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Sick Building Syndrome
Modern Day Dilemma

Sick Building Syndrome or Building-related Illness may be more common than you think. It's a modern day disease of our air tight energy efficient homes and the stagnant chemical or biological pollutant filled air that may consequently accumulate indoors.
Sick Building Syndrome.

Have you ever experience sudden itchy eyes, headache, stuffy nose, nausea, or dry cough which seemed to correlate with time spent in a particular building or home? Did you ever hear others complain of having the same symptoms at the same time and in the same place?
Building-related illness from an un-healthy home.
The Alveoli (air sacs) in the lungs is where VOCs and particulates can enter the blood stream.
If so, this may have been indications of Sick Building Syndrome and a toxic indoor environment. No one is immune to poor indoor air quality. Even the EPA has encountered problems with Sick Building Syndrome when many employees became ill following relocation into new offices a few years ago. That new home smell of paint, carpet, and particle board is as bad or worse for you as is that new car smell.

Consider this guide an innoculation against Sick Building Syndrome. Read on to identify, control, and elliminate the major contributors to building-related illness. You deserve a healthy home!



Contents of the Complete Guide to Sick Building Syndrome

-- What is Sick Building Syndrome?
-- Pollution Sources of Sick Building Syndrome
-- Are My Symptoms Really Due to SBS?
-- What Are Some Tips for SBS Mitigation?


Introduction

  • Sick Building Syndrome started to become a problem in the early 1970's when increasing numbers of people began reporting allergic-like reactions and headaches from unspecified causes.
  • Sick Building Sydrome has increased in frequency in direct proportion to the increased energy efficiency of modern day buildings and ever more complex man-made chemical products.
  • SBS symptoms result from build up of vapors and particles from off gasing and breakdown of these products in tightly sealed buildings which are poor in ventillation.
  • Over the years symptoms such as fatigue, nausea, dizziness, headache, and irritation of the eyes, nose, throat, and mucous membranes began to be associated with the complaintant's having spent time in a certain building or buildings. The symptoms were observed to disappear or subside when the person was no longer in the buildings.
  • The association between the presence or disappearance of specific allergy-like symptoms in relation to specific buildings began to be known as Sick Building Syndrome.
  • Sick Building Syndrome is of particular concern for asthmatics or allergy sufferers since they are more prone to indoor allergens.
  • Sick Building Syndrome is also a common problem among lower income inner city housing where a lack of modernization and sanitation can greatly increase allergen concentrations indoors such as from rat droppings, cockroach body parts, dust, gases, and other biological pollutants.


    SBS indoor air pollutants and potential inhallation hazards.
    Pollen, moldspores, bacteria, tobacco smoke, formaldehyde, methylene chloride, hydrogen cyanide, ammonia, particles, hydrocarbons, carbon tetrachloride, benzene, ozone, and bioaerosols are some examples of possible contributors to Sick Building Syndrome.


    Pollution Sources Contributing to Sick Building Syndrome

    Your Attic may be the source of sick building syndrome.The key to whether you have a sick building or healthy home may depend on your Attic space.
    There are 4 main categories of indoor air pollutants that contribute to Sick Building Syndrome symptoms: Combustion Pollutants, Biological Air Pollutants, Volatile Organic Compounds (VOCs), and Heavy Metals. Sick Building Syndrome has also been known to be associated with poor lighting, bad acoustics, or poor ergonomics. However, most cases of SBS are related to the following major airborne pollutants and how they interact with our immune systems and mucous membranes particularly in our respiratory system and specifically our lungs.

    There may be a link between Building-related illness and the increase in Autism in children.

    Combustion Pollutants

  • Carbon Monoxide (CO) - gaseous asphyxiant (can kill you by preventing oxygen from entering your blood).
  • Sulfur Dioxide (SO2) - gaseous irritant.
  • Nitrogen Dioxide (NO2) - gaseous irritant.

