RACA Journal April 2020 | Page 45

Feature RETHINKING HOW WE TACKLE AIR QUALITY AND HEALTH By Duncan Urquhart, associate director, air quality and permitting, Aecom Imagine a doctor treating a patient based on a partial diagnosis: you wouldn’t expect the best outcome. So it is with air pollution. HEALTH AND LEGISLATION There is a lack of a holistic view of the effect of air pollutants on the population due to a disconnect between ambient air quality legislation, public health responses, and workplace exposure to air pollutants. Exposure to air pollutants experienced at work, at home or in public places are treated differently. We also do little to consider air quality in conjunction with factors such as health, poverty, social mobility and education; and we do little to understand the implication of time spent in different locations. For example, due to a disparity between environmental and occupational regulation the customer buying a coffee in a railway station concourse is subject to a far lower pollution threshold than the barista serving the coffee. So, we allow the barista to inhale a far higher dose of pollution during the course of a day than the customer. Take another example: we are very careful when it comes to allowing new houses to be built alongside a polluted road, yet offices and shops can be built along the same road with no concern for the effect of the pollution on the office worker or shop assistant. www.hvacronline.co.za G uidance and legislation around air quality are based on outdated, static approaches that are limiting our individual and collective ability to tackle air pollution effectively. Local air quality is getting a lot of air-time as awareness about the impacts of pollutants on our health, lives and planet increases. However, the tools and guidance we use to manage local air quality and tackle air quality issues derive from decades- old studies and incremental updates to legislation. The result is rigid appraisal methods focused on legal compliance with sometimes semi-arbitrary thresholds and limits based on simplistic ideas of where people spend time. As air quality professionals we should be challenging this irrational and discriminatory situation. We need to consider what level of pollution people are exposed to, irrespective of what activity they are involved in or whether they are at home, at work or at leisure in a public place. We also need to consider how to take better account of those who are more sensitive to the health effects of pollution. How air quality is managed or controlled is a discussion that requires serious dialogue. HEALTH AND BEHAVIOUR Understanding of air pollution and our exposure to it is improving. For instance, we know that indoor air pollution can be exacerbated by energy-efficient building regulations that limit air changes, or by reliance on mechanical ventilation from polluted external locations that have been determined by construction and design needs rather than health or environmental concerns. We also understand the benefit of issuing alerts and advising people to alter their behaviour – this is particularly useful for asthma sufferers. Our daily lives are so varied, but our understanding is limited about the difference in exposure between those who walk, cycle, drive or take the bus or train to work, for example. We don’t know how opening a window or altering car or bus ventilation affects our exposure to pollution. We do attempt to address air pollution in specific situations such as railway stations, but even this doesn’t look at the different ways people within the space could be affected. The result is that we focus our efforts on rigidly defined locations based on static data sets such as address point data. We don’t look at the individuals who use that space and how they actually spend their time. RACA Journal I April 2020 43