Outdoor air pollution in cities is a major health problem. Much effort and money continue to be spent cleaning up pollution in the outdoor air. But air pollution can be a problem where you least expect it, in the place you may have thought was safest -- your home. Many ordinary activities, such as cooking, heating, cooling, cleaning and redecorating, can cause the release and spread of indoor pollutants at home. Studies have shown that the air in our homes can be even more polluted than outdoor air. Many Americans spend up to 90% of their time indoors, often at home. Therefore, breathing clean indoor air can have an important impact on health. People who are inside a great deal may be at greater risk of developing health problems, or having problems made worse by indoor air pollutants. These people include infants, young children, the elderly and those with chronic illnesses. Many factors determine whether pollutants in your home will affect your health. They include the presence, use and condition of pollutant sources, the level of pollutants both indoors and out, the amount of ventilation in your home, and your overall health.
What are Biological Pollutants?
Biological pollutants are or were living organisms. They promote poor indoor air quality and may be a major cause of days lost from work and school, and of doctor and hospital visits. Some can even damage surfaces inside and outside your house. Biological pollutants can travel through the air and are often invisible. Some common indoor biological pollutants are:
Some of these substances are in every home. It is impossible to get rid of them all. Even a spotless home may permit the growth of biological pollutants. Two conditions are essential to support biological growth: nutrients and moisture. These conditions can be found in many locations, such as bathrooms, damp or flooded basements, wet appliances (such as humidifiers and air conditioners), and even some carpets and furniture. Modern materials and construction techniques may reduce the amount of outside air brought into buildings, which may result in high moisture levels inside. Using humidifiers, unvented heaters, and air conditioners in our homes has increased the chances of moisture forming on interior surfaces. This encourages the growth of certain biological pollutants.
The Scope of the Problem
Most information about sources and health effects of biological pollutants is based on studies of large office buildings and surveys of homes in the northern U.S. and Canada. These surveys show that 30% to 50% of all structures have damp conditions which may encourage the growth and buildup of biological pollutants. This percentage is likely to be higher in warm, moist climates. Some diseases and illnesses have been linked with biological pollutants in the indoor environment. However, many of them also have causes unrelated to the indoor environment. Therefore, we do not know how many health problems relate only to poor indoor air.
Health Effects of Biological Pollutants
All of us are exposed to biological pollutants. However, the effects on our health depend on the type and amount of biological pollution and the individual person. Some people do not experience health reactions from certain biological pollutants, while others may experience one or more of the following reactions:
Except for the spread of infections indoors, allergic reactions may be the most common health problem with indoor air quality in homes. They are often connected with animal dander (mostly from cats and dogs), with house dust mites (microscopic animals living in household dust), and with pollen. Allergic reactions can range from mildly uncomfortable to life-threatening, as in a severe asthma attack. Some common signs and symptoms are:
Health experts are especially concerned about people with asthma. These people have very sensitive airways that can react to various irritants, making breathing difficult. The number of people who have asthma has greatly increased in recent years. The number of people with asthma has gone up by 59% since 1970, to a total of 9.6 million people. Asthma in children under 15 years of age has increased 41% in the same period, to a total of 2.6 million children. The number of deaths from asthma is up by 68% since 1979, to a total of almost 4,400 deaths per year.
Talking to Your Doctor
Are you concerned about the effects on your health that may be related to biological pollutants in your home? Before you discuss your concerns with your doctor, you should know the answers to the following questions. This information can help the doctor determine whether your health problems may be related to biological pollution.
Toxic reactions are the least studied or understood health problem caused by some biological air pollutants in the home. Toxins can damage a variety of organs and tissues in the body, including the liver, the central nervous system, the digestive tract, and the immune system.
Checking Your Home
There is no simple or cheap way to sample the air in your home to determine the level of all biological pollutants. Experts suggest that sampling for biological pollutants is not a useful problem-solving tool. Even if you had your home tested, it is almost impossible to know which biological pollutant(s) cause various symptoms or health problems. The amount of most biological substances required to cause disease is unknown and varies from one person to the next. Does this make the problem sound hopeless? On the contrary, you can take several simple, practical actions to help remove sources of biological pollutants, to help get rid of pollutants, and to prevent their return.
Self-Inspection: A Walk Through Your Home
Begin by touring your household. Follow your nose, and use your eyes. Two major factors help create conditions for biological pollutants to grow: nutrients and constant moisture with poor air circulation.
