Environmental Health & Safety

building-related illness (BRI)

Building-Related Illness: When Your Workspace Makes You Sick

The modern workplace is often touted as a hub of innovation and productivity. But what happens when the very environment designed to foster these qualities becomes a source of illness? This is the reality of Building-Related Illness (BRI), a growing concern in environmental and water treatment.

BRI is defined as a condition where at least 20% of a building's occupants experience symptoms of illness for more than two weeks, with the source of these symptoms directly linked to a specific building feature or element. While the term "illness" might seem severe, BRI encompasses a wide range of ailments, including:

  • Respiratory problems: Coughing, wheezing, shortness of breath, and asthma exacerbation.
  • Neurological issues: Headaches, dizziness, fatigue, and difficulty concentrating.
  • Skin problems: Dermatitis, itching, and rashes.
  • Eye irritation: Redness, burning, and watery eyes.

The underlying causes of BRI are diverse, often stemming from a combination of factors:

1. Poor Indoor Air Quality (IAQ): This is the most common culprit. Airborne contaminants like mold, dust mites, volatile organic compounds (VOCs), and bacteria can accumulate in buildings with inadequate ventilation systems, leading to respiratory and allergic reactions.

2. Water-Related Issues: Problems in water systems, including contaminated water sources, faulty plumbing, and inadequate disinfection, can lead to the growth of microbes and release of harmful chemicals. This can result in Legionnaires’ disease, humidifier fever, and other waterborne illnesses.

3. Building Materials and Furnishings: Certain building materials like glues, paints, carpets, and furnishings can release VOCs and other harmful substances into the air, causing irritation and long-term health problems.

4. Inadequate Ventilation: Buildings with insufficient air circulation can trap contaminants, leading to poor IAQ and the development of BRI symptoms.

5. Thermal Discomfort: Extreme temperatures, humidity levels, and lack of proper air conditioning can contribute to discomfort and create conditions conducive to microbial growth.

The impact of BRI on individuals and organizations is significant. It can lead to reduced productivity, absenteeism, and increased healthcare costs. Moreover, the psychological impact of feeling unwell in your workspace can be detrimental to employee morale and overall workplace well-being.

Prevention and Mitigation of BRI:

  • Thorough Building Inspections: Regular inspections for mold, leaks, and other potential hazards.
  • Effective Ventilation Systems: Proper ventilation and air filtration to remove contaminants.
  • Water System Maintenance: Regular testing and maintenance of water systems to prevent microbial growth and contamination.
  • Selection of Safe Materials: Choosing low-VOC emitting materials and furnishings.
  • Environmental Monitoring: Continuous monitoring of air quality, temperature, and humidity levels.
  • Employee Education and Training: Raising awareness about BRI and promoting healthy practices in the workplace.

By addressing the root causes of BRI through comprehensive preventive measures and effective mitigation strategies, we can create healthier and more productive work environments. Environmental and water treatment professionals play a crucial role in ensuring the safety and well-being of building occupants by preventing and managing BRI.


Test Your Knowledge

Building-Related Illness Quiz

Instructions: Choose the best answer for each question.

1. Which of the following is NOT a common symptom of Building-Related Illness (BRI)?

a) Headaches b) Muscle aches c) Skin rashes d) Increased appetite

Answer

d) Increased appetite

2. What is the most common culprit for BRI?

a) Poor Indoor Air Quality (IAQ) b) Water-related issues c) Building materials and furnishings d) Inadequate ventilation

Answer

a) Poor Indoor Air Quality (IAQ)

3. Which of the following can contribute to poor Indoor Air Quality (IAQ)?

a) Mold growth b) Dust mites c) Volatile organic compounds (VOCs) d) All of the above

Answer

d) All of the above

4. Which of the following is a preventative measure for BRI?

a) Regular building inspections b) Effective ventilation systems c) Selection of safe building materials d) All of the above

Answer

d) All of the above

5. What is the primary impact of BRI on individuals?

a) Increased productivity b) Reduced healthcare costs c) Reduced absenteeism d) Health problems

Answer

d) Health problems

Building-Related Illness Exercise

Scenario: You are the building manager of a large office complex. You have noticed an increase in employee complaints regarding headaches, fatigue, and respiratory issues.

