Air quality of nursing homes and its effect on the lung health of elderly residents

Indoor Air Quality in Elderly Centers: Pollutants Emission and Health Effects

The world population is ageing, in particular in the developed world, with a significant increase in the percentage of people above 60 years old. They represent a segment of the population that is more vulnerable to adverse environmental conditions. Among them, indoor air quality is one of the most relevant, as elders spend comparatively more time indoors than younger generations. Furthermore, the recent COVID-19 pandemic contributed immensely to raising awareness of the importance of breathing air quality for human health and of the fact that indoor air is a vector for airborne infections and poisoning. Hence, this work reviews the state of the art regarding indoor air quality in elderly centers, considering the type of pollutants involved, their emission sources, and their health effects. Moreover, the influence of ventilation on air quality is also addressed. Notwithstanding the potential health problems with the corresponding costs and morbidity effects, only a few studies have considered explicitly indoor air quality and its impacts on elderly health. More studies are, therefore, necessary to objectively identify what are the impacts on the health of elderly people due to the quality of indoor air and how it can be improved, either by reducing the pollutants emission sources or by more adequate ventilation and thermal comfort strategies.

A pilot study on semivolatile organic compounds in senior care facilities: Implications for older adult exposures

The occurrence of five groups of semivolatile organic compounds (SVOCs) (total of ∼120 distinct chemicals) was investigated in senior care facilities in the United States and in Portugal. Indoor settled dust samples were collected from fourteen facilities, and the concentrations of organophosphate esters (OPEs), brominated flame retardants (BFRs), polycyclic aromatic hydrocarbons (PAHs), organochlorine pesticides (OCPs), and polychlorinated biphenyls (PCBs) were measured in these samples. Overall, OPEs, PAHs, and BFRs were the most abundant, and OCPs and PCBs were the least abundant SVOC groups in dust collected from both U.S. and Portuguese facilities. ∑OPE, ∑PAH, and ∑BFR concentrations were significantly higher in U.S. facilities than those in Portuguese facilities (P < 0.001), while ∑OCP and ∑PCB concentrations were not different between the two countries (P < 0.05). The samples were collected from three different microenvironments, including bedrooms, living rooms, and corridors. ∑OPE, ∑PAH, and ∑BFR concentrations were up to five times higher in corridors compared to bedrooms and living rooms. ∑OCP and ∑PCB concentrations were overall higher in bedrooms and in living rooms and lower in corridors.