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Health Effects of Inhaled Materials & the Indoor Air Quality Assessment PART 2

Jason Yost • November 1, 2023

Health Effects of Inhaled Materials & the Indoor Air Quality Assessment PART 2

Airborne materials may exert their effect locally in our bodies, that is, directly on the tissues with which contact is made. This may cause irritation or other local diseases of the respiratory tract where contact is made. However, there are agents, called systemic toxins, that affect the entire body or many organs rather than a specific site. Once inhaled, they reach their site of action through blood transport. For example, when carbon monoxide is inhaled, it reacts with hemoglobin in red blood cells. It does this by binding to the iron atom of the hemoglobin in the same way oxygen does; in fact, carbon monoxide will bind more avidly to the iron atom than oxygen, causing saturation of the hemoglobin at lower concentrations than oxygen. Such saturation prevents normal function of transporting oxygen and leads to ill-health and death. 

Not all inhaled materials are deposited in the same location (within the respiratory tract) and the location in the respiratory tract where disease is experienced may vary. Several factors influence this such as the physical characteristics of the inhaled material (e.g., is it too large to infiltrate the lungs?), the chemical properties of the material (and/or its toxins), as well as the dose of inhaled material, or the amount of exposure (e.g., is it something one is regularly exposed to at work or is it a one-time event). For example, contradistinctions may be made between soluble and less soluble gases. While soluble gases tend to affect the upper region of the respiratory tract (as well as moist tissue around the eyes; ammonia being an example), less soluble gases tend to affect the middle or deep regions of the respiratory tract (e.g., phosgene gas). 

When an Indoor Environmental Quality (IEQ) assessor responds to the concerns of an occupant, these considerations are important in ensuring the assessment process will be specific to the concerns of the occupant. They must be accounted for. For example, when sampling for an airborne particle, the assessor must prepare by performing a size-selection sampling strategy (SSS). The American Conference of Governmental Industrial Hygienists (ACGIH) has defined three particle size fractions that are used during the SSS: inhalable, thoracic, and respirable.

Inhaled materials and the indoor air quality assessment
inhaled toxins and the indoor air quality assessment

As you can see from this table, as the aerodynamic diameter of the inhaled particle decreases, the potential for the particle to reach the deeper portions of the respiratory tract increases. This is important when considering the possible health effects of inhaled particles during an IEQ assessment; therefore, if you’re in need an on IEQ assessment (such as any of those I mentioned in my previous blog), it is important that your IEQ assessor be competent and capable of performing an assessment that can and will provide for your specific needs. Failure to do so may result in liabilities to you and others involved in the building maintenance, repair, restoration, remediation, and/or sale.  If you have an Indoor Air Quality (IAQ), IEQ, health and safety concern, contact Gulf Coast Center for Indoor Air Quality Services LLC, and let’s discuss how we can serve you.

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