Interventions of Unani medicine for maintenance of health with special reference to air quality: an evidence-based review

2021 ◽  
Vol 0 (0) ◽  
Author(s):  
Shaheen Akhlaq ◽  
Shabnam Anjum Ara ◽  
Bilal Ahmad ◽  
Mohammad Fazil ◽  
Usama Akram ◽  
...  

Abstract Objectives This article aims to discuss the impact of air quality on human health, measures to achieve the goal of good indoor air quality and proposed benefits of interventions of Unani Medicine with an evidence-based approach. Content The significance of air quality on the health of the community cannot be denied. Recent evidences from WHO illustrated data on severe air pollutants and their impacts on human health ranges from minor upper respiratory irritation to chronic respiratory ailments including lung carcinoma and heart disease associated with premature mortality and reduced life expectancy. In Unani Medicine, air has been included in the list of factors, which are six in number and play the central role in prevention of diseases and maintenance of health. Air is considered as the medium of most of the extrinsic factors such as chemical and biological pollutants affecting health and their exposure results in short and long-term health issues. The literature of Unani Medicine proposes many simple and effective measures, which help to improve indoor and outdoor air quality. The goal of outdoor clean air is achieved through implementation of measures to tackle the source of pollution, while indoor clean air is attained through various means e.g., fumigation with herbal drugs. Hence, an extensive literature survey on Unani reserve was conducted to collect information about the concept of air discussed under the heading of six essential factors and its implication in prevention of diseases and maintenance of health. Further, research databases such as Pub Med, Google Scholar, and Science-Direct were broadly searched for evidence on the efficacy of herbals mentioned in Unani literature for the indoor air purification and subsequent air quality improvement. Summary and outlook Recent studies showed good air quality leads to decrease in mortality, particularly of respiratory and cardiovascular deaths whereas poor air quality results in a variety of diseases. Unani scholars prescribed several regimens such as Bukhoor (Fumigation), Sa’oot (Nasal instillation) and use of Abeer (Perfumes) and Nadd (Incense) for the improvement of air quality. Likewise various herbal fumigants and sprays containing drugs like mī’a sā’ila (Liquidambar orientalis Mill.), mastagi (Pistacia lentiscus L.), mushk (Moschus moschiferus L.), loban (Styrax benzoides W. G. Craib), ābnoos (Diospyros ebenum J. Koenig ex Retz), zā’fran (Crocus sativus L.) and sirka (vinegar) etc. has been well explained and used exclusively for air purification and improvement of AQI. Therefore, in the present scenario of altered air quality, we forward certain measures described in Unani system of medicine for health promotion and protection. Scientific evidence on several drugs reveal the presence of a number of pharmacologically active substances, which may provide a new approach into the purification of air.

2018 ◽  
Vol 49 ◽  
pp. 00133 ◽  
Author(s):  
Monika Wysocka

The quality of indoor environment is an extremely important issue, because people spend large parts of the day inside buildings. The quality of the indoor environment is largely dependent on the quality of indoor air. The parameters of the air we breathe affect our health and comfort of room use. Currently, when energy efficiency is a priority, it is difficult to maintain comfort and conditions appropriate for human health. The artificial environment in a room and related inadequate air quality cause many diseases, such as asthma, lung diseases, cardiovascular diseases, as well as poor well-being and reduced productivity. The Disability Adjusted Life Years (DALY) indicator means “loss of life corrected by disability” and is widely used by the World Health Organization to measure a disease burden on the population and identify the causes of a disease. The aim of the article is to present the structure of the DALY indicator and its suitability to assess the impact of indoor air quality on human health. The most frequent diseases caused by low quality of internal air were analysed based on statistical data. In addition, the possibilities of ventilation solutions have been presented, leading to the improvement of air quality in indoor environment.


Author(s):  
Amul S Bahl

Introduction: Air pollutants result in a number of health problems. These health setbacks may range from minor respiratory troubles to chronic effects on human health like asthmatic attacks. A product has been developed consisting of plant-based active nano extracts which is a simple, safe and effective solution to poor air quality by reducing pollutants and pathogens in the air. The aim of this paper is to study the impact of this product (in the form of the liquid solution - referred as ‘spray’) in improving the indoor air quality by reducing the PM, HCHO, and TVOC (Total Volatile Organic Compound) and pathogens. Materials and methods: The study was conducted in three phases in indoor environments in India. Phase1 was conducted in a controlled environment in a laboratory to study the impact of spray on air pathogens. Phase2 was conducted indoors in multi-scenario simulations, and Phase3 was done in a school principal room with reception area. Results: The study conducted in three phases supports the effectiveness of the spray to reduce air pathogens and the air pollutants viz., PM2.5, PM10, HCHO, and TVOC in indoor air environments. Conclusion: The spray will be an effective, safe, environment friendly and economical solution to reduce indoor air pollution to safe guard human health. 


