c.   sulfur dioxide
     d.   nitric oxide
20. Which of the following is a condition in
    which the air sacs lose elasticity and
    breathing becomes more difficult?
    a.   bronchitis
    b.   pneumonitis
    c.   emphysema
    d.   edema

21. Hepatotoxicants affect which of the
    following body systems?
    a.   kidney
    b.   blood
    c.   reproductive organs
    d.   liver

22. Which of the following has been associated
    with a lack of natural light during the
    winter?
    a.   winter depression
    b.  irritation of the eyes, nose, and  throat
    c.   cancer
    d.  poor vision

23. Which of the following is most likely to be
    associated with dry air?
    a.   fatigue
    b.  chest pain
    c.   irritation of the eyes, nose, and throat
    d.  sweating

 24. Which of the following is a condition that
    has been associated with airborne
    pathogens or allergens?
    a.  migraine headache
    b.  emphysema
    c.  bronchitis
    d.   humidifier fever

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IAQ Learning Module
                                                                                  Final Examination
25. Which of the following is an asphyxiant
    that is released by combustion sources?
    a.   nitrogen dioxide
    b.   carbon monoxide
    c.   sulfur dioxide
    d.   respirable particles

26. Which of the following is a potential
    carcinogen which can be emitted from
    water, some building materials, and the
    soil?
    a.    lead
    b.   trichloromethane
    c.   PCBs
    d.   radon gas

 27. Which of the following could be present in
    painted surfaces in older structures and
    could result in mental retardation?

    a.   benzene
    b.   cadmium
     c.   lead
     d.   styrene

 28. Which of the following provides a  real-
     time record of contaminant concentrations?

     a.   grab sampler
     b.  integrated sampler
     c.   continuous sampler
     d.  passive sampler

  29. Which of the following statements about
     passive samplers is correct?
     a.  passive samplers utilize pumps to move air
     b.  passive samplers are difficult to use
     c.  passive samplers have limited accuracy
     d.  passive samplers can only be used to sample
         particles
30. Which of the following statements about
    active samplers is correct?
    a.   active samplers are limited to a narrow
        range of flow requirements
    b.   an active sampler that is widely used in
        indoor investigations is the personal
        sampling pump
    c.   active samplers are less accurate than
        passive samplers
    d.   active samplers require less training than
        passive samplers

 31. Which of the following describes the
    collection of gases using a process in which
    the gas is attracted to, concentrated in, and
    retained on a  substrate?
    a.   electrostatic collection
    b.  adsorption
    c.  impaction collection
    d.  absorption

 32. Which of the following describes a method
    of collecting  gases in which they are trans-
    ferred to and dissolved  in a liquid or solid?

    a.  absorption
     b.   inertial collection
     c.   adsorption
     d.   centrifugal collection

 33. Which of the following statements  about
     colorimetric indicator tubes is true?
     a.   they accurately measure contaminants
     b.  they do not require special handling
     c.   they can  be used to sample both gases and
         particles
     d.  they are generally not recommended for
         indoor air quality investigations
                                                       Examination continues on next page

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Final Examination
                          IAQ Learning Module
34. Which of the following statements about
    direct reading measurement methods is
    correct?
    a.   they provide concentration readings at the
        time a sample is collected without further
        analysis
    b.   they require  low capital expenditures
    c.   they require  laboratory analysis after
        collection
    d.   they do not require calibration

35. Which of the following statements about
    errors in the measurement process is
    correct?
    a.   systematic errors vary both in direction and
        magnitude and can never be completely
        eliminated
    b.   interferences will introduce random error
        into the measurement
    c.   routine calibration will reduce systematic
        error
    d.   nonrepresentative samples are not impor-
        tant sources  of error

36. Which of the following statements about
    interferences in measurement methods is
    correct?
    a.   interferences are not important sources of
        error
    b.   interferences are chemicals or factors other
        than the contaminant of interest that result
        in higher or  lower concentrations than the
        true value
    c.   correcting results for interferences is a good
        practice and  should be done routinely
    d.   interferences can be ignored in routine
        sampling
37. Which of the following statements about
    accuracy and precision is correct?
    a.   accuracy describes the variation or scatter
        among the data
    b.   precision describes how close a measure-
        ment is to the true result
    c.   a sampling method can be accurate, but
        imprecise
    d.   all of the above are correct
38. Which of the following describes the
    activities needed to ensure that accurate,
    precise, complete, representative, and
    comparable data are being collected?
    a.   standard methods
    b.   duplicate sampling
    c.   proficiency testing
    d.   quality assurance

