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Læknablaðið - 15.03.1991, Side 10

Læknablaðið - 15.03.1991, Side 10
96 LÆKNABLAÐIÐ húsum með rakagjöf ekki í meira mæli en í húsinu þar sem ekki var nein rakagjöf. í danskri rannsókn þótti sýnt að húsasótt mætti fremur rekja til loftslags innanhúss en eðli starfa, notkunar tölva, óánægju með stjómendur eða samstarfsmenn og skorts á vinnugleði (24). Álykta má af niðurstöðum þessarar rannsóknar að fólki líði best í húsum sem loftræst eru með opnanlegum gluggum, eru án vélrænnar endumýtingar loftsins og ekki með rakagjöfum. Húsasótt virðist vera til hér á landi en ekkert er sagt um algengi hennar. SUMMARY A cross sectional study investigating »sick building syndrome« was carried out in eight buildings, ten workplaces, with a questionnaire. The questionnaire was administrated by mail or at the workplace. The investigations were either done at request because of complaints or by the initiative of the researchers. In houses which were ventilated solely through the windows, where there was no mechanical ventilation or humidifiers the workers had the lowest prevalence of symptoms. In houses with mechanical ventilation, which, all but one, were also humidified, there was higher prevalence of symptoms compared with the naturally ventilated houses, regardless of the reason for studying the house. The serum titer for precipitating antibodies against antigens from humidifiers was not higher among workers in houses with humidifiers than in workers from a control house indicating that the symptoms were neither prevented or caused by the exposure to humidifiers. It is concluded that the most »healthy« houses are those ventilated through the windows, without recirculation of air and without humidifiers. Sick building syndrome appears to exist in Iceland, but the present study does not deal with its prevalence. HEIMILDIR 1. State of the art reviews. Occupational Medicine. Problem buildings: Building-associated illness and the sick building syndrome. Cone JE, Hodgson MJ, eds. Philadelphia: 1989. 2. World Health Organization (WHO). Indoor air pollutants: exposure and health effects. EURO reports and studies no 78. Copenhagen: WHO Regional Office for Europe, 1983. 3. Finnegan MJ, Pickering CAC, Burge PS. The sick building syndrome: prevalence studies. Br Med J 1984; 289: 1573-5. 4. Rindel A, Bach E, Breum NO, et al. Mineraluldslofter i bömehaver: Den sundhedsmæssige betydning af at anvende mineraluldslofter i institutions byggeri. Köbenhavn: Arbejsmiljöfondet, 1985. 5. Robertson AS, Burge PS, Hedge A, et al. Comparison of health problems related to work and environmental measurements in two office buildings with different ventilation systems. Br Med J 1985; 291: 373-6. 6. Turiel I, Hollowell CD, Miksch RR, et al. The effects of reduced ventilation on indoor air quality in an office building. Atmos Environ 1983; 17: 51-64. 7. Valbjöm O, Kousgaard N. Hovedpine og slimhindegener hjemme og pá arbejde. Statens byggeforskningsinstitut, SBI-Rapport 175. Hörsholm, 1986. 8. Burge S, Hedge A, Wilson S, et al. Sick building syndrome: A study of 4373 office workers. Ann Occup Hyg 1987; 31: 493-504. 9. Colligan MJ. The psychological effects of indoor air pollution. Bull NY Acad Med 1981; 57: 1014-26. 10. Kreiss K, Hodgson MJ. Building-associated epidemics. In: Walsh PJ, Dudney CS, Copenhaver ED, eds. Indoor Air Quality. Boca Raton, CRC Press, 1984: 87-108. 11. Gíslason D, Rafnsson V. Rakatækjasótt á íslenskum vinnustað. Læknablaðið, 1984; 70: 176-8. 12. Pickering CAC. Humidifier fever. Europ J Respir Dis 1982: Suppl/123. 63: 104-7. 13. Finnegan MJ, Pickering CAC. Building related illness. Clin Allergy 1986; 16: 389-405. 14. Solomon WR. Fungus aerosols arising from cold-mist vaporizers. J Allergy Clin Immunol 1974; 54: 222-8. 15. Burge PS, Finnegan M, Horsfield N, et al. Occupational asthma in a factory with a contaminated humidifier. Thorax 1985; 40: 248-54. 16. Broome CV, Fraser DW. Epidemiologic aspects of legionellosis. Epidemiol Rev 1979; 1: 1-16. 17. Friedman S, Spitalny K, Barbaree J, et al. Pontiac fever outbreak associated with a cooling tower. Am J Public Health 1987; 77: 568-72. 18. World Health Organization (WHO). Air quality guidelines for Europe. Copenhagen: WHO Regional Publications, European Series No 23, 1987. 19. Mölhave L. Human reactions to indoor air pollution: n-decane. I: Seifert B, Esdom H, Fischer M, et al, eds. Indoor Air ’87. Proceedings of the 4th Intemational Conference on Indoor Air Quality and Climate. Berlin: Institute for Water, Soil and Air Hygiene, 1987: 97-101. 20. Mölhave L, Bach B, Pedersen OF. Human reactions to low concentrations of volatile organic compounds. Environ Int 1986; 12: 167-75. 21. Andersen P, Pedersen OF, Bach B, Bonde GJ. Semm antibodies and immunoglobulins in smokers and nonsmokers. Clin Exp Immunol 1982; 47: 467-73. 22. Schwartz B, Gravesen S, Petersen BN, Weeke ER. Laboratorieundersögelser for allergener i boligen. Ugeskr Læger 1979; 141: 882-6. 23. Hedge A. Evidence of a relationship between office design and self-reports of ill health among office workers in the United Kingdom. J Arch Plan Res 1984; 1: 163-74. 24. Skov P, Valbjöm O, Pedersen BV, The Danish Indoor Climate Study Group. Influence of personal characteristics, job-related factors and psychosocial factors on the sick building syndrome. Scand J Work Environ Health 1989; 15: 286-95. 25. Skov P, Valbjöm O, The Danish Indoor Climate Study Group. The »sick« building syndrome in the office environment: indoor climate and prevalence

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