The air-exchange rate is often low in schools. The authors studied the poss
ible impact of improving school ventilation on health and exposure of pupil
s. Questionnaire data on allergies, asthma, and asthmatic symptoms were obt
ained in 1993 and 1995 for 1,476 primary- and secondary-school pupils in 39
randomly selected schools. Various exposure factors were measured in 1993
and 1995 in approximately 100 classrooms. In 12% of the classrooms, new ven
tilation systems were installed between 1993 and 1995; the subsequent air-e
xchange rate increased and the relative humidity and concentration of sever
al airborne pollutants were reduced compared with classrooms in nonimproved
buildings. The reporting of at least one asthmatic symptom and the reporti
ng of more asthmatic symptoms in 1995 than in 1993 were less common among t
he 143 pupils who attended schools with new ventilation systems.