For Assistance and Additional Information
Resources for both health professionals and patients
For assistance and guidance in dealing with known or suspected adverse effects of indoor air pollution, contact the U.S. Environmental Protection Agency Indoor Air Quality Information Clearinghouse (1-800-438-4318), EPA regional offices, and state and local departments of health and environmental quality, and your local American Lung Association (1-800-LUNG-USA).
For information on particular product hazards, contact the U.S. Consumer Product Safety Commission (1-800-638-CPSC). Individual manufacturers, as well as trade associations, may also supply pertinent information.
For information about regulation of specific pollutants, call the EPA Toxic Substances Control Act (TSCA) Assistance Information Service (202-554-1404),
For information related to occupational exposures, contact the Occupational Safety and Health Administration (202-523-6091) or the National Institute of Occupational Safety and Health (1-800-35-NIOSH).
For information on lead, contact the National Lead Information Center (1-800-LEAD FYI). For information on pesticides, contact the National Pesticides Telecommuncations Network (1-800-858-PEST).
Many sources of information are listed in the references at the end of each chapter. The following publications may also be useful to the health professional and to the patient.
For the health professional:
American Lung Association. "Health Effects and Sources of Indoor Air Pollution, Parts I and II." 1989. Publication No. 0857C.
American Thoracic Society. "Environmental Controls and Lung Disease." American Review of Respiratory Disease. 1900. 142:915-939.
Gammage, R.B., Kaye, S.V. Indoor Air and Human Health. Lewis Publishers, Inc. Chelsea, MI.
Gergan, P.J. R.B., Weiss, K.B. "The Increasing Problem of Asthma in the United States." American Review of Respiratory Disease. 1992. 146(4):823-824.
Gold, D.R. "Indoor Air Pollution." Clinics in Chest Medicine. June 1992. 13(2):215-229.
Samet, J.M., Spengler, J.D., eds. Indoor Air Pollution - A Health Perspective. Johns Hopkins University Press. Baltimore, MD. 1991.
Turiel, I. Indoor Air Quality and Human Health. 1985. Stanford University Press. Stanford, CA.
U.S. Environmental Protection Agency. "Building Air Quality: A Guide for Building Owners and Facility Managers." U.S. Government Printing Office. Washington, D.C. EPA-055-000-00390-4. December 1991.
U.S. Environmental Protection Agency. "EPA Indoor Environmental Quality Survey." 1992. OMB No. 2060-0244.
U.S. Environmental Protection Agency, U.S. Public Health Service, National Environmental Health Association. "Introduction to Indoor Air Quality: A Self-Paced Learning Module." EPA-400-3-91-002. July 1991.
U.S. Environmental Protection Agency. The Total Exposure Assessment Methodology (TEAM) Study; Project Summary. 1987. EPA-600-56-87-002.
Wadden, R.A., Scheff, P.A. Indoor Air Pollution - Characterization, Prediction, and Control. 1983. John Wiley and Sons, Inc. New York, NY.
For the patient (may be helpful to the professional as well):
American Lung Association. "Air Pollution In Your Home?". 1990. Publication No. 1001C.
American Lung Association. "Home Indoor Air Quality Checklist." 1992. Publication No. 0679C.
American Lung Association. "Indoor Air Pollution Fact Sheet - Household Products." 1990. Publication No. 1187C.
U.S. Environmental Protection Agency, U.S. Consumer Product Safety Commission. "The Inside Story: A Guide to Indoor Air Quality." 1993. EPA-402-R-93-013.
U.S. Environmental Protection Agency. "Targeting Indoor Air Pollution - EPA's Approach and Progress." September 1992. EPA-400-R-92-012.
For the patient (may be helpful to the profession as well):
American Lung Association. "Indoor Air Pollution Fact Sheet - Combustion Products." 1992. Publication No. 1182C.
U.S. Consumer Product Safety Commission, U.S. Environmental Protection Agency, American Lung Association. "What You Should Know About Combustion Applicances and Indoor Air Pollution." 1991. ALA Publication No. 3717C.
For the health professional:
Chaitman, B.R., Dahms, T.E., Byers, S., Carroll, L.W., Younis, L.T., Wiens, R.D. "Carbon Monoxide Exposure of Subjects With Documented Cardiac Arrhythmias." Health Effects Institute Research Report No. 52. 1992.
