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    Health Care Facilities: Filtration andHVAC Design

    Carrier Symposium 28-04-2009

    Carrier BSS Upstate Symposium

    Health Care Facilities:Filtration and HVACDesign

    PRESENTED BY:

    Brian Monk, P.E., ASHRAE DL

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    Health Care Facilities: Filtration andHVAC Design

    Carrier Symposium 28-04-2009

    Cell Phones

    Please Turn OffCell Phones

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    Health Care Facilities: Filtration andHVAC Design

    Carrier Symposium 28-04-2009

    Objectives

    1. Outline specific sections of ASHRAE Standard

    62.1 as it applies to Health Care Facilityfiltration.

    2. Identify various AHU design strategies that cancomply with ASHRAE 90.1 as it pe rtains toHospital filtration.

    3. Review the predominant filtration technologiesthat can be incorporated into central station

    AHUs to minimize Particulate, Chemical andBiological contaminants.

    4. Evaluate methods of reducing life-cycle costwithout sacrificing adequate air purification.

    5. Explore air cleaning methods that complimentdilution and can serve as a means of controlling

    airborne infection, and contaminants fromentering into the Health Care Environment.

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    Health Care Facilities: Filtration andHVAC Design

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    ASHRAE 62.1-2007

    Prescriptive standardwhich dictatesminimum amounts ofoutdoor air tomaintain acceptableindoor air qualitywithin a space.

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    ASHRAE 90.1-2001

    A standard whichprovides minimumenergy efficiencyrequirements for thedesign andconstruction of newand existing buildings.

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    Health Care Facilities: Filtration andHVAC Design

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    Filtration CommitteesTC 2.3 GasTC 2.4 ParticulateTC 2.9 UVGI (Systems / Equipment Ch. 16)

    TG. Building Security :Blast, Chemical, BiologicalRemediation (Application Ch. 58)

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    Health Care Facilities: Filtration andHVAC Design

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    Filtration Document is a Companion Document

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    A chemical, biological, or radiological airborne threat cancome from a wartime attack, terrorist attack, or from an

    industrial accident

    Industrial accidents: To provide collective protection for a

    facilityclosing the O.A. intakes during a release, orprotecting the air intakes with a filtration system is required.

    Terrorist Threat: For facilities that require continuous

    operation during a short duration with little or no warning,such as a terrorist attack, continuous filtration of theventilation air intakes is required.

    Key excerpts from: Design of Collective Protection Shelters to Resist Chemical, Biological, and

    Radiological Agents (U.S. Army Corps of Engineers, Feb.1999)

    Industry Documentation

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    Class II Filtration with little or no pressurization : This class

    of protection is applicable to a terrorist attack with little or nowarning that produces a short duration small-scale release of

    agent. Outdoor air intakes will be protected by continuouslyoperating filtration units..

    The filtration system will be sized for the normal facility air

    intake requirements and need provide little or no facilityoverpressure.

    Toxic-free Area Overpressure: The TFA will be designed fora minimum overpressure goal of 0.02 wg.

    Key excerpts from: Design of Collective Protection Shelters to Resist Chemical, Biological, and

    Radiological Agents (U.S. Army Corps of Engineers, Feb.1999)

    Industry Documentation

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    Physical Security

    Prevent Access to Outdoor Air Intakes.

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    Ventilation Load Index (VLI)

    High Latent to Sensible Ratio

    Medium Latent to Sensible Ratio

    Low Latent to Sensible Ratio

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    Health Care Facilities: Filtration andHVAC Design

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    Industry Documentation

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    Carrier Symposium 28-04-2009

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    ASHRAE APPLICATIONSHealth Care Facilities

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    Regional outdoor air quality must be evaluated

    outdoor source control

    Ambient Air Quality

    Co

    ASHRAE Std 62-2004:4.1 Regional Air Quality. Thestatus ofcompliancewith national ambient air quality

    standards shall be determined for the geographic area ofthe building site. In the United States, compliancestatus

    shall beeither in attainment or non-attainment with...NAAQS

    Industry Documentation

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    Appendix E: Table E-1

    Application:

    Patient Rooms @ 10p/1000 sf

    Medical Procedure @ 20p/1000 sf

    Operating Rooms @ 20p/1000 sf

    Recovery / ICU @ 20p/1000 sfAutopsy Rooms @ 20p/1000 sf

    6207(visitor)

