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Your building can make you sick or keep you well


What does indoor air quality (or IAQ in short) mean, and why is it important to talk about it?

Indoor air quality refers to the properties of air inside buildings, in relation to how these affect human health and permanence indoors.


This topic demands more attention, first of all because we spend more and more of our lives indoors.

As a study by the NHAPS (National Human Activity Pattern Survey) suggests, we spend on average of 90% of our daily time indoors[1], and indeed our health, behaviour and all-round wellbeing are dependent on indoor conditions, especially those determined by air conditioning systems.

So, how is indoor air quality measured in practice? How do we know if the air we are surrounded by is good or not? It depends from a combination of factors, so rather than just one indicator, several need to be taken into consideration.




Parameters to measure IAQ



Relative humidity

Air speed

CO2 concentration

VOC concentration

Micro-organism concentration

Noise level



Some of these parameters are more "famous" and their effect on us is more intuitively understood than others, however they all need to fall into a certain range in order to be acceptable. Indeed, ranges are used rather than specific values, as different people may feel different while in the same room, depending on their clothing, activity, and much more.





Just to give few numerical example:


temperature is usually required to be between 67 and 82°F or 20 and 27°C throughout the year

relative humidity between 40 and 60%, and indoor CO2 levels lower than 1000 ppm.


The problem is that when these indoor air quality values are outside of these ranges, the human body starts to suffer. Symptoms are very diverse, and may include headache, dizziness, nausea, eye, nose or throat irritation, dry cough, dry or itchy skin, difficulty in concentration, fatigue, sensitivity to odours, a hoarse voice, allergies, cold, flu-like symptoms and increased incidence of asthma attacks.

Often they tend to disappear a little while after exposure to the unhealthy environment has ceased, and hence they tend to be dismissed quickly. Yet being subjected to repetitive or continuous exposure to such environments amplifies these symptoms, weakening our body against other illnesses and posing a true threat to human health.

When such symptoms affect the occupants of a building without any specific illness or cause being identified, the condition is referred to as sick building syndrome.

Sick building syndrome is a serious, widespread problem, and studies suggest that up to about 30% of new buildings around the world may be affected. What’s worse is that it can be difficult to trace health issues among the building’s occupants back to the true cause, the building itself[2].

If we get a cold while working in winter in an office with a broken heating system, then the cause may be clear - the air temperature is too low; however as most buildings have a decent heating/cooling system, this is not always the case.

Other indoor air quality parameters play a similarly important role to air temperature.




Indoor relative humidity (RH), for example, also affects our health in many, more subtle ways:

  • first of all, keeping relative humidity in a mid-range between 40% and 60% prevents excessive skin, eye and respiratory tract dryness and enables us to breath and perspire more easily. In dry air, our thermoregulation system requires extra effort, which may cause discomfort, while other symptoms such as headache, fatigue and irritability may appear.
  • relative humidity control allows dust particles in the air to precipitate and adhere to surfaces, thus mitigating the effects of air pollutants, which in a low humidity environment would remain suspended for longer.
  • even more critically, relative humidity is of great importance for reducing bacteria and virus transmission inside confined spaces. Keeping relative humidity around 50% helps infection prevention, for example impacting the seasonal spread of flu. An average level of relative humidity both decreases influenza-like virus infectivity and improves the effectiveness of our body’s natural defences (read more about Flu & Infection Prevention).

As a result of all of the above, relative humidity relates not only to healthcare acquired infections and staff safety, but to staff productivity too. Studies compared office-like environments with and without humidification, showing that keeping an average level of RH decreased the absenteeism rate of employees and improved performance in office tasks[3].




Proper relative humidity control, although often neglected, is one if the best tools we have to create an indoor environment that is good for human life.

The benefits it brings relate to the many type of buildings with a high level of human occupation: hospitals and healthcare facilities are obviously the most critical, but offices, supermarkets, schools and educational facilities, theatres and museums, hotels and our homes are also affected.



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