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8 Building Ventilation, Weatherization, and Energy Use High energy costs and climate-change mitigation efforts are creating pressures to decrease ventilation rates in buildings as a means of reduc- ing the energy used to cool or warm indoor air. This chapter concentrates on the interrelated issues of building energy use, emissions from building materials, weatherization, and ventilation and on how they affect occu- pants. It addresses energy consumption in buildings, the means used to tighten buildings, programs to enhance the energy efficiency of buildings and reduce harmful emissions from building components, the training of personnel who implement weatherization programs, and the effect of tight- ening on ventilation, indoor environmental quality, and occupant health and productivity. The chapter concludes with the committee’s observations regarding those issues. Ventilation affects indoor levels of air pollutants, indoor moisture lev- els, exposures to biologic agents, and the thermal environment of homes. Research on those topics as opposed to ventilation itself is addressed in Chapters 4–7. ENERGY USE IN BUILDINGS Energy use in buildings has been a concern in the United States since the oil embargoes of the 1970s but has gained new currency in recent years as a result of rising costs and an interest in limiting greenhouse-gas emissions. The Department of Energy (DOE) tracks trends in energy use. Its 2009 Buildings Energy Data Book, which has data through 2006, notes that the 209
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210 CLIMATE CHANGE, THE INDOOR ENVIRONMENT, AND HEALTH dominant uses vary between residential and commercial structures1 (DOE, 2009). As noted in Table 8-1, the dominant uses of energy in the residential sector are ambient space heating (about 26%) and cooling, water heating, and lighting (each about 12–13%). In commercial buildings, lighting is the dominant category at about 25%, but space heating, cooling, and mechani- cal ventilation together account for more than 31%. DOE also estimates emissions of carbon dioxide (CO2), a greenhouse gas, from burning fossil fuels to generate energy (mainly natural gas on site and natural gas and coal for electricity production). Those figures are listed in Table 8-1, and they track the energy-use numbers closely. All told, building CO2 emissions in 2006 accounted for 38% of total US CO2 emissions—20% contributed by residential buildings, 18% by commercial structures. BUILDING WEATHERIZATION Weatherization describes the steps taken during building design or retrofit to increase energy efficiency by limiting unintended air and heat exchange between the indoor and outdoor environments. Because those steps generally entail closing gaps in the building envelope, the process is also referred to as tightening. This section describes some of the means typi- cally used to tighten buildings and the effect of tightening on ventilation. Strategies for Tightening Buildings There are four common methods for reducing unplanned air leakage in buildings. Air-tighten the enclosure. Sealing cracks, gaps, and holes in the build- ing envelope with vapor barriers, and other construction changes reduce the amount of air that accidentally leaks in or out. In many US climates, this saves substantial amounts of energy. Sherman and McWilliams (2007) determined that around one-third of the energy used for heating and cool- ing is due to accidental air leakage. There are far fewer measurement data on accidental air leakage in commercial buildings, but it is reported to be around 20–30% (range, 0–58%) of the heating or cooling energy used (Edwards and Hamilton, 1993; Emmerich, 2005; Shaw, 1995). In a study of several California buildings, Mowris and Fisk (1988) observed that ac- cidental air leakage made up 0–30% of the total air-exchange rate. Persily and Norford (1987) found leakage of 31–58% in a three-story office build- ing. About 20–40% of the air leakage can be sealed in existing residential 1 There is, of course, great variation among buildings in these general categories; building age, material, size, location, and predominant use are important factors.