    All three of these combustion pollutants may be formed when heating or gas fired appliances do not operate or vent properly. When inhaled, Methylene Chloride may also breakdown to form Carbon Monoxide as well. Methylene Chloride is a common toxic solvent used in many paint products like strippers.


    Biological Air Pollutants

    Biological air pollutants are usually the culprits most responcible for cases of Sick Building Syndrome. There are many sources that cause buildings to become toxic as a result of biological pollutants. Some examples are:
  • Toxic Black Mold from moisture damage or high indoor humidity is probably the leading cause of Sick Building Syndrom and Building Related Illness.
  • Dust mites that thrive on the constant supply of shed human skin cells that accumulate on carpeting, stuffed animals, drapes, furniture coverings, and bedding.
  • Skin cells (Dander) of pets (the smallest and most allergy causing being cat dander).
  • Pollen from trees and plants carried inside on shoes, pets, or breezes through open doors or windows.
  • Viruses, Bacteria, and other Bioaerosols are common in every home and may increasingly contribute to Sick Building Syndrome if humidity levels are either too low or too high, due to how their growth and our respiratory system is affected.
  • Insect body parts are especially potent allergens for some people. Cockroach allergens are particularly potent allergens and are commonly implicated as contributors to Sick Building Syndrome in urban housing with poor sanitation.

    Biological pollutants produce the symptoms consistant with Sick Building Syndrome by three main pathways:

    • Toxicosis involving the toxic effects from toxic chemicals produced and released by biological organisms such as toxic black mold, mildews, bacteria, and other microbes.
    • Infection of human hosts whereby pathogens like bacteria or viruses invade the body and attack tissues.
    • Hypersensitivity as a result of the body's immune responce to Biological invaders like viruses or bacteria.

    Common contributors to biological air pollutants becoming a problems usually revolve around the production of excess liquid water or water vapor where it doesn't belong in the home. Some examples are as follows:

    • water damage to homes from flooding or storm damage.
    • leaks in plumbing, roofs, or from air conditioners or HVAC systems.
    • condensation on central air pipes, HVAC components, or other cool surfaces where insulation may not be present, is insufficient, or has become damaged. Uninsulated air conditioning coils or pipes will "sweat" the most when hot humid air contacts them such as during warm months.
    • ice damming on building roofs which allows water to seap under shingles and through roof sheathing.
    • dehumidifiers and humidifiers.
    • pets
    • moisture from unvented or poorly vented kitchens and bathrooms.
    • poor insulation causing drafts or the "chimney effect".
    • defective heating and air systems such as clogged condensation drain lines and full drip pans.

    Volatile Organic Compounds (VOC)

    Non-toxic paint - low VOC.

    Low VOC
    Non-Toxic Paint

    Volatile organic compounds (VOC) off-gasing from the paint on the walls of your home or office may be one of the biggest contributors to your Sick Building Syndrome symptoms.

    Reduce indoor air pollution from VOC emissions by using only non-toxic paint certified as no-VOC or low-VOC.

    Here's our guide to VOC emitting paints including a list of leading manufacturers of low VOC, non-toxic paint.

    Many solids and liquids in your home emit toxic volatile gases into your indoor air which are likely to contribute to symptoms of Sick Building Syndrome. These Volatile Organic Compounds or VOCs come from the chemicals contained not only within the structural components of buildings, but also from the contents or activities in those buildings.

    Examples of Volatile Organic Compounds
    Some examples of specific VOCs are perchloroethylene, formaldehyde, benzene, household solvents, pesticides, ammonia, and many cleaning agents contained within common household products. Of particular concern is Formaldehyde which is a very common VOC in most homes yet is one of the most dangerous since it's a strong respiratory irritant and carcinogen as well!

    Cigarette smoke is another major source of not only VOCs, but also thousands of toxic chemicals, hundreds of carcinogens, and very fine soot like particles that penetrate deeply into the lungs. Cigarette smoke also contains toxic heavy metals and even radioactive isotopes like Americium which is absorbed by tobacco plants from the soil and injected directly into the deepest recesses of your lungs with every breath you take of environmental tabacco smoke (ETS). If you are skeptical about this, following is an interesting anecdote to prove that cigarette smoke contains these radioactive particles...

