s640-1PubEng: J.E.M.H. van Bronswijk 1 Source:

y710-1PubEng: J.E.M.H. van Bronswijk 2 To reach Complete Health an individual / group must be able to: 1. Identify aspirations & capabilities 1. Identify aspirations & capabilities 2. Realise aspirations 2. Realise aspirations 3. Satisfy needs 3. Satisfy needs 4. Change or Cope with their environment 4. Change or Cope with their environment Source: The World Health Organisation;

s640-1PubEng: J.E.M.H. van Bronswijk 3 Health & Comfort Aim: Explaining and applying the principles of built environments that bring a high level of vitality and optimal comfort up to a high age

y710-1PubEng: J.E.M.H. van Bronswijk 4 Building (Services) Engineering for Enhancement & Satisfaction of PersonsEnhancement & Satisfaction of Persons Prevention & Engagement of HazardsPrevention & Engagement of Hazards Compensation & AssistanceCompensation & Assistance Care Support & Care OrganisationCare Support & Care Organisation Source: Gerontechnology 2(2): ; 2002

y710-1PubEng: J.E.M.H. van Bronswijk 5 Building (Services) Engineering for Enhancement & Satisfaction of personsEnhancement & Satisfaction of persons –Comfort Prevention & Engagement of HazardsPrevention & Engagement of Hazards –Safety & Security Compensation & AssistanceCompensation & Assistance –Assistive Technology Care Support & Care OrganisationCare Support & Care Organisation –Health Care Technology Source: Gerontechnology 2(2): ; 2002

y710-1PubEng: J.E.M.H. van Bronswijk 6 Building (Services) Engineering for Enhancement & Satisfaction of personsEnhancement & Satisfaction of persons –Comfort (Thermal, Lighting, Acoustic, Olfactory, Communication) Prevention & Engagement of HazardsPrevention & Engagement of Hazards –Safety & Security (Burglary, Fire Hazards, other Accident Risks, Cancer, Allergy, Hyperreactivity, Infection) Compensation & Assistance of personsCompensation & Assistance of persons –Assistive Technology (Mobility, Communication, Daily Work and Domestic Activities, Stimulation of Independence) Care Support & Care OrganisationCare Support & Care Organisation –Health Care Technology (Surveillance, Telemedicine, Telecare, Empowering of Frail Persons, Managing Care) Source: Gerontechnology 2(2): ; 2002

s640-1PubEng: J.E.M.H. van Bronswijk 7 Comfort & Health Comfortable in one category may bring discomfort in another Comfortable in one category may bring discomfort in another Comfort may be unhealthy Comfort may be unhealthy Discomfort may lead to disease Discomfort may lead to disease Health is more than comfort Health is more than comfort Improving Quality of Live  Increasing Comfort

s640-1PubEng: J.E.M.H. van Bronswijk 8 Segovia Aqueduct Source: ENCYCLOPÆDIA BRITANNICA;

s640-1PubEng: J.E.M.H. van Bronswijk 9 Anthrax Bioterrorism Fate of the Victim: 1.First symptoms after 12 Hours to 5 Days 2.Treatment only effective the first day 3.Skin infection: red-brown papule with pus and later a black crust; flu-like symptoms; few but some deaths 4.Food-borne infection: with 100% intact mucous membranes: no infection; damaged mucous membranes: alimentary canal and lymph nodes die off slowly, 100% mortality without timely treatment 5.Lung infection: lymph system dies off, later also heart and lungs, 100% mortality without timely treatment Anthrax spores may stay viable for decades!

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s640-1PubEng: J.E.M.H. van Bronswijk 13 Environmental Health comprises those aspects of human health and disease that are determined by factors in the environment. It also refers to (…..) assessing and controlling factors in the environment that can potentially affect health potentially affect health Source: The World Health Organisation

s640-1PubEng: J.E.M.H. van Bronswijk 14 Public Health is the art of applying science in the context of politics so as to reduce inequalities in health while ensuring the best health for the greatest numbers Source: The World Health Report Life in the 21 st century. A vision for all;

y710-1PubEng: J.E.M.H. van Bronswijk 15 Ergonomics or Human Factors is a domain of science dealing with the application of information on physical and psychological characteristics of persons to the design of devices & systems for human use Source: ENCYCLOPÆDIA BRITANNICA;

s640-1PubEng: J.E.M.H. van Bronswijk 16 Building Physics is a domain of science dealing with the relationships between building construction and physical phenomena, such as fire safety, comfort, and energy conservation Source: PJM van der Meijs Bouwfysica. Spruyt, van Mantgem & de Does, Leiden. ISBN

s640-1PubEng: J.E.M.H. van Bronswijk 17 Sick Building Syndrome a collection of certain specific complaints and symptoms experienced by workers during or after a stay in certain building spaces Source: E Eyskens, L Feenstra, AE Meinders (eds) Codex Medicus. Elsevier, Amsterdam. ISBN

s640-1PubEng: J.E.M.H. van Bronswijk 18 A Sick Building forms an environment that does not answer to the human need for: - Absence of Pathogens - Absence of other biotic, chemical or physical Pollutants - Thermal, Lighting, Acoustic and Aesthetic Comfort - Sufficient Space, Privacy, Peace and Quiet - Contact with outdoors (view, sound, smell, air quality) - Open (virtual) communication channels with the outside world Sources: - PA Vroon Ziekmakende Gebouwen en de evolutie van de mens. Bouwfysica 2(2): E Eyskens, L Feenstra, AE Meinders (eds) Codex Medicus. Elsevier, Amsterdam. ISBN th Framework R&D Program of the European Union, 2002

s640-1PubEng: J.E.M.H. van Bronswijk 19 Sick Buildings & Bad Dwellings User Control: 1. Actual Use 2. Maintenance 3. Finishing and Furnishing 4. Renovation / Expansion 5. Move out / Change job Owner > Tenant > Employee

s640-1PubEng: J.E.M.H. van Bronswijk 20 A Healthy Building forms an environment that - Has a Low Risk for negative health effects - Makes Healthy Behaviour self-evident - Compensates for disease or infirmity present - Stimulates users to realise their aspirations - Leaves Users Master of the situation - Stimulates virtual and physical Communication - Supports Health Care

y710-1PubEng: J.E.M.H. van Bronswijk 21 3 Barriers against Disease 1.Building, Building Services, Urban Planning 2.Furnishing and Maintenance 3.Hereditary Factors, Physical and Mental Fitness, Vaccinations, Healthy Nutrition

y710-1PubEng: J.E.M.H. van Bronswijk 22 Ambient Intelligence 1.Learning Environments, reacting on persons and environmental changes 2.A revolution in Building Services 3.Combining Comfort, Safety and Security, with Assistance and Health Care Towards Health Supportive Built Environments