Air quality is a critical factor in maintaining health and well-being, influencing both current conditions and future outcomes. Hospitals are one of the sensitive areas of our society, for they are built as sanctuaries for treatment and recovery, making the quality of paramount importance. This study investigates the impact of traffic-related emissions on indoor air quality within a Level 5 Hospital outpatient ward. Measurements were taken over five consecutive days, revealing that while CO2 levels generally remained within safe limits, there were instances where concentrations exceeded 3000 ppm, categorizing them as “Hazardous.” Notably, particulate matter (PM2.5 and PM10) levels fluctuated significantly, with peak concentrations observed during working hours correlating with increased vehicle activity. The data indicated that PM2.5 levels reached as high as 75 μg/m3, with 91.68% of recorded values exceeding the World Health Organization’s (WHO) and Environmental Protection Agency 24-hour mean threshold of 25 μg/m3. Similarly, PM10 concentrations peaked at 120 μg/m3, with 61.19% of values surpassing the WHO threshold of 50 μg/m3, both of which pose serious health risks, particularly to vulnerable populations such as pregnant women, infants, and the elderly. Additionally, the study highlighted the critical role of wind direction in pollutant dispersion, with specific patterns contributing to elevated indoor concentrations. These findings underscore the urgent need for targeted interventions and proactive air quality management strategies in healthcare facilities, including the strategic design of hospital wards away from primary emission sources and the promotion of electric vehicle use to mitigate traffic-related emissions.
References
[1]
Haleem, A., Al-Obaidy, A.H. and Haleem, S. (2019) Air Quality Assessment of Some Selected Hospitals within Baghdad City. EngineeringandTechnologyJournal, 37, 59-63. https://doi.org/10.30684/etj.37.1c.9
[2]
Jiang, J., Fan, M., Zhang, X. and Li, Y. (2011) Numerical Study on Flow Field and Pollutant Dispersion in an Urban Street Canyon with Tree Planting. Atmospheric Environment, 45, 4763-4769.
[3]
Zhang, Y., Gu, Z. and Yu, C.W. (2020) Impact Factors on Airflow and Pollutant Dispersion in Urban Street Canyons and Comprehensive Simulations: A Review. CurrentPollutionReports, 6, 425-439. https://doi.org/10.1007/s40726-020-00166-0
[4]
Mata, T.M., Felgueiras, F., Martins, A.A., Monteiro, H., Ferraz, M.P., Oliveira, G.M., et al. (2022) Indoor Air Quality in Elderly Centers: Pollutants Emission and Health Effects. Environments, 9, Article 86. https://doi.org/10.3390/environments9070086
[5]
Licina, D., Tian, Y. and Nazaroff, W.W. (2017) Inhalation Intake Fraction of Particulate Matter from Localized Indoor Emissions. BuildingandEnvironment, 123, 14-22. https://doi.org/10.1016/j.buildenv.2017.06.037
[6]
Baudet, A., Baurès, E., Blanchard, O., Le Cann, P., Gangneux, J. and Florentin, A. (2022) Indoor Carbon Dioxide, Fine Particulate Matter and Total Volatile Organic Compounds in Private Healthcare and Elderly Care Facilities. Toxics, 10, Article 136. https://doi.org/10.3390/toxics10030136
[7]
Xing, Y.F., Xu, Y.H., Shi, M.H. and Lian, Y.X. (2016) The Impact of PM2.5 on the hu-Man Respiratory System. Pioneer Bioscience Publishing.
[8]
Zhang, Y., Ding, Z., Xiang, Q., Wang, W., Huang, L. and Mao, F. (2020) Short-term Effects of Ambient PM1 and PM2.5 Air Pollution on Hospital Admission for Respiratory Diseases: Case-Crossover Evidence from Shenzhen, China. InternationalJournalofHygieneandEnvironmentalHealth, 224, Article ID: 113418. https://doi.org/10.1016/j.ijheh.2019.11.001
[9]
Sobieraj, K., Stegenta-Dąbrowska, S., Luo, G., Koziel, J.A. and Białowiec, A. (2022) Carbon Monoxide Fate in the Environment as an Inspiration for Biorefinery Industry: A Review. FrontiersinEnvironmentalScience, 10, Article 822463. https://doi.org/10.3389/fenvs.2022.822463
[10]
Tian, Y. (2023) A Review on Factors Related to Patient Comfort Experience in Hospitals. JournalofHealth, PopulationandNutrition, 42, Article No. 125. https://doi.org/10.1186/s41043-023-00465-4
[11]
Mannan, M. and Al-Ghamdi, S.G. (2021) Indoor Air Quality in Buildings: A Comprehensive Review on the Factors Influencing Air Pollution in Residential and Commercial Structure. International Journal of Environmental Research and Public Health, 18, Article 3276.