    Rp cfm/p

    25

    15

    30

    150.50 CFM/Ft2 Vo

    Ventilation Rates for Health Care

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    Emission Trends (1970-1995)

    0

    10

    20

    30

    40

    50

    Thousand

    Short Tons

    1970 1980 1986 1988 1990 1992 1994

    Particulates

    PM-10

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    Emission Trends (1970-1995)

    0

    20

    40

    60

    80

    100

    120

    140

    160

    Thousand

    Short Tons

    1970 1980 1986 1988 1990 1992 1994

    Nitrogen Oxide

    NO

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    outdoor source control

    Intake Separation

    Should separate intakes from strongoutdoor sources

    Currently, no requirements

    In the future, minimum separation distancefrom intake for specific outdoor sources

    Dumpster -- 15 ft

    Cooling tower exhaust -- 25 ft

    Loading dock -- 25 ftCo

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    6.2.1 OUTDOOR AIR TREATMENT

    If Outdoor Air is judged to be unacceptable inaccordance with Section 4.1 (National Ambient AirQuality Standard), each ventilation system that providesoutdoor air through a supply fan shall comply withsections following.

    Key excerpts from ASHRAE Standard 62-2004

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    National Primary Ambient- Air Quality Standard (forO.A. as set by the US EPA)

    Pollutant Averaging Period Standard

    Ozone (O3) 1-hour 0.12 ppm

    1-hour 9 ppmCarbon Monoxide (CO)

    8-hour 35 ppm

    24-hour 150 g/m3Particulate Matter (PM-10)

    Annual arithmetic mean 365g/m3

    24-hour 0.14 ppmSulfur Dioxide (SO2)Annual arithmetic mean 0.03 ppm

    Nitrogen Dioxide (NO2) Annual arithmetic mean 0.53 ppmLead (Pb) Annual arithmetic mean 1.5 g/m3

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    6.2.1.3 Other Outdoor Contaminants

    When the building is located in an area where thenational standard for one or more contaminants notspecifically addressed in Section 6.2.1 is exceeded, anydesign assumption and/or calculation related to theimpact on indoor air quality shall be included in thedesign documents.

    Key excerpts from ASHRAE Standard 62-2004

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    5.17.2.1 Air Cleaning

    If air leaving a space or location passes through an air-cleaning system, the cleaned air may be reclassified toa cleaner classification, using the subjective criterianoted above, with the approval of the authority havingjurisdiction.

    5.17 Air Classification and Recirculation

    Key excerpts from ASHRAE Standard 62-2004

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    Filtration

    For cleanliness, must filter at MERV 6or more upstream of wet equipment

    G

    Std 62-2004: 5.9 Particulate Matter Removal.

    Particulate matter filters or air cleaners having a minimumefficiency reporting value (MERV) of not less than 6

    shall be provided upstream of allcooling coilsor otherdevices with wetted surfaces...

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    Recirculation with Filtration

    Outdoor Air is not always acceptable

    The use of Outdoor Air for Dilutionventilation is not possible whencontaminants in O.A are above odorthreshold or TLV.

    Properly cleaned air CAN be recirculatedusing the Air Quality Method Section 6.3ASHRAE Std. 62-2004

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    AHU Design

    Capacity (cfm) / area = velocity

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    MERV Ratings for Particle Filtration

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    Operating Cost

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    Air Contaminant Sizes

    MOLECULES

    HUMAN HAIR

    SCAN. ELEC. MICROSCOPE OPT. MICROSCOPE EYE

    SMOG

    VIRUSES

    BACTERIA

    POLLEN

    TOBACCO SMOKE

    FUMES DUSTS

    SPORES

    Particle Size, microns

    10 1001.00.10.010.0010.0001

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    High Efficiency Gas Absorbers

    ACTIVATEDCARBON IMPREGNATEDWITH PHOSPHORICACID

    ACTIVATEDCARBON IMPREGNATEDWITH POTASSIUMHYDROXIDE

    POTASSIUMIMPREGNATED ALUMINA

    COAL BASED ACTIVATED CARBON

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    Removal Mechanisms

    ADSORPTION

    ABSORPTION

    CHEMISORPTION

    CATALYSIS

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    Pore Structure

    Macropores (r > 25 nm)Used to enter

    Mesopores (r = 1-25 nm)Used to transport

    Micropores (r < 1 nm)Used to adsorb

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    Chemisorption

    Oxidation ReactionOxidant + Contaminant + Oxygen Carbon Dioxide + Water

    Acid-Base ReactionAcid + Base Salt + Water

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    Adsorption Wave

    UnusedMedia

    UnusedMedia

    UnusedMedia

    ActiveMedia

    ActiveMedia

    ActiveMedia

    Spent

    Media

    Spent

    Media

    Spent

    Media

    T1 T2 T3

    MTZ

    MTZ M

    TZ

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    FLOW SCHEMATIC

    THIN BED SYSTEM (TRS L.T. 0.4s)

