Abstract

Exposure to fine particulate matter (PM2.5) is an important contributor to global human disease burden, particularly indoors where people spend the majority of their time and exposure is highest. We propose a framework linking indoor PM2.5 emissions from human activities to exposure and health impacts, expressed in Disability-Adjusted Life Years (DALY). Derived dynamic indoor PM2.5 concentrations—capturing temporal variations through different window-opening scenarios and air renewal rates—are used to estimate uncertainty for a parametric model (up to a factor of 114). Intake fractions (fraction of emitted substance taken in (μgintake/μgemitted)), effect factors (μDALY/μgintake), related impact characterisation factors (health impact per unit mass emitted (μDALY/μgemitted)), and impact scores (health impact per hour activity (μDALY/hactivity)) are provided for 19 one-hour indoor activities and can be flexibly scaled to real activity durations. Indoor concentrations exceeded recommended World Health Organization (WHO) limits for all activities at low ventilation rates. Per person, 98 to 119 μDALY/hactivity (52 to 63 minuteslost/hactivity) was associated with traditional fuel cook stoves, with high air renewal rates (3 and 14 h-1). The burning of candles, at low air renewal rates of 0.2 to 0.6 h-1, results in 7 to 11 μDALY/hactivity (4 to 11 minuteslost/hactivity). Derived impact scores and characterisation factors serve as a starting point for integrating indoor PM2.5 emissions and exposure into life cycle impact and public health assessments.

1. Introduction

Ambient and household fine particulate matter (PM2.5) pollution is one of the major global health risk factors, representing 120 million and 92 million Disability-Adjusted Life Years (DALYs) each in 2019 (4.7% and 3.6% of total DALYs) [1]. Serious health outcomes are associated with PM2.5 exposure, including chronic obstructive diseases (COPD), ischemic heart disease (IHD), stroke and lung cancer (LC) for adults, and acute lower respiratory diseases (ALRI) for children who are still in the developmental stage (<5 years) [2, 3]. Indoor environments, where people spend a large fraction of their time, are particularly important to study: 83% to 90% of exposure occurs indoors [4]. Since buildings have relatively small, enclosed volumes, indoor air concentrations can be particularly high as compared to ambient levels. For instance, PM2.5 air concentrations were higher than the World Health Organization’s (WHO) annual guideline values in schools and kindergartens by a factor of 4 to 15 [57]. According to these guidelines, annual exposures should remain below 5 μg/m3, and 24 hour exposures can exceed 15 μg/m3 for no more than 3 to 4 days per year [8]. Inhabitants of rural areas, especially in developing countries, are particularly at risk due to the wide usage of solid fuel combustion indoors for cooking or heating [911].

Indoor PM2.5 concentrations depend on outdoor pollution levels, penetrating through unfiltered ventilation, indoor primary PM2.5 emissions from human activities, and chemical reactions between chemicals emitted indoors, such as the oxidation of volatile organic compounds (VOCs), with ozone, nitrate, and hydroxyl radicals, which together can form secondary PM [12]. Various studies have measured primary PM2.5 emission rates, indoor concentrations, and particle size distributions [1321] for different activities. While fuel stoves are recognised as strong indoor PM2.5 sources and linked to premature mortality in developing countries, cooking (especially frying and grilling) and candle burning were also identified as important sources. Occupant contributions to indoor PM2.5 from the shedding of skin and cloth fibres or the resuspension of particles during activities [2226] have also been measured and are highly dependent on dust coverage and, ultimately, occupant behaviour (e.g., frequency of cleaning or presence in dusty environments). Indoor concentrations are affected by air changes per hour (ACH), the presence of filters for mechanical ventilation, and the size and orientation of windows for natural ventilation.

Human health impacts of products from outdoor PM2.5 emissions can be calculated using life cycle assessment (LCA), a tool used to evaluate the environmental performance of products and technologies over their life cycles, considering different impact categories. The UNEP/SETAC Life Cycle Initiative identified the PM2.5 impact category as one of the categories requiring refinements [3]. While indoor emissions of chemicals are characterized in terms of human exposure and effects using other models, such as USEtox [27], there is a need for representative indoor archetypes treating indoor sources of PM2.5 and related occupant exposures and health impacts.

