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How do you test for sick building syndrome?

There is no specific medical test to diagnose sick building syndrome. Physicians usually treat the symptoms individually, but the real identification of a "sick building" is subjective.

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Sick Building Syndrome: What It Is and Tips for Prevention

Telltale clues include increased absenteeism, a large number of occupants complaining about vague but similar symptoms, and a common history of symptom resolution when people are not in the building. "Sick building syndrome" is the name given to a collection of illnesses and symptoms that afflict multiple occupants of particular buildings. The symptoms include sniffles; stuffy noses; itchy eyes; sinus infections; scratchy throats; dry, irritated skin; upset stomachs; headaches; difficulty concentrating; and fatigue or lethargy. The key factors in diagnosing sick building syndrome are a rapid recovery and the disappearance of symptoms after an affected individual leaves the building. Occurrences are not rare, nor is there a simple solution. Sick building syndrome is common enough that many government agencies have published research on causes and symptoms. The National Institute for Occupational Safety and Health included it as a recognized health issue1 in its Environmental and Occupational Medicine, Third Edition. The Occupational Safety and Health Administration also calls out sick building syndrome, which it refers to simply as "indoor air quality," and makes several recommendations for remediation, especially increased ventilation.

Causes of Sick Building Syndrome

During the first energy crisis in the 1970s, builders and building owners took steps to reduce energy consumption in office buildings. Measures included increased insulation, building wraps, weatherstripping doors, and using insulated double- and triple-pane windows, among others. In many cases, buildings were erected or renovated to include windows that couldn't open, to minimize loss of heated or cooled air. The result: Some modern buildings feel as if they are airtight. Building décor also contributes to the issue. Many paints, carpet fibers, furniture, and even wallboard off-gas noxious fumes, sometimes for years after installation. These products may emit formaldehyde, acetic acid, or volatile organic compounds (VOCs) and other chemicals. Modern office equipment such as copiers and electrostatic air cleaners add to the problem by adding ozone to the mix. Mold or mildew from damp conditions also create air quality problems. Manufacturing processes and material-handling equipment may add hydrocarbons or smog, and many chemical cleaning agents give off harmful vapors. The result is a chemical stew in the air that makes people ill—with sick building syndrome. This article originally appeared in the October 2016 issue of Occupational Health & Safety.

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What are the three most common toxins for which homes are tested?

The Most Common Toxins Found in Homes Today Volatile Organic Compounds (VOCs) ... Pesticides. ... Mold and Other Fungal Toxins. ... Phthalates and PVC (Polyvinyl Chloride) ... Dioxins. ... Heavy Metals. ... Polybrominated Diphenyl Ethers (PBDEs) ... Chloroform.

Homes and home furnishings in North America today are built of materials sourced worldwide. Materials standards are not adequately harmonized between nations, and commercial interests often override health concerns associated with many products, in part because related health problems may take years to develop and and be difficult to assign cause. Yet the nationwide increase in immune system disorders, neurological problems, chronic fatigue syndrome, multiple chemical sensitivities, allergies, and hormonal disturbances point to environmental factors. A 2004 reportby the British Medical Journal states “it is clear that environmental and lifestyle factors are key determinants of human disease – accounting for perhaps 75% of most cancers.” And estimates show most Americans have somewhere between 400 and 800 chemicals stored in their bodies, typically in fat cells. Because effects from exposure to toxins are difficult to identify, it can be years before problems from exposure manifest themselves as a disease or chronic ailment. In the US, the EPA does screen many products for some toxins, but until needed revisions to the Toxic Substances Control Act are enacted by Congress, many loopholes in the system leave the burden of responsibility on the consumer to make informed decisions through reading individual product MSDS (Material Safety Data Sheets), following recommendations from agencies like Consumer Reports, or by studying product literature. Realistically, most consumers are unable or do not have the time or expertise to monitor products and materials for hazardous material content. But there a few simple strategies which can be taken to reduce exposure to toxins in the home.

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