João Cavaleiro Rufo1,2,3,4, Joana Madureira3, Inês Paciência1,2,3,4, Lívia Aguiar4,5,6, João Paulo Teixeira4,5,6, André Moreira1,2,4, Eduardo de Oliveira Fernandes3. 1. Faculty of Medicine of the University of Porto, Porto, Portugal. 2. S. João Hospital Centre, Porto, Portugal. 3. Institute of Science and Innovation in Mechanical Engineering and Industrial Engineering, Porto, Portugal. 4. EPIUnit, Institute of Public Health of the University of Porto, Porto, Portugal. 5. National Institute of Health, Porto, Portugal. 6. Institute of Public Health, Porto, Portugal.
Abstract
HIGHLIGHTS: The SINPHONIE guidelines were successful in reducing PM2.5 and PM10 in schools.The schools failed to reduce the levels of other IAQ pollutants.No significant changes were observed in the prevalence of atopy. BACKGROUND: The onset and exacerbation of allergic diseases and asthma have been associated with poor indoor air quality (IAQ) inside classrooms. OBJECTIVE: The aim was to investigate how IAQ changed in primary schools after applying indoor air quality recommendations, and to explore how these changes influenced allergic sensitization on children. METHODS: Total volatile organic compounds, PM2.5, PM10, CO2, CO, temperature and relative humidity in the indoor and outdoor air of 20 primary schools were measured in 2010-2012. The school staff received instructions on how to improve IAQ in accordance with the dedicated guidelines. Atopy status was assessed in children attending the participating classrooms by skin prick tests and exhaled nitric oxide. A follow-up sampling campaign was performed in 2014-2015 in the same schools. RESULTS: Indoor PM2.5 and PM10 concentrations were approximately 40% lower in the follow-up measurements (p < 0.05). There were no significant differences regarding outdoor PM concentrations. Nevertheless, PM levels from the follow-up campaign still exceeded the reference value established by Portuguese legislation. Moreover, there were no significant differences in atopic prevalence and FENO values between the campaigns. CONCLUSION: These findings suggest that adoption of the recommendations based on the SINPHONIE guidelines was particularly successful in reducing PM2.5 and PM10 in primary schools of Porto. Nevertheless, the schools failed to reduce the levels of other IAQ pollutants, as well as the prevalence of atopic disease. Copyright 2016 PBJ-Associação Porto Biomedical/Porto Biomedical Society.
HIGHLIGHTS: The SINPHONIE guidelines were successful in reducing PM2.5 and PM10 in schools.The schools failed to reduce the levels of other IAQ pollutants.No significant changes were observed in the prevalence of atopy. BACKGROUND: The onset and exacerbation of allergic diseases and asthma have been associated with poor indoor air quality (IAQ) inside classrooms. OBJECTIVE: The aim was to investigate how IAQ changed in primary schools after applying indoor air quality recommendations, and to explore how these changes influenced allergic sensitization on children. METHODS: Total volatile organic compounds, PM2.5, PM10, CO2, CO, temperature and relative humidity in the indoor and outdoor air of 20 primary schools were measured in 2010-2012. The school staff received instructions on how to improve IAQ in accordance with the dedicated guidelines. Atopy status was assessed in children attending the participating classrooms by skin prick tests and exhaled nitric oxide. A follow-up sampling campaign was performed in 2014-2015 in the same schools. RESULTS: Indoor PM2.5 and PM10 concentrations were approximately 40% lower in the follow-up measurements (p < 0.05). There were no significant differences regarding outdoor PM concentrations. Nevertheless, PM levels from the follow-up campaign still exceeded the reference value established by Portuguese legislation. Moreover, there were no significant differences in atopic prevalence and FENO values between the campaigns. CONCLUSION: These findings suggest that adoption of the recommendations based on the SINPHONIE guidelines was particularly successful in reducing PM2.5 and PM10 in primary schools of Porto. Nevertheless, the schools failed to reduce the levels of other IAQ pollutants, as well as the prevalence of atopic disease. Copyright 2016 PBJ-Associação Porto Biomedical/Porto Biomedical Society.
Authors: L M J Geelen; M A J Huijbregts; A M J Ragas; R W Bretveld; H W A Jans; W J van Doorn; S J C J Evertz; A van der Zijden Journal: Indoor Air Date: 2008-07-31 Impact factor: 5.770
Authors: P N Pegas; C A Alves; M G Evtyugina; T Nunes; M Cerqueira; M Franchi; C A Pio; S M Almeida; M C Freitas Journal: Environ Geochem Health Date: 2010-11-02 Impact factor: 4.609
Authors: Raed A Dweik; Peter B Boggs; Serpil C Erzurum; Charles G Irvin; Margaret W Leigh; Jon O Lundberg; Anna-Carin Olin; Alan L Plummer; D Robin Taylor Journal: Am J Respir Crit Care Med Date: 2011-09-01 Impact factor: 21.405