Chester A C
Georgetown University Medical Center, Washington, D.C., USA.
Integr Physiol Behav Sci. 1995 Jan-Mar;30(1):68-83. doi: 10.1007/BF02691390.
Sick-building syndrome is an illness characterized by fatigue, headache, and upper-respiratory complaints. It is usually associated with modern office buildings, structures with an impervious outer shell and inoperable windows. Poor air quality, specific pollutants, and inadequate ventilation are considered common causes. The ability to smell faint odors requires air that is free of contamination. Human evolutionary ancestors depended on odors for survival. Even the slightest increase in the ability to smell a predator conveyed a distinct, immediate survival advantage. Conversely, an enormous survival advantage would also accrue to the animal that sought protection or avoided activity when this vital olfactory information was unavailable. Such would be the case with fire on the savannah. The foraging, olfactory dependent animal, unable to smell predators because of contaminated air, would be quickly snatched by a keen-sighted carnivore. There exist, however, well-described reflexes from the nose mediated through the trigeminal nerve that discourage activity when these free nerve endings are irritated. This mechanism may serve as a defense against predation. In adulterated atmosphere the animal, subdued by these reflexes, would be less likely to venture forth and, therefore, less vulnerable to predators. Similar reflexes may persist in humans, activated by poor air quality, air ill-suited for the dissemination of odors. I suggest that the human perception of these inhibitory reflexes is the feeling of fatigue associated with the sick building syndrome.
病态建筑综合征是一种以疲劳、头痛和上呼吸道不适为特征的疾病。它通常与现代办公楼、具有不透水外壳和无法打开的窗户的建筑有关。空气质量差、特定污染物和通风不足被认为是常见原因。能够闻到微弱气味需要无污染的空气。人类进化的祖先依靠气味生存。即使闻到捕食者的能力有最轻微的增强,也能带来明显的、直接的生存优势。相反,当这种至关重要的嗅觉信息无法获得时,寻求保护或避免活动的动物也会获得巨大的生存优势。在稀树草原上遭遇火灾时就是这种情况。依赖嗅觉觅食的动物,由于空气污染而无法闻到捕食者的气味,会很快被目光敏锐的食肉动物抓住。然而,存在着通过三叉神经介导的来自鼻子的、在这些游离神经末梢受到刺激时会抑制活动的明确反射。这种机制可能作为一种抵御捕食的防御手段。在被污染的空气中,受到这些反射抑制的动物不太可能冒险外出,因此也不太容易受到捕食者的攻击。类似的反射可能在人类中持续存在,由空气质量差、不适于气味传播的空气激活。我认为人类对这些抑制性反射的感知就是与病态建筑综合征相关的疲劳感。