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The effect of type and location of baby cots on indoor environment quality in a daycare centre Citation for published version (APA): de Waard, M. J., & Zeiler, W. (2015). The effect of type and location of baby cots on indoor environment quality in a daycare centre. In M. G. L. C. Loomans, & M. te Kulve (Eds.), Proceedings of the Conference on Healthy Buildings Europe 2015, 18-20 May 2015, Eindhoven, The Netherlands (pp. 1-8). [ID399] Technische Universiteit Eindhoven. Document status and date: Published: 18/05/2015 Document Version: Publisher’s PDF, also known as Version of Record (includes final page, issue and volume numbers) Please check the document version of this publication: • A submitted manuscript is the version of the article upon submission and before peer-review. There can be important differences between the submitted version and the official published version of record. People interested in the research are advised to contact the author for the final version of the publication, or visit the DOI to the publisher's website. • The final author version and the galley proof are versions of the publication after peer review. • The final published version features the final layout of the paper including the volume, issue and page numbers. Link to publication General rights Copyright and moral rights for the publications made accessible in the public portal are retained by the authors and/or other copyright owners and it is a condition of accessing publications that users recognise and abide by the legal requirements associated with these rights. • Users may download and print one copy of any publication from the public portal for the purpose of private study or research. • You may not further distribute the material or use it for any profit-making activity or commercial gain • You may freely distribute the URL identifying the publication in the public portal. If the publication is distributed under the terms of Article 25fa of the Dutch Copyright Act, indicated by the “Taverne” license above, please follow below link for the End User Agreement: www.tue.nl/taverne Take down policy If you believe that this document breaches copyright please contact us at: openaccess@tue.nl providing details and we will investigate your claim. Download date: 15. Sep. 2020
E: Sources & exposure E2:Exposure reduction THE EFFECT OF TYPE AND LOCATION OF BABY COTS ON INDOOR ENVIRONMENT QUALITY IN A DAYCARE CENTRE Mark de Waard1, Wim Zeiler1,* 1 Department of the Built Environment, University of Technology Eindhoven, Eindhoven, Netherlands *Corresponding email: w.zeiler@bwk.tue.nl Keywords: IAQ, daycare centre, Baby cots, Ventilation effectiveness SUMMARY Little children spend a lot of their time in daycare centres while their parents are at work. While the effect of poor indoor environmental quality (IEQ) in office buildings has been vastly studied, very limited empirical studies on the effect of different environmental factors in daycare centres is available. In this study, the indoor air quality within baby cots of a Dutch daycare centre was studied in detail. Besides an extensive literature survey, actual measurements were performed at a daycare centre especially the effects of type and location of baby cots on the perceived indoor environmental quality. Analysis of the results obtained from this study shows indoor air quality levels in daycare centres requires more attention. The intention of this research is to come forward with some guidelines based on the lessons learned. INTRODUCTION In the Netherlands, there is much attention on the Indoor Air Quality(IAQ) in commercial buildings, however there is far less interest in the indoor air quality conditions in daycare centres. A healthy environment is important for the development of infants since they are a vulnerable target group. Children are more vulnerable to airborne pollution due to the fact that their airways are narrower than adults, they have markedly increased need for oxygen relative to their seize, they breathe more rapidly and inhale more pollutants per pound of body weight (Etzel 1996). The body of a young child, and its immune system, is continuously under development. Adverse conditions could influence this development (Ruotsalainen et al. 1995). In a typical Dutch daycare centre, children are at times present for just a couple of hours or for the entire day and infants normally stay at the daycare centres often until their fourth birthday. Though little is known about the effects of different indoor environmental factors present in daycare centres (Daisey et al. 2003, Nafstad et al. 2004), and the quality of the buildings in which these daycare centres are located (Ruotsalainen et al. 1993), considering the amount of time children spend in such centres there is need for more attention. In 2009 LBP-Sight, an independent consulting and engineering company with forty years of experience in the field of construction, space and the environment conducted a research in 60 Dutch daycare centres (Versteeg 2009). The research