39. Which of the following defines a check on a
    sampling method in which known concen-
    trations are introduced and measured on a
    routine basis?
    a.   standard method
    b.   calibration
    c.   standard material
    d.   blank

40. Which of the following statements about
    quality control activities is correct?
    a.   standard methods are those that have been
        tested to determine their accuracy and
        precision
    b.   EPA has established proficiency testing
        programs for radon and asbestos
    c.   the sample blank refers  to the concentration
        of contaminant that is present in a  clean,
        unexposed sampler
    d.   all of the above are correct

-------
1AQ Learning Module
                             Final Examination
41. Which method has been most widely used to
    sample particles and aerosols?
    a.   adsorption
    b.   filtration
    c.   absorption
    d.   electrostatic precipitation

42. What is a source of systematic errors in
    sampling?
    a.   lack of proper calibration
    b.   incorrect design of the sampling program
    c.   interferences
    d.   all of the above are examples of systemic
        errors

43. Which of the following is an example of a
    nonregulatory administrative approach to
    the control of indoor air contaminants?
    a.   building codes
    b.   housing codes
    c.   training of investigators
    d.   ventilation standard

44. Which of the following is an example of a
    design and maintenance strategy to control
    indoor air contaminants?
    a.   use of safe building materials
    b.   indoor air contaminant standards
    c.   public information
    d.   research and development

45. Which is an example of source control?
    a.   enclosing asbestos pipes
    b.   reducing humidity with evaporative coolers
    c.   opening windows while spraying pesticides
    d.   using a panel filter to control house dust

46. Which of the following would be least
    effective in ventilating a new energy effi-
    cient home?
    a.   cross ventilation
    b.   whole house fan
    c.   infiltration and exfiltration
    d.   local exhaust ventilation
47. The roof ventilator is an example of which
    type of ventilation?
    a.   simple ventilation
    b.   cross ventilation
    c.   supply fan
    d.   exhaust fan

48. Which of the following statements is
    correct about air infiltration or leakage?
    a.   air infiltration can be effectively reduced
        through the use of a continuous air or air/
        vapor barrier
    b.   a fan pressurization test is one way of
        identifying air leakage points
    c.   condensation in cold cavities is a concern if
        air/vapor barriers are installed improperly
    d.   all of the above statements are correct

49. Through which of the following does the
    exchange of outdoor air with indoor air
    occur?
    a.   infiltration and exfiltration
    b.   natural ventilation
    c.   mechanical ventilation
    d.   all of the above

50. Which of the folio-wing must be balanced
    by an air supply in order to prevent
    backdrafts if a fireplace is used?
    a.   supply fan
    b.   exhaust fan
    c.   infiltration and exfiltration
    d.   cross ventilation

51. Which of the following could be  added to a
    central forced-air heating and cooling
    system to reduce both paniculate and
    gaseous contaminant concentrations?
    a.   panel filter
    b.   fresh air connection
    c.   chemical adsorbent
    d.   electrostatic precipitator

Examination continues on next page

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Final Examination
                                                                              IAQ Learning Module
52. Which of the following contaminants could
    result from the use of a heat exchanger or
    evaporative cooler?
    a.  carbon monoxide
    b.  carbon dioxide
    c.  nitrogen dioxide
    d.  microorganisms

 53. Which of the following air cleaning devices
    can remove respirable  particulates with
    efficiencies of over 99%?

    a.  panel filters
    b.  extended surface filters
    c.  HEPA filters
    d.  heat recovery ventilator

 54. Which of the following contaminants could
     result from the use of electronic air
     cleaners?
     a.   ozone
     b.   microorganisms
     c.   carbon monoxide
     d.   carbon dioxide

 55. Which of the following is a control device
     in which gaseous contaminants are
     attracted to and retained on the surface of
     materials such as alumina?
     a.    ionizing flat-plate filter
     b.   adsorption device
     c.    electret filter
      d.   heat recovery ventilator

  56.  Which of the following is the most com-
      monly used material for adsorption of gases
      and odors?
      a.   alumina
      b.   sodium carbonate
      c.   activated charcoal
      d.   potassium permanganate
57. Which of the following standards/guide-
    lines identifies acceptable levels of indoor
    air contaminants?
    a.   National Toxic Release Inventory
    b.   Uniform Building Code
    c.   ASHRAE standards
    d.   NIOSH Criteria Documents

