All of us face a variety of risks to our health as we go about our day-to-day lives. Driving in cars, flying in planes, engaging in recreational activities, and being exposed to environmental pollutants all pose varying degrees of risk. Some risks are simply unavoidable. Some we choose to accept because to do otherwise would restrict our ability to lead our lives the way we want. And some are risks we might decide to avoid if we had the opportunity to make informed choices. Indoor air pollution is one risk that you can do something about.
In the last several years, a growing body of scientific evidence has indicated that the air within homes and other buildings can be more seriously polluted than the outdoor air in even the largest and most industrialized cities. Other research indicates that people spend approximately 90 percent of their time indoors. Thus, for many people, the risks to health may be greater due to exposure to air pollution indoors than outdoors.
In addition, people who may be exposed to indoor air pollutants for the longest periods of time are often those most susceptible to the effects of indoor air pollution. Such groups include the young, the elderly, and the chronically ill, especially those suffering from respiratory or cardiovascular disease.
While pollutant levels from individual sources may not pose a significant health risk by themselves, most homes have more than one source that contributes to indoor air pollution. There can be a serious risk from the cumulative effects of these sources. Fortunately, there are steps that most people can take both to reduce the risk from existing sources and to prevent new problems from occurring. This safety guide was prepared by the U.S. Environmental Protection Agency (EPA) and the U.S. Consumer Product Safety Commission (CPSC) to help you decide whether to take actions that can reduce the level of indoor air pollution in your own home.
Because so many Americans spend a lot of time in offices with mechanical heating, cooling, and ventilation systems, there is also a short section on the causes of poor air quality in offices and what you can do if you suspect that your office may have a problem. A glossary and a list of organizations where you can get additional information are available in this document.
Indoor pollution sources that release gases or particles into the air are the primary cause of indoor air quality problems in homes. Inadequate ventilation can increase indoor pollutant levels by not bringing in enough outdoor air to dilute emissions from indoor sources and by not carrying indoor air pollutants out of the home. High temperature and humidity levels can also increase concentrations of some pollutants.
There are many sources of indoor air pollution in any home. These include combustion sources such as oil, gas, kerosene, coal, wood, and tobacco products; building materials and furnishings as diverse as deteriorated, asbestos-containing insulation, wet or damp carpet, and cabinetry or furniture made of certain pressed wood products; products for household cleaning and maintenance, personal care, or hobbies; central heating and cooling systems and humidification devices; and outdoor sources such as radon, pesticides, and outdoor air pollution.
The relative importance of any single source depends on how much of a given pollutant it emits and how hazardous those emissions are. In some cases, factors such as how old the source is and whether it is properly maintained are significant. For example, an improperly adjusted gas stove can emit significantly more carbon monoxide than one that is properly adjusted.
Some sources, such as building materials, furnishings, and household products like air fresheners, release pollutants more or less continuously. Other sources, related to activities carried out in the home, release pollutants intermittently. These include smoking, the use of unvented or malfunction-ing stoves, furnaces, or space heaters, the use of solvents in cleaning and hobby activities, the use of paint strippers in redecorating activities, and the use of cleaning products and pesticides in housekeeping. High pollutant concentrations can remain in the air for long periods after some of these activities.
If too little outdoor air enters a home, pollutants can accumulate to levels that can pose health and comfort problems. Unless they are built with special mechanical means of ventilation, homes that are designed and constructed to minimize the amount of outdoor air that can "leak" into and out of the home may have higher pollutant levels than other homes. However, because some weather conditions can drastically reduce the amount of outdoor air that enters a home, pollutants can build up even in homes that are normally considered "leaky."
Outdoor air enters and leaves a house by: infiltration, natural ventilation, and mechanical ventilation. In a process known as infiltration, outdoor air flows into the house through openings, joints, and cracks in walls, floors, and ceilings, and around windows and doors. In natural ventilation, air moves through opened windows and doors. Air movement associated with infiltration and natural ventilation is caused by air temperature differences between indoors and outdoors and by wind. Finally, there are a number of mechanical ventilation devices, from outdoor-vented fans that intermittently remove air from a single room, such as bathrooms and kitchen, to air handling systems that use fans and duct work to continuously remove indoor air and distribute filtered and conditioned outdoor air to strategic points throughout the house. The rate at which outdoor air replaces indoor air is described as the air exchange rate. When there is little infiltration, natural ventilation, or mechanical ventilation, the air exchange rate is low and pollutant levels can increase.
Apartments can have the same indoor air problems as single-family homes because many of the pollution sources, such as the interior building materials, furnishings, and household products, are similar. Indoor air problems similar to those in offices are caused by such sources as contaminated ventilation systems, improperly placed outdoor air intakes, or maintenance activities.
