Reimagining Schools to Protect Student and Teacher Health

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Reimagining Schools to Protect Student and Teacher Health
Reimagining Schools to Protect
Student and Teacher Health
Reimagining Schools to Protect Student and Teacher Health
Reimagining Schools to Protect
  Student and Teacher Health

       OVERVIEW
         This webinar will take a deep dive into managing indoor air quality in schools to support the success of
         students and faculty. Proper indoor air hydration, a.k.a. humidification, decreases student and staff
         absenteeism from viral illnesses while supporting learning, productivity, and overall vitality. In addition, this
         presentation will uncover financial gains when investing in optimal humidification and its rewards when
         student performance is thriving.

       YOU WILL LEARN
         ★      How your school’s indoor environment can affect occupant health.
         ★      How indoor air quality relates to viral disease transmission.
         ★      Why viruses thrive in dry conditions.
         ★      What causes Legionella outbreaks and its impact.
         ★      The roles humidity, temperature, and CO2 play in making your
                building occupants healthier.
         ★      Financial gains from an investment into optimal humidification.
         ★ Best practices and products to improve your school’s indoor air quality.
June 22, 2021                                                                         2   @Condair
Reimagining Schools to Protect Student and Teacher Health
Reimagining Schools to Protect
Student and Teacher Health

INTRODUCTIONS

          Dr. Stephanie Taylor                                       Nuno Silva
                                              David Ball                                         Erica Ziino
       Building4Health, Inc., Founder,   Northern Regional Sales   Business Development      Marketing Coordinator,
        ASHRAE Epidemic Task Force,        Manager, Condair        Manager, Key Accounts,           Condair
          Condair Medical Advisor                                         Condair

June 22, 2021                                                               3     @Condair
Reimagining Schools to Protect Student and Teacher Health
Stephanie Taylor, MD, M Arch

           ASHRAE Distinguished Lecturer
                Epidemic Task Force
          Environmental Health Committee

                     Building4Health
                  President and Founder

June 22, 2021                              4   @Condair
Reimagining Schools to Protect Student and Teacher Health
Presentation Outline

                1. COVID-19 has highlighted the need to manage the indoor school
                   environment to support the health and academic success of our
                   children

                2. What is the best way to manage IAQ for health and learning?

                3. How will we measure the success of our efforts?

June 22, 2021                                                  5     @Condair
Reimagining Schools to Protect Student and Teacher Health
Presentation Outline

                1. COVID-19 has highlighted the need to manage the indoor school
                   environment to support the health and academic success of our
                   children

                2. What is the best way to manage IAQ for health and learning?

                3. How will we measure the success of our efforts?

June 22, 2021                                                  6     @Condair
Reimagining Schools to Protect Student and Teacher Health
Factors that matter to students

How many of these
are influenced by
indoor air quality?

    5 out of 10!

June 22, 2021                       7   @Condair
Reimagining Schools to Protect Student and Teacher Health
Our definition of a “healthy building”
  must expand

                                             Minimize
                 Low carbon                  infections     • Control harmful particles
                    fuel                        and         • Foster a healthy human microbiome
                consumption                inflammation

                                                 Prevent
                                                  organ         • Minimize VOC off-gassing
Comfortable
 Occupants                                     damage and       • Control ozone hydroxylation
                                                 cancer

                                            Optimize      • Support immune defenses
                                            thermal
                 High real
                                           conditions
                                                          • Maximize cognitive functioning
                estate value                              • Support a diverse building microbiome
                                              for
                                           physiology
June 22, 2021                                               8    @Condair
Reimagining Schools to Protect Student and Teacher Health
Presentation Outline

                1. COVID-19 has highlighted the need to manage the indoor school
                   environment to support the health and academic success of our
                   children

                2. What is the best way to manage IAQ for health and learning?

                3. How will we measure the success of our efforts?

June 22, 2021                                                  9     @Condair
Reimagining Schools to Protect Student and Teacher Health
Do we even know how to
  define the best air for children?