58. Which of the following standards/guide-
    lines identifies acceptable ventilation rates
    for indoor air environments?
    a.   World Health Organization Air Quality
        Guidelines for Europe
    b.  CABO One and Two Family Building Code
    c.   Canadian Exposure Guidelines for Indoor
        Air Quality
    d.  American Conference of Governmental
         Industrial Hygienists Guidelines

 59. Which of the following statements about
     ASHRAE's Standard 62-1989 Indoor Air
     Quality Procedure is correct?
     a.   acceptable indoor air quality is defined as
         air that does not have  known harmful
         contaminants and 80% or more of the
         people exposed do not express dissatisfac-
         tion
     b.   acceptable indoor air quality must be
         achieved by meeting acceptable concentra-
         tions of indoor air contaminants
     c.   the standard recommends using a safety
         factor of 1/100 as a preliminary guideline
         for contaminants that are not specifically
         listed
     d.  the standard is designed  to provide protec-
         tion to the entire population, including
         those who are especially sensitive to
         chemical exposures

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IAQ Learning Module
                             Final Examination
60. Which of the following statements about
    ASHRAE's Standard 62-1989 Ventilation
    Rate Procedure is correct?
    a.   residences are the only buildings to which
        the standard applies
    b.   ventilation rates can be achieved only
        through the use of acceptable outdoor air
        quality
    c.   the ventilation requirements are designed
        to protect healthy adults
    d.   recirculated air can be used to meet ventila-
        tion requirements if the air is treated by
        contaminant removal equipment

61. Which of the following correctly identifies
    ASHRAE's 62-1989 outdoor air require-
    ments for living areas in residential
    housing?
    a.   0.35 ach but not less than 15 cfm per
        person
    b.  window space of not less than 8% of the
        habitable floor area, half of which must be
        openable
    c.   1 air change every 30 minutes
    d.  0.5 ach of fresh air, if window space  is equal
        to at least 4% of the habitable area

62. Why may ventilation standards/guidelines
    be inadequate to protect indoor air quality
    in the U.S.?
    a.   the housing stock was constructed at
        different times under different code/
        standard requirements
    b.  some HVAC systems may be poorly
        maintained and operated incorrectly
    c.   although adequate openable window space
        may be available, it may not be used
    d.   all of the above reasons are correct
63. Why are standards/guidelines for the
    workplace inappropriate for residential
    applications?
    a.   occupational standards are intended to
        protect healthy adult workers, but not all
        segments of the population including the
        old, the young, and the ill
    b.   occupational standards are based on 8-hr
        exposures for a working lifetime, not
        continuous exposures
    c.   occupational standards generally consider
        cost and technical feasiblity
    d.   all of the above are correct

64. Which of the following statements is
    correct about the Canadian exposure
    guidelines?
    a.   the guidelines protect all members of the
        public, including those who are  especially
        sensitive to chemical exposures
    b.  the guidelines are written for outdoor air
        pollution
    c.   the guidelines protect the public against
        short-term and long-term effects
    d.  the guidelines have been developed for over
        200  contaminants

65. Which of the following identifies an exist-
    ing source emission standard?
    a.  formaldehyde from particleboard and
        plywood in manufactured housing
    b.   asbestos from vinyl asbestos floor tile
    c.   xylene from latex paints
    d.   radon from gypsum board
                                                      Examination continues on next page

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Final Examination
                                                                               IAQ Learning Module
66. Which of the following statements about
    survey forms is not correct?
    a.   survey forms must ensure the collection of
        consistent data
    b.  form design is not difficult
    c.   the confidentiality of collected information
        must be preserved
    d.  survey forms can include questionnaires
        with yes/no questions or open-ended
        questions

 67. Which of the following should be included
    in a residential inspection?
    a.  educating the client about indoor air
        problems
    b.  administration of a health/symptom
         instrument
    c.  a systems evaluation of the residence
    d.  all of the above are correct

 68. Which of the  following statements about
     record-keeping is false?
     a.   inspection data should be written in a
         notebook and then transferred to data
         sheets in the office
     b.   information should be recorded at the time
         it is taken
     c.   bias can be reduced by using standard
         forms
     d.  record-keeping should be limited to
         collecting  information during sampling
         and analysis

  69- Which of the following is not important
     when obtaining data on health effects?

