How Humidification Affects Health, Mold and Airborne Germs
by Steven Welty LEED® ap, cie, cafs
February 1, 2010
If
you were a mold spore, your mantra might be, “Surface moisture: can
live with it, can’t live without it.” If you were a bacteria or
virus, it would be just the opposite — they love low-humidity
ambient conditions. Read on for insights into condensate prevention
on cooler surfaces, hospital humidification standards here and
abroad, and avoiding a recipe for mold soup.
The
double edge sword dilemma: on one edge mechanical engineers (ME) must
add airborne humidity into dry, low-grain air, which, here in
Washington, happens during wintertime conditions. Sliding down that
other edge, too much airborne humidity means that cooler surfaces can
dewpoint out condensate moisture. H20
molecules can drop out of the airstream and wet duct insulation
surfaces promoting mold and bacteria (M&B) growth. Too much
positive pressure can push humidity into wall cavities allowing M&B
to grow. MEs must control both airborne humidity and building
pressurization in order to reduce the resulting surface moisture,
which helps create “mold soup.”
What is this ‘mold soup’ of which you speak?
Understanding
how airborne mold spores land and grow into visible black, pink, or
green fuzzy masses starts with the proper conditions allowing them to
grow. Every mold species has its own ideal conditions under which it
can grow the fastest. These are a combination of temperature, surface
moisture, available water activity (Aw), and mold food. Understanding
the conditions that allow mold to drive up to the soup kitchen and be
handed its free meal is the critical first step.
I’m
labeling the surface conditions that a mold spore requires in order
to hatch and grow as mold soup. Without a mold soup surface, an
airborne mold spore just lands on a surface and waits. And waits.
Since mold is the most patient creature in the world, he’ll hang
around for thousands of years in this dormant state just waiting for
the mold soup kitchen to open for business.
It’s
speculation that when archaeologists were breathing inside ancient
tombs, their breath provided enough moisture for ancient dormant mold
to wake back up and start launching the airborne egg spores (your
exhaled breath is nearly 100% humidified). These newly wakened
ancient molds may have popped off some nasty airborne spores laden
with toxic chemicals (known as mycotoxins), which ended up killing
some of the unsuspecting archeologists. The best picture of mold
spores being launched is in the Humidity
Control Design Guide1
by Lew Harriman et al. on page 100.
While the
built environment isn’t as sexy as King Tut’s burial chamber, one
job an ME can do is to deny mold its soup. This allows you to say to
the mold spore, “No soup for you!” which then becomes the battle
cry in “mold wars.”
My Mold Soup Recipe
While
I’ve spent years perfecting it, the ES
editors have convinced me to hand over my secret mold soup recipe.
The critical ingredients are actually rather simple: you first ladle
water onto any surface. Porous surfaces are excellent for soaking up
water. Then a mold spore lands on it, hatches, grows, makes it
darker, and then smells up the air. The darkening and smell are clear
proof that you’ve got mold growth. If you’ve smelled a stinky
darkened sponge, then you’ve just dosed yourself with mold’s
volatile organic compounds (VOCs), which is the musty basement smell
you may have experienced. Spores can be coated with mycotoxins (mold
toxin) and the expression “toxic mold” derives from the word
mycotoxin.
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| Table
1. ASHRAE
and Japan Human & Society recommended hospital temperature and
relative humidity values. |
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Next,
add any carbon based material — cellulose tastes the best — which
is found in paper and wood, but lesser known tasty ingredients like
skin cells, paper, rug and clothing fibers will be suitable gourmet
food for your local mold pals. That’s my insider secret recipe for
mold soup: airborne ingredients like skin cells and fibers are the
invisible ingredients for tasty mold soup (that any mold spore would
love to chow on). Mold can grow on any surface a long as there is
available water that can trap airborne skin cells and fibers.