Archetypes have been defined by Fantke et al. [4] according to parameters identified by Hodas et al. [28], including air renewal rates and occupancy. Parametric models coupled with these indoor archetypes can provide average PM2.5 concentrations and intake fractions (mass taken in per unit mass emitted) [4], but usually do not capture temporal variations in emission or ventilation rates. Dynamic simulations, using airflow simulation tools such as CONTAM (used by INCA-Indoor [29]) or COMIS, can provide full concentration/exposure profiles that can be coupled with effect factors to calculate health impacts. There is still, however, a need for defining emission scenarios linked to indoor sources and their emission rates. In addition, factors linking emissions, exposure, and health effects to particular indoor activities are missing in LCA literature. To address this gap, our study is aimed at proposing a framework for characterising human exposure to PM2.5 and related health impacts associated with common indoor activities and their emissions. To achieve this aim, we will address the following three specific objectives: (1)Propose a framework for linking human indoor activities to primary PM2.5 emissions, exposure, effects, and health damage based on a dynamic modelling approach(2)Calculate dynamic indoor PM2.5 concentrations and derive a parameterised exposure and effect model for integration in life cycle impact assessment(3)Provide a set of impact characterisation factors for different reference indoor activities under different natural ventilation scenarios

Resuspension and secondary PM2.5 are not within the scope of this study, since they depend on dust coverage and the presence of precursors such as VOCs, which are not currently treated by the dynamic model.

2. Methods

2.1. Overall Followed Source-to-Damage Approach

The pollutant pathway from emission to impact is modelled using the framework recommended in global consensus-building efforts for PM2.5 exposure and effects [3, 30], adapted to indoor contexts (Figure 1). The functional unit is defined as one hour of activity.

Indoor PM2.5 concentrations ( (μg/m3)) are simulated with INCA-Indoor, considering (1) indoor emission rates of different activities ( (μgemitted/hactivity)) obtained from studies, (2) the penetration from outdoors with natural ventilation ( (μg/h)) (equation (5)), and (3) air renewal rates (h-1). These are compared to a parametric model’s results, using one hour as the reference activity duration under multiple given air change rates ( (h-1)). Using a fate factor ( (h)) or the dynamic fate model INCA-Indoor, we determine the evolution of the indoor PM2.5 concentrations and the resulting time-integrated mass inside the room air. These masses are then multiplied by the exposure rates (h-1) to yield indoor PM2.5 intake fractions ( (μgintake/μgemitted)) (equation (2)). These s are multiplied by effect factors ( (μDALY/μgintake)) to obtain the characterisation factors ( (μDALY/μgemitted)), i.e., the impact per unit of PM2.5 emitted. Impact scores ( (μDALY/hactivity)) for one person are then calculated as the product of the cumulative indoor emission ( (μgemitted)) and s. This can therefore be expressed as with where (cap) is the number of occupants, is the breathing rate of an occupant (m3/cap/h), and is the increase in indoor PM2.5 concentration due to the activity-related emissions (μg/m3) integrated up to infinity (in practice, up to the time required to entirely evacuate the particles emitted by the activity). It is given by the difference between indoor concentration with activity (, in μg/m3) and without (, in μg/m3).

The effect factor depends on the average effective indoor concentration () and the annual average ambient concentration of the region () [31, 32]. where (-) is the relative risk of developing disease fom exposure to (see Fantke et al., [32]), (μg/m3) is the increment on the exposure-response curve, (deaths/year) is the annual mortality in region due to disease , (cap) is the population of the region, (DALY/death) is the severity factor specific to the region and disease, and (m3/year) is the breathing rate. The effect factor depends on exposure concentrations and can hence be different for activities with different emission rates.

The depends on the average effective indoor concentration (). This can be calculated either by INCA-Indoor or as a comparison calculated using Fantke et al. [4], adapted to consider intake and deposition for outdoor PM2.5:

(μg/h) is the average penetration rate of PM2.5 from outdoors, defined by

(μg/m3) is the average outdoor PM2.5 concentration.

2.2. Individual Lifetime Risk

The total individual lifetime risk ( (DALY/person)) represents the number of life years lost from exposure to PM2.5 over a lifetime for each one-hour activity. It is calculated using the following equation. where is the number of one-hour activities occurring during a lifetime.

2.3. Emission Data

Primary PM2.5 emission rates are collected from various studies for 19 activities and are presented in Table 1.

Cook stove emission rates are highest (up to 120 mg/min) and correspond to common practices in certain rural Chinese homes [20]. Model parameters, including reference outdoor PM2.5 concentration and air renewal rates, are given in the supporting information SI section S.1.

