Sick Building Syndrome (SBS) and Indoor Air Quality

Sick Building Syndrome (SBS) describes situations where people experience acute health and comfort problems linked to time spent inside a specific building — even though no single illness or direct cause can be identified. Symptoms may be isolated to one room or spread throughout the entire building.

In contrast, building-related illnesses (BRI) involve diagnosable conditions such as asthma, hypersensitivity pneumonitis, rhinosinusitis, or infections directly caused by airborne contaminants.


Symptoms of Sick Building Syndrome

Occupants experiencing SBS may report:

  • Headaches, dizziness, or nausea

  • Eye, nose, or throat irritation

  • Dry cough or hoarseness of voice

  • Fatigue, difficulty concentrating, or sensitivity to odors

  • Dry, itchy skin

  • Allergy-like or flu-like symptoms

  • Worsening asthma attacks

A key sign of SBS is that symptoms improve or disappear soon after leaving the building, although in some cases lingering effects from neurotoxins may remain.


Symptoms of Building-Related Illness

BRIs, which are more medically serious, may present as:

  • Persistent cough or chest pain

  • Shortness of breath with mild exertion

  • Swelling (edema)

  • Palpitations

Unlike SBS, these illnesses are clinically diagnosable and can cause lasting health problems.


Why Sick Building Syndrome Happens

Since the 1970s, public health agencies have investigated SBS complaints from office workers and building occupants. Common triggers include:

  • Poor ventilation and air circulation

  • Mold growth and hidden moisture issues

  • Volatile organic compounds (VOCs) from building materials, furniture, or cleaning products

  • Dust, allergens, or other airborne contaminants

SBS reduces workplace efficiency and can increase absenteeism, making it a health and productivity issue for employers as well as residents.


SBS vs. Building-Related Illness

Sick Building Syndrome (SBS)Building-Related Illness (BRI)
Subjective, non-specific symptomsDiagnosable medical conditions
Symptoms improve after leaving the buildingSymptoms persist regardless of building exit
High prevalence in offices and non-industrial spacesLess common, but more medically serious
Usually reversibleMay result in long-term health impacts

Protecting Indoor Air Quality

To prevent SBS and BRI:

  • Maintain adequate ventilation and air filtration

  • Control humidity and moisture to prevent mold growth

  • Use low-VOC paints, sealants, and furnishings

  • Regularly inspect HVAC systems for mold or dust buildup

  • Schedule indoor air quality testing when symptoms are widespread


Get Professional Indoor Air Quality Testing

If you suspect Sick Building Syndrome or building-related illness in your home or workplace, professional testing can identify hidden contaminants.

📞 Call Angstrom Testing Services at 516-724-4574 or visit our Air Quality Testing page for more information.

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