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BIOLOGICAL POLLUTANTS IN THE HOME |
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Outdoor air pollution in cities is a major
health problem. Much effort and money continues 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 percent 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 or 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 or 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 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 or 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 upon 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 percent
since 1970, to a total of 9.6 million people. Asthma in children under
15 years of age has increased 41 percent in the same period, to a
total of 2.6 million children. The number of deaths from asthma is up
by 68 percent 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 and
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 and 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,
or even water stains, may be caused by:
Before you give away the family pet or
move, there are less drastic steps that can be taken 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 are
allergic, may need to do this and more. Discuss this with your doctor.
Moisture Control
Water in your home can come from many
sources. Water can enter your home by leaking or by seeping through
basement floors. Showers or 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:
Maintain And Clean All Appliances
That Come In Contact With Water
Clean Surfaces
Dust Control
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 inspecting 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 or moisture. Maintaining the relative
humidity between 30% - 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
crawl spaces to prevent moisture build-up. Keeping humidity levels in
these areas below 50 percent can prevent water condensation on
building materials.
If using cool mist or ultrasonic
humidifiers, clean appliances according to 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 (130° F) water, 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 - 50
percent.
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, like
humidifier fever, are associated with exposure to toxins from
microorganisms that can grow in large building ventilation systems.
However, these diseases can also be traced to microorganisms 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 Pollutants
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 or
particles that come from burning materials. The combustion pollutants
come from burning fuels in appliances. The types and amounts of
pollutants produced depend upon 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 or coal-burning stoves, and
fireplaces. As a group these are called "combustion
appliances."
Appliances
Vented appliances are appliances designed
to be used with a duct, chimney, pipe, or other device that carry 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. Look at the box below for typical appliance
problems that cause the release of pollutants in your 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 upon 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.
Carbon Monoxide:
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.
Nitrogen Dioxide:
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:
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:
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, or 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.
Other Pollutants:
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 - headaches, dizziness, sleepiness, coughing,
and watery eyes - may also occur because of common medical problems.
These medical problems include colds, the flu, or 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 would
warn consumers of harmful carbon monoxide levels in the home. They may
soon be widely available to reduce deaths from carbon monoxide
poisoning.
Appliance Selection
Ventilation
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.
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 upon
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 and cleaned 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.
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