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Erschienen in: International Archives of Occupational and Environmental Health 5/2016

27.01.2016 | Original Article

Exploration of the effects of classroom humidity levels on teachers’ respiratory symptoms

verfasst von: Kim A. Angelon-Gaetz, David B. Richardson, Stephen W. Marshall, Michelle L. Hernandez

Erschienen in: International Archives of Occupational and Environmental Health | Ausgabe 5/2016

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Abstract

Purpose

Previous studies indicate that teachers have higher asthma prevalence than other non-industrial worker groups. Schools frequently have trouble maintaining indoor relative humidity (RH) within the optimum range (30–50 %) for reducing allergens and irritants. However, the potential relationship between classroom humidity and teachers’ health has not been explored. Thus, we examined the relationship between classroom humidity levels and respiratory symptoms among North Carolina teachers.

Methods

Teachers (n = 122) recorded daily symptoms, while data-logging hygrometers recorded classroom RH levels in ten North Carolina schools. We examined effects of indoor humidity on occurrence of symptoms using modified Poisson regression models for correlated binary data.

Results

The risk of asthma-like symptoms among teachers with classroom RH >50 % for 5 days was 1.27 (95 % Confidence Interval (CI) 0.81, 2.00) times the risk among the referent (teachers with classroom RH 30–50 %). The risk of cold/allergy symptoms among teachers with classroom RH >50 % for 5 days was 1.06 (95 % CI 0.82, 1.37) times the risk among the referent. Low RH (<30 %) for 5 days was associated with increased risk of asthma-like [risk ratio (RR) = 1.26 (95 % CI 0.73, 2.17)] and cold/allergy symptoms [RR = 1.11 (95 % CI 0.90, 1.37)].

