
Indoor air pollution is a pressing issue that affects people worldwide. With people spending approximately 90% of their time indoors, the quality of indoor air is of utmost importance. Indoor air pollution can arise from various sources, including indoor and outdoor factors. Indoor sources, such as combustion appliances, tobacco smoke, cleaning supplies, and building materials, release harmful gases and particles into the air. At the same time, outdoor air pollutants can enter buildings through open doors, windows, ventilation systems, or even attach to our clothing and shoes. These pollutants can have adverse effects on human health, ranging from immediate reactions like eye irritation and headaches to long-term issues such as respiratory diseases, heart disease, and even cancer. Understanding and mitigating these sources of indoor air pollution are crucial for maintaining a healthy living environment.
| Characteristics | Values |
|---|---|
| Sources of indoor pollution | Building materials, household cleaners, biological pollutants, tobacco products, outdoor sources like radon and pesticides, fuel-burning combustion appliances |
| Health effects | Irritation of the eyes, nose, and throat, headaches, dizziness, fatigue, respiratory diseases, heart disease, cancer |
| Factors influencing immediate reactions | Age, pre-existing medical conditions, individual sensitivity |
| Pollutants entering from outdoors | Open doors, windows, ventilation systems, cracks in structures, building foundations, water supplies, shoes and clothing of people entering the building |
| Indoor sources | Combustion sources, tobacco, wood and coal heating, cleaning supplies, paints, insecticides, building materials |
| Building materials as sources | Asbestos fibers, chemical off-gassing from pressed wood products, formaldehyde gas from wood furniture, glue, and adhesives |
| Health impacts | Short-term and treatable effects, long-term effects like asthma, respiratory diseases, non-communicable diseases |
| WHO's role | Provides technical support and capacity building, develops guidelines for indoor air quality and household fuel combustion, maintains a global household energy database |
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What You'll Learn

Indoor air quality (IAQ) and health
Indoor Air Quality (IAQ) refers to the air quality within and around buildings and structures, especially as it relates to the health and comfort of the building's occupants. Americans, for instance, spend approximately 90% of their time indoors, where the concentration of some pollutants is often 2 to 5 times higher than typical outdoor concentrations.
Most pollutants affecting indoor air quality come from sources inside buildings, although some originate outdoors. Indoor sources include combustion sources such as tobacco, wood, and coal heating and cooking appliances, and fireplaces, which can release harmful combustion byproducts such as carbon monoxide directly into the indoor environment. Other indoor sources include cleaning supplies, paints, insecticides, and other commonly used products that introduce various chemicals, including volatile organic compounds, directly into the indoor air. Building materials are also potential sources, whether through degrading materials (e.g. asbestos fibres released from building insulation) or new materials (e.g. chemical off-gassing from pressed wood products).
Outdoor sources of indoor air pollution include air pollutants that enter buildings through open doors, windows, ventilation systems, and cracks in structures. For example, harmful smoke from chimneys can re-enter homes and other homes in the same neighbourhood. Some pollutants enter through building foundations, such as radon, which forms in the ground as naturally occurring uranium in rocks and soils decays. In areas with contaminated groundwater or soils, volatile chemicals can enter buildings through the same process, as can volatile chemicals in water supplies when building occupants use the water. Finally, people can inadvertently bring in outdoor pollutants on their shoes and clothing.
Health effects associated with indoor air pollutants include irritation of the eyes, nose, and throat, headaches, dizziness, and fatigue. Some indoor pollutants can also trigger asthma symptoms or aggravate them. Other health effects may show up years after exposure or only after long or repeated periods of exposure. These effects include respiratory diseases, heart disease, cognitive deficits, and cancer. The link between some common indoor air pollutants (e.g. radon, particle pollution, carbon monoxide) and these health effects is well-established. For example, radon is a known human carcinogen and the second leading cause of lung cancer. Short-term exposure to elevated carbon monoxide levels in indoor settings can be lethal.
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Indoor sources of pollution
Indoor air pollution is a serious environmental hazard that can lead to several health issues. The average American spends approximately 90% of their time indoors, where the concentration of pollutants is often 2 to 5 times higher than typical outdoor levels.
