Indoor air pollution
Indoor air pollution is the term used to describe exposure to certain substances found in homes, schools, transport, subway stations and other indoor areas. Over 900 different compounds have been found in indoor air and some pollutants may be 2-5 times more concentrated inside rather than outside buildings.
Where does indoor air pollution come from?
Air pollution can also be found within the workplace, but this is usually studied separately by experts and referred to as ‘work-related or occupational’ health hazards.
Indoor air pollution can be generated by a variety of sources:
- Poor construction
- Poor ventilation
How does indoor air pollution affect our lungs?
People spend more of their time indoors, so quality of indoor air can have a major impact on health.
Particulate matter (PM)
These are tiny particles that are suspended in the air and can be inhaled. Research has shown that as much as 50-90% of the total indoor air particulate matter is generated by tobacco smoke. It is known to cause asthma and wheezing particularly in children.
Different types of particulate matter are measured by their size. For example, PM10 refers to particulate matter that is up to 10 micrometers in size.
Levels of air pollution are measured by the mass/volume of emission. The measurement commonly used is the number of micrograms of pollution per cubic meter. The symbol for this is: μg/m3
Biomass fuels are emitted by open fires and stoves. Approximately 50% of the population use biomass fuels for cooking, heating and lighting, predominantly in less developed countries.
Biomass fuels produce high levels of particulate matter and carbon monoxide (CO).
Research in 2010 found that the deaths attributable to household air pollution from solid fuels, worldwide, were 3,546,399, representing more than 50% of the deaths attributable to air pollution from particulate matter and ozone.
Research has shown that if biomass fuels are used indoors, there is a;
- 3.5 times increased risk of acute lung infections in children
- 2.5 times increased risk for chronic bronchitis in women
- 2.8 times increased risk for COPD
- 2.3 times increased risk for chronic bronchitis in all adults
Nitrogen Oxide (NO2)
Indoor nitrogen oxide is generated by gas-fuelled cooking and heating appliances. It has been linked with wheezing, shortness of breath, chest tightness and cough. It is difficult to determine the impact of nitrogen oxide as exposure levels vary depending on when appliances are in use.
Volatile organic compounds (VOCS)
Volatile organic compounds are generated from chemicals such as disinfectants, pesticides, cosmetics, air fresheners and vinyl floors. They can cause a huge range of conditions from mild irritations to very severe conditions, including cancer.
The health impacts of volatile organic compounds include:
- 11 times increased risk of chronic bronchitis with exposure to formaldehyde, used in building materials such as pressed wood.
- 17% increase in the risk of asthma in children for each 10 mg/m3 increase in formaldehyde concentration
- Up to 3.4 times increased risk of persistent wheezing with exposure to plastics
The risk of developing asthma is thought to increase by 1.2-2.9 times with exposure to all volatile organic compounds. Volatile organic compounds have also been linked with reduced lung function, runny nose and lung infections in babies and children.
This occurs naturally in rock, soil, bricks and concrete. This is the second main cause of lung cancer after smoking. Research has shown that increases in levels of radon, increase the risk of developing lung cancer.
In the USA, 2,100-2,900 cases of lung cancer in people who have never smoked are linked to radon exposure each year. In the UK, about 1,100 deaths each year from lung cancer are related to radon.
Allergens include substances such as dust and can be generated from sources such as carpets, pets, rodents or plants. It is thought that early or high exposure to some allergens, such as cat allergens, can have a protective effect against asthma and wheeze. However, other research has linked allergens with the development of asthma or allergies and increases in the risk of illness in people who are already asthmatic. Further research is needed to understand the different interactions allergens can have with the immune system.
Dampness and mould
Dampness and mould grows on walls and can be found in furniture. It is thought to be present in 10-50% of houses. Moulds are a source of allergens and can increase the risk of asthma-related problems by 30-50%. It is also linked with shortness of breath, lung infections, bronchitis and a runny nose.
Top tips for healthy lungs
There are lots of measures that can be taken to improve the problems associated with indoor air pollution;
- Ensure your home is well ventilated.
- Air your house for 5–10 minutes several times a day, especially during and after cooking, and after taking a shower.
- Maintain gas appliances.
- Where there are coal, wood or open fires, make sure that chimneys are cleaned and looked after. Burn only dry and untreated wood. Do not burn refuse or packaging as it can lead to the formation of toxic substances.
- Prevent water leaks and reduce moisture levels.
- If you live in a high radon area (houses built on granite, in areas such as Sweden and in the west of the UK), get advice on testing for radon.
- Use building materials and furniture with low emissions. Look for products and materials that carry the European “Ecolabel” or any other approved natural levels to prove that products are environmentally sound and low in pollutants and emissions.
- Install alarms for smoke and carbon monoxide.
- Take care when using chemicals in the household; as detergents, cleaning agents, air fresheners etc. release chemicals into the air. Always ventilate well after use.
- Exchange wood stoves for more efficient stoves, with less pollution.
- Use devices that clean the air, known as air purifiers.
- Studies have shown that installing non-polluting heating systems in homes of children with asthma can reduce asthma symptoms, lost days of school and visits to the doctor or pharmacist.
- Smoking should be banned in all indoor areas.
Scientific and clinical resources
- ERS/ATS workshop report on respiratory health effects of household air pollution
- Personal strategies to minimise effects of air pollution on respiratory health: advice for providers, patients and the public. Christopher Carlsten, Sundeep Salvi, Gary W.K. Wong, Kian Fan Chung. European Respiratory Journal 2020 55: 1902056;