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TABLE 8-1 Percentage of Total Energy Use and Carbon Dioxide Emissions Attributable to Specific Applications in US Buildings in 2006 (DOE, 2010) Energy Use Carbon Dioxide Emissions All Residential Commercial All Residential Commercial Space heating 19.8 26.4 12.1 18.8 24.6 12.2 Lighting 17.7 11.6 24.8 18.1 12.0 25.2 Space cooling 12.7 13.0 12.6 13.0 13.4 12.5 Water heating 9.6 12.5 6.3 9.4 12.4 6.0 Electronics 7.8 8.1 7.5 8.0 8.4 7.6 Refrigeration 5.8 7.2 4.1 5.9 7.4 4.2 Cooking 3.4 4.7 2.0 3.4 4.7 1.9 Wet cleaninga 3.3 6.2 — 3.4 6.4 — Mechanical ventilation 2.8 — 6.7 2.9 — 6.2 Computers 2.3 1.0 3.8 2.4 1.0 3.9 Other 8.5 3.6 13.2 8.4 3.8 12.6 Attributable to buildings 6.3 5.7 6.9 6.4 5.9 7.9 but not directly to specific end uses a Primarily automatic washers, dryers, and dishwashers. 211
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212 CLIMATE CHANGE, THE INDOOR ENVIRONMENT, AND HEALTH and commercial buildings; in new construction, it is feasible to seal about 90% of potential leakage in typical stock (Spengler, 2010). Seal air-distribution systems. Holes and gaps in air handlers, supply and return ducts, and plenums2 lead to leakage in buildings. If the air-handling system is off, then they behave like any other leak. When an air handler is on, leaks are exacerbated by the greater pressure difference across holes or gaps. Cummings et al. (1996) reported that measured duct leakage in commercial buildings averaged about 80 ft3/min at 25 pascals/100 ft2 of duct surface area; the largest outdoor-air infiltration rates were in vented spaces, such as attics, crawlspaces, mechanical closets, and wall cavities. Indoor relative humidity may increase if hot and humid outdoor air infil- trates these spaces. In response, air-conditioning units may have longer run times to correct the imbalance and thus waste energy. Manage indoor–outdoor air-pressure differences. If airflow through heating, ventilating, and air-conditioning (HVAC) equipment results in excessively pressurized or depressurized zones, rooms, or building cavities, then indoor air may be forced out or drawn in through the building en- closure. The most common example is return air plenums. Any air leak in exterior walls that bound a return plenum becomes an accidental outdoor- air intake when the air handler is operating. If a mechanical room is used as a mixing chamber for return and outdoor air, the room is likely to be depressurized by 10–30 pascals and may be depressurized by as much as 90 pascals (Spengler, 2010). Another example common in residential and small commercial buildings is a duct layout that includes supply diffusers in every room and air returns in corridors. When doors to the corridor are closed, the rooms are pressurized, and the corridors are depressurized. The combination of that dynamic and duct leakage to the outside can greatly increase the air-exchange rate in a building. In a study of unplanned air- flows in 70 commercial buildings, 8 had air-exchange rates of 2 to 10 air changes per hour (ACH) when the air handlers were running (Cummings et al., 1996). Similar results have been reported for residential buildings. A research project on 91 Florida homes found that the average air-exchange rate went from 0.21 ACH with air handlers off to 0.91 ACH with air han- dlers on (Cummings and Tooley, 1989). Depending on the circumstances, poorly managed pressure differences may decrease desired circulation of outdoor air indoors or increase energy costs through excessive intrusion of outdoor air. Replace atmospherically vented combustion equipment with high- efficiency combustion equipment in residential buildings. Atmospherically vented combustion equipment typically vents through a chimney. The 2A plenum is a space in which a building’s supply or return air is mixed or moves; it can be a duct, a joist space, an attic, a crawlspace, or a wall cavity (EPA, 2011b).