Solutions to air quality problems in apartments, as in homes and offices, involve such actions as: eliminating or controlling the sources of pollution, increasing ventilation, and installing air cleaning devices. Often a resident can take the appropriate action to improve the indoor air quality by removing a source, altering an activity, unblocking an air supply vent, or opening a window to temporarily increase the ventilation; in other cases, however, only the building owner or manager is in a position to remedy the problem. (See the section "What to Do If You Suspect a Problem") You can encourage building management to follow guidance in EPA and NIOSH's Building Air Quality: A Guide for Building Owners and Facility Managers. To obtain the looseleaf-fomat version of the Building Air Quality, complete with appendices, an index, and a full set of useful forms, and the newly released, Building Air Quality Action Plan, order GPO Stock # 055-000-00602-4, for $28, contact the: Superintendent of Documents, U.S. Government Printing Office (GPO), P.O. Box 371954, Pittsburgh, PA 15250-7954, or call (202) 512-1800, fax (202) 512-2250.
Health effects from indoor air pollutants may be experienced soon after exposure or, possibly, years later.
Immediate effects may show up after a single exposure or repeated exposures. These include irritation of the eyes, nose, and throat, headaches, dizziness, and fatigue. Such immediate effects are usually short-term and treatable. Sometimes the treatment is simply eliminating the person's exposure to the source of the pollution, if it can be identified. Symptoms of some diseases, including asthma, hypersensitivity pneumonitis, and humidifier fever, may also show up soon after exposure to some indoor air pollutants.
The likelihood of immediate reactions to indoor air pollutants depends on several factors. Age and preexisting medical conditions are two important influences. In other cases, whether a person reacts to a pollutant depends on individual sensitivity, which varies tremendously from person to person. Some people can become sensitized to biological pollutants after repeated exposures, and it appears that some people can become sensitized to chemical pollutants as well.
Certain immediate effects are similar to those from colds or other viral diseases, so it is often difficult to determine if the symptoms are a result of exposure to indoor air pollution. For this reason, it is important to pay attention to the time and place the symptoms occur. If the symptoms fade or go away when a person is away from the home and return when the person returns, an effort should be made to identify indoor air sources that may be possible causes. Some effects may be made worse by an inadequate supply of outdoor air or from the heating, cooling, or humidity conditions prevalent in the home.
Other health effects may show up either years after exposure has occurred or only after long or repeated periods of exposure. These effects, which include some respiratory diseases, heart disease, and cancer, can be severely debilitating or fatal. It is prudent to try to improve the indoor air quality in your home even if symptoms are not noticeable. More information on potential health effects from particular indoor air pollutants is provided in the section, "A Look at Source-Specific Controls."
While pollutants commonly found in indoor air are responsible for many harmful effects, there is considerable uncertainty about what concentrations or periods of exposure are necessary to produce specific health problems. People also react very differently to exposure to indoor air pollutants. Further research is needed to better understand which health effects occur after exposure to the average pollutant concentrations found in homes and which occur from the higher concentrations that occur for short periods of time.
The health effects associated with some indoor air pollutants are summarized in the section "Reference Guide to Major Indoor Air Pollutants in the Home."
Some health effects can be useful indicators of an indoor air quality problem, especially if they appear after a person moves to a new residence, remodels or refurnishes a home, or treats a home with pesticides. If you think that you have symptoms that may be related to your home environment, discuss them with your doctor or your local health department to see if they could be caused by indoor air pollution. You may also want to consult a board-certified allergist or an occupational medicine specialist for answers to your questions.
Another way to judge whether your home has or could develop indoor air problems is to identify potential sources of indoor air pollution. Although the presence of such sources does not necessarily mean that you have an indoor air quality problem, being aware of the type and number of potential sources is an important step toward assessing the air quality in your home.
A third way to decide whether your home may have poor indoor air quality is to look at your lifestyle and activities. Human activities can be significant sources of indoor air pollution. Finally, look for signs of problems with the ventilation in your home. Signs that can indicate your home may not have enough ventilation include moisture condensation on windows or walls, smelly or stuffy air, dirty central heating and air cooling equipment, and areas where books, shoes, or other items become moldy. To detect odors in your home, step outside for a few minutes, and then upon reentering your home, note whether odors are noticeable.
The federal government recommends that you measure the level of radon in your home. Without measurements there is no way to tell whether radon is present because it is a colorless, odorless, radioactive gas. Inexpensive devices are available for measuring radon. EPA provides guidance as to risks associated with different levels of exposure and when the public should consider corrective action. There are specific mitigation techniques that have proven effective in reducing levels of radon in the home. (See "Radon" for additional information about testing and controlling radon in homes.)
For pollutants other than radon, measurements are most appropriate when there are either health symptoms or signs of poor ventilation and specific sources or pollutants have been identified as possible causes of indoor air quality problems. Testing for many pollutants can be expensive. Before monitoring your home for pollutants besides radon, consult your state or local health department or professionals who have experience in solving indoor air quality problems in nonindustrial buildings.