2.4. Dynamic Indoor PM2.5 Concentration Calculation

Dynamic concentrations are simulated using the INCA-Indoor multizone model [29]. The following inputs are necessary for the simulation: (1) building characteristics, including room dimensions, mechanical ventilation rates if any (not considered in this study), window sizes, and layout (modelled with the Pleiades software [35]); (2) dynamic outdoor PM2.5 concentrations; (3) meteorological data (temperature, wind speed, and direction); (4) indoor PM2.5 emission rates; (5) time and duration of emissions; and (6) particle size distribution. Room volumes of 30 m3 and 67 m3 are considered, corresponding to 12 m2 and 27 m2 flooring areas, respectively, which are within the range of average bedrooms and kitchens [3638]. Air flows are simulated with CONTAM based on the opening of windows, infiltration rates under 4 Pa, and meteorological data, considering a constant indoor temperature of 20°C. Any interconnecting door between rooms is assumed to be closed, while infiltrations and airflows from differences between open versus closed windows are explicitly considered. Concentrations are calculated with a time step of 10 minutes as a function of airflow rates, emission rates, outdoor PM2.5 concentrations, and deposition rates.

The INCA-Indoor model calculates air PM concentrations based on their size distribution, separated into 27 categories of 0.004 μm to 10 μm. Since particle size distributions are only available for some specific activities, we select a more general indoor distribution, irrespective of the emission source [39]. The distributions are provided in SI section S.3.

Because the dynamic model allows the capture of variations in air renewal rates, scenarios have been defined to evaluate the effect of window opening on concentrations and health impacts for each activity, hence estimating uncertainties of the parametric model. Air change exchange rates (ACH) between indoor and outdoor air are defined according to Fantke et al. [4]. The average ACH for OECD countries is 0.64 ACH [40], while low-end values are around 0.2 ACH for airtight buildings [41]. High air change rates are around 3 ACH, and in non-OECD countries, they can reach 14 ACH.

Four standard scenarios are defined: windows always closed with infiltration rates of 0.2 ACH and 0.6 ACH and windows always open with high and very high ventilation rates of 3 ACH and 14 ACH, respectively. The air change rates indicated are 24 hour averages, but air flows vary during the day for natural ventilation due to changes in wind speed and direction, temperature, and pressure. In the remaining six scenarios, windows are open either before, during, or after activity, with high and very high average air renewal rates of 3 ACH and 14 ACH. Since windows are open for a limited duration in the last six scenarios (a minimum of one hour allowed by the model), the ACH can be much higher when open in order to reach the target 24 hour average, but do not exceed a reference comfort speed of 1 m/s [42]. Dynamic ACH are illustrated in SI Figure S2. Very high ventilation rates typically correspond to hot or tropical regions, where cross-ventilation is common. The 10 ventilation scenarios are summarised in SI section S.1.

2.5. Exposure Model Data

The intake fractions for one occupant are calculated using equation (2) for dynamic concentrations using a breathing rate () of 16 m3/d [28] and an exposure duration of 24 hours.

2.6. Effect (IER) Model Data

Global population data are obtained from world population prospects [43], and age-specific global mortality rates, (deaths/year), for the five disease outcomes are obtained from the GBD Collaborative Network for 2019 [44]. An annual average ambient PM2.5 level of 16 μg/m3, corresponding to an average European city [45], is considered, and average exposure concentrations ( (μg/m3)) are calculated over 24 hours. The calculated effect factor () only corresponds to exposure to one activity and ambient PM2.5 concentrations, without considering the occurrence of several activities at the same time.

3. Results and Discussion

3.1. Dynamic Indoor PM2.5 Concentrations

Dynamic PM2.5 concentrations from four indoor activities in a reference room of 30 m3 with closed windows at 0.6 ACH are presented in Figure 2 over 24 hours, a duration that allows to evacuate most activity-related PM2.5 from indoor air. Indoor and outdoor concentrations are dynamic. Indoor concentrations increase after emission and decrease due to evacuation with air renewal. Outdoor concentrations vary independently of the indoor activity, due to the change in outdoor emissions (e.g., fuel burning) or wind speeds.

PM2.5 concentration increments are higher for higher emission rates: the use of a coal-heating stove can lead to a peak of 4500 μg/m3, while toasting or cooking on an electric stove leads to a peak of 150 μg/m3. The area under the curve gives the concentration to which occupants are exposed over a given duration (μg·s/m3), which is important to consider in health impact assessment. It is ultimately linked to the decay rate, mainly determined by the air change rate: higher ACH lead to higher decay rates.

