11 april 2007JEMH van Bronswijk, TU/e1 Domotica voor een gezond binnenmilieu In: Domotica in de woon- en leefomgeving Evoluon, woensdag 11 april 2007

11 april 2007JEMH van Bronswijk, TU/e2 The Dutch Situation: Life is lengthened with unhealthy years

11 april 2007JEMH van Bronswijk, TU/e3 (Geron)technology domotics, for whom? Source:

11 april 2007JEMH van Bronswijk, TU/e4 Delaying chronic disease

11 april 2007JEMH van Bronswijk, TU/e5 Inhaled air as an example Asthma –NL: 80% building related: mites, fungi, other pollutants COPD (chronic bronchitis, lung emphysema) –NL: 40% building related: tobacco smoke, other pollutants Lung cancer –NL: 25% building related: tobacco smoke, other pollutants

11 april 2007JEMH van Bronswijk, TU/e6 Reducing mite-allergy Mite asthma, rhinitis and atopic dermatitis Preventing premature aging of lungs, mucous membranes and skin, from childhood on Management of humidity in room textiles MEQ (Micro Environment Quality) for mites is based on building characteristics and climate control Risk perception of end-user is currently imperfect (medical condition) Fault tree representing MEQ based on 4 building physics parameters

11 april 2007JEMH van Bronswijk, TU/e7 HVAC provisions in buildings to be included in domotics Preventing pollution, allergies and infectious diseases (Veteran’s disease, SARS, Influenza, etc.) Preventing diseases in later life HVA CHVAC (Heating Ventilation and Air- Conditioning) systems have numerous critical points to be managed Competing claims of safety (indoor air quality) and social issues (reduction of energy use) CCPs of HVAC Systems Critical Control Points (CCP’s)in the HACCP analysis of HVAC Systems 

11 april 2007JEMH van Bronswijk, TU/e8 Disability Adjusted Life Years Disability Adjusted Life Years all calculations concern one calendar year DALYs of a disease in a population = Years lost due to premature death + Years in disability x Disability weight

11 april 2007JEMH van Bronswijk, TU/e9 DALYs calculations: DALYs calculations: The Netherlands: 16 million inhabitants Disease – total DALYs – % building related DALY calculation Lost Yrs by premature death Yrs in disability Disability weight Asthma – 34x10 3 – 80% 1,939402, COPD – 144x10 3 – 40% 56,667282, Lung cancer – 135x10 3 – 25% 127,51714,

11 april 2007JEMH van Bronswijk, TU/e10 Gains and costs in The Netherlands Gains and costs in The Netherlands asthma, COPD, lung cancer Healthy years lost/Yr (DALYs): 313x10 3 Smart ventilation systems cost / Yr*: € 2.3x10 9 Possible gains in healthy years / Yr: 89x10 3 Reduction in healthcare costs / Yr: € 394x10 6 Cost of 1 extra healthy year: € 26x10 3 * Depreciation of investment (15 Yrs), interest, maintenance, and energy

11 april 2007JEMH van Bronswijk, TU/e11 Expected advantages of smart housing Germany 2001 n = 423, yrs old, 56% females, 44% males, 30% home owners, 70% home renters Daily living support Safety & security Comfort Management of energy use Most health issues not yet perceived Source: S. Meyer, E. Schultz Vom Otto Normalverbraucher zur Smart Family. Berlin: Berliner Institut für Sozialforschung;

11 april 2007JEMH van Bronswijk, TU/e12 Conclusies -Slimme ventilatie, verwarming en koeling in domotica  gezondere bevolking -Echter - strijdig met energiebesparing - relatie met gezondheid weinig bekend -Ieder extra gezond jaar kost € Politieke keuzes