Indoor air quality guidance and compliance in healthcare premises needed

Simon Birkett, Founder and Director of Clean Air in London (CAL) has written to the Secretary of State for Health calling for an investigation into indoor air quality guidance and compliance in healthcare premises.

Indoor Air Quality Healthcare Estates

An investigation by CAL has found that Department of Health (DoH) guidance for air filtration for healthcare premises, including hospitals, has not been updated to ensure full compliance with British and European standard EN 13779:2007 for indoor air quality. 

Read the full letter here:  http://cleanairinlondon.org/indoor-air-quality/air-quality-in-hospitals-may-be-no-better-than-warehouses/

What do you think?  Please use the comments facility below to share your thoughts and opinions.


Outdoor air pollution infiltrates into buildings. Without appropriate ventilation, it accumulates and can even react with other indoor air pollutants.  Hospitals and healthcare estates, are often located in some of the busiest, most polluted urban areas therefore requiring the effective air filtration of intake as well as indoor air. The Camfil Group is a world leader in the development and production of air filters and clean air solutions.  With 50 years of experience in air filtration products and solutions, Camfil delivers value to customers all over the world while contributing to something essential to everyone – clean air for health, well-being and performance.

Find out how to maximise clean indoor air quality in your healthcare estates by calling (0)1706 238000 or email filtersales@camfil.co.uk

New report reveals ignorance over indoor air quality in public buildings

Air filtration in public buildings in London –   Many local authorities are in the dark when it comes to knowing if their buildings use regularly maintained air filters that comply with indoor air quality standard EN 13779, particularly schools, according to a new report from Clean Air in London (CAL).

Indoor Air Quality in Offices

In the report, the cross-party campaigning group claims that indoor air quality (IAQ) can often be worse than outdoor (or ambient) air quality, due to the many sources of pollution that exist within buildings and homes. CAL is therefore campaigning to build public understanding of indoor air quality, initially in London, with support from us here at Camfil Farr.

The report examines the issue of air filtration in public buildings in London.  It includes the results of an Environment Information Regulations request to local, regional and central Government bodies asking ‘which buildings owned, occupied or managed by the Local Authority use regularly maintained air filters that comply fully with European guideline EN 13779 e.g. offices and schools’.  The responses received are analysed and ranked.

The Greater London Authority Group (GLA Group) demonstrated detailed knowledge of its buildings.  However, CAL was surprised to discover that only eight of 15 buildings in Transport for London’s ‘Head Office Portfolio’ were due to comply fully with EN 13779 by April 2012 with seven others in 2012/2013 and many more having no expected compliance date. CAL has also been surprised to discover a big difference among the 33 local authorities in London in terms of how much they know about indoor air quality standards in their buildings. Some have been able to provide quite detailed information on compliant buildings whilst others seem to have little idea of which buildings comply with EN 13779.  Many local authorities have told CAL they do not know about compliance with EN 13779 in some or all of their schools because they are independently managed.

Continue reading

Indoor air quality can be worse than outdoor

This article originally featured on POLITICS HOME: 19 September 2012

Article by Simon Birkett, Founder and Director of Clean Air in London.

Indoor air quality (IAQ) can be worse than outdoor (or ambient) air quality (AAQ) due to the many sources of pollution within buildings and homes. Clean Air in London (CAL) is therefore campaigning to build public understanding of indoor air quality with support from Camfil Farr. CAL does Pollution Checks to investigate air quality.

Indoor Air Quality in OfficesThe most common forms of indoor air pollution include: fine combustion particles from traffic and power stations (PM2.5); volcanic dust; bio-aerosols and pathogens like pollen, bacteria, viruses and fungal spores; environmental tobacco smoke (ETS); asbestos; and silica dust. Molecular pollutants such as gases and vapours include: carbon monoxide; oxides of nitrogen (NOx) and sulphur; ozone; radon; and volatile organic compounds (VOCs).

The World Health Organisation has published two reports titled ‘WHO guidelines for indoor air quality’. These have addressed ‘dampness and mould’ and ‘selected pollutants’ in 2009 and 2010 respectively. While AAQ assessment typically focuses on particle mass concentrations and gases there is increasing concern among scientists about the health impact of higher particle number concentrations and surface area among smaller particles.

Without filters, up to 50% (and much more in some cases) of air pollution found indoors comes from outside. IAQ can be further affected by: tobacco smoke from indoor smoking; combustion (such as gas cooking or candles); water systems, leaks and condensation; and substances emitted from some building materials, furnishings and cleaning agents. Indoor concentrations of some pollutants can be much higher than outdoor (e.g. 10 or 20 times higher in the case of formaldehyde). European citizens spend on average over 90% of their time indoors so 75% or more of the health impact of AAQ can therefore occur indoors. According to the Mayor of London, domestic gas combustion (e.g. from cooking and heating) in turn contributed 22% to ambient air emissions of NOx in Greater London in 2008.

The five year EnVIE project published a major report titled ‘Co-ordination action on indoor air quality and health effects’ in February 2009 with an update titled ‘Promoting actions for indoor air quality (IAIAQ)’ in 2011. These reports aimed to increase understanding of the Europe-wide public health impacts of IAQ by identifying the most widespread and significant causes for these health impacts and evaluating the existing operational building and housing related policies for controlling them. EnVIE estimated the UK as having the worst health effects of the EU 27 countries for ‘non-ideal’ IAQ for asthma and chronic obstructive pulmonary disease (COPD) and among the top three worst for sick building syndrome and respiratory infectious diseases. The same report estimated the UK as having the worst contribution to exposures for bio-aerosols and among the top three worst for VOCs and pathogens. EnVIE ranked the UK worst for the following sources of indoor air pollution: water systems, dampness and mould; ventilation and conditioning systems; and building materials and among the top three worst for: AAQ; furnishing, decoration materials and electric appliances; and cleaning and other household products.

British and European standard BS: EN 13779:2007 specifies different grades of particle and gas filters for non-residential buildings depending on AAQ and desired IAQ. To achieve high IAQ in cities with ambient air exceeding EU limit values by 50% requires a two stage particle filter with a gas filter to achieve average reductions of 80%, 90% or 95% in particles of 0.4 microns in diameter (which compares with the thickness of a human hair of about 70 microns). It is important to remember a building may have air conditioning, mechanical ventilation and/or air filtration or any combination of these (or none of them). IAQ standards are supported by BS:EN 779:2012 which sets a minimum efficiency e.g. removing 35%, 55% or 70% of particles at 0.4 microns. Higher quality, low energy air filters, such as those made from glass fibre, together with a large surface area to reduce pressure drop (so-called ‘bag filters’), can achieve and sustain much higher particle efficiencies at lower total lifetime cost (as energy may use up to 70% of total cost). Ultraviolet light may eliminate some pathogens but do little or nothing to eliminate particles or gases. Cheap synthetic filter materials may depend on electrostatic charge to comply with standards initially but lose their charge and require much more frequent replacement with all the associated maintenance and disposal costs. The efficiency of carbon filters depends on charcoal’s ability to retain gas molecules on its surface which in turn depends on the quality and surface area of charcoal and the type of gas, contact time and gas concentration.

Continue reading