2021 ◽  
Vol 13 (8) ◽  
pp. 4139
Author(s):  
Muriel Diaz ◽  
Mario Cools ◽  
Maureen Trebilcock ◽  
Beatriz Piderit-Moreno ◽  
Shady Attia

Between the ages of 6 and 18, children spend between 30 and 42 h a week at school, mostly indoors, where indoor environmental quality is usually deficient and does not favor learning. The difficulty of delivering indoor air quality (IAQ) in learning facilities is related to high occupancy rates and low interaction levels with windows. In non-industrialized countries, as in the cases presented, most classrooms have no mechanical ventilation, due to energy poverty and lack of normative requirements. This fact heavily impacts the indoor air quality and students’ learning outcomes. The aim of the paper is to identify the factors that determine acceptable CO2 concentrations. Therefore, it studies air quality in free-running and naturally ventilated primary schools in Chile, aiming to identify the impact of contextual, occupant, and building design factors, using CO2 concentration as a proxy for IAQ. The monitoring of CO2, temperature, and humidity revealed that indoor air CO2 concentration is above 1400 ppm most of the time, with peaks of 5000 ppm during the day, especially in winter. The statistical analysis indicates that CO2 is dependent on climate, seasonality, and indoor temperature, while it is independent of outside temperature in heated classrooms. The odds of having acceptable concentrations of CO2 are bigger when indoor temperatures are high, and there is a need to ventilate for cooling.


Author(s):  
Farhang Tahmasebi ◽  
Yan Wang ◽  
Elizabeth Cooper ◽  
Daniel Godoy Shimizu ◽  
Samuel Stamp ◽  
...  

The Covid-19 outbreak has resulted in new patterns of home occupancy, the implications of which for indoor air quality (IAQ) and energy use are not well-known. In this context, the present study investigates 8 flats in London to uncover if during a lockdown, (a) IAQ in the monitored flats deteriorated, (b) the patterns of window operation by occupants changed, and (c) more effective ventilation patterns could enhance IAQ without significant increases in heating energy demand. To this end, one-year’s worth of monitored data on indoor and outdoor environment along with occupant use of windows has been used to analyse the impact of lockdown on IAQ and infer probabilistic models of window operation behaviour. Moreover, using on-site CO2 data, monitored occupancy and operation of windows, the team has calibrated a thermal performance model of one of the flats to investigate the implications of alternative ventilation strategies. The results suggest that despite the extended occupancy during lockdown, occupants relied less on natural ventilation, which led to an increase of median CO2 concentration by up to 300 ppm. However, simple natural ventilation patterns or use of mechanical ventilation with heat recovery proves to be very effective to maintain acceptable IAQ. Practical application: This study provides evidence on the deterioration of indoor air quality resulting from homeworking during imposed lockdowns. It also tests and recommends specific ventilation strategies to maintain acceptable indoor air quality at home despite the extended occupancy hours.


2020 ◽  
pp. 1420326X2096076
Author(s):  
Pedro F. Pereira ◽  
Nuno M. M. Ramos

In Portugal, residential buildings commonly have their ventilation strategy changed after commissioning. This occurs due to the building managers' willingness to reduce shared costs with the electricity needed for fan operation. However, this option is not technically supported, and the effects of such a strategy on indoor air quality-related to human pollutants are yet to be quantified. CO2 was monitored in 15 bedrooms and air exchange rates were calculated for each room. The air exchange rate values ranged from 0.18 to 0.53 h−1 when mechanical extraction ventilation was off, and from 0.45 to 0.90 h−1 when mechanical extraction ventilation was on, which represents an average increase of 119%. With the current intermittent ventilation strategy, all rooms remain above 1500 ppm for a given percentage of time, and 12 rooms presenting CO2 concentrations above 2000 ppm. Simulations of theoretical CO2 concentrations, for a non-interrupted mechanical ventilation strategy show that no rooms would accumulate CO2 concentrations above 2000 ppm, and only 25% would present CO2 concentrations above 1500 ppm. Pearson correlations between the monitored CO2 and human and spatial factors identified two relevant parameters. Those parameters correspond to ratios between CO2 generation and floor area ([Formula: see text]), and airflow with CO2 generation ([Formula: see text]). The proposed ratios could be used as ways to optimise ventilation costs and indoor air quality.