June 22, 2021                         10   @Condair
How can we know if indoor
  air truly supports health?

                           Coal miners used canaries
                           to assess air quality in the
                           tunnels.

                           If the canary stayed alive,
                           the air in the mine was
                           probably safe for humans.

June 22, 2021                                       11    @Condair
Patient data was the “canary in the coal
   mine” to evaluate the hospital building

                                                                            Study design
                                                              Compare patient room data to hospital
                                                           associated infections to determine key drivers

                                                  Temperature
                                 Staff & visitor hand cleaning
                                        Room pressurization
                                                           Lux
                                                     CO2 level
                                           Absolute humidity
                                              Relative humidity
                                                  Room traffic
                                           Room air changes                         400 patients
                                          Outdoor air fractions

Monitor 10 rooms over 13 months = 8M datapoints
                                                                    12   @Condair
This approach yielded a big surprise. Low indoor relative
           humidity was associated with more infections!

                                                                                          Site of infection
                                                                                                Respiratory
                                                                                                (bacterial & viral)

 Avg # of                                                                                       Gastrointestinal
infections                                                                                      (Noro-virus, C
                                                                                                diff)

                                                                                                Urinary tract

                                                                                                Skin

                                                                                                Eye
                                                    40 %                    60 %

      June 22, 2021
                                      Indoor Relative Humidity         13      @Condair
Less flu illness in a
            humidified pre-school

                                    January 25 – March 11 (32 days)

                                  Half of the classrooms were
                               humidified, the other half were not

RH of classrooms        % Airborne particles       Virulence of airborne         # children absent due to
                        carrying virus (PCR)               virus                     influenza illness

           20%                  49%                       75%                              22
           45%                  19%                        35%                              9
   June 22, 2021                                                 14   @Condair
Respiratory immunity was impaired
  at RH 20%, and supported at 50%

                                                  1. Physical barrier: Mucus
                                                     production and ciliary
                                                     clearance

                                                  2. Innate immune responses:
                                                     Type I IFN and Interferon
                                                     stimulated genes (ISGs)

                                 Interferon               Activate

                                                                                    B cell
                                              Dendritic cell               T cell

                                Macrophage

June 22, 2021                                             15    @Condair
Low RH harms many of
  our systems

                Sitting in room air with 20% RH, water losses through breathing and
                skin evaporation dehydrates the average person in less than 8 hours

                          dry eyes &                                diminished
                      impaired vision                               brain function
                                                                    & energy

                    skin inflammation                               increased
                         & decreased                                infections &
                       wound healing                                asthma

June 22, 2021                                                  16    @Condair
Consequences of very mild (1%) dehydration
Our brain is very sensitive to
  even mild dehydration

Results in decreased:
    ▪ ability to think
    ▪ short-term memory
    ▪ concentration
    ▪ reaction times
    ▪ visual-motor tracking
                                   Explored in vivo by 1H-MR
                                   imaging and spectroscopy

June 22, 2021                                 18     @Condair
Indoor Climate –
Conqueror of the students?
            Matura presentation
             Eric Zimmermann
  Supervision: Markus Boner, Martin Speck
Exploration of the effects of
  classroom humidity levels on
  teachers’ respiratory symptoms

       Longitudinal study of school IAQ factors and health effects among kindergarten through twelfth
       grade teachers in North Carolina, USA.

       Data were collected from October 16 to June 11, 2011 in six schools

       Results—
       The risk of asthma-like symptoms among teachers with classroom RH
21
Office worker productivity is low and
  stress is high when the indoor RH
  is < 30% or greater than 60%

June 22, 2021                             22   @Condair
In addition, sleep quality is low when
  office RH is < 30%RH or > 60%!

