Is Sick Building Syndrome (SBS) Real?

Published On: December 13, 2023Categories: Cleaning for Health, Indoor Air Quality

by Jeff May, May Indoor Air

Q: Is Sick Building Syndrome (SBS) real?

A: Yes, SBS — aka, too-tight building syndrome — is real and exists when poorly-ventilated indoor spaces “bottle up” pollutants from materials used in building/furnishing a home or brought indoors by occupants (human and animal) and in other ways, which make people feel ill and/or less productive: short- or long-term. Poorly maintained air conditioning systems can also cause allergies. SBS differs from its cousin, Building-Related Illness (BRI) which relates to a specific agent indoors that causes a known illness (e.g., legionella); though some experts use the terms interchangeably.

SBS is insidious as it’s often caused by airborne mixtures of chemicals or bioaerosols in tiny amounts — so there’s almost never a “smoking gun” or single culprit — as there are 80,000++ chemicals in legal use and it is impossible to test them in every possible mixture; same for the thousands of allergens. That makes sensitive consumers (e.g., those with allergies or chemical sensitivities) a bit like canaries in the mine; although people, unlike canaries, do not end up dead from exposure, at least right away.

Q: For consumers buying a new home, what should they do to ensure their new home is not aggravating their allergies? Is there any way to allergy-proof their home?

A: Prevention is better than cure when it comes to both oil and air pollution “spills”.

Think of how an oil spill fans out rapidly, harming the environment and making it impossible to prevent all damage; so, think preventively about reducing allergies or worse.

#1. Don’t buy or rent a home that causes an illness reaction unless you can isolate and eliminate the source of the problem. Try to spend at least an hour or two inside with the windows and exterior doors closed before committing to live there.

#2. Then try increasing ventilation by opening a window and see if that helps.

#3. Once you move in, use a HEPA-filtered vacuum that has been 360-chamber tested to detect dust leaks from anywhere on the machine (some companies just test the filter/bag exhaust).

#4. Choose a home with more smooth, hard cleanable surfaces than porous ones that may become a sink for allergens.  If the space has carpeting, used an effective vacuum, and often, to “empty the sink”.

#5. Clean the heating and cooling systems and use efficient filters where needed.

Author: Jeffrey C. May, M.A., CMC (Certified Microbial Consultant), CIAQP (Certified Indoor Air Quality Professional), and Principal Scientist at May Indoor Air Investigations, LLC. A former educator (Adjunct Faculty, Department of Work Environment, U MA Lowell, Jeff is a building consultant and indoor air quality (IAQ) investigator who over the last 25 years has conducted thousands of investigations of homes, schools, and offices. He has personally examined by microscopy over 40,000 air and dust samples, and has served as an expert witness in cases involving mold and moisture issues. May has lectured nationally about indoor air quality including at the Harvard School of Public HealthMassachusetts General Hospital (MGH)American Industrial Hygiene Association (AIHA), American Lung Association (ALA), American Society of Home Inspectors (ASHI), American Chemical Society (ACS), and Allergy and Asthma Foundation of American (AAFA). He is also widely published in dozens of articles on indoor air quality and in over six books, and is author of a monthly column in Healthy Indoors magazine and of five more books on IAQ published by Johns Hopkins University Press:

My House is Killing Me, 2001 (Ed. 1) and 2020 (Ed. 2)
The Mold Survival Guide, 2004
My Office is Killing Me, 2006
Jeff May’s Healthy Home Tips, 2008

Jeff is a member of a number of professional organizations including The American Chemical SocietyThe Indoor Air Quality Association, and the New England Chapter of the Industrial Hygiene Association. He is a former national Board Member of the Allergy and Asthma Foundation of America and is currently on the Board of the Massachusetts Association for the Chemically Injured (MACI) and the Chemical Sensitivity Foundation (CSF). He holds a B.A. from Columbia College (chemistry) and an M.A. from Harvard (organic chemistry).