1/ Motivation for caring about indoor air quality

Prior to this pandemic, the average American lived to be 79 yo (lower now). Of those 79 years we spend, on average, 69 years domiciled inside buildings.
2/ An amazing 54 years are spent INSIDE of our homes. Approximately 26 years are spent lying horizontally on a mattress (perhaps breathing in toluene diisocyanate from your pillow).
3/ The sleep microenvironment remains understudied, but proud of our work done @ut_caee (numerous papers published w/ one more in the queue on controlling particles in breathing zone while sleeping).
4/ Six years are spent outdoors in an average American lifetime (most do not believe this, but activity pattern data indicate little deviation across regions of the US). Four years are spent inside cars/transit systems.
5/ So, Americans are INDOOR creatures (as are Canadians, Germans, etc.). The % time we spend in buildings is approximately the same or slightly more than many types of whales spend submerged below the surface of the ocean.
6/ The fact that we spend so much time in buildings means that our exposure to air pollution, even pollution of OUTDOOR origin, is dominated by the air that we breathe indoors. Even pollution of OUTDOOR origin!
7/ The equation on the first tweet in this thread shows the ratio of inhaled pollutant mass indoors to outdoors. The C ratio refers to concentration of pollutant indoors vs. outdoors. The t ratio is time spent indoors vs. outdoors.
8/ The B ratio is respiratory minute volume (volume of air inhaled per minute) indoors vs. outdoors (on average).
9/ Using typical C, t and B ratios from the literature, it is easy to show that for pollutants of outdoor origin the ratio of mass inhaled indoors vs outdoors ranges from approximately 1 to 10 (1 = ozone, which is highly reactive indoors and so has a relatively low C ratio).
10/ For pollutants w/ significant indoor sources, e.g., formaldehyde or various phthalates, the indoor/outdoor mass inhaled ranges from 25 to 100 or more.
11/ Any way you slice it, our lifetime exposure to and uptake of air pollutants is largely D*O*M*I*N*A*T*E*D by the air we breath indoors - from our homes, workplaces, schools, etc.
12/ And as somebody who studies human exposure to air pollution (and how to reduce such exposure) in the built environment, the fact that the indoor environment is so important is why I started studying it 25+ years ago.
13/ The possibility of dramatically reducing population exposure to air pollution of both OUTDOOR & INDOOR origin by paying more attention to construction, operation, and maintenance of buildings & what we bring into them remains extraordinary and (unfortunately) unfulfilled.
14/ That's what got me into the field of indoor air quality, and what continues to keep me interest in it after all of these years. I am excited that so many others are now recognizing the importance of indoro air and environmental quality. Let's all ... Just do it!

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More from @CorsIAQ

8 Aug
1/ Even mediocre masks have a significant benefit if EVERYONE wears one. Everyone is needed to assure those infected are wearing one, too. Consider the following relatively mediocre mask (or poor fit on good masks) scenario.
2/ Assume everyone in an indoor space wears a mask that is only 40% efficient, i.e., 40% efficient at reducing emissions from an infected person & 40% efficient at reducing uptake by a receptor. What's the net benefit to those who are susceptible?
3/ 40% + (0.4 x 60%) = 64%. Just having everyone wearing mediocre masks (or better masks with poor fit) leads to a 64% reduction in inhaled dose of virus-laden aerosol particles. Lowering inhaled dose this much may stave off infection and save lives.
Read 8 tweets
5 Aug
1/ Aware that one school district hired a consulting firm to do CO2 measurements in classrooms when no students (at all during the day - U*G*G*H*H) were present and concluded the rooms are well ventilated. This makes no sense, folks. This makes no sense. Wasted money.
2/ Aware that in another case a school district did CO2 "spot checks" for a few minutes in classrooms. This often happens if a firm wants to measure CO2 in all classrooms and is limited in instruments and time.
3/ Time-averaged values during entire occupied periods can be improtant and "spot checks" can be woefully deceiving depending on when collected.
Read 11 tweets
3 Aug
1/ Here is one way to do a quick & dirty test of leakage around mask. Place several small mirrors or reading glasses in the fridge for 2 to 3 min. Avoid putting them in the freezer, as they will get too cold and you will get condensation on lenses when you remove it.
2/ Take first one out and place it directly in from of mask. As you breathe, the high water vapor content of your warm breath will condense on the lens, a good thing as it shows air going through mask.
3/ Now take out a second pair of glasses and put at edge of mask near chin, nose crease, or cheeks. You want to see as little, and preferably no, condensation as possible. In example below I purposely tweaked seal around nose to yield a small amount of condensation.
Read 10 tweets
30 Jul
1/ K-12 schools open in a few weeks. We did not do the right thing over a year ago to prepare schools to significantly reduce inhalation dose of aerosol particles that convey SARS-CoV-2. Most schools are not doing the right thing. We seem wholly paralyzed as a nation.
2/ In November 2020, I was interviewed by @KGWNews in Portland. Snippets of what I said were used on the show - "We blew it as a nation" and "It's all about lowering (inhalation) dose". kgw.com/article/news/h…
3/ And now we have this, a delta variant far more transmissible, w/ greater impact on children than original virus, & breakthrough infections of those vaccinated that (while 100 to 200 x safer in terms of serious outcomes) can infect others.

cnn.com/2021/07/29/pol…
Read 10 tweets
25 Jul
1/ Recently heard advertisement for a device that removes 99+% of virus that causes COVID-19 from treated air. To many this might sound like the device removes 99% of viruses in room or building air. This is highly unlikely in a real-world setting.
2/ It is not clear how the company arrived at 99+% removal of SARS-CoV-2 virus and whether this means inactivation of the virus or removal of aerosol particles that convey the virus.
3/ It is not clear whether this figure was derived from a very small chamber with low ventilation that the device was placed in, whether "treated air" means air that flows through the device, or something else.
Read 9 tweets
19 Jul
"fine aerosols constituted 85% of the viral load detected in our study." "Exposure to fine aerosols should be mitigated, especially in indoor environments."

Still in peer review, but preliminary results confirm what many of us have said for 15 mos. 1/

medrxiv.org/content/10.110…
Reduction of inhalation dose of aerosol particles is critical to win this deadly war, particularly amongst the unvaccinated. Mitigate by wearing masks, increasing ventilation (including more activities outdoors), improved central filtration, portable HEPA filtration. 2/
Remember that only about 13% of the world's population is fully vaccinated, the Delta variant is a beast, and 3/
Read 4 tweets

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