Author(s):  
Amanda J. Wheeler ◽  
Ryan W. Allen ◽  
Kerryn Lawrence ◽  
Christopher T. Roulston ◽  
Jennifer Powell ◽  
...  

During extreme air pollution events, such as bushfires, public health agencies often recommend that vulnerable individuals visit a nearby public building with central air conditioning to reduce their exposure to smoke. However, there is limited evidence that these “cleaner indoor air shelters” reduce exposure or health risks. We quantified the impact of a “cleaner indoor air shelter” in a public library in Port Macquarie, NSW, Australia when concentrations of fine particulate matter (PM2.5) were elevated during a local peat fire and nearby bushfires. Specifically, we evaluated the air quality improvements with central air conditioning only and with the use of portable high efficiency particulate air (HEPA) filter air cleaners. We measured PM2.5 from August 2019 until February 2020 by deploying pairs of low-cost PM2.5 sensors (i) inside the main library, (ii) in a smaller media room inside the library, (iii) outside the library, and (iv) co-located with regulatory monitors located in the town. We operated two HEPA cleaners in the media room from August until October 2019. We quantified the infiltration efficiency of outdoor PM2.5 concentrations, defined as the fraction of the outdoor PM2.5 concentration that penetrates indoors and remains suspended, as well as the additional effect of HEPA cleaners on PM2.5 concentrations. The infiltration efficiency of outdoor PM2.5 into the air-conditioned main library was 30%, meaning that compared to the PM2.5 concentration outdoors, the concentrations of outdoor-generated PM2.5 indoors were reduced by 70%. In the media room, when the HEPA cleaners were operating, PM2.5 concentrations were reduced further with a PM2.5 infiltration efficiency of 17%. A carefully selected air-conditioned public building could be used as a cleaner indoor air shelter during episodes of elevated smoke emissions. Further improvements in indoor air quality within the building can be achieved by operating appropriately sized HEPA cleaners.


2017 ◽  
Vol 200 ◽  
pp. 693-703 ◽  
Author(s):  
Jos Lelieveld

In atmospheric chemistry, interactions between air pollution, the biosphere and human health, often through reaction mixtures from both natural and anthropogenic sources, are of growing interest. Massive pollution emissions in the Anthropocene have transformed atmospheric composition to the extent that biogeochemical cycles, air quality and climate have changed globally and partly profoundly. It is estimated that mortality attributable to outdoor air pollution amounts to 4.33 million individuals per year, associated with 123 million years of life lost. Worldwide, air pollution is the major environmental risk factor to human health, and strict air quality standards have the potential to strongly reduce morbidity and mortality. Preserving clean air should be considered a human right, and is fundamental to many sustainable development goals of the United Nations, such as good health, climate action, sustainable cities, clean energy, and protecting life on land and in the water. It would be appropriate to adopt “clean air” as a sustainable development goal.


Author(s):  
Mohd Saleem ◽  
Mohd Adnan Kausar ◽  
Fahmida Khatoon ◽  
Sadaf Anwar ◽  
Syed Monowar Alam Shahid ◽  
...  

In many aspects of life quality, bio-contaminants and indoor air quality have had catastrophic consequences, including a negative impact on human health with an increased prevalence of allergic respiratory reactions, asthma, and infectious diseases. We aimed to evaluate the quality of indoor air environment and find out the association between human health and indoor air pollution and also to assess the physical health status of a group of Saudi and non-Saudi populations during this pandemic. Also, we aimed to assess the most common health condition or symptoms associated with ventilation. A questionnaire was distributed online to test indoor air quality, ventilation status, common signs and symptoms of any allergy or mental status and their relationship to certain variables. A total of 362 respondents were included. Before living in the current home, flu or Influenza and chapped lips were more prevalent than allergies and chapped lips signs while living in the current home. (12.2% , 10.8% vs. 18.5% , 13.55% before and after respectively) Multiple colds were the second most common symptom (10.2%). Hoarse voice and headaches were the least common symptoms experienced; each constituted 4.4%. During the COVID-19 Pandemic, most respondents wore a facemask, approximately 76.5%; and almost one-third of respondents had bright natural light inside the current home (43.1%). The presence of natural light within the current home was significantly associated with symptoms experienced during living in the current house (p<0.05). Natural sunlight exposure could decrease allergic symptoms and minor health problems associated with poor ventilation and air quality indoors. In current living homes, the majority of respondents never used air purifiers (72.9 percent). In order to get attention from people to enhance the quality and ventilation mechanism of indoor air, special care and awareness of the effects of the use of air purifiers on human health is needed.


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