    Radioactive Smoke?
    In the inorganic laboratory in which the home air purifier expert frequently resides we are required to wear what are known as "RAD badges" in order to record our potential exposures to radiation from instruments such as our XRF unit. After having the radiation badges tested for dose, it was noticed that for some reason several lab personnel had elevated levels of radiation exposure, enough to be of concern. It didn't take long to find a trend which showed that the only Rad badge wearers with elevated radiation levels were all those who smoked. It turns out that the Environmental Tobacco Smoke (ETS) and second-hand smoke from their cigarettes was the culprit. The smoke was exposing the badges (worn on lab coat pockets) to radioactive decay energy from such isotopes as Americium carried within their cigarette smoke particles. This trend of elevated radiation dose for lab cigarette smokers persists each and every time our Rad badge results come back. Yet another reason I am happy not to be a smoker!

    Radon + Cigarette Smoke = DEATH!
    It's a no brainer that if cigarette smoking is allowed in your home or your work place, the symptoms of Sick Building Syndrome may well be due to inhalation of the second hand smoke and possibly a synergistic interaction of Environmental Tobacco Smoke with other air pollutants. But besides the acute affects of cigarette smoke, there are deadly chronic affects too. For example, smoking is the leading cause of lung cancer deaths in the U.S. Now consider that the SECOND leading cause of lung cancer deaths in the U.S. is Radon. Radon is a very dangerous gas resulting from the radioactive decay of Uranium within the Earth's crust. If you smoke cigarettes AND you breath elevated levels of Radon over the longterm the odds are in favor of you developing Lung Cancer or other potentially deadly lung disease.

    Radon is detectable in almost every home in the U.S. and is a very big public health concern depending on how much is entering a particular building. Unless you test for Radon gas levels you will never know how much you are breathing because Radon is odorless, colorless, and produces no emmediate symptoms. However, if you are exposed regularly to cigarette smoke AND you are also exposed to elevated Radon gas levels at the same time, you have a MUCH MUCH HIGHER RISK OF LUNG CANCER than with either exposure separately. This is an example of a synergistic interaction between indoor air pollutants. There are many well documented cases suggesting death rates from lung cancer is statistically elevated upon exposure to both high Radon and cigarette smoke together over longterm periods.

    KEEP SMOKERS OUTSIDE IF POSSIBLE and if you smoke QUIT SMOKING!!!
    Oh, and have your home tested for Radon gas levels.

    VOCs are amoung the smallest and most damaging of indoor air pollutants. Because of their molecular size, Volatile Organic Compounds will pass straight through even the best HEPA air filter. Therefore, most home air purifiers and air duct filters will not help to reduce these very damaging gases in your air. Special gas-phase filters containing Activated Carbon, Zeolite, Potassium Permanganate, or other special sorbent materials are required to remove VOCs from indoor air. The absolutely best home air purifier brand with models able to filter gaseous VOCs as well as near 100% of all the other indoor air pollutants that may be contributing to symptoms of Sick Building Syndrome is IQAIR.

    VOC Destroying Ionic Air Purifier
    Besides gas-phase cartridges that absorb Volatile Organic Compounds, there is a new ionic home air purifier technology availble which may be even more effective. It is known as Hydroxyl Radical purification and it may be particularly effective for neutralizing airborne VOCs. However, even more promising is the evidence suggestion that Hydroxyl Radicals may even neutralize the sources from which the VOCs are emitted, such as from paint on walls, particle board, carpeting, or plastics.

    Hydroxyl Radicals are powerful oxidizers which react with the VOC molecules to break them down into much less damaging by-products. Like Ozone molecules emitted by Ozone air purifiers, commercial Ozone generators, and some ionic air purifiers, Hydroxyl Radicals seek out and destroy many of the gases that cause Sick Building Syndrome. However, unlike dangerous Ozone gas, Hydroxyl Radicals do not persist for hours or days or cause tissue damage like Ozone can.