How Mold Grows on Ceramic Tiles or Metal
Tiles
and metal are not organic (carbon-based) and therefore have no
available mold grub. Yet everyone has seen mold on metal and tile
surfaces, so how did that happen? When ceramic tile or metal
dewpoints out surface condensation, sprinkling it with your airborne
skin cells (you shed 1 to 10 million a day) along with fibers and
bam! You’ve just whipped up a batch of tasty mold soup. Depending
on your filtration efficiency and sterilization strength, there are
billions to quadrillions of mold spores coursing around a building.
The odds are nearly 100% that some will run smack into the surface
mold soup. Moisture also increases surface friction to trap airborne
spores and bacteria, thereby sparking their growth. Lower ambient
temperatures can inhibit growth but you’d have to lower it to below
40° in order to affect most indoor mold growth (which is why
refrigerators were invented).
Humidity and Airborne Hospital Infections
Hospitals
have critical environments where humidity can significantly affect
airborne virus and bacteria transmission. Last month in ES
(“Save Lives, Become a Mechanical Engineer,” January 2010, page
57), I detailed how the influenza virus survives and stays airborne
longer in lower humidity/grains of moisture conditions. Wintertime
indoor air having 35 to 45 grains or lower probably creates but at
least exacerbates our annual flu season.
Norovirus
likes low grain conditions, which was christened “winter vomiting
disease” by the doctor who first described it in 1932. He had no
idea about low grain viral transmission rates increasing in the
wintertime. Viruses can stay airborne indefinitely by surfing on air
currents until they impale a surface or you suck them into your nose,
throat and lungs.
Airborne bacteria survival
is also affected by the humidity/grains of moisture. The most
prevalent airborne bacteria are staphylococcus and its more lethal
version of MRSA. The science on airborne bacteria2-4
suggests that it has lower survival rate in 45% to 55% humidity
at 70° conditions. Forty-five percent rh at 70° is nearly 50 grains
of moisture, which is also in my low transmission zone for
viruses.(ES, January
2010) At 70° and 55% rh you have a whopping 60 grains of moisture,
which puts you in the low to no bacteria transmission zone, also
reflecting the low to no viral transmission zone.
Airborne Humidity Begets Surface Humidity
Mold
doesn’t grow in the air and can therefore only grow on surfaces.
That’s why I care little what the rh is in the middle of a room.
Just because you have 55% rh in the air does not mean that you have
55% rh on the surfaces. In my IAQ investigations, I take surface rh
readings, which can be 5% to 15% higher than ambient room conditions
depending on the porosity of the surfaces I’m testing.
Lighten Up Your Pressure
Dialing
in the correct building pressurization is critical because overly
positively pressurized buildings have the potential to drive humidity
into porous surfaces. This is the cutting edge of the humidity sword.
I agree with Harriman that in the wintertime having a neutral or ever
so slightly negatively pressurized (1 to 2 Pascals) building is a
great strategy in order to help prevent humidity from being forced
into your porous surfaces thereby creating mold soup conditions.
Adiabatic and Isothermal Humidification
Adiabatic
humidifiers can atomize moisture or flow it over media. Adiabatic
humidifiers use nozzles, ultrasonic, and centrifugal atomizers.
Isothermal humidifiers use steam to produce humidity. Steam is better
at creating humidity as more of it turns into humidity without
droplets falling out of the airstream like in atomizing adiabatic
systems.
Liquid Desiccant Humidification
Liquid
desiccant (LD) systems use lithium chloride (LiCl) that flows through
a medium, which exposes it to the airstream. That medium is
sandwiched between membranes to prevent downstream transfer of LiCl
into the airstream. It uses vapor pressure to add humidity directly
to the air. There’s another system on the exhaust air to capture
sensible energy needed to regenerate the LD. The huge benefit of LD
is that a single pass can add enough grains of moisture to easily hit
55 grains (70°, 50% rh) even if you have only 7 grains air outdoors
(30°, 30% rh). This creates low survival and transmission conditions
for airborne viruses and bacteria. One liquid desiccant manufacturer
claims that the bactericidal, virucidal, and fungicidal qualities of
lithium chloride can kill up to 94% of the bacteria, mold and viruses
passing through it. Chapter 21 “Humidifiers” in the 2008
ASHRAE Handbook — HVAC Systems and Equipment is a
well-written guide to each of these systems.