     a.   smoking history
     b.   occupational history
     c.   caffeine intake
     d.   all are important
70. Which of the following is a parameter that
    should be part of the site evaluation?
    a.   amount of sunlight reaching the house
    b.   annual rainfall
    c.   geology and soil
    d.   annual ambient temperature

71. Which of the following should be thor-
    oughly evaluated in a walk-through?

    a.   electrical wiring
    b.   plumbing system
    c.   HVAC system
    d.   amount of storage space

72. Which of the following statements about
    measuring contaminants during an inspec-
    tion is correct?
    a.  carbon dioxide and carbon monoxide should
        always be measured
    b.  average and worst case exposures are needed
        to fully evaluate potential health effects
    c.  samplers should be located away from the
        center of a  room to avoid problems with
        infiltration and exfiltration
    d.  if a contaminant is suspected based on the
        health survey, its presence should be
        measured before doing anything else

 73. Which of the  following does not explain
     why it is difficult to evaluate measurement
     results?
     a.   there are many different types of houses
     b.   the variability in human response to
         contaminants
     c.   the lack of consensus on standards and
         guidelines
     d.  the similarity of symptoms resulting from
         exposure to indoor air contaminants and
         stress

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IAQ Learning Module
                             Final Examination
74. Which of the following describes a contro-
    versial condition in which some subset of
    the population is said to be especially
    sensitive to a broad range of chemicals at
    low levels of exposure?
    a.   mass psychogenic illness
    b.   multiple chemical sensitivity
    c.   sick building syndrome
    d.   none of the above

75. Which of the following statements about
    communication of results is correct?
    a.   preliminary results should not be given
        because of liability problems
    b.   a written report should always be prepared
        even if a verbal report is given
    c.   if remedial services are needed, the investi-
        gator should recommend a contractor
    d.   if no cause of the problem is apparent, the
        investigator should suggest a referral of the
        client to a mental health agency

76. Which of the following is a basic element of
    effective communication?
    a.   listening
    b.   caring
    c.   documenting
    d.   all are correct

77. How will the investigator ensure that
    correct information is obtained?
    a.   repeat information back to the client
    b.   use standard forms
    c.   use a systematic approach
    d.   all are correct

78. What is the first step in establishing an
    indoor air program?
    a.   set the program objectives
    b.   obtain the necessary funds
    c.   define the need for the program
    d.   hire the staff
79. Which is not an element of a major program
    objective?
    a.   specify the intended result
    b.   provide a target date for completion
    c.   stick to the original plan, regardless of
        circumstances
    d.   anticipate obstacles

80. Which is a source of information for esti-
    mating program costs?
    a.   personnel specialists
    b.   equipment vendors
    c.   indoor air staff in other agencies
    d.   all of the above

81. What actions should the program manager
    take when providing information on the
    indoor air program to the news media?
    a.   decline to comment on controversial issues
    b.   strive for the maximum publicity
    c.   anticipate the impact of the program
    d.   refer all questions  to superiors

82. What •will assist the program manager in
    proper evaluation of the program?
    a.   program manager should closely supervise
        all the employees
    b.   program manager should be technically
        expert in all aspects of indoor air quality
    c.   program manager should have adequate
        information about whether the objectives
        were attained
    d.   program manager should not share sensitive
        program information with the public

83- What actions should be taken if major
    program objectives are not being achieved?
    a.   those responsible should be dismissed
    b.   the program manager must diagnose the
        problem and take  corrective action
    c.   it would be unfair to charge fees for services
    d.   it should not be of concern because indoor
        air quality is still a new issue
                                                     Examination continues on next page

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Final Examination
                          IAQ Learning Module
84. What would help in attaining a major
    program objective?
    a.   build in a larger timeframe than necessary
    b.   develop an accompanying action plan
    c.   have a tough-minded program manager
    d.   gain the support of people in the news
        media

85. What should a program manager do before
    implementing a new indoor air program?
    a.   ensure that there is popular support for the
        program
    b.   work out administrative relationships with
        other supporting departments
    c.   attend as many management training
        courses as possible
    d.   avoid becoming involved in internal
        politics
86. Which of the following is important when
    deciding whether to include enforcement as
    part of the indoor air program?
    a.   de-emphasize this aspect with the news
        media
    b.   place equal emphasis on education
    c.   ensure that the proper legal and administra-
        tive support is in place
    d.   all of the above are correct

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IAQ Learning Module
                                                               Answer Sheet
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Answer Sheet
                                                IAQ Learning Module
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