The federal government recommends that homes be weatherized in order to reduce the amount of energy needed for heating and cooling. While weatherization is underway, however, steps should also be taken to minimize pollution from sources inside the home. (See "Improving the Air Quality in Your Home" for recommended actions.) In addition, residents should be alert to the emergence of signs of inadequate ventilation, such as stuffy air, moisture condensation on cold surfaces, or mold and mildew growth. Additional weatherization measures should not be undertaken until these problems have been corrected.
Weatherization generally does not cause indoor air problems by adding new pollutants to the air. (There are a few exceptions, such as caulking, that can sometimes emit pollutants.) However, measures such as installing storm windows, weather stripping, caulking, and blown-in wall insulation can reduce the amount of outdoor air infiltrating into a home. Consequently, after weatherization, concentrations of indoor air pollutants from sources inside the home can increase.
Usually the most effective way to improve indoor air quality is to eliminate individual sources of pollution or to reduce their emissions. Some sources, like those that contain asbestos, can be sealed or enclosed; others, like gas stoves, can be adjusted to decrease the amount of emissions. In many cases, source control is also a more cost-efficient approach to protecting indoor air quality than increasing ventilation because increasing ventilation can increase energy costs. Specific sources of indoor air pollution in your home are listed later in this section.
Another approach to lowering the concentrations of indoor air pollutants in your home is to increase the amount of outdoor air coming indoors. Most home heating and cooling systems, including forced air heating systems, do not mechanically bring fresh air into the house. Opening windows and doors, operating window or attic fans, when the weather permits, or running a window air conditioner with the vent control open increases the outdoor ventilation rate. Local bathroom or kitchen fans that exhaust outdoors remove contaminants directly from the room where the fan is located and also increase the outdoor air ventilation rate.
It is particularly important to take as many of these steps as possible while you are involved in short-term activities that can generate high levels of pollutants--for example, painting, paint stripping, heating with kerosene heaters, cooking, or engaging in maintenance and hobby activities such as welding, soldering, or sanding. You might also choose to do some of these activities outdoors, if you can and if weather permits.
Advanced designs of new homes are starting to feature mechanical systems that bring outdoor air into the home. Some of these designs include energy-efficient heat recovery ventilators (also known as air-to-air heat exchangers). For more information about air-to-air heat exchangers, contact the Conservation and Renewable Energy Inquiry and Referral Service (CAREIRS), PO Box 3048, Merrifield, VA 22116; (800) 523-2929.
There are many types and sizes of air cleaners on the market, ranging from relatively inexpensive table-top models to sophisticated and expensive whole-house systems. Some air cleaners are highly effective at particle removal, while others, including most table-top models, are much less so. Air cleaners are generally not designed to remove gaseous pollutants.
The effectiveness of an air cleaner depends on how well it collects pollutants from indoor air (expressed as a percentage efficiency rate) and how much air it draws through the cleaning or filtering element (expressed in cubic feet per minute). A very efficient collector with a low air-circulation rate will not be effective, nor will a cleaner with a high air-circulation rate but a less efficient collector. The long-term performance of any air cleaner depends on maintaining it according to the manufacturer's directions.
Another important factor in determining the effectiveness of an air cleaner is the strength of the pollutant source. Table-top air cleaners, in particular, may not remove satisfactory amounts of pollutants from strong nearby sources. People with a sensitivity to particular sources may find that air cleaners are helpful only in conjunction with concerted efforts to remove the source.
Over the past few years, there has been some publicity suggesting that houseplants have been shown to reduce levels of some chemicals in laboratory experiments. There is currently no evidence, however, that a reasonable number of houseplants remove significant quantities of pollutants in homes and offices. Indoor houseplants should not be over-watered because overly damp soil may promote the growth of microorganisms which can affect allergic individuals.
At present, EPA does not recommend using air cleaners to reduce levels of radon and its decay products. The effectiveness of these devices is uncertain because they only partially remove the radon decay products and do not diminish the amount of radon entering the home. EPA plans to do additional research on whether air cleaners are, or could become, a reliable means of reducing the health risk from radon. EPA's booklet, Residential Air-Cleaning Devices, provides further information on air-cleaning devices to reduce indoor air pollutants.
For most indoor air quality problems in the home, source control is the most effective solution. This section takes a source-by-source look at the most common indoor air pollutants, their potential health effects, and ways to reduce levels in the home. (For a summary of the points made in this section, see the section entitled "Reference Guide to Major Indoor Air Pollutants in the Home.") EPA has recently released, Ozone Generators That Are Sold As Air Cleaners. The purpose of this document (which is only available via this web site) is to provide accurate information regarding the use of ozone-generating devices in indoor occupied spaces. This information is based on the most credible scientific evidence currently available.
EPA has recently published, "Should You Have the Air Ducts in Your Home Cleaned?" EPA-402-K-97-002, October 1997. This document is intended to help consumers answer this often confusing question. The document explains what air duct cleaning is, provides guidance to help consumers decide whether to have the service performed in their home, and provides helpful information for choosing a duct cleaner, determining if duct cleaning was done properly, and how to prevent contamination of air ducts.
To order a printed copy of this booklet, send your publication request to: [email protected]