Sick Building Syndrome and Appropriate Design

  • R. de Dear
Part of the Advances in Bioclimatology book series (ADVS BIOCLIMAT., volume 5)


An increasing number of complaints about discomfort and adverse health effects in connection with time spent in non-industrial buildings has been reported in the last 20 years. Typically the symptoms intensify during the working day within the building and then deminish or disappear entirely after leaving the building in question. This chapter reviews the literature on the subject of sick building syndrome (SBS), highlighting the various causal hypotheses that have been proposed over the two decades since the term “sick building syndrome” was coined, and suggesting possible design strategies to mitigate the problem.


Thermal Comfort Office Worker Office Building HVAC System Sick Building Syndrome 
These keywords were added by machine and not by the authors. This process is experimental and the keywords may be updated as the learning algorithm improves.


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  1. Andersen L, Korsgaard J (1984) Asthma and the indoor environment: assessment of the health impacts of high humidity. Proc 3rd Int Conf on Indoor Air Quality and Climate, Stockholm V 1:79–88Google Scholar
  2. Anonymous (1991) Editorial: Sick building syndrome. Lancet 338:1493–1494CrossRefGoogle Scholar
  3. ASHRAE (1989) Standard 62–89: Ventilation for acceptable indoor air quality. American Society of Heating, Refrigerating and Air-Conditioning Engineers, AtlantaGoogle Scholar
  4. ASHRAE (1992) Standard 55–92: Thermal environmental conditions for human occupancy. American Society of Heating, Refrigerating and Air-Conditioning Engineers, AtlantaGoogle Scholar
  5. Axelrad R (1989) Economic implications of indoor air quality and its regulation and control. NATO/CCMS Worksh, Pilot study on Indoor air quality, the implications of indoor air quality for modern society. CCMS Rep No 183, NATO/CCMS, pp 89–116Google Scholar
  6. Bauer RM, Greve KW, Besch E, Schramke CJ, Crouch J, Hicks A, Ware MR, Bradford Lyles W (1992) The role fo psychological factors in the report of building-related symptoms in sick building syndrome. J Consult Clin Psychol 60:213–219CrossRefGoogle Scholar
  7. Bauman FE, Zhang H, Arens EA, Benton C (1993) Localized comfort control with a desktop task conditioning system: laboratory and field measurements. ASHRAE Trans 99:733–749Google Scholar
  8. Bordass WT, Bromley AKR, Leaman AJ (1993) User and occupant controls in office buildings. In: Bieva C, Collett C (eds) Proc Int Building design, technology and occupant well-being in temperate climates. ASHRAE, Atlanta, pp 12–17Google Scholar
  9. Colligan MJ, Murphy LR (1979)Mass psychogenic illness in organizations: An overview. J Occup Psychol 52:77–90CrossRefGoogle Scholar
  10. de Dear RJ, Fountain ME (1994) Field experiments on occupant comfort and office thermal environments in a hot-humid climate. ASHRAE Trans 100:457–475Google Scholar
  11. Donnini G, Nguyen VH, Haghighat F (1990) Ventilation control and building dynamics by CO2 measurement. Proc 5th Int Conf on Indoor Air Quality and Climate, Toronto V 4:257–262Google Scholar
  12. Fanger PO (1970) Thermal comfort. Danish Technical Press, CopenhagenGoogle Scholar
  13. Fanger PO (1988) Introduction of the olf and decipol units to quantify air pollution perceived by humans indoors and outdoors. Energy Buildings 12:1–6CrossRefGoogle Scholar
  14. Fanger PO (1990) New principles for a future ventilation standard. Proc 5th Int Conf on Indoor Air Quality and Climate, Toronto V 1:353–363Google Scholar
  15. Finnegan MJ, Pickering CAC, Burge PS (1984) The sick building syndrome: prevalence studies. Br Med J 289:1573–1575CrossRefGoogle Scholar
  16. Fisk WJ, Mendell MJ, Daisey JM, Faulkner D, Hodgson M, Nematollahi J, Macher M (1993) Phase I of the California healthy building study: a summary. Indoor Air 3:246–254CrossRefGoogle Scholar
  17. Fountain ME, Bauman F, Arens E, Miura K, de Dear R (1994) Locally controlled air movement preferred in warm environments. ASHRAE Trans 100:937–952Google Scholar
