Building illness in the white-collar workplace.

An increasing incidence of "building illness" is being noted among white-collar workers due to the high pollutant content of air in modern energy-efficient office buildings. These buildings are hermetically sealed, mechanically ventilated, and contain many materials that give off a variety of toxic fumes and aerosols. Severe outbreaks of illness have also been traced to ventilation problems in sealed hospital buildings. Similarly, tightly sealed and well insulated private homes present many sources of toxic pollutants to homemakers. Recent studies linking increases in the frequency and duration of respiratory illnesses with increasing pollution levels warn us that increases in indoor pollution levels should be avoided in the white-collar workplace, hospital, and private residence. Unfortunately, the cost of adequate ventilation of modern air-tight buildings is high. However, proper planning must be conducted to foresee and correct the impact of energy management policies on the livability and healthfulness of the indoor environment.