U.S. Consumer Product Safety Commission. "The Senseless Killer." 1993. GPO Publication No. 1993-0-356-764.
Kirkpatrick, J.N. "Occult Carbon Monoxide Poisoning." Western Journal of Medicine. 1987. 147:52-56.
For the health professional:
Burge, Harriet A. "Indoor Air and Infectious Disease." In: Cone, J.E., Hodgson, M.J. Problem Buildings: Building-Associated Illness and the Sick Building Syndrome. State of the Art Reviews in Occupational Medicine. 1989. 4(4):713-721.
Burge, Harriet A. "Toxigenic Potential of Indoor Microbial Aerosols." In: Sandhu, S.S., MeMarini, D.M., Mass, M.J., Moore, M.M., Mumford, J.L. Short-Term Bioassays in the Analysis of Complex Environmental Mixtures. V. Plenum Publishing, Inc. 1987:391-721.
Gallup, J., Kozak, P., Cummins, L., Gillman, S. 1987. "Indoor Mold Spore Exposure: Characteristics of 127 Homes in Southern California with Endogenous Mold Problems." Experientia Suppl. 51:139-142.
Health Department Victoria. 1989. "Guidelines for Control of Legionnaire's Disease." Health Department Victoria. Melbourne, Austrialia.
Morey, P.H., Feeley, J.C. Sr., Otten, J.A. "Biological Contaminants in Indoor Environments." STP 1071, Phildelphia:ASTM, 1990.
Platts-Mills, T.A.E., de Weck, A.L. 1989. "Dust Mite Allergens and Asthma - A Worldwide Problem (International Workshop)." Journal Allergy and Clinical Immunology. 83:416-427.
Pope, A.M., Patterson, R., Burge, Harriet A. "Indoor Allergens: Assessing and Controlling Adverse Health Effects." 1993. National Academy Press.
For the patient (may be helpful to the professional as well):
American Lung Association. "Indoor Air Pollution Fact Sheet - Biological Agents." 1991. Publication No. 1186C.
National Institutes of Health, National Institute of Allergy and Infectious Diseases. "Something in the Air: Airborne Allergens." March 1993. NIH Publication No. 93-493.
U.S. Consumer Product Safety Commission, American Lung Assocation. "Biological Pollutants in Your Home." 1900. ALA Publication No. 3715C.
U.S. Consumer Product Safety Commission, "News from CPSC - Portable Humidifiers Need Regular Cleaning During Winter Months." January 1992. Release No. 92-48.
U.S. Environmental Protection Agency. "Indoor Air Fact Sheet: Use and Care of Home Humidifiers." February 1991.
For the health professional:
"Diagnostic Standards and Classification of Tuberculosis." American Reviews of Respiratory Disease. 1990. 142:725-35.
"Prevention and Control of Tuberculosis Among Homeless Persons: Recommendations of the Advisory Committee for Elimination of Tuberculosis." Morbidity and Mortality Weekly Report. Centers for Disease Control and Prevention. 1992. 41(No. RR-5):13-23.
"Prevention and Control of Tuberculosis in Facilities Providing Long-Term Care to the Elderly: Recommendations of the Advisory Committee for Elimination of Tuberculosis. Morbidity and Mortality Weekly Report. Centers for Disease Control and Prevention. 1990. 39(No. RR-10):7-20.
"Prevention and Control of Tuberculosis in U.S. Communities with At-Risk Minority Populations: Recommendations of the Advisory Committee for Elimination of Tuberculosis." Morbidity and Mortality Weekly Report. Centers for Disease Control and Prevention. 1992. 41(No. RR-5):1-12.
"Screening for Tuberculosis and Tuberculosis Infection in High-Risk Populations: Recommnedations of the Advisory Committee for the Elimination of Tuberculosis." Morbidity and Mortality Weekly Report. Centers for Disease Control and Prevention. 1990 39(No. RR-8):1-7.
"The Use of Preventive Therapy for Tuberculosis Infection in the United States: Recommendations of the Advisory Committee for the Elimination of Tuberculosis." Morbidity and Mortality Weekly Report. Centers for Disease Control and Prevention. 1990. 39(No. RR-8):8-12.