A musty odor, moisture on hard surfaces, and even water stains, may be caused by:
Before you give away the family pet or move, there are less drastic steps you can take to reduce potential problems. Properly cleaning and maintaining your home can help reduce the problem and may avoid interrupting your normal routine. People who have health problems, such as asthma, or who are allergic, may need to do this and more. Discuss this with your doctor.
Water in your home can come from many sources. Water can enter your home by leaking or by seeping through basement floors. Showers and even cooking can add moisture to the air in your home. The amount of moisture that the air in your home can hold depends on the temperature of the air. As the temperature goes down, the air is able to hold less moisture. This is why, in cold weather, moisture condenses on cold surfaces (for example, drops of water form on the inside of a window). This moisture can encourage biological pollutants to grow.
There are many ways to control moisture in your home:
Controlling dust is very important for people who are allergic to animal dander and mites. You cannot see mites, but you can either remove their favorite breeding grounds or keep these areas dry and clean. Dust mites can thrive in sofas, stuffed chairs, carpets and bedding. Open shelves, fabric wallpaper, knickknacks, and venetian blinds are also sources of dust mites. Dust mites live deep in the carpet and are not removed by vacuuming. Many doctors suggest that their mite-allergic patients use washable area rugs rather than wall-to-wall carpet.
Before You Move
Protect yourself by hiring an InterNACHI inspector to inspect your potential new home. If you identify problems, have the landlord or seller correct them before you move in, or even consider moving elsewhere.
What if damage is already done? Follow these guidelines for correcting water damage:
Reducing Exposure to Biological Contaminants
General good housekeeping, and maintenance of heating and air-conditioning equipment, are very important. Adequate ventilation and good air distribution also help. The key to mold control is moisture control. If mold is a problem, clean up the mold and get rid of excess water and moisture. Maintaining the relative humidity between 30% to 60% will help control mold, dust mites and cockroaches. Employ integrated pest management to control insect and animal allergens. Cooling-tower treatment procedures exist to reduce levels of Legionella and other organisms.
Install and use exhaust fans that are vented to the outdoors in kitchens and bathrooms, and vent clothes dryers outdoors. These actions can eliminate much of the moisture that builds up from everyday activities. There are exhaust fans on the market that produce little noise, an important consideration for some people. Another benefit to using kitchen and bathroom exhaust fans is that they can reduce levels of organic pollutants that vaporize from hot water used in showers and dishwashers. Ventilate the attic and crawlspaces to prevent moisture build-up. Keeping humidity levels in these areas below 50% can prevent water condensation on building materials.
If using cool mist or ultrasonic humidifiers, clean appliances according to the manufacturer's instructions and refill with fresh water daily. Because these humidifiers can become breeding grounds for biological contaminants, they have the potential for causing diseases such as hypersensitivity pneumonitis and humidifier fever. Evaporation trays in air conditioners, dehumidifiers, and refrigerators should also be cleaned frequently.
Thoroughly clean and dry water-damaged carpets and building materials (within 24 hours, if possible), or consider removal and replacement. Water-damaged carpets and building materials can harbor mold and bacteria. It is very difficult to completely rid such materials of biological contaminants.
Keep the house clean. House dust mites, pollens, animal dander, and other allergy-causing agents can be reduced, although not eliminated, through regular cleaning. People who are allergic to these pollutants should use allergen-proof mattress encasements, wash bedding in hot water (130° F), and avoid room furnishings that accumulate dust, especially if they cannot be washed in hot water. Allergic individuals should also leave the house while it is being vacuumed because vacuuming can actually increase airborne levels of mite allergens and other biological contaminants. Using central vacuum systems that are vented to the outdoors, or vacuums with high efficiency filters may also be of help.
Take steps to minimize biological pollutants in basements. Clean and disinfect the basement floor drain regularly. Do not finish a basement below ground level unless all water leaks are patched and outdoor ventilation and adequate heat to prevent condensation are provided. Operate a dehumidifier in the basement, if needed, to keep relative humidity levels between 30% to 50%.
Health Effects From Biological Contaminants
Some biological contaminants trigger allergic reactions, including hypersensitivity pneumonitis, allergic rhinitis, and some types of asthma. Infectious illnesses, such as influenza, measles and chicken pox, are transmitted through the air. Molds and mildews release disease-causing toxins. Symptoms of health problems caused by biological pollutants include sneezing, watery eyes, coughing, shortness of breath, dizziness, lethargy, fever and digestive problems.
