Frequent questions He asks the doctor Beginning  
SYNDROME OF CHRONIC ASTHENIA
DENOMINATION INFORMATION DIVIDED EQUALLY ILLNESSES TO CONSULT

DENOMINATION

  • Syndrome of the sick building.
  • Syndrome of chronic fatigue.
  • Chronic Mononucleosis.

GENERAL INFORMATION

The studies were realized in answer to inconveniences in interior ambiences. The most common pollutants are:

  • Smoke of the tobacco.
  • Formaldehyde.
  • Volatile organic.

From the sixties one has come trying to avoid losses of energy, improving the isolation of the buildings, with decrease of the air exchange, and constructing them without practicable windows. There are buildings hermetically closed.

The relation of the increase of the interior environmental pollutants with the absence of ventilation of the buildings is what, in principle, there seems to cause the syndrome of the sick building or chronic fatigue.

AVERAGE OF HOURS OF PERMANENCE OF AN INDIVIDUAL DURING THE DAY

Localizaci&oacuten Hours % of the whole
Domicile 14,4 60 %
Work 5,9 25 %
Displacements 1,45 6 %
Free air 0,5 2 %
Interior other structures 1,7 7 %

ILLNESSES RELATED TO THE BUILDING

With identified specific agent

  • Legionnaires' disease (legionnaire's disease).
  • Pneumonia for hypersensitivity (fungi).
  • Fever of the humidificador (fungi).
  • Chemical pollutants (pesticides, gases, cleaning products...).

In these I marry the pattern of the symptoms of the patients it is uniform, depending on the causative agent.

Without agent etiológico specific

In these I marry the pattern of the symptoms of the patients it is unspecific and variable, without being able to relate the symptoms to poisonous agents or well-known environmental pollutants.

In this case one speaks about the "syndrome of the sick building".

The most frequent symptoms recounted by the patients are:

  • Ocular annoyance.
  • Dryness of nasal mucous membrane.
  • Dryness and inconveniences of Pharynx.
  • Cough.
  • Fatigue.
  • Migraine.
  • Discomfort.
  • Myalgias.
  • Cutaneous annoyance.
  • Sickness.
  • Concentration difficulty.

On having tried to relate the symptoms to agents of the ambience of the buildings where they were more patient, they are:

  • Methylated spirit.
  • Butil methacrylate of the machines of sealed.
  • Ammonia and acetic acid of the Xerox machines.
  • Clordano inadequately used in the pest control.
  • Dietil etanolamina used as additive in the cauldrons.
  • Bootblack - carpet diluted evil.
  • Tobacco smoke.
  • Gases of combustion of coffee pots and laboratories.
  • Exterior pollutants (engines smokes, etc...), introduced by inadequate ventilation systems.
  • Biological pollutants.
  • Formaldehyde (of the froth of urea - formaldehyde, conglomerates...).
  • Glass wool (of the ventilation conduits).
  • Organic dissolvers (tails, adhesives, endurecedores).

In no case the presence of these products could be related to the symptoms.

In an epidemiologic study it was possible to observe that women are the majority; more in clerks and secretaries and less in technical personnel and liberal professionals, and less still between the managers.

Yes it appeared in this study that the buildings with ventilation systems open seas were healthier than those of recycled air. Both the warming and the refrigeration of the air were also a risk factor.

On having associated the symptoms at the stress level, a clear relation was seen and it was thought more about a picture psicógeno that real, but it has been proved that the chemical irritants, microbianos, physical, and psychological is what it takes, by implication, to the stress, for his negative incidence in the labor capacity, and not the other way round. All these determinants drive to certain grade of absence of defenses to viral banal processes that produce the diverse symptomatology in every patient.

The previous susceptibility is not known, but if it seems clear that the symptoms increase with the time as well as the susceptibility to present them, and there are no effective medical treatments up to the date any more than the exclusion of closed ambiences.

Stimuli of the immunity have been tried with anticatarrhal, antiallergic, antidepressing interferon, vaccines, etc., with discouraging results.

The predisposing factors are:

  • Atopía (individual susceptibility to have allergies).
  • Overexposure precedents to environmental pollutants.
  • The tendency in general to works in sector services and for it in closed offices of hermetic buildings.
  • The knowledge of the population on the risks of inhaling poisonous products or environmental pollutants.
  • The uses of computers and copiers.
  • The sedentary, repetitive and boring work, with major competitive demand, lacking in autonomy in his work and stress.
  • The mass media that treat the topic alarm the population on the existence of these problems.

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Writing: Medical equipment   Update: June, 2009


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