"Tuberculosis Among Foreign-Born Persons Entering the United States: Recommendations of the Advisory Committee for Elimination of Tuberculosis." Morbidity and Mortality Weekly Report. Centers for Disease Control and Prevention. 1990. 39(No. R-18):1-21.
"Tuberculosis and Human Immunodeficienty Virus Infections: Recommendations of the Advisory Committe for Elimination of Tuberculosis." Morbidity and Mortality Weekly Report. Centers for Disease Control and Prevention. 1989. 38(14):236-238, 243-250.
For the patient (may be helpful to the professional as well):
American Lung Association. "Facts About the TB Skin Test." 1992. Publication No. 0178. (Spanish version, Publication No. 0177).
American Lung Association. "Facts About Tuberculosis." 1991. Publication No. 1091.
For the health professional:
Harving, H., Dahl, R., Molhave, L. "Lung Function and Bronchial Activity in Asthmatics During Exposure to Volatile Organic Compounds." American Review of Respiratory Disease. 143:751-754.
Molhave, L., Bach, B., Pederson, O.F. 1986. "Human Reactions to Low Concentrations of Volatile Organic Compounds." Environment International. 12:157-176.
Norback, D. et al. 1990. "Volatile Organic Compounds, Respirable Dust, and Personal Factors Related to the Prevalence and Incidence of the Sick Building Syndrome in Primary Schools." Brit. J. Ind. Med. 47:733-774.
Otto, D.A. et al. 1990. "Neurobehavioral and Sensory Irritant Effects of Controlled Exposure to a Complex Mixture of Volatile Organic Compounds." Neurotox. and Texatol. 12:1-4.
U.S. Environmental Protection Agency. Nonoccupational Pesticide Exposure Study (NOPES); Project Summary. Publication No. IAQ-0028.
For the patient (may be helpful to the professional as well):
American Lung Association. "Indoor Air Pollution Fact Sheet - Formaldehyde." 1989. Publication No. 1184C.
U.S. Consumer Production Safety Commission. "An Update on Formaldehyde." October 1990.
For the health professional:
Berney, B.W., Light, E.N., Bennett, A.C. "Medical Evaluation of 'Building Related' Symptoms." Proceedings of the Seventh Annual Hazardous Materials Management Conference Internationl. 1989.
Burge, S. et al. 1987. "Sick Building Syndrome: A Study of 4373 Office Workers." Ann. Occupational Hygiene. 31:493-504.
Finnegan, M.J. et al. 1984. "The Sick Building Syndrome Prevalence Studies." Brit. Medical Journal. 289:1573-1575.
Hedge, A. "Work-Related Illness In Offices: A Proposed Model of the Sick Building Syndrome." Env. Int. 15:143-158.
Hodgson, V.S. et al. 1986. "The Sick Building Syndrome." In: Proceedings of the Third International Conference on Indoor Air Quality and Climate, Vol. 6. Evaluations and Conclusions for Health Sciences and Technology, pp. 87-97. Swedish Council for Building Research. Stockholm, Sweden.
Kreiss, K. 1989. "The Epidemiology of Building-Related Complaints and Illness." 572-592. In: Problem Buildings: Building-Associated Illness and the Sick Building Syndrome. Cone, J.E., Hodgson, M.E., eds. Hanley and Belfus, Inc. Phildadelphia.
Mendell, M.J., Smith, A.H. "Consistent Pattern of Elevated Symptoms in Air-Conditioned Office Buildings: A Reanalysis of Epidemiologic Studies." American Journal of Public Health. 80:1193-1199.
McCunney, R.J. "The Role of Building Construction and Ventilation in Indoor Air Pollution." New York State Journal of Medicine. April 1987. pp. 203-209.
Molina, C. et al. 1989. "Sick Building Syndrome - A Practical Guide." Report No. 4. Commission of the European Communities. Brussels, Luxembourg.
Norback, D. et al. 1990. "Indoor Air Quality and Personal Factors Related to the Sick Building Syndrome." Scan. J. Work Environmental Health. 16:121-128.
Norback, D. et al. 1990. "Volatile Organic Compounds, Respirable Dust, and Personal Factors Related to the Prevalence and Incidence of the Sick Building Syndrome in Primary Schools." Brit. J. Ind. Med. 47:733-774.
