Evaluation of ventilation in Australian school classrooms using long-term indoor CO2 concentration measurements

School classrooms are often reported as having insufficient ventilation with elevated indoor CO2 concentrations. This paper reports on pre-pandemic field measurements of CO2 concentration levels conducted for an academic year in 10 classrooms from four primary and a secondary school in Victoria, Australia. Measured CO2 concentrations across the 10 classrooms which were operated with a mix of intermittent natural ventilation and air-conditioning for cooling or heating, on average ranged between 657 ppm and 2235 ppm during school hours with median over 1000 ppm in 70% of classrooms. All 10 classrooms in the study exceeded the Australian recommended limit of 850 ppm. Using average peak CO2 concentrations from year-long measurements, estimated ventilation rate (VR) of 4.08 Ls-1 per person show under-performing classrooms where 60% had VRs 35–40% lower than the 10-12 Ls−1 per person Australian recommendation. Estimated VR range of 1.24–2.07 Ls-1 per person using peak maximum CO2 levels were 19–30% lower than ASHRAE recommendation of 6.7 Ls-1 per person. These VRs translate to a range of air change rates on average between 0.52 and 0.88 h−1 ± 0.26–0.59, well below the 6.0 h−1 recommendation for good indoor ventilation by the World Health Organisation in the context of COVID-19 pandemic. Characterisation of ventilation and indoor air quality in current Australian classroom stock is critical for the improvement of classroom design, induction on room operating practices, understanding of the school community on the relevance of building ventilation on school performance and health, and development of appropriate ventilation and indoor air quality guidelines for schools. © 2023 The Authors

Possible toxicity of chronic carbon dioxide exposure associated with face mask use, particularly in pregnant women, children and adolescents - A scoping review.

Introduction: During the SARS-CoV-2-pandemic, face masks have become one of the most important ubiquitous factors affecting human breathing. It increases the resistance and dead space volume leading to a re-breathing of CO2. So far, this phenomenon and possible implications on early life has not been evaluated in depth. Method: As part of a scoping review, literature was systematically reviewed regarding CO2 exposure and facemask use. Results: Fresh air has around 0.04% CO2, while wearing masks more than 5 min bears a possible chronic exposure to carbon dioxide of 1.41% to 3.2% of the inhaled air. Although the buildup is usually within the short-term exposure limits, long-term exceedances and consequences must be considered due to experimental data. US Navy toxicity experts set the exposure limits for submarines carrying a female crew to 0.8% CO2 based on animal studies which indicated an increased risk for stillbirths. Additionally, mammals who were chronically exposed to 0.3% CO2 the experimental data demonstrate a teratogenicity with irreversible neuron damage in the offspring, reduced spatial learning caused by brainstem neuron apoptosis and reduced circulating levels of the insulin-like growth factor-1. With significant impact on three readout parameters (morphological, functional, marker) this chronic 0.3% CO2 exposure has to be defined as being toxic. Additional data exists on the exposure of chronic 0.3% CO2 in adolescent mammals causing neuron destruction, which includes less activity, increased anxiety and impaired learning and memory. There is also data indicating testicular toxicity in adolescents at CO2 inhalation concentrations above 0.5%. Discussion: There is a possible negative impact risk by imposing extended mask mandates especially for vulnerable subgroups. Circumstantial evidence exists that extended mask use may be related to current observations of stillbirths and to reduced verbal motor and overall cognitive performance in children born during the pandemic. A need exists to reconsider mask mandates.

Global Temperature and Carbon Dioxide Nexus: Evidence from a Maximum Entropy Approach

The connection between Earth's global temperature and carbon dioxide (CO2) emissions is one of the highest challenges in climate change science since there is some controversy about the real impact of CO2 emissions on the increase of global temperature. This work contributes to the existing literature by analyzing the relationship between CO2 emissions and the Earth's global temperature for 61 years, providing a recent review of the emerging literature as well. Through a statistical approach based on maximum entropy, this study supports the results of other techniques that identify a positive impact of CO2 in the increase of the Earth's global temperature. Given the well-known difficulties in the measurement of global temperature and CO2 emissions with high precision, this statistical approach is particularly appealing around climate change science, as it allows the replication of the original time series with the subsequent construction of confidence intervals for the model parameters. To prevent future risks, besides the present urgent decrease of greenhouse gas emissions, it is necessary to stop using the planet and nature as if resources were infinite.

Limiting of Carbon Dioxide Emissions through Rational Management of Pro-Ecological Activities in the Context of CSR Assumptions

This article highlights the need to reduce carbon dioxide emissions by reducing energy consumption. Of course, this can be achieved in various ways, but inter alia, through the practical implementation of the assumptions contained in the CSR programs of individual companies, which include a component on environmental protection and counteracting global warming. The authors also describe a proposal to reduce CO2 emissions by using coke oven gas (if necessary) in exchange for natural gas. Currently, the largest sources of carbon dioxide emissions are the combustion of fossil fuels in power plants, transport—cars and planes, processes related to the production of industrial goods, and deforestation. In the preparation of the article, the analysis of the literature on the subject, analysis of documents, desk research, and two case studies were used. The main goal of the article is to present the possibilities of reducing CO2 emissions by implementing the assumptions of the CSR policy on the example of a selected company (models of such activities are also given). Therefore, the aim of the article is to present selected activities that can contribute to the reduction of carbon dioxide emissions in enterprises;of course, this is specific each time and should be individually selected for each enterprise depending on financial, environmental, and any other conditions. This means that almost all enterprises, organizations, and all other institutions should be obliged to implement an individual environmental policy related to the possibility of reducing carbon dioxide emissions worldwide, and the effects of implementing the assumptions of this policy should be regularly, at least once a year, presented in the CSR reports of a given organization. However, each organization should provide its own examples of how it reduces carbon dioxide emissions. For this reason, this article presents an example of the Marcel CHP plant, which, due to its capabilities, also uses coke oven gas, the use of which results in lower emissions of carbon dioxide than natural gas. Additionally, the article presents a comparative analysis of the use of coke oven gas instead of natural gas. The obtained results show the significant and real possibilities of reducing carbon dioxide emissions.