Conclusions

Our findings suggest that prolonged exposure to high or low classroom RH was associated with modest (but not statistically significant) increases in the risk of respiratory symptoms among teachers.
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Literatur
Zurück zum Zitat Angelon-Gaetz KA, Richardson DB, Lipton DM, Marshall SW, Lamb B, LoFrese T (2015) The effects of building-related factors on classroom relative humidity among North Carolina schools participating in the ‘Free to Breathe, Free to Teach’study. Indoor Air 25:620–630CrossRef Angelon-Gaetz KA, Richardson DB, Lipton DM, Marshall SW, Lamb B, LoFrese T (2015) The effects of building-related factors on classroom relative humidity among North Carolina schools participating in the ‘Free to Breathe, Free to Teach’study. Indoor Air 25:620–630CrossRef
Zurück zum Zitat Arlian LG, Morgan MS, Neal JS (2002) Dust mite allergens: ecology and distribution. Curr Allergy Asthma Rep 2:401–411CrossRef Arlian LG, Morgan MS, Neal JS (2002) Dust mite allergens: ecology and distribution. Curr Allergy Asthma Rep 2:401–411CrossRef
Zurück zum Zitat Bakke JV, Norback D, Wieslander G, Hollund BE, Florvaag E, Haugen EN, Moen BE (2008) Symptoms, complaints, ocular and nasal physiological signs in university staff in relation to indoor environment—temperature and gender interactions. Indoor Air 18:131–143. doi:10.1111/j.1600-0668.2007.00515.x CrossRef Bakke JV, Norback D, Wieslander G, Hollund BE, Florvaag E, Haugen EN, Moen BE (2008) Symptoms, complaints, ocular and nasal physiological signs in university staff in relation to indoor environment—temperature and gender interactions. Indoor Air 18:131–143. doi:10.​1111/​j.​1600-0668.​2007.​00515.​x CrossRef
Zurück zum Zitat Beunckens C, Sotto C, Molenberghs G (2008) A simulation study comparing weighted estimating equations with multiple imputation based estimating equations for longitudinal binary data. Comput Stat Data Anal 52:1533–1548. doi:10.1016/j.csda.2007.04.020 CrossRef Beunckens C, Sotto C, Molenberghs G (2008) A simulation study comparing weighted estimating equations with multiple imputation based estimating equations for longitudinal binary data. Comput Stat Data Anal 52:1533–1548. doi:10.​1016/​j.​csda.​2007.​04.​020 CrossRef
Zurück zum Zitat Buckley JP, Richardson DB (2012) Seasonal modification of the association between temperature and adult emergency department visits for asthma: a case-crossover study. Environmental Health 11:55-069X-011-055. doi:10.1186/1476-069X-11-55 CrossRef Buckley JP, Richardson DB (2012) Seasonal modification of the association between temperature and adult emergency department visits for asthma: a case-crossover study. Environmental Health 11:55-069X-011-055. doi:10.​1186/​1476-069X-11-55 CrossRef
Zurück zum Zitat Casanova LM, Jeon S, Rutala WA, Weber DJ, Sobsey MD (2010) Effects of air temperature and relative humidity on coronavirus survival on surfaces. Appl Environ Microbiol 76:2712–2717. doi:10.1128/AEM.02291-09 CrossRef Casanova LM, Jeon S, Rutala WA, Weber DJ, Sobsey MD (2010) Effects of air temperature and relative humidity on coronavirus survival on surfaces. Appl Environ Microbiol 76:2712–2717. doi:10.​1128/​AEM.​02291-09 CrossRef
Zurück zum Zitat Centers for Disease Control and Prevention (2009) 2008 Behavioral Risk Factor and Surveillance System (BRFSS) asthma call-back questionnaire for adults. Centers for Disease Control and Prevention, Atlanta Centers for Disease Control and Prevention (2009) 2008 Behavioral Risk Factor and Surveillance System (BRFSS) asthma call-back questionnaire for adults. Centers for Disease Control and Prevention, Atlanta
Zurück zum Zitat Chao HJ, Schwartz J, Milton DK, Burge HA (2002) Populations and determinants of airborne fungi in large office buildings. Environ Health Perspect 110:777–782CrossRef Chao HJ, Schwartz J, Milton DK, Burge HA (2002) Populations and determinants of airborne fungi in large office buildings. Environ Health Perspect 110:777–782CrossRef
Zurück zum Zitat Dangman KH, Bracker AL, Storey E (2005) Work-related asthma in teachers in Connecticut: association with chronic water damage and fungal growth in schools. Conn Med 69:9–17 Dangman KH, Bracker AL, Storey E (2005) Work-related asthma in teachers in Connecticut: association with chronic water damage and fungal growth in schools. Conn Med 69:9–17