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213 BUILDING VENTILATION, WEATHERIZATION, AND ENERGY USE chimney ventilates the equipment room and, when the equipment is not running, exhausts air. When the equipment is running, it ventilates at a much higher rate because of the high flue-gas temperature. Measurements made in the 1980s found typical flows of air through chimneys of 50–100 ft3/min (Spengler, 2010). High-efficiency combustion equipment, such as condensing furnaces, does not have a chimney—it vents to the outdoors through pipes in a side wall. The combustion gases are vented to the outside through a small fan, which typically runs at about 25 ft3/min. When such furnaces are not firing, the flows are essentially zero. That dynamic affects single-family buildings, some low-rise multifamily buildings, and small commercial buildings that are constructed with residential methods. If the equipment is in a basement or crawlspace in a climate that has a substantial heating season, ventilation through the chimney is often controlling humid- ity that enters through the foundation. That does not, however, apply to sealed combustion units (which draw no air from the mechanical space) and heat pumps (which need no vents, because there is no combustion). Effects of Tightening on Ventilation Lawrence Berkeley National Laboratory (LBNL) investigators com- piled a dataset on blower-door tests used to assess air leakage from homes across the country (Chan et al., 2003). Figure 8-1 illustrates the results of the home air-tightness tests expressed as whole-house air exchange vs the year when a home was built. The solid line represents the smoothed fit through the data. It shows that the air-exchange rate—as extrapolated from a blower-door pressurization test of air leakage—has been decreasing in homes built over the past 40 years. The trend in tighter house construction coincides with a housing boom in the United States in warm-climate areas, such as Atlanta, Las Vegas, and Phoenix, where air conditioning often re- duced the dependence on natural ventilation. An evaluation of air-tightness measurements in 201 commercial and institutional buildings in the United States by Emmerich and Persily (2005) found that the structures were tighter than the overall average for residen- tial buildings but leakier than new residential construction. The authors state that “unlike the residential air tightness data, the database of US commercial building air tightness shows no indication of a trend toward tightness for newer buildings” (Persily and Emmerich, 2009). ENERGY-EFFICIENCY PROGRAMS FOR BUILDINGS Several government and private initiatives are aimed at reducing energy use in residences and commercial structures. Depending on the program, they may include energy audits, general or building-specific recommenda-
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214 CLIMATE CHANGE, THE INDOOR ENVIRONMENT, AND HEALTH FIGURE 8-1 Normalized air leakage in a sample of homes (measured as air changes per hour) vs year when a home was built (Chan et al., 2003). Figure 8-1.eps bitmap tions for action, and assistance in identifying or hiring contractors trained to perform remediations and upgrades. Improvements can include such weatherization measures as envelope and duct sealing, caulking, replace- ment of leaky windows, and increased insulation and such conservation steps as replacement of incandescent with compact fluorescent or LED lighting and appliance and HVAC upgrades. Information on some of the programs is summarized below. National Weatherization Assistance Program The national Weatherization Assistance Program (WAP) was launched in 1976 to help Americans with limited financial means to respond to rapidly increasing fuel prices during the oil embargoes of the 1970s. WAP weatherizes existing homes. Over the past 33 years, it has provided weath- erization services to more than 6.4 million low-income households. Major funding comes from DOE, and additional support from a variety of sources, including the Low Income Home Energy Assistance Program block grants and energy utility programs (WAP, 2009b). WAP conducts energy audits and selects appropriate energy-conserving measures that can be implemented for costs that do not exceed a capped
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215 BUILDING VENTILATION, WEATHERIZATION, AND ENERGY USE dollar amount. In 2008, WAP provided services to around 100,000 house- holds at a cap figure of $3,500 per unit. In 2009, that rose to 171,000 units. The target number of units weatherized for 2010 was 200,000 with a cap of $6,500 per unit (WAP, 2010). WAP grantees and subgrantees use professionally trained staff and contractors. They make their own decisions on how training is provided. Although that creates some variability across the country, protocols for building assessment, weatherization measures, and quality-assurance pro- cedures have evolved into a fairly consistent industry set of practices (WAP, 2009a). Training may be provided by independent weatherization trainers, inhouse technical trainers, or local or regional weatherization training centers. Typically, it is supplied by a mixture of the three. In 2009, 90% of states used state-agency staff for training, 75% used local-agency peers for training, and 70% used independent trainers (WAP, 2009a). Grantees also make their own decisions about certification. Some require certification by a national organization, such as the Residential Energy Services Network (RESNET) or the Building Performance Institute (BPI). Others provide their own certification, and 17 states do not require certification (WAP, 2009a). Many of the training facilities for WAP also provide instruction to private-sector building-performance contractors. Twelve weatherization training centers in 11 states offer training that reaches beyond the WAP community. BPI supplies education through a network of training affili- ate organizations, individual certifications, company accreditations, and quality-assurance programs. RESNET develops standards and certification for home-energy raters (WAP, 2009a). DOE is also planning to provide ad- ditional training for new workers in the weatherization field (WAP, 2009a). ENERGY STAR In 1992, the US Environmental Protection Agency (EPA) introduced ENERGY STAR as a voluntary labeling program designed to identify and promote energy-efficient products to reduce greenhouse-gas emissions. Computers and monitors were the first labeled products. However, in 1996, EPA partnered with DOE for some product categories, and the ENERGY STAR label was extended to new homes and commercial and industrial buildings (EPA, 2010b). In 1999, EPA, DOE, and the Depart- ment of Housing and Urban Development started Home Performance with ENERGY STAR, an energy-performance program for existing homes. The initiative provides guidelines and support for programs—often partnerships of government agencies, building-science technical-support organizations, building-performance contractors, and utility programs—to provide train- ing and quality assurance for contractors who help homeowners to bring their properties up to ENERGY STAR standards for new construction. To