  18. Franck C, Bach E, Skov P (1993) Prevalence of objective eye manifestations in people working in office buildings with different prevalences of sick building syndrome compared with the general population. Arch Occup Environ Helath 65:65–69CrossRefGoogle Scholar
  19. Frankenhauser M, Johansson G (1986) Stress at work: psychobiological and psychosocial aspects. Int Rev Appl Psychol 35:287–299CrossRefGoogle Scholar
  20. Glass DC, Singer JE (1972) Urban stress: experiments on noise and social stressors. Academic Press, New YorkGoogle Scholar
  21. Harrison J, Pickering CAC, Faragher EB, Austwick PKC (1990) An investigation of the relationship between microbial and particulate indoor pollution and the sick building syndrome. Proc 5th Int Conf on Indoor Air Quality and Climate, Toronto V 1:149–154Google Scholar
  22. Hedge A, Burge PS, Robertson AS, Wilson S, Harris-Bass J (1989) Work-related illness in offices: a proposed model of the sick building syndrome. Environ Int 15:143–158CrossRefGoogle Scholar
  23. Heinemeier KE, Schiller GE, Benton CC (1990) Task conditioning for the workplace: issues and challenges. ASHRAE Trans 96:678–688Google Scholar
  24. Hodgson M (1992) Field studies on the sick building syndrome. Annal NY Acad Sci 641:21–35CrossRefGoogle Scholar
  25. Husband A (1990) Stress, behaviour and the immune system. Managing stress at work — Royal Sydney Hospital Occupational Health and Safety Unit Workshop, November 1990, SydneyGoogle Scholar
  26. ISO (1984) International Standard 7730. Moderate thermal environments — determination of the PMV and PPD indices and specification of the conditions for thermal comfort. International Standards Organization, GenevaGoogle Scholar
  27. Jaakkola JJK, Tuomaala P, Seppanen O (1994) Air recirculation and sick building syndrome: a blinded crossover trial. Am J Public Health 84:422–428CrossRefGoogle Scholar
  28. Jemmot JB, Borysenko JZ, Borysenko M, McLelland DC, Chapman R, Meyer DJ, Benson H (1983) The Lancet i:1400–1402CrossRefGoogle Scholar
  29. Kronor W, Stark-Martin (1994) Environmentally responsive workstations and office-worker productivity. ASHRAE Trans 100Google Scholar
  30. Linvall T (1985) Exposure limits for office environments. Ann Am Conf Occup Hyg 12:99–108Google Scholar
  31. Matsunawa K, Lizuka H, Tanabe S (1995) Development and application of an underfloor air-conditioning system with improved outlets for a “smart” building in Tokyo. ASHRAE Trans 101Google Scholar
  32. Mendell M (1993) Non-specific symptoms in office-workers: a review and summary of the epidemiologic literature. Indoor Air 3:227–236CrossRefGoogle Scholar
  33. Menzies R, Tamblyn R, Farant JP, Hanley J, Nunes F, Tamblyn R (1993) The effect of varying levels of outdoor-air supply on the symptoms of sick building syndrome. Engl J Med 328:821–827CrossRefGoogle Scholar
  34. Meyer RJ, Haggerty RJ (1962) J Pediatr 29:539–549 (cited by Husband 1990)Google Scholar
  35. Miller JD, Nathanson T (1993) Microbial contamination in buildings — measurement and guidelines. Seminar/Workshop on Indoor Air Quality in Office Buildings, Public Works Canada, Ottawa, 1–5Google Scholar
  36. Mølhave L (1985) Volatile organic compounds as indoor air pollutants. In: Gammage RB, Kaye SV (eds) Indoor air and human health. Lewis, MichiganGoogle Scholar
  37. Mølhave L (1987) The sick building: A sub-population among problem buildings? Proc 4th Int Conf on Indoor Air Quality and Climate, Berlin V 2:469–473Google Scholar
  38. Mølhave L (1992) Controlled experiments for studies of the sick building syndrome. Ann NY Acad Sci 641:46–55CrossRefGoogle Scholar
  39. Mølhave L (1995) The use of the TVOC concept in source characterization and regulation of IAQ. In: Haghighat F (ed) Indoor Air Quality, Ventilation and Energy Conservation in Buildings, vol I, pp 1–19Google Scholar
  40. Molina C, Pickering CAC, Valbjorn O, de Bortoli M (1989) Sick building syndrome — a practical guide. Commission of the European Communities, COST 613 Report 4. ECSC-EEC-EAEC, BrusselsGoogle Scholar