    This ability to neutralize VOCs at their source while emitting virtually no Ozone is what makes the Japanese-made Sharp Plasmacluster FP-N60CX the best ionic air purifier available on the market today. It is also very quiet and includes a large amount of activated carbon in a WASHABLE gas-phase filter which enable the capture of yet more of the potentially thousands of different VOC gases. There's also a washable pre-filter and a very high quality HEPA filter to catch almost 100% of lung penetrating particles down to 0.3 microns in size. These washable filters mean that replacement filters may not be needed for up to five years! This together with its energy efficiency makes the Plasmacluster a very cost effective purifier, and the hybrid ionic-HEPA air filter system make it an effective method of combating Sick Building Syndrome. Though it can only be one part of a wise air purification strategy involving ventillation, air cleaning, and source control.

    As effective as the Plasmacluster air purifier might be, it is unreasonable to think that it alone will be able to capture or destroy all indoor air pollutants that may cause Sick Building Syndrome. Therefore, the most logical way to keep VOCs from making your building and you sick is by practicing source control. In other words, identify and elliminate as many sources of chemicals vapors as is practical. One of the major hallmarks of the human race is our use of man-made chemicals to manipulate and create unique environments. Therefore, due to our "chemical romance" you should not expect to be able to elliminate all chemical or VOC sources. So you should just try to identify and reduce the major sources where practical.

    Here are some major sources of Volatile Organic Compounds in the home to watch out for:

  • Household products like hair spray, perfume, room deodorizer or scents, finishes, paints, thinners, oven cleaners, glues, markers, photo chemicals, adhesives, vinyl shower curtains, foam bedding, and rug cleaners. Visit our World Wide Web Famous Household Chemical Encyclopedia to identify what's in over 100 other common household chemical products through out your home.
  • appliances and electronics such as copiers, printers, computers, televisions, sterios, and yes even air purifiers!
  • Structural building components such as blown foam insulation, caulking, wall coverings, flooring, carpet backing, particle board, fiberboard, other press wood products, structural adhesives, finishes, paneling, and plywood.

    VOCs may become a particular problem when a building is being renovated or constructed because many of the above sources are much more likely to be used and become airborne. Extremes in temperature and humidity also affect the release of Volatile Organic Compounds.


    Heavy Metals

    Mercury (Hg), quicksilver - slow death. Heavy Metal compounds in various household products may contribute to Sick Building Syndrome; however, thanks to public awareness and legislation, airborne heavy metals aren't as much of a problem in buildings as they used to be. Nevertheless, older buildings in particular may still contain significant amounts of several toxic heavy metals.

    Older buildings are often sick buildings because of many of the above contributors such as mold. However, they may also contain two of the most toxic heavy metals - Lead and Mercury. You definately don't want these two inorganic contributors to Sick Building Syndrome in your home or work place! They probably aren't much of a problem if the building you are in was built after the early 1990s.

    Indoor paint manufactured prior to 1990 and outdoor latex paint manufactured prior to 1991 may contain Mercury (element symbol Hg from latin word Hydrargyrum) which was added to paint primarily because Mercury is an effective fungicide and biocide. In fact there is controversy over the continued use of Mercury in vacinations and medical solutions for these same anti-fungal and biocidic properties. Mercury causes a host of health problems including birth defects, abnormal behavioral changes, and permanent neurological damage.

    Lead (element symbol PB from latin word Plumbum) is another common problem in older buildings because prior to 1978 it was still being added to paints. Lead-based paint in older structures are still a major problem particularly when the residues are disturbed and become airborne such as during rehab, renovation, or construction projects. Lead-based paint test kits are available to homeowners and will help identify these toxic residues. Otherwise, it's wise to assume all older paint residues may contain these toxic heavy metals and thus should never be disturbed. Seek professional assistance. Lead-based paint removal should only be attempted by certified professionals who use special HEPA vacuum cleaners and are trained to follow strict containment and disposal protocols to keep airborne lead exposure to a minimum.

