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<div class=Section1>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>When it comes to a ‘healthcare’ facility it is vital
to understand what happens in the facility as patient health can be affected in
ways not taken into consideration by EPA or ACGIH when calculating ‘health’
effects. You may want to have a charette with all the involved parties.
I suspect it is often overlooked as everyone believes that the controls
established for operating theatres and so on addresses everything but go to a
pulmonologist and a cardiologist and ask them about average visitor/patient sensitivities
and concerns regarding things such as CO2 levels. As an example, ask them
how CO2 levels impact folks with emphysema or an enlarged heart. Those are
just two that come to mind and I am sure there are many others.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Seldom looked at but it should be all of the time with
healthcare. At the least, I feel that good work requires you meet the
occupant representatives and ask about concerns AND let them know they do have
some options.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>My 2 cents.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Thanks,<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Andy <o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<div>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Andy Hoover<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Principal<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>The BEST Consultant, Inc.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Cell: 678-793-1159<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Office: 678-200-7648<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Fax: 678-827-0574<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Email: andyhoover@thebestconsultant.com<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Web: www.thebestconsultant.com<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:9.0pt;font-variant:small-caps;
color:#1F497D'>LEGAL DISCLAIMER<br>
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</div>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<div>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>
<p class=MsoNormal><b><span style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'>From:</span></b><span
style='font-size:10.0pt;font-family:"Tahoma","sans-serif"'> bldg-sim-bounces@lists.onebuilding.org
[mailto:bldg-sim-bounces@lists.onebuilding.org] <b>On Behalf Of </b>James V
Dirkes II, PE<br>
<b>Sent:</b> Monday, February 15, 2010 4:39 PM<br>
<b>To:</b> bldg-sim@lists.onebuilding.org<br>
<b>Subject:</b> Re: [Bldg-sim] Acceptable CO2 levels<o:p></o:p></span></p>
</div>
</div>
<p class=MsoNormal><o:p> </o:p></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Dear Amit,<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Keep in mind that ASHRAE’s “acceptable” level
of CO2 has almost nothing to do with health. You could describe it as
more of a “body odor” or “pleasantness” index.
When the ambient levels of CO2 exceed their recommendation (~1000 ppm), people
start to feel that the indoor air is less pleasant or “stuffy”.<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'>Health does not start to be affected until CO2 exceeds 5000 ppm.
(per US EPA and ACGIH)<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<p class=MsoNormal align=center style='text-align:center'><b><span
style='font-size:13.5pt;color:#1F497D'>The Building Performance Team<br>
</span><span style='color:#1F497D'>James V. Dirkes II, P.E., LEED AP<br>
</span></b><span style='color:#1F497D'>1631 Acacia Drive NW<br>
Grand Rapids, MI 49504<br>
616 450 8653<o:p></o:p></span></p>
<p class=MsoNormal><span style='font-size:11.0pt;font-family:"Calibri","sans-serif";
color:#1F497D'><o:p> </o:p></span></p>
<div style='border:none;border-top:solid #B5C4DF 1.0pt;padding:3.0pt 0in 0in 0in'>
<p class=MsoNormal style='margin-left:.5in'><b><span style='font-size:10.0pt;
font-family:"Tahoma","sans-serif"'>From:</span></b><span style='font-size:10.0pt;
font-family:"Tahoma","sans-serif"'> bldg-sim-bounces@lists.onebuilding.org
[mailto:bldg-sim-bounces@lists.onebuilding.org] <b>On Behalf Of </b>amit
bhansali<br>
<b>Sent:</b> Monday, February 15, 2010 4:24 PM<br>
<b>To:</b> bldg-sim@lists.onebuilding.org<br>
<b>Subject:</b> [Bldg-sim] Acceptable CO2 levels<o:p></o:p></span></p>
</div>
<p class=MsoNormal style='margin-left:.5in'><o:p> </o:p></p>
<div>
<p class=MsoNormal style='margin-left:.5in'>Hi all,<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal style='margin-left:.5in'>This question is not directly
related to the group but i wanted to throw it in as many of you might
know the answer.<o:p></o:p></p>
</div>
<div>
<p class=MsoNormal style='margin-left:.5in'> <o:p></o:p></p>
</div>
<div>
<p class=MsoNormal style='margin-left:.5in'>What is the acceptable CO2 level
for a healthcare facility? Can i find the number in any ASHRAE standards?<br
clear=all>
<br>
-- <br>
Thanks<br>
<br>
Sincerely,<br>
Amit Bhansali, M.S. , EIT<o:p></o:p></p>
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