Combustion Sources
Combustion sources, such as tobacco, wood, and coal heating, cooking appliances, and fireplaces, release harmful byproducts like carbon monoxide directly into indoor spaces. Carbon monoxide is toxic, and exposure to high levels of it can be lethal.
Building Materials and Furnishings
Building materials and furnishings can be sources of indoor pollution. Degrading materials, such as asbestos fibers released from insulation, or new materials like pressed wood products, can emit harmful chemicals. Energy-efficient buildings with insufficient ventilation can also increase indoor pollutant levels.
Cleaning Supplies and Pesticides
Cleaning supplies, paints, insecticides, and other commonly used products introduce various chemicals, including volatile organic compounds (VOCs), into indoor air. These chemicals can be harmful when inhaled and have been linked to respiratory infections, asthma, and even cancer.
Natural Sources
Some indoor air pollutants are of natural origin, such as radon, which can enter buildings through cracks in foundations as it forms from the decay of naturally occurring uranium in rocks and soils. Mould, which thrives in damp and humid environments, is another natural source of indoor pollution that can cause respiratory infections and exacerbate asthma and allergies.
Outdoor Air Pollution
Outdoor air pollution can also infiltrate indoor spaces through open doors, windows, ventilation systems, and structural cracks. In some cases, outdoor pollutants like harmful smoke from chimneys can re-enter homes and pollute the indoor air. Additionally, people can inadvertently bring in outdoor pollutants on their shoes and clothing.
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Outdoor sources of indoor pollution
Outdoor sources of pollution can enter indoor spaces through various means, and they can have a significant impact on indoor air quality. One of the primary ways outdoor pollutants enter buildings is through open doors, windows, and ventilation systems. This process, known as infiltration, also occurs through cracks, leaks, and gaps in the building's structure, including walls, floors, ceilings, and around windows and doors. Inadequate or improper ventilation can further exacerbate the issue by not effectively removing indoor air pollutants and allowing outdoor pollutants to accumulate.
Outdoor air pollutants that enter indoor spaces can come from a variety of sources. In urban areas, the main sources of outdoor air pollution are on-road and off-road vehicles. Additionally, power plants, industrial boilers, incinerators, petrochemical plants, aircraft, and ships also contribute to outdoor air pollution, depending on their proximity and prevailing wind conditions. The predominant global source of outdoor pollution is the burning of fossil fuels, which includes natural gas used for heating, electricity generation, and cooking.
Another significant outdoor source of indoor pollution is radon. Radon is a naturally occurring radioactive gas released from the decay of uranium in rocks and soils. It can enter buildings through cracks, gaps, and building foundations, particularly in areas with contaminated soil or groundwater. Radon concentrations can build up indoors, posing serious health risks, including lung cancer.
Climate change and weather conditions can also influence the presence of outdoor pollutants in indoor spaces. Changes in outdoor climate and weather patterns can affect the indoor air quality, particularly when there is inadequate ventilation or air exchange with the outdoors. Additionally, human activities and behaviours can impact the levels of outdoor pollutants that enter indoor spaces, such as the use of personal care products, pesticides, and household cleaners.
Furthermore, outdoor pollutants can be transported indoors through natural ventilation, mechanical ventilation, and the use of air handling systems. The rate at which outdoor air replaces indoor air, known as the air exchange rate, plays a crucial role in determining indoor pollutant concentrations. A higher air exchange rate, influenced by factors such as temperature and wind speed, can increase the influx of outdoor pollutants into indoor environments.
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Health effects of indoor pollution
Indoor air pollution can have a range of adverse health effects, and people who are most susceptible to the negative impacts of pollution, such as the very young, older adults, and those with cardiovascular or respiratory diseases, tend to spend more time indoors.
The health effects of indoor air pollution can be felt soon after exposure or years later. Short-term exposure can lead to irritation of the eyes, nose, and throat, as well as headaches, dizziness, and fatigue. These symptoms are usually treatable and can be resolved by eliminating the source of pollution. However, it can be challenging to identify indoor air pollution as the cause of these symptoms, as they may resemble those of a cold or other viral disease. It is important to pay attention to when and where the symptoms occur, as they may fade or disappear when away from the polluted environment.
