Immune responses to pollutant mixtures from indoor sources.

Indoor air pollution occurs as an undesirable consequence of urbanization, energy conservation, indoor bioaerosol contamination, and use of synthetic materials and new technologies, and has become a worldwide concern. It is important to comprehend not only the diversity of pollutant hazards but also to develop novel methods and approaches that establish dose-response relationships, cause-and-effect relationships, and clinical relevance. Coincident with heightened public concern over indoor air pollution and its health consequences, a revolution in immunology has occurred. The immune system is recognized as an essential defensive and homeostatic mechanism. Unfortunately, the immune apparatus is exquisitely sensitive to toxic damage. Equally important, among the disciplines available to assess the health impact of indoor air pollutants, immunology has the capability to provide sensitive and specific tools that may accurately measure relevant clinical effects at tissue, cellular, and molecular levels. Furthermore, exciting new insights into shared communications networks between the immune, endocrine, and central nervous systems may provide future explanations for the myriad human complaints associated with indoor air pollutants.

Indoor air pollution: an edifice complex.

The collision of escalating technological sophistication and surging environmental awareness has caused the reexamination of many societal paradigms. Horror stories about lethal chemical exposures involving isolated cases of ignorance, carelessness or greed have caused the public to demand constant vigilance to prevent exposure to potentially hazardous substances. Accordingly, much time and resource has been expanded by the U.S. government and citizens to abate and prevent air and water pollution. While these efforts have met with measurable success, there is increasing public concern about a new generation of pollution-related human illness in office, home and transportation environments. New instances of Sick Building Syndrome or Building Related Illness are reported daily by the popular press. Human health effects such as cancer, infectious disease, allergy and irritation have been ascribed to indoor air pollution. The clinical aspects of indoor air pollution are often discounted by consulting engineers and industrial hygienists involved in indoor air quality. Physicians and clinically-trained scientists have received a "Macedonian call" to sift clinical relevance from the emotional aspects of indoor air quality problems. Point sources of pollutants, associated human health effects, and problem solving approaches associated with indoor air pollution are described. Regulatory and litigational aspects of indoor air pollution are also discussed.