June 22, 2021                              23   @Condair
Poor sleep at night results in
  daytime fatigue

June 22, 2021                      24   @Condair
Taylor Chart 2019

                                                      High infectivity of pathogens         Low infectivity              High infectivity of pathogens
          Virus (lipid membrane)
            influenza, coronavirus, RSV, parainfl.
            measles, rubella, herpes

          Virus (non-lipid membrane)

          Bacteria (Gram neg)

            Legionella (aerosolized)

          Bacteria (Gram pos)

          Mycoplasma (no cell wall)

          Fungi

                                                      Human illness from infections        Healthiest humans             Human illness from infections

          Adult in-patients (acute care)

          Elderly patients in long-term care

          Pre-school children

                                                      Poor human functioning
                                                                                                                    ?    Poor human functioning
          Employee productivity

          Employee sleep quality

          Student learning

                                                     10         20            30      40         50            60   70             80           90
                                                                                       Relative Humidity (%)

June 22, 2021                                                                                                       25          @Condair
Presentation Outline

                1. COVID-19 has highlighted the need to manage the indoor school
                   environment to support the health and academic success of our
                   children

                2. What is the best way to manage IAQ for health and learning?

                3. How will we measure the success of our efforts?

June 22, 2021                                                  26    @Condair
What will success look like?

                Health – decreased absenteeism

                Cognitive functioning – good grades

                School profitability – higher enrollment, increased financial
                                reimbursement from school systems (in US)

June 22, 2021                                                   27   @Condair
Indoor Air sensors provide data for our Health Impact Rating
 MEASURED Components               Sensor Readings               Health Impact
                                                                   100 = good
                                     CO2 = x
                RH                                                 0 = bad
   TEMP
                             GAS
                                     Ozone = x
                                                                  HEALTH IMPACT
                       GAS
                                     CO = x
                                                       Health        RATING
          GAS                                        ALGORITHM
                                     PM 10 = x
                                                                        100–0
   PARTICLES
                                     PM 2.5 = x
                 CO2

                                     RH = x
                       GS

                                      Etc.
Next steps

1. Communicate the message about IAQ, humidity and health to stakeholders and
   decision makers

2. Monitor IAQ to create visibility of ambient conditions that relate to health and
   learning

3. Maintain indoor RH 40–60%

4. Benchmark correlations between IAQ and student performance, remediate when
   necessary

5. Celebrate student success and school financial profits that result from your
   leadership!

June 22, 2021                                           29   @Condair
David Ball
  Northern Regional Sales Manger

                David Ball

      Northern Regional Sales Manager

June 22, 2021                           30   @Condair
Global Experience

        Representatives

        Own sales & service branches/offices
        Regional main office

        Country organization

       R&D Center

       Production/assembly
                                               Humidification and Evaporative Cooling
       Logistics Center                        ▪ 22 countries with sales and service offices
       Integrated product development          ▪ Over 50 reps worldwide / 120 agents in USA
       and production/assembly
June 22, 2021                                                      31   @Condair
Humidification For Schools

                         Is Humidity the Key to Keeping Us Safe Indoors? | Fix Our Schools

                                School humidity levels can reduce COVID-19 in schools
                                (districtadministration.com)

June 22, 2021                                              32    @Condair
Designer Guidelines

                                          Recommended humidity level for your school 40-50%

General School Temperature and Humidity Design Criteria

     1. Winter classroom design guidelines 72 F/40- 50% RH
        40- 50% RH in winter is primary guidance via humidifiers/active humidification (central or local, depending on
        the classroom/space system). The humidity minimum, humidifier, and sensor location should be made after
        consultation with your ASHRAE professional regarding the envelope design due to the potential for
        condensation within the building envelope.
     2. Summer classroom design guidelines 75 F/50%-60% RH
        Designing to 50% RH in summer is primary guidance, depending on the classroom system.

