SICK-BUILDING SYNDROME

Sick-building syndrome (SBS) is an increasingly common problem. Althou gh objective physiological abnormalities are not generally found and p ermanent sequelae are rare, the symptoms of SBS can be uncomfortable, even disabling, and whole workplaces can be rendered non-functional. I n assessment of patients with SBS complaints, specific building-relate d illnesses suggested by history or physical examination should be rul ed out. On-site assessment of buildings is extremely useful. Treatment involves both the patient and the building. Whenever possible, change s such as ventilation improvements and reduction of sources of environ mental contamination should be initiated even if specific aetiological agents have not been identified.