Prevalence of Sick Building Syndrome (SBS) among Students and Teachers of Guidance Schools in Babol, Winter 2018

Authors

Abstract

Background: It is important to determine the prevalence of Sick Building Syndrome (SBS) symptoms in school students and teachers, which is relevant to the physical environment of the building. The aim of this study was to determine the prevalence of sick building syndrome in students and teachers of guidance schools in Babol.
 
Methods: This descriptive and analytical cross-sectional study was carried out in 15 guidance schools in Babol in the winter of 2018, among 150 students and 95 teachers. The MM040EA (Miljomedicine040) questionnaire was used to collect data and was completed by interview. Data were analyzed using Chi-square test.
 
Results: Among the 12 symptoms of SBS, 50.7% of students had fatigue, and 44.7% had headaches. There was a significant correlation between heavy headedness (p = 0.42) and headache (p = 0.029) with students’ gender. There was a significant correlation between the teachers’ gender with the redness or dryness of facial skin (p = 0.015), redness or itching of hands (p = 0.009) and also fatigue (p = 0.003). There was a significant correlation between the symptoms of the SBS with very high temperature in the students (p = 0.050), and with the noises (p = 0.40) in the teachers.
 
Conclusion: The present study showed that more than half of the students and teachers had symptoms of SBS. Since the symptoms of SBS are associated with some physical conditions of the classroom and school environment, the health condition of the schools should be annually checked for all aspects.

