Upload
taylor-owens
View
22
Download
0
Tags:
Embed Size (px)
DESCRIPTION
Denise L. Daggett, MS, CIH The Scripps Research Institute [email protected]. An Industrial Hygienist’s Encounter with Dirty Sock Syndrome:. Case Study Outline. The Scene The Situation The “Resolution” Results and Lessons Learned Outrage Control. - PowerPoint PPT Presentation
Citation preview
Case Study Outline The Scene
The Situation
The “Resolution”
Results and Lessons Learned
Outrage Control
The Scene: The Scripps Research Institute (TSRI)
Academic research
> Million square feet of lab and office space
13 lab buildings
~500 fume hoods
100% fresh air
What is that smell?
How It All Began Late 2005 Reports of odors in our
large chemistry building Musty Grandma’s attic Wet dog, wet burlap, wet
money Locker room
Isolated to a couple of labs
Occurred around mid-day
Worsened through the winter months
Disappeared in April
Symptoms
Eye irritation Upper respiratory irritation Taste in mouth Headaches Nausea Mild to severe responses
Approached as an Indoor Air Quality Project Interviews Questionnaires Odor logs and phone calls to notify Air sampling Outrage escalated each time an episode
occurred Brought in consultants Offered medical evaluations with our
Occupational Medicine Physician
Additional Complaints In 2008, occupants in another lab
building reported same condition Always in the cooler months Same time of day Occupants would point to certain supply
grills as the source Some of our neighboring companies and
institutions were experiencing the same problems
Pinpointing Origin During an episode Entered the air
handler unit (AHU) feeding the lab
Odor present and very strong
Ah-Ha moment
Fact Finding and Data
Fact Finding Searched the literature Condition described as Dirty Sock Syndrome
Small HVAC units (cars)Residential unitsLarge AHUs (sport arenas)
Odor due to bacteria and mold growth on the coils
Employees want to know What the odor isWhat is flying through the air
No description of the actual chemical composition
The Experts Spoke to:
Harvard researcher – mainly bacteria with a biofilm, odor is metabolites from mainly bacteria
Houston engineer – salts, dirt, and microbial material
Montana State University – bacteria with a biofilm
TSRI Occupational Medicine Physician – typical indoor air quality symptoms, likely will not cause permanent harm
What is a biofilm?
Biofilm forms when bacteria
adhere to surfaces in aqueous environments and excrete a slimy, glue-like substance
can be formed by a single bacterial species, but more often consist of many species, debris and corrosion products
Other examples: plaque on teeth, slime on pet feed/water bowls
Information and figure courtesy of the Center of Biofilm Engineering, Montana State University
Sampling in an Air Handling Unit
Working Theories about Causation
ChemicalOxidized metalSaltsMoistureDebris from firesOther debris
BiologicalBacteria w/ biofilmMoldProtozoa
Biological and Chemical
Sampling and Data: Chemical
Method/Comments Results
MIRAN: unknown sample pulled into instrument cell and qualitative analysis against library
CO2 and acetone
SUMMA Canisters: taken inside AHU & lab, EPA TO-15 analysis
ppb levels of lab solvents: acetone, chloromethane, methylene chloride, toluene
Sampling and Data: BiologicalMethod/Comments Results
Air-o-Cells: indoors compared to outside
Very low counts of Aspergillus/Penicillium types and Cladosporium, Basidoiospores
Swab samples Bacterial: Moderate to high counts Bacillus speciesGram + and – rods, Gram + CocciFungal: low countsCladosporium, AureobasidiumExophiala, Acrodontium
Scrapings from inside air handler: looked like mold
No biologicals: high salts, metal oxides, and dirt
Biocassette samples: bacteria and mold, taken inside the air handler
No viable bacteriaNo viable fungi
Likely Not One or the Other but Both
Chemical Biological
Dew Point plays a role: When coil is damp, odor occurs. Is the smell from a wet coil (like wet pavement) or moistened biofilm?
What Now? Clean the CoilsDate Action Coil Position
April 2009 Low pressure rinse, mild bleach solution, then rinse
Removed hot and cold coils
January 2010 Water rinse, application of an EPA-approved coil cleaning product, then rinse
Remained in place
February 2010
Cross plumbed hot water to cold coil, heated it up to 180 F, then application of coil cleaning product, then rinsed
Remained in place
March 2010 Heated up cold coil, low pressure spray down, steam application, the use of a different EPA-approved biocidal material, then rinsed
Remained in place
Did the Cleaning Work? First cleaning
occurred in April 2009A few odor
complaints, then gone for several months
Back in autumn
Outrage of occupants continues to simmer
Managing the Outrage One-on-one
conversations Town hall-style
meeting Angry letters and
conversations Back to one-on-one
conversations to key individuals
Technical summit
The Future As predicted the odor
dissipated for the summer
Odor will return Back to experts again:
RFP issued Oct 2010 Bringing in
experienced personnel
Treatment needs to be ongoing
One Path - UV After 2009 cleaning,
a UV system was installed
No benefit noted 2010: a better
designed UV system installed
Benefit remains to be seen
Questions?
Biofilm and Biocide Clip
Movie Description:
http://www.erc.montana.edu/Res-Lib99-SW/Movies/2005/05-M005.htm
This is a computer model simulation in which the hypothetical persister protection mechanism is active. Biofilm formation begins with the development of independent cell clusters that merge over time. An antimicrobial treatment initiated at 100 hours rapidly kills most of the live cells, but persister cells survive. When the persister cells eventually resuscitate, they give rise to new growth that begins in clonal pockets but rapidly extends throughout the biofilm. Movie Authors: J.D. Chambless, P.S. Stewart, S.M. Hunt
Reference: Chambless, J.D., Hunt, S.M., and Stewart, P.S. 2006. A Three-Dimensional Computer Model of Four Hypothetical Mechanisms Protecting Biofilms from Antimicrobials. Applied and Environmental Engineering, 72(3):2005-2013.
http://www.erc.montana.edu/default.htm