CR3 News Magazine 2021 VOL 3: MAY - MEDICAL ISSUE: SURVIVING | Page 35

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continuously advise one on each of these conditions? To quote a recent review of IAQ devices appearing in the New York Times, “But most of the time, any action you’d take based on an air quality monitor’s readings are things you should do anyway. Open your windows on nice days…” [Ref. 9] There is an appeal of having more information, but is it valuable?

Let’s not forget about radon

Of all the indoor air pollutants we can readily measure, only in the case of radon are there generally accepted statistics that long-term exposure above certain levels can lead to seriously adverse health outcomes: lung cancer. Radon’s radioactive decay resulting in high-energy ionizing radiation accounts for this difference. Since it is generally only diagnosed at an advanced stage, the statistics of lung cancer outcomes are scary. Thus, all homes should be tested for radon. Long-term testing is necessary-- there is a well-known seasonal variation to radon levels. [Ref. 10] In the U.S., 1 in 15 homes measure over the 4.0 pCi/L U.S. Environmental Protection Agency (EPA) guideline recommending mitigation action, with some larger fraction obviously over the 2.7 pCi/L World Health Organization (WHO) guideline. Geology is the single biggest factor, but so is building footprint, tightness of the building insulation and moisture barrier envelope, number of stories (which contributes to indoor/outdoor pressure differential), and possibly even the origin of any cement used in slabs and foundations. The EPA estimates 21,000 people die of radon induced lung cancer each year. [Ref. 10]

The case for high sensitivity real-time electronic monitors

Most all homes have some measurable level of radon. Given the advent of Wi-Fi connected radon detectors from Ecosense, Inc. (San Jose, CA - https://ecosense.io), highly sensitive, real-time consumer monitors, have become available. The EcoQube, for example, displays graphical radon level trends on paired smartphones. The EcoQube reports via Wi-Fi to either an Android or iOS smartphone app that allows visualization of data over days, weeks, and months. The EcoQube offers an unprecedented radon level data rate (updating measurements every 10 minutes) owing to its 30 CPH/pCi/L (counts per hour per pico-Curie per liter) counting sensitivity-- a high rate that results from its patented pulsed ion chamber measurement technology.

We have seen CO2 being suggested as a proxy for other elements of indoor air quality (such as tVOCs), why not use radon the same way? Since it naturally concentrates in buildings due to temperature and pressure differentials, there is a measureable level in most every indoor environment. The actions one might take in response to increasing radon are the same as one might take on the basis of elevated measurements of CO2, tVOCs, or particulates (depending on outdoor conditions): increase ventilation! If radon is trending upward, even if in a range well below the EPA action level, one can open windows or turn on a ventilation fan-- you will simultaneously lower the levels of all other indoor contaminants as well.

The most impactful indoor air quality monitor?

One can argue a sensitive high-data-rate radon detector that graphically outputs trends to a smartphone is the single best compliment to mandated smoke alarms and carbon monoxide detectors. Firstly, one can determine whether one’s home is above the recommended EPA action level of 4.0 pCi/L and, if so, call in a radon professional for a detailed survey and recommendations. Secondly, however, if one’s home is under the EPA action level, trends can be monitored. For example

, suppose current radon levels are under, but are rising toward the WHO 2.7 pCi/L threshold, ventilation decisions can be made from the upward slope of the trend line.

If the slope of the radon trend line shown on one’s smartphone is rising, one can think of it as a proxy for other pollutants or pathogens possibly simultaneously accumulating and ventilate accordingly. The effect of opening a window or turning on a ventilation fan will soon be reflected in the radon reading. Why not drive such decisions on the basis of the only common indoor pollutant that is well documented to, over the long term, have potentially serious affects on one’s health?

So, is a real-time high sensitivity radon detector the single best option for an IAQ device after smoke and carbon monoxide detectors? There is a case to be made.

References

1. U.S. fire deaths: https://www.usfa.fema.gov/data/statistics/fire_death_rates.html

2. Indoor CO2 levels: https://www.nist.gov/publications/quit-blaming-ashrae-standard-621-1000-ppm-co2

3. LBNL study: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3548274/

4. USDA CO2 safety standards: https://www.fsis.usda.gov/sites/default/files/media_file/2020-08/Carbon-Dioxide.pdf

5. Submarine CO2 levels: https://www.irbnet.de/daten/iconda/CIB7571.pdf

6. tVOCs found in homes and their sources: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4057989/

7. Air Quality Index: https://www.airnow.gov/aqi/aqi-basics/

8. Dust mite allergies: https://www.mayoclinic.org/diseases-conditions/dust-mites/symptoms-causes/syc-20352173

9. NYT review of IAQ devices: https://www.nytimes.com/wirecutter/reviews/best-home-air-quality-monitor/

10. Stanley, F.K.T., Irvine, J.L., Jacques, W.R. et al., “Radon exposure is rising steadily within the modern North American residential environment and is increasingly uniform across seasons,” Sci Rep 9, 18472 (2019).

11. EPA Citizens Guide to Radon: https://www.epa.gov/sites/production/files/2016-12/documents/2016_a_citizens_guide_to_radon.pdf

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