Understanding Sick Building Syndrome

A Comprehensive Guide to Building-Related Health Issues

Internal Medicine

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Last updated: Mar 24, 2025

What is Sick Building Syndrome?

Sick Building Syndrome (SBS) refers to a condition where building occupants experience acute health and comfort effects that appear to be linked to time spent in a building, without a specific illness or cause being identified.

Common Symptoms

  • Respiratory issues:
    • Nasal congestion
    • Dry cough
    • Throat irritation
  • Eye problems:
    • Irritation
    • Dryness
    • Itching
  • Skin manifestations:
    • Itching
    • Dryness
    • Rashes
  • General symptoms:
    • Headaches
    • Fatigue
    • Difficulty concentrating
    • Dizziness

Common Causes

Environmental Factors

  • Poor ventilation
  • High humidity levels
  • Inadequate temperature control
  • Poor lighting

Biological Contaminants

  • Mold
  • Bacteria
  • Dust mites
  • Pollen

Chemical Pollutants

  • Volatile organic compounds (VOCs)
  • Cleaning products
  • Office equipment emissions
  • Building materials

Diagnosis and Management

Diagnosis

  • Symptoms improve when leaving the building
  • Multiple occupants experience similar symptoms
  • Building inspection and air quality testing

Treatment Approaches

  1. Environmental modifications:
    • Improving ventilation
    • Controlling temperature and humidity
    • Regular maintenance of HVAC systems
  2. Individual measures:
    • Taking regular breaks outside
    • Staying hydrated
    • Reporting symptoms promptly

Prevention

  • Regular building maintenance
  • Proper ventilation systems
  • Regular cleaning and dust control
  • Prompt repair of water damage
  • Use of low-emission materials

When to Seek Medical Help

  • Persistent symptoms
  • Severe reactions
  • Development of chronic conditions
  • Symptoms affecting daily activities

Long-term Considerations

  • Document all symptoms and patterns
  • Work with building management
  • Consider workplace modifications
  • Monitor air quality regularly

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