was commissioned by the Dutch government and focused on air quality, daylight access, sound and climate. The overall conclusion of the research was that the indoor air quality in Dutch daycare centres was insufficient. This applied to both common areas and bedrooms, with slightly better conditions in summer than in winter. Table 1 provides an overview of international studies on IAQ in daycare centres. As depicted in the table, in most cases between 20 up to 75% of all measured daycare centres had CO 2 concentrations well above the recommended level by ASHRAE (2007) standard of 1000 ppm. Table 1. Overview of CO 2 concentrations in daycare centers from different studies Year Location Number Average SD CO 2 Reference CO 2 (ppm) 1992 Canada 91 1505 Danault et al 1993 Finland 30 810 390 Routsalainen et al. 2002 Midwest USA 26 1142 473 Ferng and Lee 2007 Singapore 59 NV 466 72 Zuraimi et al. 2007 Singapore 21 HBV 538 147 Zuraimi et al. 2007 Singapore 5 ACMV 930 175 Zuraimi et al. 2007 Singapore 19 AC 1163 575 Zuraimi et al. 2009 Netherlands 60 1452 Versteeg 2010 Portugal 9 2137 368 Araújo-Martins 2010 Portugal 11 1233 170 Araújo-Martins 2011 Latvian 6 730 170 Stanvica and Lesinskis 2011 Paris 28 933 100 Roda et al. 2012 Montreal 21 1333 391 St-Jean et al. NV=Natural Ventilation, HBV=Hybrid Ventilation, AC=Air-Condition, MV= Mechanical Ventilation In most studies the overall CO 2 level was measured in the group rooms and in some also in the bedroom. In the study by Routsalainen et al. (1993) it was observed that in multipurpose rooms (for general activities and nap), the nap-time average CO 2 level was about 60 ppm higher, compared to the non-nap time average CO 2 level. In another study by Fern and Lee (2002) in Midwest US daycare centres, the authors observed about 24.3% increment in CO 2 levels from non-nap time to nap-time in the daycare centre’s bedrooms. In the research by Versteeg (2009), the authors also observed higher average CO 2 concentration in the sleeping rooms when compared to the group rooms: in summer 280 ppm and in winter 90 ppm. In the research of van Rossenberg (2009) on 20 daycare centres in the Netherlands it was found that the 81% of the bedrooms had a CO 2 concentration higher than 1000 ppm and 31% had an even unacceptable high CO 2 concentration, this compared to 71% and only 4% for the activity rooms. Clearly more attention is needed for the bedrooms. This research studies the influence of the type of baby-cot used and its location in the room on the CO 2 concentration in the breathing zone of a sleeping infant in a child daycare centres bedrooms. Using CO2 as metric for air quality was done to limit the amount of measurement equipment in the baby cots Arguably CO 2 can in itself represent poor air quality because of health impact, this being clear at high levels addressed by occupational standards. Otherwise it may be used as an indicator of inadequate ventilation and reflects poor removal of other pollutants. Therefore the general room CO 2 should be kept below specific levels. The higher CO 2 in a semi closed cot is not necessarily of concern because it reflects the child's in- and exhaled air in this microenvironment. However, it also indicates other pollutants from the space e.g. odour from nappies, fumes from mattress. These building up in this
microenvironment is a situation to avoid. A field study was carried out in a daycare centre in which measurements of the differences in CO 2 concentrations inside different baby-cots. CASE STUDY The goal of this research was to determine if the type of baby-cot used in child daycare centres influences the CO 2 concentration near a sleeping infant. To determine the presence and impact of any such influences, measurements were performed in different type of baby-cots. Location The study was conducted at a daycare centre built in 1968. Measurements were taken in rooms with no windows but having a mechanical exhaust ventilation system. Measurements took place in two different bedrooms intended for infants of different ages, see Fig. 1 and 2. Figure 1: Bedroom A(left) and bedroom B(right), ventilation supply grll in door, exhaust outlet in ceiling Figure 2: Plan of bedroom A(left) and bedroom B(right) for both the measured different location of the baby cots in the rooms The first bedroom (A) is used by children within the age bracket of 2-4. It accommodates seven toddlers divided over two types of cots: 5 open beds and 2 bedsteads (cribs). The second bedroom (B) is used by children within the age bracket of 10 weeks – 2 years. It accommodates 5 infants divided over three types of cots: 2 bottom bunk beds, 2 top bunk beds and 1 bedstead. Both bedrooms have a ventilation system with natural inlet (grating in the door) and mechanical outlet. Further characteristics of both bedrooms are given in table 2.