Low-Invasive CO2-Based Visual Alerting Systems to Manage Natural Ventilation and Improve IAQ in Historic School Buildings

Children spend a large part of their growing years in schools, and as they are more sensitive to some pollutants than adults, it is essential to monitor and maximize the indoor air quality (IAQ) in classrooms. Many schools are located in historic and heritage buildings, and improving the IAQ, preserving the architectural features, poses a great challenge. The aim of the study is to evaluate the effectiveness of a low-invasiveness, low-cost, smart CO2-based visual alerting systems to manage natural ventilation and improve IAQ in historic school buildings. Indoor and outdoor parameters were monitored for three weeks in four schools with different levels of education (two classrooms per school;device installed in one only). Based on indoor CO2 concentration, air temperature and relative humidity, the device suggests when windows should be opened to ventilate. The comparison between the two classrooms show that the effectiveness of the device is highly dependent on the occupants: (i) reduction in the average CO2 concentrations of up to 42% in classrooms with frontal lesson and full occupancy, (ii) the device is not the most ideal solution for kindergarten due to the young age of the pupils, and (iii) it is more used during mild outdoor temperatures.

Carbon dioxide increases with face masks but remains below short-term NIOSH limits.

BACKGROUND AND PURPOSE: COVID-19 pandemic led to wide-spread use of face-masks, respirators and other personal protective equipment (PPE) by healthcare workers. Various symptoms attributed to the use of PPE are believed to be, at least in part, due to elevated carbon-dioxide (CO2) levels. We evaluated concentrations of CO2 under various PPE. METHODS: In a prospective observational study on healthy volunteers, CO2 levels were measured during regular breathing while donning 1) no mask, 2) JustAir® powered air purifying respirator (PAPR), 3) KN95 respirator, and 4) valved-respirator. Serial CO2 measurements were taken with a nasal canula at a frequency of 1-Hz for 15-min for each PPE configuration to evaluate whether National Institute for Occupational Safety and Health (NIOSH) limits were breached. RESULTS: The study included 11 healthy volunteers, median age 32 years (range 16-54) and 6 (55%) men. Percent mean (SD) changes in CO2 values for no mask, JustAir® PAPR, KN95 respirator and valve respirator were 0.26 (0.12), 0.59 (0.097), 2.6 (0.14) and 2.4 (0.59), respectively. Use of face masks (KN95 and valved-respirator) resulted in significant increases in CO2 concentrations, which exceeded the 8-h NIOSH exposure threshold limit value-weighted average (TLV-TWA). However, the increases in CO2 concentrations did not breach short-term (15-min) limits. Importantly, these levels were considerably lower than the long-term (8-h) NIOSH limits during donning JustAir® PAPR. There was a statistically significant difference between all pairs (p < 0.0001, except KN95 and valved-respirator (p = 0.25). However, whether increase in CO2 levels are clinically significant remains debatable. CONCLUSION: Although, significant increase in CO2 concentrations are noted with routinely used face-masks, the levels still remain within the NIOSH limits for short-term use. Therefore, there should not be a concern in their regular day-to-day use for healthcare providers. The clinical implications of elevated CO2 levels with long-term use of face masks needs further studies. Use of PAPR prevents relative hypercapnoea. However, whether PAPR should be advocated for healthcare workers requiring PPE for extended hours needs to evaluated in further studies.

Powered Air Purifying Respirator (PAPR) restores the N95 face mask induced cerebral hemodynamic alterations among Healthcare Workers during COVID-19 Outbreak.

BACKGROUND AND AIM: COVID-19 pandemic has resulted in an unprecedented increased usage of Personal protective equipment (PPE) by healthcare-workers. PPE usage causes headache in majority of users. We evaluated changes in cerebral hemodynamics among healthcare-workers using PPE. METHODS: Frontline healthcare-workers donning PPE at our tertiary center were included. Demographics, co-morbidities and blood-pressure were recorded. Transcranial Doppler (TCD) monitoring of middle cerebral artery was performed with 2-MHz probe. Mean flow velocity (MFV) and pulsatility index (PI) were recorded at baseline, after donning N95 respirator-mask, and after donning powered air-purifying respirator (PAPR), when indicated. End-tidal carbon-dioxide (ET-CO2) pressure was recorded for participants donning PAPR in addition to the N95 respirator-mask. RESULTS: A total of 154 healthcare-workers (mean age 29 ± 12 years, 67% women) were included. Migraine was the commonest co-morbidity in 38 (25%) individuals while 123 (80%) developed de-novo headache due to N95 mask. Donning of N95 respirator-mask resulted in significant increase in MFV (4.4 ± 10.4 cm/s, p < 0.001) and decrease in PI (0.13 ± 0.12; p < 0.001) while ET-CO2 increased by 3.1 ± 1.2 mmHg (p < 0.001). TCD monitoring in 24 (16%) participants donning PAPR and N95 respirator mask together showed normalization of PI, accompanied by normalization of ET-CO2 values within 5-min. Combined use of N95 respirator-mask and PAPR was more comfortable as compared to N95 respirator-mask alone. CONCLUSION: Use of N95 respirator-mask results in significant alterations in cerebral hemodynamics. However, these effects are mitigated by the use of additional PAPR. We recommend the use of PAPR together with the N95 mask for healthcare-workers doing longer duties in the hospital wards.