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216 CLIMATE CHANGE, THE INDOOR ENVIRONMENT, AND HEALTH receive an ENERGY STAR label, a home must be tested to demonstrate performance. More than 75,000 homes have been improved through the program (EPA, 2010b). More than a million US homes had received the ENERGY STAR label as of 2009, and 20% of the roughly 500,000 new homes constructed in 2009 were ENERGY STAR–labeled. The ENERGY STAR Indoor Air Package is a label that adds items that address a broader array of indoor environmental quality issues—including moisture control, pest management, combustion safety, ventilation, emis- sions from building materials, and radon control—to the baseline ENERGY STAR program (EPA, 2010b). It was initiated in 2005 and intended to contribute to improved indoor air quality in new homes compared with code-built homes. Other Programs Nongovernment “green and affordable” housing programs are under way at the local and national levels. One example is the Enterprise Com- munity Partnership, which serves low-income people in communities across the country and provides funds and expertise to enable developers to build and rehabilitate homes to be healthier, more energy-efficient, and consistent with sustainability criteria. The program started in 2004 and by 2009 had produced 17,500 new and renovated affordable homes (Enterprise Com- munity Partners, 2010). Many energy utility companies have energy-efficiency programs that aid residential, commercial, and institutional customers. The amount of money spent each year on such programs is large, totaling $5.3 billion in 2009 (Nevius et al., 2010). Program budgets vary widely by US Census region: states in the West account for 45% of the national total; in the Northeast, 25%; in the South, 17%; and in the Midwest, 13%. Utilities in California alone reported combined budgets of about $1.6 billion—30% of the national total. Programs were most likely to address energy-efficiency improvements in residential furnaces and boilers and in commercial and industrial lighting. Commissioning and retrocommisioning are terms used to describe the usually independent evaluation of newly constructed or existing buildings (respectively) to determine whether they operate as designed or intended and whether they can be improved. It is more typically performed on commercial and public buildings. Examination of the energy efficiency of HVAC, lighting, plumbing, and other mechanical systems is a typical com- ponent of the process.
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217 BUILDING VENTILATION, WEATHERIZATION, AND ENERGY USE Effects of Programs on Energy Use and Employment A 2010 LBNL case study of 14 energy-efficiency programs undertaken by state and local governments, utility companies, and nonprofit organiza- tions found a wide range of participation and a maximum energy saving of about 15% for an individual home (Fuller et al., 2010). EPA reported that newly built homes implementing ENERGY STAR upgrades can realize up to 20% energy savings compared with conventional construction practice (EPA, 2007). Effinger and Friedman (2010) summarized the findings of an LBNL report on retrocommissioning. The study—which comprised 112 buildings, including offices, hospitals, hotels, a retail space, and a school—found that measures to improve energy efficiency resulted in savings of 8–31% (me- dian, 16%). The equipment affected included air-handling units, pumps, chillers, cooling towers, outside air-temperature sensors, and heat exchang- ers. The cost of the implemented measures and the retrocommissioning itself had a simple payback of 0.5–2.5 years (median, 1.1 years). The LBNL report itself (Mills, 2009) concluded that “these findings demonstrate that commissioning is arguably the single-most cost-effective strategy for reduc- ing energy, costs, and greenhouse gas emissions in buildings today.” Residential energy upgrade programs through DOE, state energy offices, and mandated service of public utilities are expected to grow substantially over the next decade. California has committed to reducing energy use in existing homes by 40% by 2020 (CPUC, 2008). Nationally, jobs in the sec- tor are expected to grow from around 114,000 person-years of employment (PYE) in 2008 to 200,000–380,000 PYE by 2020 (Goldman et al., 2010). PRODUCT-LABELING AND BUILDING- CERTIFICATION PROGRAMS Well before the green-building movement gained currency in the 1990s, indoor air quality concerns were recognized as more sealed buildings were constructed, ventilation rates were reduced, and new equipment, materi- als, coatings, and furnishings were introduced. In response to those con- cerns, governments and private organizations developed product-labeling, emission-testing, and building-certification systems to distinguish and mar- ket3 healthier and more environmentally conscious products and buildings. The following sections summarize and evaluate some features of the green-building movement related to indoor environmental quality, includ- 3 The US Federal Trade Commission maintains Guides for the Use of Environmental Market- ing Claims (also known as the Green Guides), which are intended to help marketers to make truthful and substantiated claims about “green” products. The guides were under review and revision when the present report was completed at the end of 2010 (FTC, 2010).