Table 2: Characteristics of the bedrooms Location Length (m) Width (m) Height (m) Capacity (-) Ventilation rate (m³/h) Bedroom A 3.3 3.3 2.7 7 infants 30.3 Bedroom B 3.3 2.5 2.7 5 infants 21.0 Description baby cots Four types of baby cots were monitored inside the daycare centre, see Figure 3. Not all baby cots were present in all bedrooms. The first type, a crib was only present in bedroom A and was used for children in the age of 2-4 years who tend not to get out of bed while sleeping. The second type, the bedstead, was used in both bedroom A and bedroom B and was used by both new borns as well as children between the age of 2-4 years. The last type of baby cot used in the daycare centre was the bunk bed. Figure 3: Crib (A.1 and A.2) Bedstead (A.3 and A.4) Bottom bunk bed (B.1 and B.2) Top bunk bed (B.3 and B.4) Equipment For measurement of the carbon dioxide concentration (CO 2 ), relative humidity and temperature inside the bedrooms a EE80 sensor was used. The CO 2 sensors were placed within the breathing zone of a sleeping infant which was defined as the range for exhaled air of 0.3m around the head of a sleeping infant. The EE80 sensor is used for indoor measurements and has a wide range for CO 2 -measurements (0 – 5000ppm). For the airflow measurement a flowfinder was used, see table 3. Table 3: Measurements performed at the child daycare facility The measurements took place during spring, in the period from 26th of April till 21st of May and the second series in the period from January 29th till February 5th, 2014. The measurements inside the bedrooms were done separately and took at least one week. This was to ensure that the influence of accidental events was minimized. In each bedroom seven sensors were placed at different locations in the room. Each sensor recorded the CO 2 -concentration, relative humidity and temperature inside the room every 30 seconds. All the data generated during the
measurements were stored on a data logger from which the data was retrieved and processed afterwards. During the measurements the nursery staffs were asked to keep a log of children present inside the bedrooms. Each day record was taken of the number of infants sleeping inside the bedroom and the duration. RESULTS Figure 4 & 5 depicts the obtained CO 2 concentrations in the baby cots in room A & B. Figure 4: (A) General CO 2 -concentrations bedroom A and (B) CO 2 concentrations specific baby cots A1, A2, A3 and A4 Figure 5: Detailed characteristic CO 2 concentrations of different baby cots in room A and B during the sleeping period (I) (II) Figure 6: Boxplot of CO 2 concentration in all baby cots during naptime – configuration 1 and 2 see Fig. 2.
Figure 6 (I) depicts the CO 2 concentration inside the baby-cots of both bedrooms during naptime in configuration 1. It is visible that the CO 2 concentration inside the baby cots of bedroom B was generally higher than the concentrations in bedroom A (the outlier of baby cot A.3 aside). The higher CO 2 concentrations in bedroom B might be as a result of the higher levels of activity in the room. . Since the infants sleeping in this bedroom all sleep at different times there is higher activity in this bedroom since the daycare worker do have to lay the infants in and out of bed more often than in bedroom A. In bedroom A the children often sleep at the same time, but for a longer period of time. In figure 6 (II), the CO 2 concentrations during naptime are given for all types of baby cots in configuration 2. What stands out first is the higher CO 2 concentrations than the first measurement in configuration 1. As noted before, results are only applicable for the given measurement period. Since this is a different measurement period from first, a different result is expected. There is however some similarity between the first and the second measurement period. In both periods the CO 2 concentrations in bedroom B was generally slightly higher than in bedroom A. Another thing that is noticeable from figures 36(I) and 36(II) is that the bedsteads in bedroom A has higher CO 2 concentrations than the cribs in both configurations. This would imply that bedsteads have worse CO 2 concentration during naptime than cribs. Table 4 gives the CO 2 distribution for the bedsteads in bedroom A during naptime for both configurations. The Dutch building code describes a child daycare center as a building with a meeting function. This results in a maximum CO 2 concentration of 1200ppm according to the Dutch building code 2012. With this concentration the amount of oxygen in the air remains above the required 20.9%. However, the Dutch Public Health Service (GGD) prescribes other CO 2 concentrations required for child daycare centers. CO 2 concentrations lower than 800ppm are considered to be good, lower than 650ppm are considered to be excellent. Table 4: CO 2 distribution inside bedsteads bedroom A, configuration 1 & 2 The table shows that the CO 2 concentration inside the baby-cots in configuration 1 was most of the time acceptable. The outlier of this bedroom, baby cot A.3, has a CO 2 concentration that is most of the time very poor. In configuration 2 the CO 2 concentrations was even higher than in configuration one. What is noticeable is that bedsteads which are placed close to the entrance of the bedroom (A 1.3 and A 2.1) have higher CO 2 concentrations than bedsteads which are placed at a distance from
