Ventilation and Indoor Air Quality in Hospitals / Edition 1

by M. Maroni

Overview

This book collects the main scientific contributions presented at a NATO Advanced Research Workshop entitled "Ventilation and Indoor Air Quality Requirements in Hospitals" that was held in Milan, Italy, from September 13-16, 1995. The workshop was made possible through the funding support of the NATO Scientific and Environmental Affairs Division and was sponsored and supported in part by the International Centre for Pesticide Safety, the Institute of Occupational Health of the University ofMilano, the Politecnico of Milano, and the United States Environmental Protection Agency. The workshop was held in the frame of the program of the NATO/CCMS Pilot Study on Indoor Air Quality and in conjunction with the international conference Healthy Buildings'95, whichwas attended by more than 500 delegates. The contents of the book are arranged in sixmainsections. The first section deals with the major issues related to indoor air quality in hospitals, that are reviewed from the North-American, Scandinavian, Italian and Russian perspective. The second section discusses the ventilation requirements in hospitals, with particular focus on design and maintenanceof the ventilation systemsand provisionofclean air to critical areas, such as infectious disease wards, surgicaltheatres, etc. The third section is directed to chemical and biological air pollution in hospitals and collects papers from surveys carried out invarious countries. Airborne allergens in hospitals is the subject of section 4. New problems have arisen for the health care personnel from exposure to allergens and they are illustrated with studies performed in North­ America and England.

Product Details

ISBN-13:	9780792340768
Publisher:	Springer Netherlands
Publication date:	06/30/1996
Series:	NATO Science Partnership Subseries: 2 , #11
Edition description:	1996
Pages:	341
Product dimensions:	6.14(w) x 9.21(h) x 0.03(d)

Table of Contents

I Indoor Air Quality in Hospitals: the Issues.- 1. Indoor Air Quality in Hospitals: not just Another Building.- 2. Indoor Air Quality Problems in Hospitals.- 3. Occupational Health Hazards following Exposure of Hospital Personnel to Chemical Agents.- 4. Microbial Contamination of Buildings in Temperate Climates.- 5. Indoor Air Quality Problems in Russian Hospitals.- II Ventilation Requirements in Hospitals.- 6. Ventilation Requirements for Hospitals in the USA.- 7. Design Criteria of Ventilation for Hospitals.- 8. Ventilation and Indoor Air Quality Requirements in Hospitals: Filtration and Microbials.- 9. Controlling Aerial Transmission of Aspergillosis, Legionellosis and Drug-Resistant Tuberculosis in Hospitals.- 10. Pressure and Ventilation Requirements of Hospital Isolation Rooms for Tuberculosis (TB) Patients: Existing Guidelines in the United States and a Method for Measuring Room Leakage.- 11. Bacterial Control through Contamination Control in Operating Theatres.- 12. Dynamic Modeling of Indoor Air Contaminant Levels in Medical Environments.- III Chemical and Biological Air Pollution in Hospitals.- 13. Aerosol Size Distribution and Concentration in Various Units of a Children’s Hospital.- 14. Airborne Microbial Contamination and Hospital Infections.- 15. Evaluation of Airborne Microbic Contamination in Two Hospital Wards.- 16. Interest of Mycological Controls of the Environment in a Hematological Unit.- 17. Assessment of Outdoor Chemical and Microbial Pollution on Global Indoor Air Quality in Hospitals.- 18. Air Quality in Operating Suites: Evaluation of Microclimate and Microbial Contamination.- 19. Air Quality in Operating Theatres: the Occupational Point of View.- 20. Follow up of Anesthetic Gases Exposure and Health Effects in a Regional Hospital of NorthernItaly.- 21. Personnel’s Well-Being and Indoor Air Pollution in the Operating Rooms.- 22. Contribution to Treatment of Unhealthy Operating Rooms in Hospitals.- 23. Health Risks due to Chemical Substances Exposure in Biomedical Laboratories.- 24. Cost Assessment of the Sick Hospital Syndrome: a Case Study.- 25. Thermal and Humidity Comfort or Heat Stress in Hospital?.- IV Airborne Allergens in Hospitals.- 26. Immunochemical Quantification of Airborne Natural Rubber Allergens in Medical and Dental Office Buildings.- 27. Levels of Mite, Cat and Dog Allergen in the Furnishings of Hospital Wards.- V Technical Aspects of Ventilation in Hospitals and Strategies for Air Quality Management.- 28. Organization and Management of Hospital Buildings: Healthy Micro-Environment and Quality through Information System.- 29. The Effect of Duct Design in the Air Conditioning Plants on Air Quality.- 30. Design Parameters and Economical Aspects in Ventilation Systems for Bone Marrow Transplant Patients.- 31. Pressure Hierarchy and Indoor Climate of Hospital Rooms.- 32. Reduction of the Hospital ETS Exposure.- 33. Lessons learned from a Legionnaire’s Outbreak in the Midatiantic U.S..- 34. Partnering: the Collaborative Approach to Minimizing the Legal and Economic Consequences of Inadequate Hospital Planning.- VI Conclusions and Recommendations.- 35. NATO Advanced Research Workshop “Ventilation and Indoor Air Quality Requirements in Hospitals”: Conclusions and Recommendations.

Editorial Reviews

Reviewer: Luke Curtis, MS, IHIT (University of Illinois at Chicago)
Description: This is a broad-based, interesting, and easy to read compendium of articles on ventilation, bioaerosols, and chemical hazards in hospital settings. The articles are written by a wide range of experts from Italy, Scandinavia, Russia, and the United States, and cover a wide range of subarctic and temperate climates.
Purpose: This book is very timely in that many of these indoor air quality issues have only recently been examined in detail. It includes timely articles on current "hot topics" such as latex allergy and spread of Aspergillus and tuberculosis in hospitals.
Audience: This book should be useful for a wide range of professionals, including infection control officers, industrial hygienists, building managers, microbiologists, physicians, and nurses.
Features: The articles included in this book are wide ranging and well balanced. Many of the articles are fairly general in nature. Readers interested in specific problems and their measurement techniques will have to read other sources. Many good references are listed in the articles for readers interested in pursuing a topic further.
Assessment: This should be a useful and interesting introductory to intermediate book for those interested in hospital indoor air quality. The book is up-to-date, and is especially useful because there are relatively few books in this rapidly evolving field.

Doody's Review Service

Reviewer: Luke Curtis, MS, IHIT(University of Illinois at Chicago)
Description: This is a broad-based, interesting, and easy to read compendium of articles on ventilation, bioaerosols, and chemical hazards in hospital settings. The articles are written by a wide range of experts from Italy, Scandinavia, Russia, and the United States, and cover a wide range of subarctic and temperate climates.
Purpose: This book is very timely in that many of these indoor air quality issues have only recently been examined in detail. It includes timely articles on current "hot topics" such as latex allergy and spread of Aspergillus and tuberculosis in hospitals.
Audience: This book should be useful for a wide range of professionals, including infection control officers, industrial hygienists, building managers, microbiologists, physicians, and nurses.
Features: The articles included in this book are wide ranging and well balanced. Many of the articles are fairly general in nature. Readers interested in specific problems and their measurement techniques will have to read other sources. Many good references are listed in the articles for readers interested in pursuing a topic further.
Assessment: This should be a useful and interesting introductory to intermediate book for those interested in hospital indoor air quality. The book is up-to-date, and is especially useful because there are relatively few books in this rapidly evolving field.