    High Eff ic iencyPart iculate Filter

    ChemicalFiltration

    Media

    ContaminatedAir

    Entering

    RoughingPre-Filter

    Perforated"V-Shaped"

    Media HoldingModules

    Clean AirLeaving

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    THIN BED Filtration SYSTEM

    FEATURES High Sealing Integrity

    Size Flexibility

    Multiple Stages ofParticulate andGas-Phase Filtration

    Optional Bi-PolarIonization Section

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    Technology Evaluation Report

    Biological Inactivation Efficiency by HVAC In-Duct

    Ultraviolet Light Systems

    The U.S. Environmental Protection Agencys (EPAs) National

    Homeland Security Research Center (NHSRC) Technology Testing and

    Evaluation Program (TTEP) is helping to protect human health and the

    environment from adverse impacts resulting from acts of terror by

    carrying out performance tests on homeland security technologies.

    The objective of testing the device was to evaluate its bioaerosol

    inactivation efficiency as a heating, ventilation and air-conditioning

    (HVAC) in-duct ultraviolet light system.

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    The bioaerosol inactivation efficiencies calculated for the three

    organisms were 93% forB. atrophaeus, $99.97% forS.

    marcescens and 99% for MS2. The irradiance was measured as

    1200 W/cm2 at 133 cm (52.4 in.) upstream from the closest glass

    part of the lamps with an airflow of 0.93 m3/sec (1970 cfm). The

    system had five lamps that were burned in for 100 hours prior to

    measurements.

    Biological Inactivation Efficiency by HVAC In-Duct Ultraviolet

    Light Systems

    Technology Evaluation Report

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    20 0 220 24 0 260 280 300 320 340 360 380 40 00

    10

    20

    30

    40

    50

    60

    70

    80

    90

    100110

    Effgerm ( )

    %

    Avg germ_eff1

    400 300300

    400

    Effgerm( )

    d:= Avg germ_eff 3.03 %=

    UV radiation that reached the sea level are > 290 nm at p.93

    source : Atmospheric Chemistry: Fundamentals a nd Experimental techniques, B.J.

    Finlayson-Pitts and J.N.Pitts, John-Wiley & Sons, 1986, 1098p.

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    Natural UV Source : The SunNatural UV Source : The Sun

    WHATWHAT isis thethe equivalentequivalent

    GermicidalGermicidal UV DOSEUV DOSE

    receivedreceived byby

    aa bacteriabacteria living OUTDOORS?living OUTDOORS?

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    DOSEoutdoor1

    400 3000 hr

    12 hr

    t

    300

    400

    Effgerm( ) UV( )

    d

    d:=

    Total Dail y Natural Outdoor UV Dose : DOSEoutdoor 19189microwatt se c

    cm2

    =

    Minimum Germici dal UV output power requirement per s quare foot of indoor floor assuming

    24/24 continuous use :

    Specsqft_outputDOSEoutdoor

    24 hr:= Specsqft_output 206

    microwatt

    ft2

    =

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    3- Effect of natural UV on OUTDOOR air3- Effect of natural UV on OUTDOOR air

    UV TypeUV Type EffectsEffects Operating M odeOperating M ode_ __ __ __ __ __ __ __ _ ___ __ __ __ __ __ __ __ __ ___ __ __ __ __ __ __ __ _ ___ __ __ __ __ __ __ __ __ __

    UV - CUV - C GermicidalGermicidal Acts onAc t s o n DNADNA(254(254 nmnm )) Steri l isationSteri l isation Inhibits ReproductionInhibits Reproduction

    UV - VUV - V Photo-OxidationPhoto-Oxidation UVV + OUVV + O22 OO** + O+ O **

    (185(185 nmnm )) ( hydroxyl r adicals)( hydroxyl r adicals) OO** + H+ H22OO OHOH** + OH+ OH**

    Oxidation of organic chemicalsOxidation of organic chemicals CO +2OHCO +2OH** COCO 22 + H+ H 22OO

    in the upperin the upper atmosphereatmosphere

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    Natural Source (The Sun)Natural Source (The Sun)