[12]
Lai, A.C.K., Thatcher, T.L. and Nazaroff, W.W. (2000) Inhalation Transfer Factors for Air Pollution Health Risk Assessment. Journal of the Air & Waste Management Association, 50, 1688-1699. https://doi.org/10.1080/10473289.2000.10464196
[13]
Bozoudis, V. and Sebos, I. (2020) The Carbon Footprint of Transport Activities of the 401 Military General Hospital of Athens. Environmental Modeling & Assessment, 26, 155-162. https://doi.org/10.1007/s10666-020-09701-1
[14]
Hill, K. and Qiao, F. (2016) An Evaluation of the Effects of Drive-Through Configurations on Air Quality at Fast Food Restaurants. Journal of Civil & Environmental Engineering, 6, Article ID: 1000235. https://doi.org/10.4172/2165-784x.1000235
[15]
Sukoriansky, S., Dikovskaya, N. and Galperin, B. (2009) Transport of Momentum and Scalar in Turbulent Flows with Anisotropic Dispersive Waves. Geophysical Research Letters, 36, L14609. https://doi.org/10.1029/2009gl038632
[16]
Zolani Ndlovu, (2024) Assessing the Role of Area Sources in Air Quality: A Comprehensive Review. World Journal of Advanced Research and Reviews, 23, 1462-1472. https://doi.org/10.30574/wjarr.2024.23.2.2495
[17]
Huo, H., Zhang, Q., He, K., Yao, Z., Wang, X., Zheng, B., et al. (2011) Modeling Vehicle Emissions in Different Types of Chinese Cities: Importance of Vehicle Fleet and Local Features. Environmental Pollution, 159, 2954-2960. https://doi.org/10.1016/j.envpol.2011.04.025
Nazaroff, W.W. (2008) Inhalation Intake Fraction of Pollutants from Episodic Indoor Emissions. Building and Environment, 43, 269-277. https://doi.org/10.1016/j.buildenv.2006.03.021
[20]
Al Assaad, D., Yang, S. and Licina, D. (2021) Particle Release and Transport from Human Skin and Clothing: A CFD Modeling Methodology. Indoor Air, 31, 1377-1390. https://doi.org/10.1111/ina.12840
[21]
Becher, R., Øvrevik, J., Schwarze, P., Nilsen, S., Hongslo, J. and Bakke, J. (2018) Do Carpets Impair Indoor Air Quality and Cause Adverse Health Outcomes: A Review. International Journal of Environmental Research and Public Health, 15, Article 184. https://doi.org/10.3390/ijerph15020184
[22]
Praticò, F.G. and Briante, P.G. (2020) Particulate Matter from Non-Exhaust Sources. International Conference “Environmental Engineering”, Vilnius Gediminas Technical University, 21-22 May 2020, 622-630. https://doi.org/10.3846/enviro.2020.622
[23]
Adeleke, A.K., Portillo Montero, D.J., Olu-lawal, K.A. and Olajiga, O.K. (2024) Statistical Techniques in Precision Metrology, Applications and Best Practices. Engineering Science & Technology Journal, 5, 888-900. https://doi.org/10.51594/estj.v5i3.944
[24]
Drosg, M. (2009)Dealing with Uncertainties: A Guide to Error Analysis. 2nd Edition, Springer.
