Across the U.S., kids are headed back to their classrooms—just as COVID nears a fresh, late-summer peak. Somehow, four years into a viral pandemic that everyone now knows spreads through the air, most schools have done little to nothing to make sure their students will breathe safely.
Thank you for reading this post, don't forget to subscribe!We—and especially our children—should be able to walk into a store or a gym or a school and assume the air is clean to breathe. Like water from the faucet, regulations should ensure our air is safe.
“Air is tricky. You can choose to not partake of the water or the snacks on the table, but you can’t just abstain from breathing,” notes Gigi Gronvall, senior scholar at the Johns Hopkins Center for Health Security and an author of a 2021 report on the benefits of improving ventilation in schools.
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The COVID-causing virus SARS-CoV-2 is far from the only airborne risk in schools. There are also other respiratory viruses, smoke from wildfires, mold spores, off-gassing from plastics and other compounds, air pollution from traffic and industry, and allergens that worsen asthma and add to sick days. Yet federal air standards are stuck in the 1970s, when they were mostly aimed at protecting people from secondhand tobacco smoke, says Joseph Allen, director of the Healthy Buildings Program at the Harvard T. H. Chan School of Public Health. Fully updated standards for buildings are years or even decades away.
It’s hard to assess just what schools have or haven’t done to improve indoor air quality. No one—not one federal agency—collects nationwide air quality data on individual schools. Schools could use federal money to update air filtration and ventilation during the height of the pandemic. But a 2022 Centers for Disease Control and Prevention survey of school districts found that only half had taken simple steps such as opening windows or doors or using fans, and even fewer had upgraded ventilation systems.
The benefits go beyond protecting children and adults alike from airborne disease spread. “Better ventilation is linked with better test scores and grades [and] better workplace performance,” Allen said at a July meeting about air quality held by the Bipartisan Commission on Biodefense, a U.S. think tank.
“We have made incredible gains related to food safety, sanitation and water quality. Where is air quality in this?” he asked. “We have ignored it.” The CDC and the Food and Drug Administration quickly warn people about listeria in sliced meat or lead in cinnamon, but no one’s checking the air in public buildings for disease-causing germs.
It’s not even hard to make sure indoor air is clean. Even in the 1800s, by having open doors and windows, tuberculosis sanatoriums prevented the spread of disease by air. The CDC has extensive guidelines on what’s known as air exchange, but ultimately, it’s a matter of moving contaminated air out and fresh air in.
If it’s too hot, cold, polluted or humid outside, heating, ventilation and air-conditioning (HVAC) systems can clean up the air perfectly well when they are installed properly and used consistently. Their benefits far outweigh their costs.
“There never has been a building that we could not turn into a healthy building with just a little bit of attention,” said Allen, one of the country’s top crusaders for cleaner air, at the biodefense meeting.
Pandemic fatigue, of course, explains much of the apathy around making air-quality improvements. Public officials, from principals to local legislators right up to the top of the federal government, see that hospitals are no longer overflowing with COVID cases and that the nightly news no longer provides daily death counts. Most parents no longer clamor for assurances that their kids are safe from SARS-CoV-2.
Despite regular, ongoing spikes in COVID, most people have dropped precautions such as masks, even in hospitals.
“People are like, ‘There’s not a whole lot you can do about it,’ and that is why, societally, we need to do something about it,” Gronvall says. “We did this for water once upon a time, and we can do it for air.”
Even the experts have mostly let down their guard.
It wasn’t until halfway through the daylong, in-person-only biodefense conference on air quality that someone even thought to ask if the air in the room was safe to breathe.
“Are air monitors effective?” asked former U.S. representative Fred Upton, a Republican and a commissioner at the Bipartisan Commission on Biodefense, at the July meeting. “Does anyone here have one?” added Upton, who had represented Michigan’s sixth district until 2023.
“Are you sure you want to know?” someone in the audience asked, prompting laughter. Rick Rasansky, CEO of XCMR Biodefense Solutions, did have a carbon dioxide monitor, a device that gives a very rough estimate of the amount of fresh air exchange in a room. He read out a “pretty good” measurement.
That was a lucky thing because the 100 or so people attending the meeting had been seated shoulder to shoulder for several hours at that point. Not one was wearing a mask.
It will take federal legislation and sustained attention to make a difference.
The Center for Health Security at Johns Hopkins University have developed a Model Clean Indoor Air Act, which state legislatures throughout the country could use in writing new indoor air laws. In Congress, Representatives Paul Tonko of New York State and Brian Fitzpatrick of Pennsylvania have introduced a bipartisan bill that would require the Environmental Protection Agency to list indoor air contaminants and develop guidelines (albeit voluntary ones).
The new federal Advanced Research Projects Agency for Health (ARPA-H) found a great acronym in its Building Resilient Environments for Air and Total Health (BREATHE) program, which will develop and roll out cool new air-cleaning technologies.
But fancy tech isn’t enough on its own, and some schools may have wasted money on glittery toys instead of real fixes. Ceiling-installed ultraviolet lights won’t kill germs if the air isn’t blown upward to get cleaned in the first place. And gadgetry won’t create the demand and enthusiasm needed for cleaner indoor air. Politicians won’t win elections by campaigning on clean indoor air. But once they have been elected, federal, state and local officials owe it to kids, their parents and their neighbors to fight this most invisible of all hazards.
“We need to make it easier for people to see what they can’t see—to see what they’re breathing,” Gronvall says.
This is an opinion and analysis article, and the views expressed by the author or authors are not necessarily those of Scientific American.