Allergic reactions occur only after repeated exposure to a specific biological allergen. However, that reaction may occur immediately upon re-exposure, or after multiple exposures over time. As a result, people who have noticed only mild allergic reactions, or no reactions at all, may suddenly find themselves very sensitive to particular allergens. Some diseases, such as humidifier fever, are associated with exposure to toxins from microorganisms that can grow in large buildings' ventilation systems. However, these diseases can also be traced to micro-organisms that grow in home heating and cooling systems and humidifiers. Children, elderly people, and people with breathing problems, allergies, and lung diseases are particularly susceptible to disease-causing biological agents in the indoor air. Mold, dust mites, pet dander, and pest droppings or body parts can trigger asthma. Biological contaminants, including molds and pollens, can cause allergic reactions for a significant portion of the population. Tuberculosis, measles, staphylococcus infections, Legionella and influenza are known to be transmitted by air.
Combustion appliances are those which burn fuels for warmth, cooking or decorative purposes. Typical fuels are gas, both natural and liquefied petroleum (LP), kerosene, oil, coal and wood. Examples of the appliances are space heaters, ranges, ovens, stoves, furnaces, fireplaces, water heaters, and clothes dryers. These appliances are usually safe. However, under certain conditions, these appliances can produce combustion pollutants that can damage your health, or even kill you.
What are Combustion Pollutants?
Combustion pollutants are gases and particles that come from burning materials. The combustion pollutants come from burning fuels in appliances. The types and amounts of pollutants produced depend on the type of appliance, how well the appliance is installed, maintained and vented, and the kind of fuel it uses. Some of the common pollutants produced from burning these fuels are carbon monoxide, nitrogen dioxide, particles, and sulfur dioxide. Particles can have hazardous chemicals attached to them. Other pollutants that can be produced by some appliances are unburned hydrocarbons and aldehydes. Combustion always produces water vapor. Water vapor is not usually considered a pollutant, but it can act as one. It can result in high humidity and wet surfaces.
Where do Combustion Pollutants Come From?
Combustion pollutants found indoors include outdoor air, tobacco smoke, exhaust from car and lawn mower internal combustion engines, and some hobby activities, such as welding, woodburning and soldering. Combustion pollutants can also come from vented or unvented combustion appliances. These appliances include space heaters, gas ranges and ovens, furnaces, gas water heaters, gas clothes dryers, wood and coal-burning stoves, and fireplaces. As a group, these are called "combustion appliances."
Vented appliances are appliances designed to be used with a duct, chimney, pipe, or other device that carries the combustion pollutants outside the home. These appliances can release large amounts of pollutants directly into your home if a vent is not properly installed, or is blocked or leaking. Unvented appliances do not vent to the outside, so they release combustion pollutants directly into the home. Many of these problems are hard for a homeowner to identify. A professional is needed.
What are the Health Effects of Combustion Pollutants?
The health effects of combustion pollutants range from headaches and breathing difficulties to death. The health effects may show up immediately after exposure, or occur after being exposed to the pollutants for a long time. The effects depend on the type and amount of pollutants, and the length of time of exposure to them. They also depend upon several factors related to the exposed person. These include the age and any existing health problems. There are still some questions about the level of pollutants or the period of exposure needed to produce specific health effects. Further studies to better define the release of pollutants from combustion appliances and their health effects are needed.
The sections below discuss health problems associated with some common combustion pollutants. These pollutants include carbon monoxide, nitrogen dioxide, particles, and sulfur dioxide. Even if you are healthy, high levels of carbon monoxide can kill you within a short time. The health effects of the other pollutants are generally more subtle and are more likely to affect susceptible people. It is always a good idea to reduce exposure to combustion pollutants by using and maintaining combustion appliances properly.
Each year, according to CPSC, there are more than 200 carbon monoxide deaths related to the use of all types of combustion appliances in the home. Exposure to carbon monoxide reduces the blood's ability to carry oxygen. Often, a person or an entire family may not recognize that carbon monoxide is poisoning them. The chemical is odorless, and some of the symptoms are similar to common illnesses. This is particularly dangerous because carbon monoxide's deadly effects will not be recognized until it is too late to take action against them. Carbon monoxide exposures especially affect unborn babies, infants, and people with anemia or a history of heart disease. Breathing low levels of the chemical can cause fatigue and increase chest pain in people with chronic heart disease. Breathing higher levels of carbon monoxide causes symptoms such as headaches, dizziness, and weakness in healthy people. Carbon monoxide also causes sleepiness, nausea, vomiting, confusion and disorientation. At very high levels, it causes loss of consciousness and death.