Zurück zum Zitat Donders ART, van der Heijden GJ, Stijnen T, Moons KG (2006) Review: A gentle introduction to imputation of missing values. J Clin Epidemiol 59(10):1087–1091CrossRef Donders ART, van der Heijden GJ, Stijnen T, Moons KG (2006) Review: A gentle introduction to imputation of missing values. J Clin Epidemiol 59(10):1087–1091CrossRef
Zurück zum Zitat Eng A, Mannetje AT, Douwes J, Cheng S, McLean D, Ellison-Loschmann L, Pearce N (2010) The New Zealand workforce survey II: occupational risk factors for asthma. Ann Occup Hyg 54:154–164. doi:10.1093/annhyg/mep098 CrossRef Eng A, Mannetje AT, Douwes J, Cheng S, McLean D, Ellison-Loschmann L, Pearce N (2010) The New Zealand workforce survey II: occupational risk factors for asthma. Ann Occup Hyg 54:154–164. doi:10.​1093/​annhyg/​mep098 CrossRef
Zurück zum Zitat Fisk WJ, Eliseeva EA, Mendell MJ (2010) Association of residential dampness and mold with respiratory tract infections and bronchitis: a meta-analysis. Environ Health Glob Access Sci Source 9:72. doi:10.1186/1476-069X-9-72 Fisk WJ, Eliseeva EA, Mendell MJ (2010) Association of residential dampness and mold with respiratory tract infections and bronchitis: a meta-analysis. Environ Health Glob Access Sci Source 9:72. doi:10.​1186/​1476-069X-9-72
Zurück zum Zitat Gaetz K (2014) Free to breathe, free to teach: indoor air quality in schools and respiratory health of teachers. Dissertation, University of North Carolina at Chapel Hill. ProQuest, UMI Dissertations Publishing. doi:10.13140/2.1.1739.0403 Gaetz K (2014) Free to breathe, free to teach: indoor air quality in schools and respiratory health of teachers. Dissertation, University of North Carolina at Chapel Hill. ProQuest, UMI Dissertations Publishing. doi:10.​13140/​2.​1.​1739.​0403
Zurück zum Zitat Jaakkola JJK (2006) Temperature and Humidity. In: Frumkin H, Geller R, Rubin IL, Nodvin J (eds) Safe and healthy school environments. Oxford University Press, Oxford, pp 46–57CrossRef Jaakkola JJK (2006) Temperature and Humidity. In: Frumkin H, Geller R, Rubin IL, Nodvin J (eds) Safe and healthy school environments. Oxford University Press, Oxford, pp 46–57CrossRef
Zurück zum Zitat Karim YG, Ijaz MK, Sattar SA, Johnson-Lussenburg CM (1985) Effect of relative humidity on the airborne survival of rhinovirus-14. Can J Microbiol 31:1058–1061CrossRef Karim YG, Ijaz MK, Sattar SA, Johnson-Lussenburg CM (1985) Effect of relative humidity on the airborne survival of rhinovirus-14. Can J Microbiol 31:1058–1061CrossRef
Zurück zum Zitat Kielb C, Lin S, Muscatiello N, Hord W, Rogers-Harrington J, Healy J (2014) Building-related health symptoms and classroom indoor air quality: a survey of school teachers in New York State. Indoor Air. doi:10.1111/ina.12154 Kielb C, Lin S, Muscatiello N, Hord W, Rogers-Harrington J, Healy J (2014) Building-related health symptoms and classroom indoor air quality: a survey of school teachers in New York State. Indoor Air. doi:10.​1111/​ina.​12154
Zurück zum Zitat Matthews TG, Fung KW, Tromberg BJ, Hawthorne AR (1986) Impact of indoor environmental parameters on formaldehyde concentrations in unoccupied research houses. J Air Pollut Control Assoc 36:1244–1249CrossRef Matthews TG, Fung KW, Tromberg BJ, Hawthorne AR (1986) Impact of indoor environmental parameters on formaldehyde concentrations in unoccupied research houses. J Air Pollut Control Assoc 36:1244–1249CrossRef
Zurück zum Zitat Mazurek JM et al (2008) Work-related asthma in the educational services industry: California, Massachusetts, Michigan, and New Jersey, 1993–2000. Am J Ind Med 51:47–59. doi:10.1002/ajim.20539 CrossRef Mazurek JM et al (2008) Work-related asthma in the educational services industry: California, Massachusetts, Michigan, and New Jersey, 1993–2000. Am J Ind Med 51:47–59. doi:10.​1002/​ajim.​20539 CrossRef
Zurück zum Zitat Mirabelli MC, Wing S, Marshall SW, Wilcosky TC (2006) Asthma symptoms among adolescents who attend public schools that are located near confined swine feeding operations. Pediatrics 118:e66–e75. doi:10.1542/peds.2005-2812 CrossRef Mirabelli MC, Wing S, Marshall SW, Wilcosky TC (2006) Asthma symptoms among adolescents who attend public schools that are located near confined swine feeding operations. Pediatrics 118:e66–e75. doi:10.​1542/​peds.​2005-2812 CrossRef