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218 CLIMATE CHANGE, THE INDOOR ENVIRONMENT, AND HEALTH ing the process of materials testing and labeling, building-certification pro- grams, and research needed to address knowledge gaps and uncertainties about the effect of the processes as they are related to building design, construction, and operation under future climate scenarios. There is little peer-reviewed literature on this topic, and the commit- tee’s work was informed in part by white papers on building materials and product-testing regimens (Levin, 2010) and green-building rating systems (Srebric, 2010) commissioned by EPA in support of the present study. A 2010 National Research Council workshop report addressed the broader topic of third-party certification systems for products and services labeled as sustainable (NRC, 2010). Materials Testing and Labeling Systems There are numerous green-product labeling and whole-building certifi- cation systems: a World Resources Institute report indicated that there were more than 340 such systems in November 2009 (WRI, 2010), and a Web site created to compile “ecolabel” information listed nearly 380 in Febru- ary 2011, including 85 related to building products and 64 to buildings (Ecolabel Index, 2011). Green-product labeling systems are intended to promote the use of ma- terials that have low or lower problematic emissions as established through uniform laboratory testing at fixed temperatures and airflow rates (Willem and Singer, 2010). Initial protocols for developing voluntary materials- labeling standards through emissions testing were developed in northern Europe—most notably in Germany, Finland, and Denmark—but have since spread around the world. The Levin (2010) and Srebric (2010) white papers and Willem and Singer (2010) and WRI (2010) reviews contain informa- tion on the major initiatives; information on some specific programs is highlighted below. International standards and certification programs are addressed because these may affect products used in the United States through imports of certified products, US manufacturers designing for in- ternational sales, or competitive pressures for US companies to manufacture green products. Denmark’s DICL4 system, which was the first to test materials in emis- sion chambers, was developed to address the most common building-related complaints: the evaluation of odors and sensory irritation, particularly irri- tation of the eyes and upper respiratory tract. It assesses how a standardized exposure to a material or product irritates mucous membranes or is detected by people (Wolkoff and Nielsen, 1995), but it may also incorporate data from animal studies (Wolkoff et al., 1991). Products are labeled in terms of 4 Danish Indoor Climate Label; also known as the Danish Indeklima Mærke (DIM).
