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September 2002, Vol 92, No. 9 | American Journal of Public Health 1430-1440
© 2002 American Public Health Association


PUBLIC HEALTH MATTERS

Improving the Health of Workers in Indoor Environments: Priority Research Needs for a National Occupational Research Agenda

Mark J. Mendell, PhD, MPH, William J. Fisk, MS, Kathleen Kreiss, MD, Hal Levin, BArch, Darryl Alexander, MPH, William S. Cain, PhD, John R. Girman, MS, Cynthia J. Hines, MS, Paul A. Jensen, PhD, Donald K. Milton, MD, DrPH, Larry P. Rexroat, MST and Kenneth M. Wallingford, MS

At the time this article was written, Mark J. Mendell was with the National Institute for Occupational Safety and Health, Division of Surveillance, Hazard Evaluations and Field Studies, Cincinnati, Ohio. He is now with the Lawrence Berkeley National Laboratory, Berkeley, Calif. Cynthia J. Hines and Kenneth M. Wallingford are with the National Institute for Occupational Safety and Health, Division of Surveillance, Hazard Evaluations and Field Studies. William J. Fisk is with the Lawrence Berkeley National Laboratory. Kathleen Kreiss and Paul A. Jensen are with the National Institute for Occupational Safety and Health, Division of Respiratory Disease Studies. Hal Levin is with the Building Ecology Research Group, San Diego, Calif. Darryl Alexander is with the American Federation of Teachers, Washington, DC. William S. Cain is with the Department of Surgery, University of California, San Diego, School of Medicine. John R. Girman is with the US Environmental Protection Agency, Indoor Environments Division, Washington, DC. Donald K. Milton is with the Department of Environmental Health, Harvard University School of Public Health, Boston, Mass. Larry P. Rexroat is with the US General Services Administration, Public Building Service, Greater Southwest Region, Fort Worth, Tex.

Correspondence: Requests for reprints should be sent to Mark J. Mendell, PhD, MPH, Lawrence Berkeley National Laboratory, 1 Cyclotron Rd, MS 90-3058, Berkeley, CA 94720 (e-mail: mjmendell{at}lbl.gov).

Indoor nonindustrial work environments were designated a priority research area through the nationwide stakeholder process that created the National Occupational Research Agenda. A multidisciplinary research team used member consensus and quantitative estimates, with extensive external review, to develop a specific research agenda. The team outlined the following priority research topics: building-influenced communicable respiratory infections, building-related asthma/allergic diseases, and nonspecific building-related symptoms; indoor environmental science; and methods for increasing implementation of healthful building practices. Available data suggest that improving building environments may result in health benefits for more than 15 million of the 89 million US indoor workers, with estimated economic benefits of $5 to $75 billion annually. Research on these topics, requiring new collaborations and resources, offers enormous potential health and economic returns.




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