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428                                               14  Indoor Air Quality

            increase in the awareness of indoor air pollution with the advances of research and
            education in related field.
              Increasing attention to indoor air quality was largely attributed to the awareness
            of poor health associated with the poor indoor environment. According to the
            studies sponsored by the US EPA, concentrations of indoor air pollutants may be
            2–5 times, and sometimes, over 100 times higher than their outdoor counterparts,
            and indoor air pollution is one of the top five environmental risks to public health,
            comfort, and performance [1]. The situation is believed to be worsening with
            reduced ventilation rate for energy conservation and increased use of chemically
            formulated household products, and emissions from electronic office products.
              Indoor air pollution has a profound impact on the quality of life and the econ-
            omy. The National Institute for Occupational Safety and Health (NIOSH) ranked
            occupational lung dysfunctions (including lung cancer, pneumonoconioses, and
            occupational asthma) as the top occupational diseases and injuries. Lung dys-
            function is undoubtedly related to the indoor air quality that people are exposed to.
            In some extreme case, indoor air pollutant could cause death.
              Illnesses related to indoor air pollution can be classified into two categories:

            • Sick building syndrome (SBS)
            • Building related illness (BRI)
              SBS is defined as the discomfort or sickness associated with poor indoor air
            quality without clear identification of the source substances. These symptoms could
            be, but are not limited to, irritation to eyes, noses, or throat, fatigue, and nausea.
            BRI is defined as a recognized disease caused by known agents that can be clini-
            cally identified. Examples of SRI symptoms include asthma, legionella, hyper-
            sensitivity, and humidifier fever. Obviously, the difference between the SBS and
            BRI is whether the causes of the sickness can be diagnosed clinically. Most of the
            time, the general public do not differentiate them, and they both are often referred to
            as sick building syndrome. Approximately one million buildings in the United
            States are sick buildings with 70 million occupants [2].
              It is challenging to list all the sources of indoor air pollutants. Nonetheless, they
            can be grouped into outdoor and indoor sources. Outdoor air contaminants can enter
            indoor environments through HVAC systems, building envelopes, or even windows
            and doors. Indoor sources include combustion sources, such as smoking and
            cooking, operation of equipment, such as printers and computers, and biological
            sources, such as plants, animals, and human beings.
              An incomplete list of sources of indoor air pollutants (excluding those with
            outdoor origins) is shown in Table 14.1. The list cannot be complete because of the
            nearly infinite contaminants in the air and multiple sources of each pollutants.
            Therefore, this table shall be used for guidance only.
              Asbestos is a set of six naturally occurring silicate minerals used commercially
            for their desirable physical properties. They all have in common their eponymous
            asbestiform habit: long (roughly 1:20 aspect ratio), thin fibrous crystals.
              The prolonged inhalation of asbestos fibers can cause serious illnesses including
            malignant lung cancer, mesothelioma, and asbestosis. Asbestosis is most closely
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