the entrance. This could be explained due to the fact that the baby cot is placed directly next to the door/inlet ventilation. Since the ventilation air is coming directly from the common area of the daycare facility and the activity at the door (daycare workers moving in and out) is a lot higher, this could affect the results of this baby cot. Table 5 shows directly that during the second measurement period the CO 2 concentrations were much higher for a longer period of time. Also, in this table it is visible that the location of the crib has an influence on the CO 2 concentration measured inside the baby cot. Cribs A 1.1 and A 2.3 show significantly higher CO 2 concentrations than the other positions. Again, cribs placed near the entrance of the bedroom give higher CO 2 concentrations than cribs placed in a distance from the entrance. Table 5: CO 2 –distribution inside cribs bedroom A, configuration 1 & 2 Percentage of houres CO 2 [ppm] concentration 1400 Table 6 gives the CO 2 distribution for bedroom B during naptime for both configurations. In this table the differences between top and bottom bunk beds are clearly visible. None of the beds have a good CO 2 concentration, but it is visible that the bottom bunk beds have a worse CO 2 concentrations than top bunk beds. The amount of time a bottom bunk bed has a poor CO 2 concentration is a lot higher than with top bunk beds. This could be explained due to the fact that bottom bunk beds can be considered as a volume which is opened only on the side, while top bunk beds are open on the side and the top. In configuration 2 a bedstead is placed on the location of bottom bunk bed B 1.2. The results of the second measurement make clear that the CO 2 concentrations inside the bedstead aren’t any better than the CO 2 concentrations inside the bottom bunk beds. Table 6: CO 2 distributions in bedroom B, configuration 1 and 2 Percentage of houres CO 2 [ppm] concentration 1400 CONCLUSIONS AND DISCUSSION The results from the detailed measurements of CO 2 concentrations within the breathing zones of the babies showed quite a difference in results caused by the location and the type of baby cot. It clearly shows the importance of these factors and why it is not sufficient to just measure an overall CO 2 concentration as an indicator of
the Indoor Air Quality in daycare centres. From the measurements results, it can be seen that unexpectedly changing circumstance also has a major impact on the measured CO 2 concentrations within the bedroom of the case study daycare centre. Overall it can be concluded that a lot more attention is necessary for the assessment of the indoor environmental quality in Dutch daycare centres. Especially the effect of the type of baby cot and its location within the sleeping room is far more important than is currently generally known. REFERENCES Araújo-Martins J., Carreiro Martins P., Viegas J., Aelenei D., Cano M.M., Teixeira J.P., Paixão P., Papoila A.L., Leiria-Pinto P., Pedro C., Rosado-Pinto J., Annesi-Maesano I., Neuparth N. (2014) Environment and Health in Children Day Care Centres (ENVIRH) – Study rationale and protocol, Revista Portuguessa de Pneumologia 20(60: 311-323 ASHRAE (2007) Standard 62-1-2007, Ventilation for acceptable indoor air quality Daneault S., Beausoleil M., Messing K. (1992) Air Quality during winter in Quebec Daycare Centres, American Journal of Public Health 82(3): 432-434 Daisey J.M., Angell W.J., Apte M.G. (2003) Indoor air quality ventilation and health symptoms in schools: an analysis of existing information, Indoor Air 13: 53-64 Etzel R.A. (1996) Air pollution hazards to children, Otolaryngology – Head and Neck Surgery, February 1996 Ferng S.F., Lee L.W. (2002) Indoor air quality assessment of daycare facilities with carbon dioxide, temperature, and humidity as indicators, Journal of Environmental Health 65(4):14-18. Nafstad P., Jaakkola J.J.K., Skrondal A., Magnus P. (2004) Day care centre characteristics and children’s respiratory health, Indoor Air 15: 69-75 Roda C., Barral S., Ravelomanantsoa H., Dusséaux M., Tribout M., Moullec Y. Le, Momas I. (2011) Assessment of indoor environment in Paris child day care centres, Environmental Research 111: 1010-1017 Rossenberg M. van (2009) Eindrapport Pilotproject ‘Frisse lucht op het Kinderdagverblijf’, Hulpverlening Gelderland Midden, Arnhem, juli 2009 Ruotsalainen R., Jaakkola N., Jaakkola J.J.K. (1993) Ventilation and indoor air quality in Finnish daycare centers., Environment International 18: 109-119 Ruotsalainen R., Jaakkola N., Jaakkola J.J.K. (1995) Dampness and molds in daycare centers as an occupational health problem, International archives of occupational and environmental health 66: 369-374 Stakevica G., Lesinskis A. (2011) Indoor Air Quality and Thermal Comfort in Latvian Daycare Centres, Scientific Journal of Riga Technical University St-Jean M., St-Amand A., Gilbert N.L., Soto J.C., Guay M. (2012) Indoor air quality in Montreal daycare centres, Canada, Environmental Research 118:1-7 Tang J.W., Nicolle A.D., Klettner C.A., Pantelic J., Wang L.(2013) Airflow Dynamics of Human Jets: Sneezing and Breathing - Potential Sources of Infectious Aerosols. PLoS ONE 8(4): e59970. doi:10.1371/journal.pone.0059970 Versteeg H., 2009, Onderzoek binnenmilieu kindercentra, LBP|Lichtveld Buis & Partners Zurami M.S., Thom K.W., Chew F.T., Ooi P.L. (2007) The effect of ventilation strategies of child care centres on indoor air quality and respiratory health of children in Singapore, Indoor Air 17: 317-327
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