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219 BUILDING VENTILATION, WEATHERIZATION, AND ENERGY USE the time that it takes either to achieve no (or a minor) change in breathing frequency in a mouse assay or to drop below odor or irritation thresholds in humans (Kephalopoulos et al., 2005; Wolkoff and Nielson, 1995; Wolkoff et al., 1991). Indoor environment “comfort thresholds” are based on the time required for the VOC emissions to decay to the point where their room concentrations are below their indoor-relevant threshold, which is half the value of either the odor threshold or the sensory-irritation esti- mate (whichever is lower) for each individual VOC cited in the VOCBASE database (Jensen and Wolkoff, 1996; Kephalopoulos et al., 2005). In most cases, the odor threshold drives the determination of the time value for a specific VOC because sensory-irritation estimates are typically at least an order of magnitude higher than odor thresholds. In practice, use of half the odor threshold is a public-health protective safety factor to account for the presence of the same VOC from other outdoor or other indoor sources in the building. With its focus on irritation and odor thresholds, the DICL test protocol does not address other potential health effects of exposure to haz- ardous chemicals, such as carcinogenic, allergenic, or endocrine-disrupting properties (Kephalopoulos et al., 2005; Levin, 2010). REACH (Registration, Evaluation, Authorization, and Restriction of CHemical substances) is the name used for the European Community’s (EC’s) legislation regarding chemical substances (European Commission Environment, 2011). In contrast to the other programs mentioned here, it has regulatory force with the European Union. The regulation includes provisions regarding emissions from building materials. In 2011, the EC announced that six toxic chemicals, three of which are widely used as plas- ticizers in flooring, adhesives, and textiles, were being phased out under the authority of REACH (European Commission Environment, 2011). In 1988, the Canadian government founded EcoLogo—an Interna- tional Organization for Standards (ISO) Type 1 ecolabel that takes toxic- ity, recycled content, and renewable energy percentage into consideration but does not consider impacts such as raw material extraction (EcoLogo Program, 2011). It certifies building and construction materials such as adhesives, heating and cooling systems, and paints. The most well known of the building-materials and furnishing testing systems in the United States may be the certification process promulgated by the GREENGUARD Environmental Institute, an industry-independent non- profit organization established in 2001 (AQS, 2009b). GREENGUARD’s certification processes put building materials and building-related products (such as carpets) into chambers for a fixed period to measure emissions of VOCs, organic acids, formaldehyde, respirable particles, and other com- pounds. Green Seal is a nonprofit certification organization seeking to reduce the environmental impact of residential and commercial buildings and materials (Green Seal, 2010). It follows guidelines for labeling set by
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228 CLIMATE CHANGE, THE INDOOR ENVIRONMENT, AND HEALTH TABLE 8-2 Health and Productivity Outcomes Associated with Low Ventilation Rates in Buildings (Adapted from Sundell et al., 2011) Homes Increased allergy symptoms Bornehag et al., 2005 Increased asthma symptoms Emenius et al., 2004; Norbäck et al., 1995 Increased bronchial obstruction Øie et al., 1999 High-occupancy buildings Higher rates of respiratory illnessesa Brundage et al., 1988; Hoge et al., 1994; Menzies et al., 2000 Schools Degraded perceptions of indoor air quality Wargocki et al., 2000 Increased symptoms of sick-building Wargocki et al., 2002 syndromeb Increased absences Milton et al., 2000; Shendell et al., 2004 Decreased performance in school work Wargocki and Wyon, 2007a,b Possible reduction in test scores Shaughnessey et al., 2006 Increased allergy symptoms Harving et al., 1993; Norbäck et al., 1995; Smedje and Norbäck, 2000; Sundell et al., 1995 Increased asthma symptoms Smedje and Norbäck, 2000 Increased nasal symptoms Wålinder et al., 1997a,b, 1998 Office buildings Degraded perceptions of indoor air quality Wargocki et al., 2000 Increased symptoms of sick-building Apte et al., 2000; Erdmann and Syndromec Apte, 2004; Jaakkola and Miettinen, 1995; Mendell et al., 2005; Stenberg et al., 1994; Sundell et al., 1994a,b; Wargocki et al., 2002 Increased absences Milton et al., 2000; Shendell et al., 2004 Decreased performance and productivity Wargocki et al., 2002a, 2004 Increased rhinovirus prevalence Myatt et al., 2004 a Evidence supporting higher rates of respiratory illness in high-occupancy buildings may be the result of confounding factors in addition to low ventilation rates. b Sick-building syndrome (SBS) refers to a combination of nonspecific symptoms related to residence or work in a particular building. Core symptoms may include irritation of the eyes, nose, and throat; cough; dry skin; fatigue; headache; lack of concentration; and high frequency of respiratory tract infections (IOM, 2004). There is no generally agreed-on definition of SBS, and differences in the symptom lists used in various studies make it difficult to draw summary conclusions. atically turned UVGI lamps installed in the HVAC systems of three office buildings on and off over the course of a year and collected environmental and occupant data. Fungi, bacteria, and endotoxin concentrations were measured, and building occupants who were unaware of the operating condition of the UVGI lamps filled out questionnaires on their health. Other