Task:

  1. Identify at least three possible causes of BRI based on the symptoms described.
  2. Develop a plan for investigating these possible causes.
  3. Outline three specific actions you would take to address each of the identified causes.

Exercise Correction

**Possible Causes:** 1. **Poor Indoor Air Quality (IAQ):** The complaints of headaches, fatigue, and respiratory issues could be caused by pollutants in the air such as mold, dust mites, or VOCs. 2. **Inadequate Ventilation:** If the ventilation system isn't working properly, contaminants could be trapped inside the building, leading to the symptoms described. 3. **Building Materials and Furnishings:** New carpets, paints, or furniture could be emitting VOCs, contributing to the health problems. **Investigation Plan:** 1. **Air Quality Testing:** Hire a professional to conduct air quality testing to identify specific contaminants in the air. 2. **Ventilation System Inspection:** Check the ventilation system for proper functioning and maintenance, including filter changes and air flow. 3. **Building Material Assessment:** Review recent building renovations or additions to identify any new materials that could be releasing harmful substances. **Action Plan:** **Addressing Poor IAQ:** * **Increase Ventilation:** Ensure proper air circulation by adjusting air flow settings and increasing air exchange rates. * **Air Filtration:** Install high-efficiency air filters to remove contaminants like mold, dust mites, and VOCs. * **Mold Remediation:** Conduct thorough mold inspections and remediation if necessary. **Addressing Inadequate Ventilation:** * **Ventilation System Maintenance:** Regularly clean and maintain the ventilation system, including filters and air ducts. * **Ventilation System Upgrade:** If necessary, consider upgrading the ventilation system to ensure adequate air circulation. * **Alternative Ventilation Strategies:** Explore solutions such as opening windows during cooler periods or utilizing portable air purifiers. **Addressing Building Materials and Furnishings:** * **Choose Low-VOC Materials:** Specify low-VOC materials for future renovations or furniture purchases. * **Off-gassing Reduction:** Allow new furniture and materials to off-gas in a well-ventilated area before bringing them into the building. * **Remove Problematic Materials:** If identified, remove or replace problematic materials or furnishings. **Note:** This is a sample solution. The specific causes, investigation plan, and action plan may vary depending on the building's unique characteristics and the available resources.


Books

  • Indoor Air Quality and Health: A Guide for Building Occupants and Managers by William W. Nazaroff and Allan D. Hubbard
  • Sick Buildings: A Guide to Managing Indoor Air Quality by J. Donald Spengler
  • Building Biology: A Guide to Healthier Homes and Buildings by Wolfgang Maes
  • The Healthy Home: A Practical Guide to a Safe and Healthy Environment for Your Family by Stephenie Romine

Articles

  • Building-Related Illness: A Review of the Literature by A. M. Rosen and D. W. Hoskins
  • Building-Related Illness: A Multifactorial Problem by J. D. Spengler
  • The Impact of Indoor Air Quality on Human Health by W. W. Nazaroff
  • Sick Building Syndrome and Building-Related Illness: A Review by R. J. Burge
  • Health Effects of Waterborne Pathogens in Buildings by A. D. Hubbard

Online Resources

  • The World Health Organization (WHO) - Indoor Air Quality
  • The United States Environmental Protection Agency (EPA) - Indoor Air Quality
  • The American Society of Heating, Refrigerating and Air-Conditioning Engineers (ASHRAE) - Indoor Environmental Quality
  • Building Biology Institute
  • The Indoor Air Quality Association (IAQA)

Search Tips

  • "Building-related illness" OR "sick building syndrome"
  • "Indoor air quality" AND "health effects"
  • "VOCs" AND "building materials"
  • "Mold" AND "building remediation"
  • "Legionnaires' disease" AND "building water systems"

Techniques

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