Breathing high levels of nitrogen dioxide causes irritation of the respiratory tract and causes shortness of breath. Compared to healthy people, children, and individuals with respiratory illnesses such as asthma, may be more susceptible to the effects of nitrogen dioxide. Some studies have shown that children may have more colds and flu when exposed to low levels of nitrogen dioxide. When people with asthma inhale low levels of nitrogen dioxide while exercising, their lung airways can narrow and react more to inhaled materials.
Particles suspended in the air can cause eye, nose, throat and lung irritation. They can increase respiratory symptoms, especially in people with chronic lung disease or heart problems. Certain chemicals attached to particles may cause lung cancer, if they are inhaled. The risk of lung cancer increases with the amount and length of exposure. The health effects from inhaling particles depend upon many factors, including the size of the particle and its chemical make-up.
Sulfur dioxide at low levels of exposure can cause eye, nose, and respiratory tract irritation. At high exposure levels, it causes the lung airways to narrow. This causes wheezing, chest tightness, and breathing problems. People with asthma are particularly susceptible to the effects of sulfur dioxide. They may have symptoms at levels that are much lower than the rest of the population.
Combustion may release other pollutants. They include unburned hydrocarbons and aldehydes. Little is known about the levels of these pollutants in indoor air and the resulting health effects.
What do I do if I suspect that combustion pollutants are affecting my health?
If you suspect you are being subjected to carbon monoxide poisoning, get fresh air immediately. Open windows and doors for more ventilation, turn off any combustion appliances, and leave the house. You could lose consciousness and die from carbon monoxide poisoning if you do nothing. It is also important to contact a doctor immediately for a proper diagnosis. Remember to tell your doctor that you suspect carbon monoxide poisoning is causing your problems. Prompt medical attention is important. Some symptoms from combustion pollutants -- including headaches, dizziness, sleepiness, coughing, and watery eyes -- may also occur because of common medical problems. These medical problems include colds, the flu, and allergies. Similar symptoms may also occur because of other indoor air pollutants. Contact your doctor for a proper diagnosis.
How can I reduce my exposure to combustion pollutants?
Proper selection, installation, inspection and maintenance of your appliances are extremely important in reducing your exposure to these pollutants. Providing good ventilation in your home and correctly using your appliance can also reduce your exposure to these pollutants. Additionally, there are several different residential carbon monoxide detectors for sale. These detectors alert consumers to harmful carbon monoxide levels in the home. They may soon be widely available to reduce deaths from carbon monoxide poisoning.
To reduce indoor air pollution, a good supply of fresh, outdoor air is needed. The movement of air into and out of your home is very important. Normally, air comes in through cracks around doors and windows. This air helps reduce the level of pollutants indoors. This supply of fresh air is also important to help carry pollutants up the chimney, stovepipe or flue to the outside.
Correct Use of Appliances
Inspection and Maintenance
Have your combustion appliance regularly inspected and maintained to reduce your exposure to pollutants. Appliances that are not working properly can release harmful and even fatal amounts of pollutants, especially carbon monoxide. Have chimneys and vents inspected when installing or changing vented heating appliances. Some modifications may be required. For example, if a change was made in your heating system from oil to natural gas, the flue gas produced by the gas system could be hot enough to melt accumulated oil-combustion debris in the chimney or vent. This debris could block the vent, forcing pollutants into the house. It is important to clean your chimney and vents, especially when changing heating systems. Always hire an InterNACHI inspector to perform your home inspections, as they all must pass the most comprehensive, rigorous training program available.
What are the Inspection and Maintenance Procedures?
The best advice is to follow the recommendations of the manufacturer. The same combustion appliance may have different inspection and maintenance requirements, depending on where you live. In general, check the flame in the furnace combustion chamber at the beginning of the heating season. Natural gas furnaces should have a blue flame with perhaps only a slight yellow tip. Call your appliance service representative to adjust the burner if there is a lot of yellow in the flame, or call your local utility company for this service. LP units should have a flame with a bright blue center that may have a light yellow tip. Pilot lights on gas water heaters and gas cooking appliances should also have a blue flame. Have a trained service representative adjust the pilot light if it is yellow or orange. Before each heating season, have flues and chimneys inspected before each heating season for leakage and for blockage by creosote or debris. Creosote buildup or leakage could cause black stains on the outside of the chimney or flue. These stains can mean that pollutants are leaking into the house.