Prolonged or repeated exposure to indoor air pollution can lead to more severe health issues, including respiratory diseases, heart disease, cognitive deficits, and cancer. Radon, a common indoor air pollutant, is the second-leading cause of lung cancer. Carbon monoxide, another indoor pollutant, is toxic, and elevated levels can be lethal in the short term. Exposure to the Legionella bacterium, commonly found in poorly maintained heating and plumbing systems, can cause Legionnaires' disease, a form of pneumonia. Other indoor pollutants, such as dust mites, mold, pet dander, and environmental tobacco smoke, can trigger asthma attacks.
The use of inefficient and polluting fuels and technologies in households, such as solid fuels (wood, coal, etc.) and kerosene, contributes significantly to indoor air pollution, particularly in low and middle-income countries. This type of pollution is associated with an increased risk of non-communicable diseases, including stroke, ischaemic heart disease, chronic obstructive pulmonary disease (COPD), and lung cancer. Women and children, who typically spend more time near the domestic hearth and are responsible for household chores, bear the brunt of the health impacts.
Overall, the health effects of indoor air pollution are significant and wide-ranging, underscoring the importance of improving indoor air quality through adequate ventilation, the use of cleaner fuels and technologies, and addressing specific sources of pollution.
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Interventions to improve indoor air quality
Indoor air quality is an important consideration for maintaining good health. The air within and around buildings and structures can be rife with pollutants, which can have adverse effects on the health and comfort of those inside. The concentration of pollutants is often 2 to 5 times higher than typical outdoor levels. Given that Americans spend approximately 90% of their time indoors, it is imperative that interventions are put in place to improve indoor air quality.
One of the most effective ways to improve indoor air quality is to identify and eliminate individual sources of pollution or reduce their emissions. For example, asbestos can be sealed or enclosed, and gas stoves can be adjusted to decrease emissions. In some cases, it may not be possible to eliminate the source, such as with pets, so an air purifier can be used to reduce allergens like pet dander. It is also important to keep your home clean to reduce the accumulation of dust, mould, and pet dander.
Ventilation is another key strategy for improving indoor air quality. Natural ventilation, such as opening windows and doors, can help moderate indoor air temperature and reduce pollutants. However, in areas with outdoor pollutants like smoke or refuse, natural ventilation may not be advisable. Instead, mechanical ventilation systems can be used to bring in outdoor air and dilute indoor pollutants. Advanced home designs are incorporating energy-efficient heat recovery ventilators to improve indoor air quality while mitigating heating and cooling costs.
Moisture control is also essential for maintaining good indoor air quality. Keeping humidity levels below 60%, ideally between 30-50%, can help prevent mould growth and reduce asthma triggers. Additionally, ensuring proper ventilation and maintenance of combustion appliances, such as stoves and fireplaces, can reduce the risk of harmful combustion by-products like carbon monoxide.
Finally, when designing and constructing new buildings, it is crucial to consider indoor air quality. Energy-efficient building construction often lacks sufficient mechanical ventilation, leading to increased indoor pollutant concentrations. Therefore, incorporating mechanical ventilation systems and using building materials that minimise chemical off-gassing can significantly improve indoor air quality in new constructions.
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Frequently asked questions
The main sources of indoor pollution are combustion sources, such as tobacco, wood and coal heating, and cooking appliances, which release harmful byproducts like carbon monoxide directly into the indoor environment. Other sources include cleaning supplies, paints, insecticides, personal care products, and building materials.
Indoor air pollutants can cause a range of health issues, including irritation of the eyes, nose, and throat, headaches, dizziness, and fatigue, and respiratory diseases. Long-term exposure to certain pollutants has been linked to heart disease and cancer.
Biological pollutants can come from plants, people, and animals. Building materials or conditions that support the growth or concentration of these pollutants, such as mould and mildew, can also be significant sources.
Outdoor air pollutants can enter buildings through open doors, windows, ventilation systems, and even cracks in structures. Pollutants can also be inadvertently brought indoors on shoes and clothing.
To improve indoor air quality, ensure proper ventilation and avoid using combustion sources without a dedicated outdoor air supply. Maintain a smoke-free environment, install carbon monoxide alarms, and address any sources of biological pollutants, such as mould or pest infestations.











