    Several household products still may contain some Lead or Mercury. For example, some hair coloring products contain Lead and concrete mixes may contain some Mercury.

    Overall, unless your building or home is older, is being renovated, or is deteriorating, heavy metals probably aren't the most likely contributors to Sick Building Syndrome.


    Are My Symptoms Due to Sick Building Syndrome?

    So how do you tell if your headaches, nausea, dizziness, itchy eyes, dry cough, fatique, or throat irritation is really due to Sick Building Syndrome? Usually two patterns will emmerge. The first pattern is when others beside yourself are also having the same symptoms while in the building. Also If the same symptom sufferers report that their symptoms seem to go away when they leave the building, then this might be a sure sign of Sick Building Syndrome.

    If just one person seems to have problems in a particular building or part of a building yet no one else is effected, it is possible that that person may suffer from a particular allergy or sensitivity to something in the building. That does not mean that the building is necessarily a sick building.

    A common example of the above distinction is with someone who suffers from what's known as Multiple Chemical Sensitivity (MCS). These individuals are extremely sensitive to one or many airborne chemical vapors, particularly the VOCs mentioned above. Just because they get a whif of Methylene Chloride from a fresh paint job at work and fall ill only when on the clock does not inherently indicate Sick Building Syndrome. These individuals will usually have a history of symptoms in other situations unrelated to the building in question. It's important to be able to differentiate between isolated sensitivities and group symptoms because Sick Building Syndrome mitigation can require significant structural, mechanical, or logistical remedies, most of which can be potentially very costly.


    I Suspect Sick Building Syndrome, So What Can Owners or Occupants Do About Building-related Illness?

  • First track and document your SBS symptoms - those that mysteriously disappear when you and other sufferers leave the building.
  • Have all sufferers consult with a health care professional(s), notify the owner of the suspected sick building symptoms, and seek assistance from your local health department.
  • Taking the above information into consideration, try to identify the sources of your building-related illness and attempt to reduce or elliminate them where practical.
  • Ban smoking inside the building. Also discourage use of colognes, air fresheners, scented candles, perfumes, hair spray, inscence, and other aromatic products.
  • Open doors or windows to increase air ventillation. Introducing more fresh air will dilute and "flush" pollutants from inside. Nine air exchanges per day is the recommended level of ventillation.
  • It's good to ventillate, but also keep in mind that humidity levels and temperature swings can affect biological contaminants like mold spores and also how much VOCs enter the air.
  • Remove water damaged furnishings, ceiling tiles, or carpeting.
  • Have the heating and ventillation system (HVAC) checked for contaminated duct work, air exchange efficiency, or maintenance issues.
  • Hire a professional to clean the air ducts, particularly if Toxic Black Mold spores are detected within your HVAC system.
  • Elliminate poor lighting, ergonomics, and acoustics which have all been associated with sick building symptoms.
  • Use VOC-free paint and other environmentally friendly healthy home products.
  • Do not store household chemicals in or directly adjacent ot living areas.
  • Use household chemicals like solvents, paints, pesticides, adhesives, and thinners sparingly (if at all) and only in well ventillated rooms preferably during hours of limited occupancy.
  • Test building air for indoor air pollutants such as particulates like pollen, dander, dust mites, and mold spores. You can also test for humidity levels, carbon monoxide gas, formaldehyde gas, and Radon gas.
  • Supply ventillation in areas where electronic equipment or appliances such as photocopiers, computers, and fax machines are frequently used.
  • Make sure electric and gas-powered appliances are operating and exhausting properly. Ventillation fans have been known to cause back-drafting of deadly carbon monoxide into living spaces, so beware of low indoor pressure particularly when exhaust ducts are passively exhausted.

    For more information about Sick Building Syndrome or anything else for that matter, please feel free to contact the home air purifier expert.

    To see our latest updates visit the Home Air Purifier Expert's Blog - where you can be a fly on our wall, view the latest experiments of a Mad Scientist, and meet our special family.

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