    DAILY germicidal UV DOSEDAILY germicidal UV DOSE

    received by a bacteria livingreceived by a bacteria living

    in OUTDOOR AIR :in OUTDOOR AIR :

    19,189 microwatt.sec19,189 microwatt.sec/cm/cm22

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    Molds ( SPORES) CommentsUVC LETHAL DOSE

    ( microWatt.sec/cm2 )

    Alternaria Olive green-black 23600

    Asper gillius flavis Yellowish-green color 26100

    Asper gillius gl aucus Bl uish-gre en color 19100

    Aspergillius niger Black color 57300

    Aureobasidium pullulans Whi te-gray co lor 29600

    Cladosporium Greenish to black 12300

    Mucor racemosus A White-gray color 7400

    Mucor racemosus B White-gray color 7400

    Oospora lactis White color 2200

    Penicillium expansum Olive color 1300

    Penicillium roqueforti Green color 5600

    Penicillium digitatum Olive color 19100

    Rhisopus negricans Black 48200

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    44 Air Pur ifi ca ti on Technique s :Air Purifi ca tio n Techniques :

    the place of the UV technologythe place of the UV technology

    Germicidal chemical products

    UV Sterilization of DNA

    Fungi

    Molds

    Bacteria

    Biological

    Adsorption on activated charcoal

    Thermal oxidation

    UV-Photo-oxidation

    Solvents

    Formaldehyde

    VOCChemicals

    FiltersDustSolids

    Remediation

    technologyExamplesPollutant

    Type

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    CASESTUDY

    Sharp HospitalO.A / R.A. with Filtration

    Outdoor air filtration to

    remove harmful pollutants

    such as NOx, SOx, O3 and HC

    MERV 6

    MERV 13

    UVGI

    Activated Carbon Cells

    HEPA (MERV 16)

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    CASESTUDY

    Washoe Medical Center, NevadaOutdoor Air Purification

    Helicopter landing pad

    O.A. filtration of Hydrocarbons, particulates

    Respiratory difficulties

    Chemical Filtration / HEPA particulatefiltration

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    CASESTUDY

    Clinic OVO Montreal, Canada

    Fertility clinic O.A./R.A. filtration

    Fertility Clinic

    Central AHU total filtration system

    12,500 CFM O.A./R.A filtered

    MERV 8 /chemical filters / UV / HEPA

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    CASESTUDY

    Forensic Pathology, Toronto

    Biological / Chemical Filtration

    Chief Coroner Office Ontario

    Main body storage area, pathology center

    20-40 ACH

    Combines UV / Chemical Filtration /HEPA particulate filtration

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    CASESTUDY

    HIV Dental Clinic, Albany, NYDedicated Filtration in Dental Surgery Areas

    Protect HIV patients from airbornecontamination

    Filter Gases, Particulates, BiologicalContaminants

    Maintain positive pressure 0.1 W.C.

    within Dental Surgery Area.

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    References

    Schoen, Larry: ASHRAE Std 62, Ventilation for Acceptable Air Quality. Boston Society of Architects, Chapter ofAIA, May 2004

    Vasselli, John: Economics and Energy in Buildings. Bynum Training Center, Carrier Corporation, NOV 2006.

    U.S. Environmental Protection Agency Office of Mobile Sources. Air Toxics from Motor Vehicles.February, 1995.

    U.S. Environmental Protection Agency Office of Mobile Sources. Environmental Fact Sheet - Adopted AircraftEngine Emission Standards. August, 1994.

    1997 Current Market Outlook - World Market Demand and Airplane Supply Requirements. Boeing, 1997.Chang, K.M., The Integration of Airport Planning and Environmental Assessment- A focus on Air Quality Analysis,

    1978.

    Pant, Bhuvan C., Diesel Exhaust Irritants and Odorants, Materials Research, Development and Production Center,1987.

    Persily, Andrew: ASHRAE Standard 62.1-2004Introduction and Overview. ASHRAE Winter Meeting, Orlando , FL,Feb 2005.

    Carrier Corporation: Demand Controlled Ventilation System Design, Saving Energy Cost while optimizing Indoor AirQuality. Syracuse 2001.

    Stanke, Dennis. System Operation: Dynamic Reset Option, Standard 62.1-2004. ASHRAE Journal December 2006

    National Air Filtration Association (1997) Installation , Operation and Maintenance or Air Filtrati on Systems.Washington D.C., NAFA