Healthcare Estates 2016 Dr Andy Dengel, Director of Environment, … · 2018-12-07 · Development...
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Part of the BRE Trust Healthcare Estates 2016 The Importance of the Quality of Indoor Environments in Healthcare Settings Dr Andy Dengel, Director of Environment, BRE 5 th October 2016 2016 | BRE – Fire & Building Technology Group
Transcript of Healthcare Estates 2016 Dr Andy Dengel, Director of Environment, … · 2018-12-07 · Development...
Part
of
the B
RE
Tru
st
He
alt
hc
are
Es
tate
s 2
01
6
Th
e I
mp
ort
an
ce
of th
e Q
ua
lity o
f In
do
or
En
vir
on
me
nts
in
He
alth
ca
re S
ett
ing
s
Dr
An
dy D
en
ge
l, D
ire
cto
r o
f E
nvir
on
me
nt, B
RE
5th
Octo
be
r 2
01
6
2016 | B
RE
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ire &
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ild
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da
y’s
Pre
se
nta
tio
n
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ire &
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ild
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�W
hy is I
ndoor
Environm
enta
l Q
ualit
y
(IE
Q)
so im
port
ant?
�R
easons f
or
poor
IEQ
�E
ffects
of poor
IEQ
�M
easure
ment/
assessm
ent
of IE
Q
�B
RE
case s
tudie
s &
researc
h
�K
ey learn
ing p
oin
ts
Intr
od
uc
tio
n t
o t
he
BR
E E
nv
iro
nm
en
t te
am
Main
are
as o
f w
ork
:
oA
ir P
ollu
tio
n
oIA
Q m
on
ito
rin
g &
co
nsu
lta
ncy
•D
om
estic
•N
on-d
om
estic
•T
ransport
oH
VA
C
•P
roduct
testing
•S
ite investigations
•M
ock-u
ps
oL
igh
tin
g
•D
aylig
hting
•E
lectr
ic lig
hting/lig
hting e
ffic
iency
oE
nvir
on
me
nta
l n
ois
e
oR
ese
arc
h: co
llab
ora
tive
& c
om
me
rcia
l
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ild
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Th
e im
po
rtan
ce o
f IE
Q
2016 | B
RE
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ire &
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ild
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Wh
y i
s I
AQ
im
po
rta
nt?
–W
e s
pend o
n a
vera
ge 9
0%
of our
tim
e indoors
–S
om
e p
eople
spend u
p t
o 1
00%
of tim
e indoors
(inclu
din
g t
hose m
ost vuln
era
ble
to p
oor
IAQ
)
–P
oor
indoor
environm
ents
can a
ffect:
oC
om
fort
oH
ealth &
Wellb
ein
g (
physic
al, m
enta
l)
oP
erf
orm
ance
oP
roductivity
oLearn
ing
oH
ealin
g a
nd r
ecupera
tion
oB
uild
ings a
nd m
ate
rials
2016 | B
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ild
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Hig
h p
rofi
le a
rea
–
e.g
. R
CP
Re
po
rt,
Fe
b 2
01
6
2016 | B
RE
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ild
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•W
ork
ing
pa
rty r
ep
ort
in a
sso
cia
tio
n w
ith
th
e R
oya
l S
ocie
ty
of P
ae
dia
tric
s a
nd
Ch
ild H
ea
lth
•T
he
im
pa
ct o
f e
xp
osu
re to
air
po
llutio
n a
cro
ss th
e c
ou
rse
of
a life
tim
e•
Ind
oo
r a
ir q
ua
lity a
ckn
ow
led
ge
d a
s v
ery
im
po
rta
nt
htt
ps:/
/ww
w.r
cp
lon
do
n.a
c.u
k/p
roje
cts
/outp
uts
/eve
ry-b
rea
th-w
e-t
ake
-lifelo
ng-im
pact-
air-p
ollu
tion
“E
ve
ry b
rea
th w
e t
ak
e:
the
life
lon
g i
mp
ac
t o
f a
ir p
ollu
tio
n”
Reaso
ns f
or
po
or
IEQ
2016 | B
RE
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ire &
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ild
ing
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rou
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Wh
at
ca
n l
ea
d t
o p
oo
r in
do
or
en
vir
on
me
nts
?S
om
e e
xam
ple
s …
2016 | B
RE
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ire &
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ild
ing
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–C
onstr
uction m
eth
ods
–F
it o
ut
oD
eco
ratio
n
oF
urn
ish
ing
s
–B
uild
ing s
yste
ms &
technolo
gie
so
Wro
ng
sp
ec
oP
oo
r in
sta
llatio
n a
nd
/or
ma
inte
na
nce
oC
om
pe
tin
g s
yste
ms
–B
uild
ing c
ontr
ols
oT
oo
little
/to
o m
uch
oO
ccu
pa
nt a
wa
ren
ess?
–M
ate
rials
-V
OC
em
issio
ns, a
co
ustics, e
tc.