Seitz, T.A. 1989. "NIOSH Indoor Air Quality Investigations 1971-1988." 163-171. In: The Practioners Approach to Indoor Air Quality Investigations. Proc. Indoor Air Quality International Symposium. Weedes, D.M., Gammage, R.B., eds. American Industrial Hygiene Association. Akron, Ohio.
Skov. P. et al. 1990. "Influence of Indoor Air Climate on the Sick Building Syndrome in an Office Environment." Scandinavian Journal Work Environmental Health. 16:363-371.
Skov. P. et al. 1989. "Influence of Personal Characteristics, Job-Related Factors and Psychological Factros on the Sick Building Syndrome in an Office Environment." Scandinavian Journal Work Environmental Health. 15:286-295.
Skov, P. et al. 1987. "The Sick Building Syndrome in the Office Environment: The Danish Town Hall Study." Env. Int. 13:334-349.
Stenberg, B. 1989. "Skin Complaints in Buildings with Indoor Climate Problems." Env. Int. 15:81-84.
Sterling, T.D. et al. 1983. "Building Illness in the White Collar Workplace." International Journal of Health Services. 13:277-287.
U.S. Environmental Protection Agency. "Indoor Air Quality and Work Environment Study." EPA-21-M-3004. June 1991.
For the patient (may be helpful to the professional as well):
American Lung Association. "Indoor Air Pollution In The Office." 1992. Publication No. 1002C.
American Lung Association. "Office Indoor Air Quality Checklist." 1992. Publication No. 1003C.
U.S. Environmental Protection Agency. "Indoor Air Fact Sheet: Sick Building Syndrome." April 1991.
U.S. Environmental Protection Agency. "Indoor Air Fact Sheet: Ventilation and Air Quality in Offices." July 1990.
For the health professional:
Ashford, N.A., Miller, C.S. 1991. Chemical Exposures. Low Levels and High Stakes. Van Nostrand Reinhold, New York.
Bell, Iris R. "Neuropsychiatric Aspects of Sensitivity to Low Level Chemicals: A Neural Sensitization Model." Conference on Low Level Exposure to Chemicals and Neurobiologic Sensitivity, Agency for Toxic Substances and Diseases Registry, Baltimore, MD, April 6-7, 1994. To be printed in Journal of Toxicity and Public Health.
Brooks, B.D. and Davis, W.F. 1991. Understanding Indoor Air Quality. CRC Press. Boca Raton.
Cullen, M.R. 1987. "The Worker with Multiple Chemical Sensitivities: An Overview." In: Workers with Multiple Chemical Sensitivity, State of Art Rev. Occup. Med.. 2:669-681.
Heilman, B. "Multiple Chemical Sensitivity." Chemical & Engineering News. July 22, 1992.
Miller, Claudia S. "Chemical Sensitivity: History and Phenomenology." Conference on Low Level Exposure to Chemicals and Neurobiologic Sensitivity, Agency for Toxic Substances and Diseases Registry, Baltimore, MD, April 6-7, 1994. To be printed in Journal of Toxicity and Public Health.
Terr, A. "Clinical Ecology." Annals of Internal Medicine. 111(2):168-178.
U.S. National Research Council. "Biologic Markers in Immunotoxicology." 1992. National Academy Press. Washington, D.C.
U.S. National Research Council. "Multiple Chemical Sensitivities - Addendum to Biologic Markers in Immunotoxicology." 1992. National Academy Press. Washington D.C.
For the patient (may be helpful to the professional as well):
U.S. Environmental Protection Agency. "Indoor Air Fact Sheet: Residential Air Cleaners." February 1990.
U.S. Environmenal Protection Agency. "Residential Air Cleaning Devices: A Summary of Available Information." February 1900. Publication No. EPA-400-1-90-002.
American Lung Association. "Indoor Pollution Fact Sheet - Carpet." 1992. Publication No. 1189.
U.S. Consumer Product Safety Commission. "Tips for Purchasing and Installing New Carpet" Fact Sheet. October 1992.
U.S. Environmental Protection Agency. "Carpet and Indoor Air Quality" Fact Sheet. October 1992.