  41. O’Neill MJ (1992) Effects of workspace design and environmental control on office workers’ perceptions of air quality. Proc Human Factors Society, Santa Monica V 2:890–894CrossRefGoogle Scholar
  42. Pickering CAC, Finnegan MJ, Robertson A, Burge S (1984) Sick building syndrome. Proc 3rd Int Conf on Indoor Air Quality and Climate, Stockholm V 3:321–325Google Scholar
  43. Preller L, Zweers T, Brunekreef K, Boleij JSM (1990) Sick leave due to work related health complaints among office workers in the Netherlands. Proc 5th Int Conf on Indoor Air Quality and Climate, Toronto V 1:227–230Google Scholar
  44. Raw GJ (1992) Sick building syndrome: a review of the evidence on causes and solutions. HSE Rep No 42/1992. HMSO, LondonGoogle Scholar
  45. Raw GJ, Roys MS, Leaman A (1990) Further findings from the office environment survey: productivity. Proc 5th Int Conf on Indoor Air Quality and Climate, Toronto V 1:231–236Google Scholar
  46. Raw G, Roys MS, Whitehead C (1993) Sick buidling syndrome: cleanliness is next to healthiness. Indoor Air 3:237–245CrossRefGoogle Scholar
  47. Rowe D, Wilke S (1994) Sick building syndrome and indoor air quality: perception and reality compared. Proc 12th Int Conf of the Clean Air Society of Australia and New Zealand. Promarco Conventions Pty Ltd, Perth, pp 615–622Google Scholar
  48. Ryan CM, Morrow LA (1992) Dysfunctional building or dysfunctional people: an examination of the sick building syndrome and allied disorders. J Consult Clin Psychol 60:220–224CrossRefGoogle Scholar
  49. Ryd H (1991) My home is my castle — psychological perspectives on the sick building syndrome. Building Environ 26:87–92CrossRefGoogle Scholar
  50. Samet JM, Marbury MC, Spengler JD (1987) Health effects and sources of indoor air pollution. Part I. Am Rev Respir Dis 136:1486–1508CrossRefGoogle Scholar
  51. Samet JM, Marbury MC and JD Spengler (1988) Health effects and sources of indoor air pollution. Part II. Am Rev Respir Dis 137:221–242CrossRefGoogle Scholar
  52. Schiller GE (1990) A comparison of measured and predicted comfort in office buildings. ASHRAE Trans 96:609–622Google Scholar
  53. Schiller GE, Arens E, Bauman F, Benton C, Fountain M, Doherty T (1988) A field study of thermal environments and comfort in office buildings. ASHRAE Trans 98:280–308Google Scholar
  54. Seem JE, Braun JE (1992) The impact of personal environmental control on building energy control. ASHRAE Trans 98:903–909Google Scholar
  55. Skov P, Valbjørn O, Pedersen BV (1989) Influence of personal characteristics, job related factors and psychosocial factors on the sick building syndrome. Scand J Work Environ Health 15:286–295Google Scholar
  56. Wallace LA, Nelson CJ, Dunteman G (1991) Workplace characteristics associated with health and comfort concerns in three Washington DC office buildings. Proc IAQ’91 — Healthy Buildings (ASHRAE), pp 56–60Google Scholar
  57. Wallace LA, Nelson CJ, Highsmith R, Dunteman G (1993) Association of personal and workplace characteristics with health, comoft and odor: a survey of 3948 office workers in three buildings. Indoor Air 3:193–205CrossRefGoogle Scholar
  58. WHO (World Health Organisation) (1983) Indoor air pollutants: exposures and health effects. WHO Regional Office for Europe, CopenhagenGoogle Scholar
  59. Wilson S, Hedge A (1987) The office environment survey: a study of building sickness. Building Use Studies, LondonGoogle Scholar
  60. Woods J (1989) Cost avoidance and productivity in owning and operating buildings. Occup Med: State-of-the-Art Rev 4:753–770Google Scholar
  61. Wyon DP (1992) Sick buildings and the experimental approach. Environ Technol 13:113–122CrossRefGoogle Scholar
  62. Zweers T, Preller L, Brunekreef B, Bolij JSM (1992) Health and indoor climate complaints of 7043 office workers in 61 buildings in the Netherlands. Indoor Air 2:127–136CrossRefGoogle Scholar

Copyright information

© Springer-Verlag Berlin Heidelberg 1998

Authors and Affiliations

  • R. de Dear
    • 1
  1. 1.Climatic Impacts CentreMacquarie UniversitySydneyAustralia

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