   June 22, 2021                                                              33   @Condair
ASHRAE Supports USGBC IAQ
  Schools Survey and Report

     • The most-frequently cited challenge to implementing protective air quality measures at schools was that
       school buildings were not designed to support the strategies that were being recommended.
     • Only two-thirds of respondents were regularly monitoring IAQ before the pandemic, indicating that
       providing time, staff, and funding for regular monitoring and data collection has not been a priority for
       many districts in the past.
     • Respondents want to continue the measures implemented during the pandemic, citing student and
       teacher health. Seventy percent of school districts plan to continue some or all of the strategies they’ve
       implemented.
     • “As schools re-open and develop health and safety plans to mitigate airborne transmission of COVID-19,
       many are prioritizing and upgrading current HVAC systems to provide the highest indoor air quality for
       building occupants,” said Corey Metzger, ASHRAE Epidemic Task Force Schools team lead. “We know that
       improved indoor air quality has a positive impact on student performance and general well-being and I’m
       hopeful that more schools will consider and implement the guidance provided by ASHRAE.”

June 22, 2021                                                               34    @Condair
Nuno Silva
  Business Development Manager,
  Key Accounts

                  Nuno Silva

         Business Development Manager,
                  Key Accounts

June 22, 2021                            35   @Condair
Avoid Condensation

      Condensation occurs when humid air interacts with temperatures below the dew point.
      In very cold climates extreme moisture differences can stress the envelope, risking condensation and
      moisture migration.

                                                               Strategies:
                                                               • Cold temperature setback: Reduced humidity may be
                                                                 required, typically set points will range between 30% - 35%
                                                               • Condensation sensors.
                                                               • Outdoor Temperature Sensor can provide automatic
                                                                 setback
                                                               • Ventilate / supplemental heat for glass
                                                               • Focus on quality in construction / vapor barriers
                    Image Credit: creativity103.com, Cropped

                               Resources: ASHRAE Journal Column: Building Sciences by Joe Lstiburek

June 22, 2021                                                                             36    @Condair
Humidifying to 40-60%
                     in Cold climates

                         Indoor RH% at which moisture will condensate on                                        Indoor RH% at which moisture will condensate on
                             windows - Double-Pane (common spec)                                                     windows - Single-Pane (common spec)
             100                                                                                        100
              90                                                              Indoor                     90
              80                                                              temp 60 °F                 80
                                                                                                                                                                         Indoor
              70                                                              Indoor                     70
                                                                                                                                                                         temp 60 °F
Indoor RH%

                                                                                           Indoor RH%
              60                                                              temp 80 °F                 60
              50                                                                                         50                                                              Indoor
              40                                                                                         40                                                              temp 80 °F
              30                                                                                         30
              20                                                                                         20
              10                                                                                         10
               0                                                                                          0
                   -50     -40     -30     -20 -10 0       10 20    30   40                                   -50   -40   -30 -20 -10 0        10 20        30    40
                                         Outdoor Temperature (°F)                                                            Outdoor Temperature (°F)

                                                                                                                *Calculations based on still air and standard u-values

                   June 22, 2021                                                                                          37     @Condair
Methods of air humidification

                                                  Adiabatic
                                                  Energy comes
                                                  from the air

                                                  Isothermal

June 22, 2021                     38   @Condair
Type of humidification

                           Isothermal                            Adiabatic

                             Steam                         Evaporation
    Steam: Energy comes from electricity, gas, or heat exchange process              Heat of Evaporation:
                                                                                     970 – 1075 BTU/lb
    Adiabatic (Spray / Evaporative): Energy comes from the air                       2257 - 2500 kJ/kg

June 22, 2021                                                       39    @Condair
Adiabatic vs Steam

• Vapor pressure differential governs evaporation rate         • Arid = Rapid Evaporation
• Evaporation slows as it approaches saturation                • Damp = Slow Evaporation
• Constant Enthalpy process

   June 22, 2021                                         40   @Condair
Steam Products

June 22, 2021      41   @Condair
Adiabatic Portfolio –
     Modular Solutions

                                                             Atomization/Evaporation            Same IC & Touch Display

                                                                                                Direct Systems (direct room
                   HVAC (duct application)                                                              application)

