Most people are aware that outdoor air pollution can impact their health, but indoor air pollution can also have significant and harmful health effects. EPA studies of human exposure to air pollutants indicate that indoor levels of pollutants may be two to five times — and occasionally more than 100 times — higher than outdoor levels.1 These levels of indoor air pollutants are of particular concern, because most people spend about 90 percent of their time indoors. For the purposes of this guidance, the definition of good indoor air quality (IAQ) management includes:
Control of airborne pollutants;
Introduction and distribution of adequate outdoor air; and
Maintenance of acceptable temperature and relative humidity.
Temperature and humidity cannot be overlooked, because thermal comfort concerns underlie many complaints about “poor air quality.” Furthermore, temperature and humidity are among the many factors that affect indoor contaminant levels.

Outdoor sources should also be considered since outdoor air enters school buildings through windows, doors and ventilation systems. Thus, transportation and grounds maintenance activities become factors that affect indoor pollutant levels as well as outdoor air quality on school grounds.
Why Is IAQ Important?
In recent years, comparative risk studies performed by EPA’s Science Advisory Board (SAB) have consistently ranked indoor air pollution among the top five environmental risks to public health. Good IAQ is an important component of a healthy indoor environment, and can help schools reach their primary goal of educating children.

Failure to prevent or respond promptly to IAQ problems can increase long- and short-term health effects for students and staff, such as:

Coughing;
Eye irritation;
Headaches;
Allergic reactions;
Aggravate asthma and/or other respiratory illnesses; and
In rare cases, contribute to life-threatening conditions such as Legionnaire’s disease or carbon monoxide poisoning.
Nearly 1 in 13 children of school-age has asthma, which is the leading cause of school absenteeism due to chronic illness. There is substantial evidence that indoor environmental exposure to allergens (such as dust mites, pests, and molds) plays a role in triggering asthma symptoms. These allergens are common in schools. There is also evidence that exposure to diesel exhaust from school buses and other vehicles exacerbates asthma and allergies. These problems can:

Impact student attendance, comfort, and performance;
Reduce teacher and staff performance;
Accelerate the deterioration and reduce the efficiency of the school’s physical plant and equipment;
Increase potential for school closings or relocation of occupants;
Strain relationships among school administration, parents and staff;
Create negative publicity;
Impact community trust; and
Create liability problems.
Indoor air problems can be subtle and do not always produce easily recognized impacts on health, well-being, or the physical plant. Symptoms include headaches, fatigue, shortness of breath, sinus congestion, coughing, sneezing, dizziness, nausea, and irritation of the eye, nose, throat, and skin. Symptoms may not necessarily be due to air quality deficiencies, but can also be caused by other factors, such as poor lighting, stress, noise and more. Due to varying sensitivities among school occupants, IAQ problems may affect a group of people or just one individual and may affect each person in different ways.

Individuals that may be particularly susceptible to effects of indoor air contaminants include, but are not limited to, people with:

Asthma, allergies, or chemical sensitivities;
Respiratory diseases;
Suppressed immune systems (due to radiation, chemotherapy, or disease); and
Contact lenses.
Certain groups of people may be particularly vulnerable to exposures of certain pollutants or pollutant mixtures. For example people with heart disease may be more adversely affected by exposure to carbon monoxide than healthy individuals. People exposed to significant levels of nitrogen dioxide are also at higher risk for respiratory infections.

In addition, the developing bodies of children might be more susceptible to environmental exposures than those of adults. Children breathe more air, eat more food and drink more liquid in proportion to their body weight than adults. Therefore, air quality in schools is of particular concern. Proper maintenance of indoor air is more than a “quality” issue; it encompasses safety and stewardship of your investment in students, staff and facilities.

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