Health Affects of These Systems
Adiabatic
atomizing systems can create airborne minerals when improperly
filtered water evaporates and sheds them into the air. Breathing in
airborne minerals is never good. Mold and bacteria (M&B) problems
can grow in exposed reservoirs unless they are properly sterilized as
standing water provides a moisture source allowing M&B growth.
These growing M&B can then
be:
- Aerosolized by
the HVAC airflow
- Transported through the
downstream ductwork
- Spewed into occupied
spaces
This mimics
the M&B infestation that occurs within condensate drain pans and
cooling coils, which is another reason why they also need to be
sterilized 24/7/365 in order to prevent M&B aerosolization.
Steam systems are healthier than adiabatic
because steam is distilled water (no minerals). Steam tends to have
more individual H 2O molecules, which is
healthier as they tend to not plate out in the downstream ductwork,
which is another weakness of adiabatic aerosolization systems.
LD systems are the healthiest as LiCl is a
natural fungicide, bactericide, and virucide. Another health benefit
of an LD system is that it easily provides precise humidification,
which in wintertime is critical for airborne virus protection.
U.S. and Japanese Hospital Humidity Standards
ASHRAE’s
HVAC Design Manual for Hospitals
and Clinics5
provides a list of recommended temperature and humidity levels for
hospitals. In Japan there is a list of recommended hospital humidity
and temperature levels promulgated by the Human and Society
Environment Science Laboratory6
(HSESL). Their recommendations are much narrower than ASHRAE and they
also have summer and winter values, which recognize the challenges of
wintertime humidification and summer dehumidification using adiabatic
or isothermal systems.
I like the HSESL
wintertime values for airborne virus and bacteria transmission
control as it recommends higher minimum humidity levels of 45% rh vs
30% rh (ASHRAE). Higher grains significantly reduce the both the
transmission and viability of these germs.
For
airborne infection control, I’ve never liked any ambient indoor rh
below 40% as that’s the crossover point where survival and
transmission of airborne viruses and bacteria increase exponentially.
I also don’t like the HSESL summer values with 60% rh as a setpoint
because the actual room rh may drift to 65% to 70%, which can drive
surface humidity moisture to 70% to 85% thereby creating ideal mold
growth conditions. Dial in an overly positively pressurized building
and you’ll drive that moisture into the walls creating mold soup
conditions. Eventually that moisture will push through into the
spaces behind the walls creating more opportunities for mold growth.
Managing the humidity/grains of moisture
along with building pressurization, especially in hospitals, is
critical in preventing airborne viruses and bacteria from making
occupants ill. It’s also critical to prevent mold growth on and
behind interior surfaces. MEs need to dial in the correct
humidity/grains of moisture along with pressurization, which can be a
matter of life and death to susceptible and immune compromised
occupants. It also affects occupants who have asthma and allergies
along with children who are even more susceptible to airborne germs.
Once again, MEs can save lives and make people healthier. ES
References
1.
Harriman, Lew, et al., Humidity
Control Design Guide, ASHRAE, Atlanta, 2001.
2.
Dunklin et al., “The lethal effect of relative humidity on
air-borne bacteria,” Journal
of Experimental Medicine,.vol. 87. 1948.
3.
Hatch, M. T., and R. L. Dimmick, “Physiological responses of
airborne bacteria to shift in relative humidity,” Bacteriological
Reviews, vol. 30, 1966.
4.
Ehrlich, R., S. Miller, and R. L. Walker, “Effects of
atmospheric humidity and temperature on the survival of airborne
Flavobacteriu,” Journal of
Applied Microbiology, vol. 20, 1970.
5.
American Society of Heating, Refrigerating, and Air-Conditioning
Engineers, HVAC Design Manual
for Hospitals and Clinics, ASHRAE, Atlanta,
2003.
6. Eames, I., J. W. Tang, Y. Li and
P. Wilson, “Airborne transmission of disease in hospitals,”
Journal of the Royal Society
Interface, vol. 6, 2009.
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