K. Nordstrom et al., EFFECT OF AIR HUMIDIFICATION ON THE SICK BUILDING SYNDROME AND PERCEIVED INDOOR AIR-QUALITY IN HOSPITALS - A 4 MONTH LONGITUDINAL-STUDY, Occupational and environmental medicine, 51(10), 1994, pp. 683-688
The sensation of dryness and irritation is essential in the sick build
ing syndrome (SBS), and such symptoms are common in both office and ho
spital employees. In Scandinavia, the indoor relative humidity in well
ventilated buildings is usually in the range 10-35% in winter. The ai
m of this study was to evaluate the effect of steam air humidification
on SBS and perceived air quality during the heating season. The study
base consisted of a dynamic population of 104 hospital employees, wor
king in four new and well geriatric hospital units in Sweden. Air humi
dification raised the relative air humidity to 40-45% in two units dur
ing a four months period, whereas the other two units served as contro
ls with relative humidity from 25-35%. Symptoms and perceived indoor a
h quality were measured before and after the study period by a standar
dised self administered questionnaire. The technical measurements comp
rised room temperature, air humidity, static electricity, exhaust air
flow, aerosols, microorganisms, and volatile organic compounds in the
air. The most pronounced effect of the humidification was a significan
t decrease of the sensation of air dryness, static electricity, and ai
rway symptoms. After four months of air humidification during the heat
ing season, 24% reported a weekly sensation of dryness in humidified u
nits, compared with 73% in controls. No significant changes in symptom
s of SBS or perceived air quality over time were found in the control
group. The room temperature in all units was between 21-23 degrees C,
and no significant effect of air humidification on the air concentrati
on of aerosols or volatile organic compounds was found. No growth of m
icroorganisms was found in the supply air ducts, and no legionella bac
teria were found in the supply water of the humidifier. Air humidifica
tion, however, significantly reduced the measured personal exposure to
static electricity. It is concluded that air humidification during th
e heating season in colder climates can decrease symptoms of SES and p
erception of dry air.