[25]
Villa, T., Gonzalez, F., Miljievic, B., Ristovski, Z. and Morawska, L. (2016) An Overview of Small Unmanned Aerial Vehicles for Air Quality Measurements: Present Applications and Future Prospectives. Sensors, 16, Article 1072. https://doi.org/10.3390/s16071072
[26]
Fadel, M., Courcot, D., Afif, C. and Ledoux, F. (2022) Methods for the Assessment of Health Risk Induced by Contaminants in Atmospheric Particulate Matter: A Review. Environmental Chemistry Letters, 20, 3289-3311. https://doi.org/10.1007/s10311-022-01461-6
[27]
Wu, J., Cai, Z. and Li, H. (2020) Accessibility of Medical Facilities in Multiple Traffic Modes: A Study in Guangzhou, China. Complexity, 2020, Article ID: 8819836. https://doi.org/10.1155/2020/8819836
[28]
(2006) WHO Air Quality Guidelines for Particulate Matter, Ozone, Nitrogen Dioxide and Sulfur Dioxide. https://shorturl.at/OiMjn
[29]
(2019) Minnesota Pollution Control Agency, National Ambient Air Quality Stand-ards (NAAQS) and Air Monitoring. https://shorturl.at/FXd43
[30]
World Health Organization, WHO Global Air Quality Guidelines (2021) Particulate Matter (PM2.5 and PM10), Ozone, Nitrogen Dioxide, Sulfur Dioxide, and Carbon Monoxide. https://www.who.int/publications/i/item/9789240034228
[31]
ASHRAE Government Affairs Office (2023) Indoor Carbon Dioxide, Ventilation and Indoor Air Quality. Washington. https://shorturl.at/98zbA
[32]
ASHRAE Position Document on Indoor Carbon Dioxide. https://www.ashrae.org
[33]
Romshoo, S.A., Bhat, M.A. and Beig, G. (2021) Particulate Pollution over an Urban Himalayan Site: Temporal Variability, Impact of Meteorology and Potential Source Regions. Science of The Total Environment, 799, Article ID: 149364. https://doi.org/10.1016/j.scitotenv.2021.149364
[34]
Miao, Y., Li, J., Miao, S., Che, H., Wang, Y., Zhang, X., et al. (2019) Interaction between Planetary Boundary Layer and PM2.5 Pollution in Megacities in China: A Review. Current Pollution Reports, 5, 261-271. https://doi.org/10.1007/s40726-019-00124-5
[35]
O'Hara, A.C., Miller, A.C., Spinks, H., Seifert, A., Mills, T. and Tuininga, A.R. (2022) The Sustainable Prescription: Benefits of Green Roof Implementation for Urban Hospitals. Frontiers in Sustainable Cities, 4, Article 798012. https://doi.org/10.3389/frsc.2022.798012
[36]
Piracha, A. and Chaudhary, M.T. (2022) Urban Air Pollution, Urban Heat Island and Human Health: A Review of the Literature. Sustainability, 14, Article 9234. https://doi.org/10.3390/su14159234
[37]
Buchari, M.A., Exaudi, K., Herawati, C.A., Ubaya, H., Sembiring, S., Arsalan, O., et al. (2020). E-WS: A Novel Smart Information System Towards Smokers for the Outdoor Canteen Environment. Proceedings of the Sriwijaya International Conference on Information Technology and Its Applications (SICONIAN 2019). https://doi.org/10.2991/aisr.k.200424.043
[38]
(2009) Guidelines for the Reporting of Daily Air Quality-the Air Quality Index (AQI). https://shorturl.at/YxslG
[39]
Dye, T.S., Chan, A.C., White, J.E. and Wayland, R.A. (2004) Airnow Air Quality Notification and Forecasting System. https://shorturl.at/TbeL9
[40]
Bigazzi, A.Y. and Rouleau, M. (2017) Can Traffic Management Strategies Improve Urban Air Quality? A Review of the Evidence. Journal of Transport & Health, 7, 111-124. https://doi.org/10.1016/j.jth.2017.08.001
[41]
Iacobellis, V., Rosaria Alfio, M., Balacco Maria Dolores Fidelibus, G. and Panagopoulos, A. (2004) Politecnico DI Bari Doctor in Risk and Environmental, Territorial and Building Development Data-Driven Methods for Qualitative and Quantitative Characterization of Coastaaquifers.