–‘U
nin
tended c
onsequences’
(e.g
. a
irtig
htn
ess)
Typ
es
an
d s
ou
rce
s o
f in
do
or
air
po
llu
tan
ts
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RE
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ire &
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ild
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So
urc
e
Main
po
llu
tan
ts
Ou
tdo
or
air
SO
2, N
Ox,
CO
, O
3, pa
rtic
ula
tes,
bio
logic
al
pa
rtic
ula
tes,
be
nze
ne
Com
bust
ion
of fu
el
CO
, N
Ox,
VO
Cs,
pa
rtic
ula
tes
Tob
acc
o s
moke
CO
, V
OC
s, p
art
icula
tes
Pe
op
le(C
O2),
VO
Cs,
wa
ter
Bu
ildin
g m
ate
ria
lsV
OC
s, fo
rma
lde
hyd
e, ra
don
, fib
res, o
the
r p
art
icu
late
s, le
ad
Con
sum
er
pro
duct
sV
OC
s, fo
rma
lde
hyd
e, p
est
icid
es
Fu
rnis
hin
gs
VO
Cs,
fo
rma
lde
hyd
e
Offic
e e
qu
ipm
en
tV
OC
s, O
3,
Wa
shin
g a
nd
cle
anin
gW
ate
r, a
mm
onia
, V
OC
s
An
ima
ls a
nd fun
gi
Alle
rge
ns,
sp
ore
s, V
OC
s, m
yco
toxi
ns
Con
tam
ina
ted
lan
dM
eth
an
e, V
OC
s (r
ado
n)
Ou
tdo
or
so
urc
es
of
air
po
llu
tio
n
2016 | B
RE
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ire &
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ild
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ire &
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ild
ing
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Un
inte
nd
ed
co
ns
eq
ue
nc
es
of
the
‘e
ne
rgy
eff
icie
nc
y’
ag
en
da
Bu
ild
tig
ht
… v
en
tila
te …
rig
ht?
Eff
ects
of
po
or
IEQ
2016 | B
RE
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ire &
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ild
ing
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y G
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p
Eff
ec
ts r
an
ge
fro
m d
isc
om
fort
… t
o i
rrit
ati
on
…
to m
orb
idit
y …
to
mo
rta
lity
2016 | B
RE
–F
ire &
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ild
ing
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log
y G
rou
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Fo
r e
xa
mp
le –
air
qu
alit
y &
th
erm
al co
mfo
rt …
Eff
ec
ts o
f p
oo
r IE
Q
Health c
oncern
s a
re w
ide r
angin
g a
nd inclu
de:
-E
ffects
on o
ccupant
com
fort
; irrita
tion (
part
icula
rly o
f th
e
eyes, skin
and r
espirato
ry s
yste
m)
-In
cre
ased r
isks o
f dis
ease s
uch a
s c
ancer
and
card
iovascula
r ill
ness
-A
cute
and leth
al pois
onin
g (
e.g
. exposure
to h
igh
concentr
ations o
f C
O)
-E
ffects
of poor
lighting
-E
ffects
of excessiv
e n
ois
e (
volu
me &
natu
re)
-M
enta
l health e
ffects
are
not to
be u
ndere
stim
ate
d
-C
an
le
ad
to
psych
oso
matic e
ffe
cts
in w
ork
pla
ce
s
2016 | B
RE
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ire &
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ild
ing
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log
y G
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In h
ea
lth
ca
re s
ett
ing
s
Eff
ects
on p
atients
:
-C
om
fort
issues
-H
ealin
g/r
ecupera
tion issues
-In
fections, etc
.
Eff
ects
on s
taff
:
-H
ealth &
wellb
ein
g-
Mora
le-
Eff
icie
ncy
-P
roductivity
2016 | B
RE
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ire &
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ild
ing
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y G
rou
p
Measu
rem
en
t an
d
assessm
en
t o
f IE
Q
2016 | B
RE
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ire &
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ild
ing
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log
y G
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p
Me
as
ure
me
nt/
as
se
ss
me
nt
me
tho
ds
…O
ne
siz
e d
oe
sn
’t f
it a
ll
–A
ir q
ua
lity
: so
rbe
nt tu
be
sa
mp
ling
/la
b a
na
lysis
; h
an
dh
eld
mo
nito
rs; se
nso
rs; p
ers
on
nel b
ad
ge
s
–N
ois
e: so
un
d m
ete
rs
–L
igh
tin
g: ill
um
ina
nce
me
ters
; sp
ectr
om
ete
rs
–T
he
rma
l c
om
fort
: T
/RH
lo
gg
ers
–V
en
tila
tio
n: tr
ace
r g