                                             Hybrid                                                                                                 Ceiling
                       High pressure                         High pressure    Compressed air   Rotary disk              Ultrasonic     Mobile
Evaporators                             (low pressure &                                                                                            humidifier
                       nozzle systems                        nozzle systems   nozzle systems    atomizers               nebulizers   evaporators
                                          evaporation)

ME Series                 HP Series          DL Series         Draabe            JetSpray         ABS                   US Series       B500          TE
                                                              ML System
                                                         Water Treatment Systems (reverse osmosis)

                                                                                      ML                          Draabe box (rental)
                                              RO-A                                  System

   June 22, 2021                                                                                   42        @Condair
Ceiling evaporative humidifier –
     TE Series

Self-contained ceiling mounted evaporative humidifier that has
been designed for ease of installation and retrofits.
In-space humidification only.

      • One size for quick and easy installation: 2.2 kg/hr (5lbs/hr) output.
      • Suited for buildings without central ventilation systems
             (e.g. VRF or hot water heating).
      • Installation: Drop ceiling (for discrete operation) or suspended.
      • Multiple units possible. Modular, expandable design.

 June 22, 2021                                                                  43   @Condair
Technology

                • Dry air is drawn from the environment, passing
                  through a wetted media cassette, where water is
                  evaporated into the air stream.

                • For extended media life, the frequency of the drain
                  can be adjusted according to the supply water
                  quality to help extend media life.

                • Polyester Media can be washed and reused.

                • Easy maintenance.

June 22, 2021                  44   @Condair
Product Overview

      Easy wall remote          Drinking water          Electrical: 110 /
   control with humidistat     (no need for RO)         50-60 Hz / 1ph

                    • Lower operating cost than steam humidifiers
                    • Energy savings up to 95%.
                    • Approx. 20 W per lbs/h of humidification
                      (97 W total)
                                                                            Humidistat -
                    • Free additional adiabatic cooling
                       (Approx. 0.5 Ton(1.75Kw) of cooling per 5lbs/hr)

June 22, 2021                                                               45    @Condair
Hygiene & Noise

  •     No Recirculation
  •     Polyester Media that can be washed and reused
  •     Drying cycles
  •     Evaporative, no droplets
  •     Drainage failure detection at drain pump
  •     Low noise operation. It meets a Noise Criteria (NC) max value of
        40 dB(A) and can be used where a silent atmosphere is required

June 22, 2021                                                          46   @Condair
The “Making Buildings Healthier” whitepaper will
show you how to stop the spread of infectious
diseases inside buildings and what role a minimum
air humidity of 40 – 60% plays.

          Download Now
Contest

CONTEST               WHITEPAPER

                      Making Buildings

10 Lucky Winners      Healthier
                      Whitepaper

Ten attendees from
todays webinar will
win a Condair Mini
Hygrometer.

Good Luck!!!           Download Today

  6/23/2021                      48     @Condair
Questions and Answers

Questions and Answers
                        Dr. Stephanie Taylor              CONTACT US
                        Building4Health, Inc.                  na.info@condair.com
                        ASHRAE Epidemic Task Force             866-667-8321
                        Condair Medical Advisor​

                        David Ball
                        Northern Regional
                                                          Whitepaper Download
                        Sales Manager
                                                                            Making Buildings
                                                                            Healthier
                                                                            Whitepaper
                        Nuno Silva
                        Business Development
                        Manager, Key Accounts                        Download Today

June 22, 2021                                        49   @Condair
Thank You

Thank You
                Dr. Stephanie Taylor              CONTACT US
                Building4Health, Inc.                  na.info@condair.com
                ASHRAE Epidemic Task Force             866-667-8321
                Condair Medical Advisor​

                David Ball
                Northern Regional
                                                  Whitepaper Download
                Sales Manager
                                                                    Making Buildings
                                                                    Healthier
                                                                    Whitepaper
                Nuno Silva
                Business Development
                Manager, Key Accounts                        Download Today

June 22, 2021                                50   @Condair
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