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229 BUILDING VENTILATION, WEATHERIZATION, AND ENERGY USE environmental data (temperature, humidity, air velocity, HVAC recircula- tion, and concentrations of CO2, nitrogen oxides, ozone, formaldehyde, and total VOCs) and occupant data (participants’ assessment of thermal, physical, and air quality and demographic, personal, medical, and work characteristics) were also collected. Occupants reported significantly fewer work-related mucosal symptoms (adjusted odds ratio [OR], 0.7; 95% Con- fidence Interval [CI], 0.6–0.9) and respiratory symptoms (adjusted OR, 0.6; 95% CI, 0.4–0.9) when the UVGI lamps were on. Reports of musculoskel- etal symptoms (0.8; 0.6–1.1) and systemic symptoms (headache, fatigue, or difficulty in concentrating) (1.1; 0.9–1.3) were not significantly different. Although median concentrations of viable microorganisms and endotoxins were reduced by 99% (CI, 67–100%) on surfaces exposed to UVGI, there were no significant decreases in airborne concentrations. The results sug- gested that limiting microbial contamination of HVAC systems might yield health benefits. Memarzadeh and colleagues (2010), who studied health-care facilities, cautioned that UVGI disinfection of HVAC systems should not be relied on as the sole intervention used to minimize microbial contamination. The authors stated that other factors, such as careful design of the built environment, installation and effective operation of the HVAC system, and a high level of attention to traditional cleaning and disinfection, must be assessed before a health care facility can decide to rely solely on UVGI to meet indoor air quality requirements for health care facilities. Ventilation effectiveness, the ability of a system to provide supply air that reaches the occupants’ breathing zone and distributes conditioned air within occupied spaces to dilute and remove air contaminants (Levin, 1996; NRC, 2006), is one of those factors. The 2006 National Research Council report Green Schools: Attributes for Health and Learning found that ventilation effectiveness was—in combination with ventilation rate; filter efficiency; the control of temperature, humidity, and excess moisture; and HVAC operations, maintenance, and cleaning practices—a key fac- tor in good indoor air quality. Experiments by Nielsen (2009) determined that air-distribution patterns with high ventilation effectiveness played an important role in minimizing airborne cross-infection in a hospital setting. Weatherization Workforce Training in Considerations of Indoor Environmental Quality and Health As awareness of the potential of weatherization programs to engender problems of indoor environmental quality and health has grown, initia- tives have been undertaken to train the weatherization-industry workforce
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230 CLIMATE CHANGE, THE INDOOR ENVIRONMENT, AND HEALTH to perform high-quality building retrofits that improve energy efficiency while maintaining or enhancing the health and safety of occupants. These are summarized briefly below. In January 2011, DOE issued revised guidance for WAP participants aimed at ensuring the health and safety of weatherization workers and recipients of weatherization services (DOE, 2011). The nonprofit National Center for Healthy Housing has developed training programs for a variety of stakeholders, including designers, builders, owners, code inspectors, and public-health workers. Instruction covers new and existing single-family and multifamily buildings and includes ventilation, moisture control, dust control, integrated pest management, material emissions, and management of air-pressure relationships (NCHH, 2008). The American Lung Associa- tion of the Upper Midwest’s Healthy House program produces guidance for builders and maintains a “Preferred Products” program that lists general cleaning products, stains, finishes, and interior paints that meet standards for low end-use emissions of harmful pollutants and irritants (American Lung Association, 2011). The Indoor Air Quality Guide: Best Practices for Design, Construction, and Commissioning was developed by ASHRAE, the American Institute of Architects, Building Owners and Managers Association International, the Sheet Metal and Air Conditioning Contractors’ Association, EPA, and the US Green Building Council. The Guide “presents best practices for design, construction and commissioning” and “provides information and tools ar- chitects and design engineers can use to achieve an IAQ-sensitive building that integrates IAQ into the design and construction process” (ASHRAE, 2009, p. XII). Its objectives for achieving good indoor air quality comprise the following: • M anage the design and construction process to achieve good in- door air quality. • C ontrol moisture in building assemblies. • L imit entry of outdoor contaminants. • C ontrol moisture and contaminants related to mechanical systems. • L imit contaminants from indoor sources. • C apture and exhaust contaminants from building equipment and activities. • R educe contaminant concentrations through ventilation, filtration, and air-cleaning. • A pply more advanced ventilation approaches. EPA developed voluntary “Healthy Indoor Environment Protocols for Home Energy Upgrades” and released a draft for public comment in late 2010 (EPA, 2010a). It focuses on indoor environmental quality issues and
