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Better indoor air quality in health buildings

Dr. Iyad Al-Attar, a mechanical engineer and independent air filtration consultant, and a Visiting Academic Fellow at the School of Aerospace, Transport, and Manufacturing at Cranfield University, explores the evolution of indoor air quality (IAQ) governance, tracing advancements in building technology – ‘from basic mechanical systems to sophisticated smart building technologies’. Highlighting ‘the historical neglect of IAQ as a public health concern’, he contrasts it with the increased focus spurred by recent pandemics, and explains how air quality governance ‘leads the way to the promise of better IAQ – from theory into practice’.

Historically, cities have been viewed as unnatural environments for humanity, representing a departure from rural life, where clean air and abundant resources are prevalent. Jean-Jacques Rousseau described the isolation experienced in urban settings by characterising towns as 'the abyss of the human species'. He dismissed cities as 'pestilential to man's morals, health, and liberties'. As nations work to move from poverty to prosperity through urban development, the unprecedented scale, speed, and scope of current urbanisation raise concerns about its sustainable trajectory and the potential for cities filled with disease and danger.

Buildings have evolved alongside technological advancements throughout history. Each era has witnessed significant leaps in building technology, shaped by societal expectations and technological possibilities. This evolution demonstrates an increasing reliance on integrated and adaptive systems as crucial elements in building design and operation. From basic mechanical systems to digital and sustainable solutions, technology has become more complex, interconnected, and responsive to human needs. This shift from passive solutions to proactive, intelligent systems aims to create healthier, more comfortable, and sustainable buildings. Disruptive technological advancements change how occupants gauge and perceive their expectations, and influence their interactions with their buildings, fulfilling current technologies' social promise.

The industrial era introduced machinery such as steam engines and early HVAC systems to buildings. Advances in plumbing technology made sanitation systems and indoor toilets possible, dramatically improving public health. Gas lighting initially transformed how spaces were lit, followed by electric lighting in the late 19th century, bringing a more stable and safer lighting source. These developments were not just about functionality, but also about ascending the heights of public health and wellbeing. Mechanisation also extended to elevators in the late 19th century, which enabled high-rise construction. By the 1920s and 1930s, boilers and early air-conditioning systems were incorporated into buildings, especially in urban areas. The increased availability of electricity enabled the installation of more complex electrical wiring. Hence, more HVAC systems facilitated the desired thermal comfort to inhabit buildings and prosper amid humanity's massive urbanisation. Singapore's founding leader, Lee Kuan Yew, was convinced that air-conditioning was key to his nation's achievements, and was the greatest innovation of the
20th century.1

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