Zurück zum Zitat Patovirta RL, Husman T, Haverinen U, Vahteristo M, Uitti JA, Tukiainen H, Nevalainen A (2004) The remediation of mold damaged school—a three-year follow-up study on teachers’ health. Cent Eur J Public Health 12:36–42 Patovirta RL, Husman T, Haverinen U, Vahteristo M, Uitti JA, Tukiainen H, Nevalainen A (2004) The remediation of mold damaged school—a three-year follow-up study on teachers’ health. Cent Eur J Public Health 12:36–42
Zurück zum Zitat Rudblad S, Andersson K, Stridh G, Bodin L, Juto JE (2001) Nasal hyperreactivity among teachers in a school with a long history of moisture problems. Am J Rhinol 15:135–141CrossRef Rudblad S, Andersson K, Stridh G, Bodin L, Juto JE (2001) Nasal hyperreactivity among teachers in a school with a long history of moisture problems. Am J Rhinol 15:135–141CrossRef
Zurück zum Zitat Sahakian NM, White SK, Park JH, Cox-Ganser JM, Kreiss K (2008) Identification of mold and dampness-associated respiratory morbidity in 2 schools: comparison of questionnaire survey responses to national data. J Sch Health 78:32–37. doi:10.1111/j.1746-1561.2007.00263.x CrossRef Sahakian NM, White SK, Park JH, Cox-Ganser JM, Kreiss K (2008) Identification of mold and dampness-associated respiratory morbidity in 2 schools: comparison of questionnaire survey responses to national data. J Sch Health 78:32–37. doi:10.​1111/​j.​1746-1561.​2007.​00263.​x CrossRef
Zurück zum Zitat Sato M, Fukayo S, Yano E (2003) Adverse environmental health effects of ultra-low relative humidity indoor air. J Occup Health 45:133–136CrossRef Sato M, Fukayo S, Yano E (2003) Adverse environmental health effects of ultra-low relative humidity indoor air. J Occup Health 45:133–136CrossRef
Zurück zum Zitat Sattar SA, Karim YG, Springthorpe VS, Johnson-Lussenburg CM (1987) Survival of human rhinovirus type 14 dried onto nonporous inanimate surfaces: effect of relative humidity and suspending medium. Can J Microbiol 33:802–806CrossRef Sattar SA, Karim YG, Springthorpe VS, Johnson-Lussenburg CM (1987) Survival of human rhinovirus type 14 dried onto nonporous inanimate surfaces: effect of relative humidity and suspending medium. Can J Microbiol 33:802–806CrossRef
Zurück zum Zitat Thomas G, Burton NC, Mueller C, Page E, Vesper S (2012) Comparison of work-related symptoms and visual contrast sensitivity between employees at a severely water-damaged school and a school without significant water damage. Am J Ind Med 55:844–854. doi:10.1002/ajim.22059 CrossRef Thomas G, Burton NC, Mueller C, Page E, Vesper S (2012) Comparison of work-related symptoms and visual contrast sensitivity between employees at a severely water-damaged school and a school without significant water damage. Am J Ind Med 55:844–854. doi:10.​1002/​ajim.​22059 CrossRef
Zurück zum Zitat Thorn A, Lewne M, Belin L (1996) Allergic alveolitis in a school environment. Scand J Work Environ Health 22:311–314CrossRef Thorn A, Lewne M, Belin L (1996) Allergic alveolitis in a school environment. Scand J Work Environ Health 22:311–314CrossRef
Zurück zum Zitat U.S. EPA (2009) Indoor air quality tools for schools reference guide. In: IAQ tools for schools action kit, EPA 402/K-07/008. United States Environmental Protection Agency (U.S. EPA), Washington U.S. EPA (2009) Indoor air quality tools for schools reference guide. In: IAQ tools for schools action kit, EPA 402/K-07/008. United States Environmental Protection Agency (U.S. EPA), Washington
Zurück zum Zitat Whelan EA, Lawson CC, Grajewski B, Petersen MR, Pinkerton LE, Ward EM, Schnorr TM (2003) Prevalence of respiratory symptoms among female flight attendants and teachers. Occup Environ Med 60:929–934CrossRef Whelan EA, Lawson CC, Grajewski B, Petersen MR, Pinkerton LE, Ward EM, Schnorr TM (2003) Prevalence of respiratory symptoms among female flight attendants and teachers. Occup Environ Med 60:929–934CrossRef
Zurück zum Zitat World Health Organization (2009) WHO guidelines for indoor air quality—dampness and mould. WHO Regional Office for Europe, Copenhagen World Health Organization (2009) WHO guidelines for indoor air quality—dampness and mould. WHO Regional Office for Europe, Copenhagen
Metadaten
Titel
Exploration of the effects of classroom humidity levels on teachers’ respiratory symptoms
verfasst von
Kim A. Angelon-Gaetz
David B. Richardson
Stephen W. Marshall
Michelle L. Hernandez
Publikationsdatum
27.01.2016
Verlag
Springer Berlin Heidelberg
Erschienen in
International Archives of Occupational and Environmental Health / Ausgabe 5/2016
Print ISSN: 0340-0131
Elektronische ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-016-1111-0

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