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231 BUILDING VENTILATION, WEATHERIZATION, AND ENERGY USE identifies actions intended to “promote improved occupant health through home energy retrofits” (EPA, 2011a). DOE released a companion draft titled “Workforce Guidelines for Home Energy Upgrades,” which details work specifications for high-quality retrofits. Together, the documents are intended to help homeowners, energy auditors, and contractors perform home-energy retrofits that remediate or prevent indoor environmental health problems (EPA, 2010a). If made final and widely adopted, the docu- ments have the potential to define future training efforts. SYNTHESIS Buildings are complicated to operate and, to date, operating measures and guidance have been based largely on occupant comfort rather than occupant health or productivity (Sundell et al., 2011). ASHRAE Standards 62.1 and 62.2, for example, offer some guidance for ventilating build- ings properly, but these are minimum levels derived from a consensus process based in the engineering, building, and equipment-manufacturing industries. Among the limitations of the current approach are the lack of integration with material-emissions data and the lag between health-science research and guideline or standards-setting processes of government, indus- try, and consensus groups. There is inadequate understanding of the ap- propriate indoor air quality design standards or the range of susceptibility inherent in the populations that work in buildings or attend schools. Persily (2010) points out that high-performance guidelines for buildings need to do a better job of addressing the issue of moisture control. Although code requirements and other documents address moisture management, many serious moisture problems persist and—as noted elsewhere in this report— climate change may well exacerbate them. New building materials and equipment arrive on the market every day, and experience suggests that some may bring unforeseen problems of indoor environmental quality with them. Many such problems might be identified and avoided if the current process of designing and constructing buildings took a more integrated approach that included consideration of the links between indoor environmental quality and indoor and outdoor sources, ventilation, occupant comfort, and energy efficiency. Material testing and labeling systems represent an important source of information on product emissions and a driving force in lowering emis- sions. Private sector, federal, and state government efforts are already yielding results as manufacturers seek the advantages that accrue from being able to sell green products. Promoting the use of testing and labeling systems by standards-setting organizations and in the marketplace will ac- celerate this process, helping to produce healthier indoor environments that are more resilient to the effects of climate change.
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232 CLIMATE CHANGE, THE INDOOR ENVIRONMENT, AND HEALTH Research aimed at developing guidance is needed to address these situ- ations. In addition, weatherization programs should incorporate tracking mechanisms to identify problems of indoor environmental quality problems as they arise and solutions as they are developed and implemented. CONCLUSIONS On the basis of its review of the papers, reports, and other information presented in this chapter, the committee has reached the following conclu- sions regarding building ventilation, weatherization, and energy-use issues: • R esearch indicates that poor ventilation in homes, offices, and schools is associated with occupant health problems and lower productivity. However, the information base is inadequate, and studies in hot and humid climates are lacking. • P roper design, operation, hygiene, and maintenance of HVAC sys- tems contribute to lower microbial contamination, decreased dis- ease incidence, and increased occupant productivity. • C limate change may make ventilation problems more common or more severe in the future by stimulating the implementation of energy-efficiency (weatherization) measures that limit the exchange of indoor air with outdoor air. • G overnment and consensus organizations are beginning to recog- nize the importance of this issue and have established or are estab- lishing voluntary guidelines and codes that account for the links between energy efficiency, indoor environmental quality, ventila- tion, and occupant health and productivity. Problems will persist until the weatherization workforce is properly trained to recognize and avoid problems of indoor environmental quality, the efficacy of guidelines and codes is validated, and they are widely implemented. • I ntroduction of new materials and weatherization techniques may lead to unexpected exposures and health risks. Energy-efficiency programs must therefore take emissions of building materials and products into account and incorporate tracking mechanisms to identify problems of indoor environmental quality as they arise and solutions as they are developed and implemented. REFERENCES AQS. 2009a. Building rating systems (certification programs): A comparison of key programs. http://www.aerias.org/uploads/2009.12.09_Green_Building_Programs_Comparison_ PUBLISHED.pdf (accessed February 17, 2011).
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