as m
eth
od
s; a
ir flo
w m
ete
rs
–O
cc
up
an
t fe
ed
ba
ck
: w
alk
-th
rou
gh in
terv
iew
s;
qu
estio
nn
air
es; fo
cu
s g
rou
ps
IT IS
IM
PO
RT
AN
T T
O C
OM
BIN
E P
HY
SIC
AL
M
ON
ITO
RIN
G W
ITH
OC
CU
PA
NT
FE
ED
BA
CK
W
HE
NE
VE
R P
OS
SIB
LE
2016 | B
RE
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ire &
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ild
ing
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rou
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BR
E c
ase s
tud
ies &
re
searc
h
Key learn
ing
po
ints
2016 | B
RE
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ire &
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ild
ing
Tech
no
log
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rou
p
Ca
se
stu
die
s
2016 | B
RE
–F
ire &
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ild
ing
Tech
no
log
y G
rou
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–C
om
peting s
yste
ms:
–e
.g. u
nd
erf
loo
r h
ea
tin
g v
s. a
ir
co
nd
itio
nin
g u
nits
–R
e-e
ntr
ain
ment
of fu
mes
–F
ailu
re o
f ventila
tion s
yste
ms
–B
ad insta
llation/m
ain
ten
ance
–C
ontr
ol is
sues
–C
hem
ical re
leases o
r em
issio
ns
–Lig
hting issues:
–e
.g. g
lare
, in
ad
eq
ua
te lu
x
–P
oor
acoustic p
erf
orm
ance
Air H
an
dlin
gU
nits
Sta
cks d
ischarg
ing
horizonta
lly
Re
se
arc
h –
IEQ
in
oc
cu
pie
d b
uil
din
gs
2016 | B
RE
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ire &
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ild
ing
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–B
RE
Tru
st
Fu
ture
Cit
ies 2
012-1
5
oD
eve
lop
me
nt o
f IE
Q p
roto
co
lso
Ho
sp
ita
ls, ca
re h
om
es, sch
oo
ls, h
ou
sin
go
Ph
ysic
al m
ea
su
rem
en
ts v
s. o
ccu
pa
nt
fee
db
ack
–G
reen
watt
Way (
SS
E)
2010-1
3
oT
en
ze
ro c
arb
on
ho
use
s in
Slo
ug
ho
IAQ
mo
nito
rin
go
MV
HR
syste
ms …
pro
ble
ms
–D
erw
en
tho
rpe
(JR
F)
2013-1
6
oS
ix C
SH
Le
ve
l 3
-4 h
ou
se
s in
Yo
rko
IAQ
mo
nito
rin
go
MV
HR
pro
ble
ms a
ga
in (
& m
ove
to
ME
V)
–O
verh
eati
ng
(e.g
. N
HB
C-F
)
Ap
pli
ed
re
se
arc
h –
co
ns
tru
cti
on
ma
teri
als
& I
EQ
2016 | B
RE
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ire &
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ild
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EC
O-S
EE
–In
novative e
co-m
ate
rials
–V
OC
and f
orm
ald
ehyde e
mis
sio
ns
–A
dsorp
tion/d
esorp
tion b
ehavio
ur
–M
onitoring o
f te
st cells
and d
em
os
Ke
y l
ea
rnin
g p
oin
ts
2016 | B
RE
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ire &
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ild
ing
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1)
Wh
en
pla
nn
ing
an
d d
esig
nin
g h
ea
lth
ca
re b
uild
ing
s, su
ffic
ien
t e
mp
ha
sis
mu
st b
e p
lace
d o
n p
rovid
ing
he
alth
y a
nd
fit-f
or-
pu
rpose
sp
ace
s fo
r p
atie
nts
, sta
ff a
nd
vis
ito
rs.
2)
As w
ell
as b
ein
gcru
cia
l fo
r th
e h
ea
lth
an
d w
ellb
ein
g o
f p
atie
nts
an
d
sta
ff, th
e q
ua
lity o
f in
do
or
en
vir
on
me
nts
in h
ea
lth
ca
re b
uild
ing
s h
as
links w
ith
pe
rfo
rma
nce a
nd
pro
du
ctivity o
f th
e w
ork
forc
e.
3)
Da
tafr
om
ph
ysic
al m
ea
su
rem
en
ts o
f in
do
or
en
vir
on
me
nta
l p
ara
me
ters
ca
n c
om
ple
me
nt kn
ow
led
ge
ga
ine
d fro
m e
ng
ag
em
en
t w
ith
, a
nd
fe
ed
ba
ck fro
m, o
ccu
pa
nts
of th
e b
uild
ing
.
4)
Wh
ere
th
ere
are
bu
ildin
g s
yste
ms a
nd
me
an
s o
f co
ntr
olli
ng
th
eir
o
pe
ratio
n,a
ll o
ccu
pa
nts
mu
st b
e c
on
ve
rsa
nt w
ith
ho
w to
use
th
e
syste
ms (
wh
ere
th
ey h
ave
co
ntr
ol)
an
d k
no
w w
ha
t to
do
if th
e
bu
ildin
g s
yste
ms a
re n
ot d
oin
g th
eir
jo
b.
Th
an
k y
ou
fo
r yo
ur
att
en
tio
n.
AN
Y Q
UE
ST
ION
S?
an
dy.d
en
gel@
bre
.co
.uk
ww
w.b
re.c
o.u
k
2016 | B
RE
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ire &
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ild
ing
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