Keywords


1. Maoz-Segal R, Agmon-Levin N, Israeli E, Shoenfeld Y. The sick building syndrome as a part of 'ASIA' (autoimmune/auto-inflammatory syndrome induced by adjuvants). Harefuah 2015;154(2):129-32. Hebrew 2. Sadeghniat K, PourYaghoub GR, Saberi HR, Hanachi P. Prevalence of sick building syndrome (SBS) in employees of Ministry of Housing and Urban Development, summer 2002. Feyz 2004;8(2):1-6. Persian 3. Jaakkola JJ, Tuomaala P, Seppänen O. Air recirculation and sick building syndrome: a blinded crossover trial. Am J Public Health 1994;84(3):422-8. 4. Marmot AF, Eley J, Stafford M, Stansfeld SA, Warwick E, Marmot MG. Building health: an epidemiological study of "sick building syndrome" in the Whitehall II study. Occup Environ Med 2006;63(4):283-9. doi: 10.1136/oem.2005.022889 5. Epstein Y. Sick building syndrome. Harefuah 2008;147(7):607-8, 662. Hebrew 6. Takaoka M, Suzuki K, Norback D. Sick building syndrome among junior high school students in Japan in relation to the home and school environment. Glob J Health Sci 2015;8(2):165-77. doi: 10.5539/gjhs.v8n2p165. 7. Gomzi M, Bobic J, Radosevic-Vidacek B, Macan J, Varnai VM, Milkovic-Kraus S, et al. Sick building syndrome: psychological, somatic, and environmental determinants. Arch Environ Occup Health 2007;62(3):147-55. doi: 10.3200/AEOH.62.3.147-155. 8. Shoemaker RC, House DE. A time-series study of sick building syndrome: chronic, biotoxin-associated illness from exposure to water-damaged buildings. Neurotoxicol Teratol 2005;27(1):29-46. doi: 10.1016/j.ntt.2004.07.005 9. Wan GH, Li CS. Dampness and airway inflammation and systemic symptoms in office building workers. Arch Environ Health 1999;54(1):58-63. doi: 10.1080/00039899909602238 10. Ghaneian M, Morovvati Sharif Abad M, Ehrampoosh M, Haj Hosseini M. Prevalence of symptoms of sick building syndrome and its associated factors in intensive care nurses in Kerman University of Medical Sciences educational hospitals. Occupational Medicine Quarterly Journal 2013;5(3):49-57. Persian 11. Kholasezadeh G, Mirmohammadi Meybodi S, Mehrparvar A, Fallah Tafti T, Abedinzadeh M, Nourani Yazdi F. Assessment of sick building syndrome among office workers in Shahid Sadoughi University of Medical Sciences in 2008. Iran Occupational Health Journal 2011;8(1):70-6. Persian 12. Lim FL, Hashim Z, Md Said S, Than LT, Hashim JH, Norback D. Sick building syndrome (SBS) among office workers in a Malaysian university--Associations with atopy, fractional exhaled nitric oxide (FeNO) and the office environment. Sci Total Environ 2015;536:353-361. doi: 10.1016/j.scitotenv.2015.06.137. 13. Runeson-Broberg R, Norback D. Sick Building Syndrome (SBS) and Sick House Syndrome (SHS) in relation to psychosocial stress at work in the Swedish workforce. Int Arch Occup Environ Health 2013;86(8):915-22. doi: 10.1007/s00420-012-0827-8. 14. Barmark M. Social determinants of the sick building syndrome: exploring the interrelated effects of social position and psychosocial situation. Int J Environ Health Res 2015;25(5):490-507. doi: 10.1080/09603123.2014.979776. 15. Norback D. An update on sick building syndrome. Current opinion in allergy and Curr Opin Allergy Clin Immunol 2009;9(1):55-9. doi: 10.1097/ACI.0b013e32831f8f08. 16. Lu CY, Tsai MC, Muo CH, Kuo YH, Sung FC, Wu CC. Personal, psychosocial and environmental factors related to sick building syndrome in official employees of Taiwan. Int J Environ Res Public Health 2017;15(1). pii: E7. doi: 10.3390/ijerph15010007. 17. Aghalari Z, Ashrafian Amiri H, Mirzaei M, Lelahi D, Jafarian S. Investigation of Environmental Health and Safety among schools in Babol- 2015. Rahavard Salamat Journal 2018; 3(3): 12-9. Persian 18. Pegas PN, Evtyugina MG, Alves CA, Nunes T, Cerqueira M, Franchi M, et al. Outdoor/indoor air quality in primary schools in Lisbon: a preliminary study. Química Nova 2010;33:1145-9. 19. Hobobati MM. Evaluation of environmental health of primary schools in Yazd. Journal of Shahid Sadoughi University of Medical Sciences 2001; 8(4): 89-93. Persian 20. Vafaeenasab MR, Morowatisharifabad MA, Taghi Ghaneian M, Hajhosseini M, Ehrampoush MH. Assessment of sick building syndrome and its associating factors among nurses in the educational hospitals of Shahid Sadoughi University of Medical Sciences, Yazd, Iran. Glob J Health Sci 2014;7(2):247-53. doi: 10.5539/gjhs.v7n2p247. 21. Smedje G, Wang J, Norback D, Nilsson H, Engvall K. SBS symptoms in relation to dampness and ventilation in inspected single-family houses in Sweden. Int Arch Occup Environ Health 2017;90(7):703-11. doi: 10.1007/s00420-017-1233-z. 22. Etemadinezhad S, Esmaili Naftchali N, Alizade Larimi A, Yazdani Charati J. Prevalence of sick building syndrome in bank employees and its relationship with job satisfaction and some environmental factors. J Mazandaran Univ Med Sci 2017;27(152):153-64. Persian 23. Norback D, Hashim JH, Markowicz P, Cai GH, Hashim Z, Ali F, et al. Endotoxin, ergosterol, muramic acid and fungal DNA in dust from schools in Johor Bahru, Malaysia--Associations with rhinitis and Sick Building Syndrome (SBS) in junior high school students. Sci Total Environ 2016;545-546:95-103. doi: 10.1016/j.scitotenv.2015.12.072. 24. Kandouci C, Mahi M, Kandouci AB.Syndrome des bâtiments malades dans le secteur bancaire de la ville de Sidi Bel-Abbès « sick building syndrom». Le Journal De La Médecine Du Travail – JMT N°19.2013; 87-92. 25. Zhang X, Li F, Zhang L, Zhao Z, Norback D. A longitudinal study of Sick Building Syndrome (SBS) among pupils in relation to SO2, NO2, O3 and PM10 in schools in China. PLoS One 2014;9(11):e112933. doi: 10.1371/journal.pone.0112933. 26. Jung CC, Liang HH, Lee HL, Hsu NY, Su HJ. Allostatic load model associated with indoor environmental quality and sick building syndrome among office workers. PLoS One 2014;9(4):e95791. doi: 10.1371/journal.pone.0095791. 27. Zarei A, Amouie A, Afsharnia M, Qasemi M, Feyzimoghadam A, Geraili Z, et al. Evaluation of carbon dioxide concentration in classrooms in Babol and Gonabad cities in 2018 and its relationship with classroom ventilation and temperature: a short report. Journal of Rafsanjan University of Medical Sciences 2018;17(8):789-98. Persian 28. Jafari MJ, Naserpour M, Monazzam MR, Saremi M, Pouragha Shahneshin HR, Jam Bar Sang S. Evaluation of students’ cognitive performance while exposed to heat using continues performance test. Journal of Occupational Hygiene Engineering 2014; 1(2):1-9. Persian