24 h average concentrations for the different activities and ventilation scenarios, calculated from results of the dynamic model, are presented in Figure 3 for the room with small volume/high occupancy () of 30 m3/occupant. Concentrations in the room with higher volume/low occupancy () of 67 m3/occupant correspond to the average ventilation rate of 0.6 ACH.

The increment in the larger room is on average 2.5 times lower than that in the smaller room, and the ratio of their volumes is 2.2. The difference can be explained by a higher deposition rate in the larger room due to the larger available surface area. Higher ventilation rates lead to a decrease in concentrations if windows are always open or closed. We note from the other scenarios presented in Figure 3(b) that least concentrations are linked to opening windows during the activity, since ventilation rates during emission are much higher, while opening before the activity does not affect concentrations: they are equal to the closed window scenario. Opening after the activity allows for partial evacuation of substances and hence a slight decrease in concentrations (see SI Figure S2).

3.2. Parametric Model Indoor PM2.5 Concentrations

The average PM2.5 concentrations over 24 hours are calculated for each activity with the parametric model described by equation (4). Though the parametric model with a mean ACH throughout the day can provide a good estimation of 24 h average indoor air concentrations (e.g., for fixed mechanical ventilation), under certain conditions, the dynamic model is more precise. In most cases, the ACH changes throughout the day according to the opening/closing of windows and meteorological conditions. The latter determines natural air flow rates through openings and infiltration. If variations in ACH occur during or right after emissions, indoor PM2.5 concentrations are affected. The different scenarios are illustrated with error bars in Figure 4.

Activities in airtight buildings with windows closed (0.2 ACH) or open before the activity lead to the highest concentrations. In Figure 4(a), we note that there is no uncertainty bar related to scenarios with 0.2 and 0.6 ACH since windows are considered to be closed. In scenarios with 3 and 14 ACH, windows can be always open or open before, during, or after the activity. Lowest concentrations (lower end of the error bar) correspond to scenarios where windows are open during the emission, evacuating almost all emitted particles and leading to a concentration approximately equal to . Highest concentrations are linked to windows always being closed, with an infiltration rate of 0.2 ACH or scenarios where the windows are open before the activity, hence not affecting activity-related concentrations. The uncertainty factors between the parametric model and the dynamic simulation, based on the root mean squared log of error (RMSLE), are 1.18, 1.00, 1.03, and 1.14 for the following scenarios, respectively: closed window at 0.2 ACH and 0.6 ACH and window always open at 3 ACH and 14 ACH. The average percentage error is <3%. The uncertainties are linked to the variations in ACH due to meteorological conditions affecting natural ventilation rates, which are not considered by the parametric model (see SI Figure S2).

3.3. Contribution of Outdoor PM2.5 Level on Indoor Concentrations

Dynamic and parametric model concentrations were calculated for an average European city with an average background PM2.5 level of 16 μg/m3, while, for different cities in the world, outdoor PM2.5 concentrations can range from 4 μg/m3 to 200 μg/m3 [45]. Figure 5 illustrates the effect of different outdoor PM2.5 levels on indoor concentrations for different ventilation scenarios and three activities representing low, medium, and high emission rates: candle burning (low), frying (low), and cook stove (high).

We note from Figure 5 that, for activities with high emissions such as incense burning, outdoor concentrations have a low relative effect on indoor concentrations (only up to 6% increase), while they can lead to an 8-fold increase for low-emission activities such as candle burning (low). At very high outdoor concentrations and for low emission rates such as candle burning, average concentrations are lower for closed window scenarios since the highest contribution to indoor PM2.5 is outdoor air.

3.4. Intake Fractions, Effect Factors, and Characterisation Factors for Different Indoor Activities

Intake quantities and impacts for each activity are calculated per occupant and per hour of activity. The uncertainty factors for the intake mass (μg) calculated by the parametric versus the dynamic model are 1.0, 1.05, 1.04, and 1.37, respectively, for the standard scenarios with 0.2, 0.6, 3, and 14 ACH.

Intake fractions (μgintake/μgemitted) and intake rates (μgintake/hactivity) calculated using the dynamic concentrations for all activities and ventilation scenarios are shown in Figure 6(a). Orange and red lines represent the annual and daily exposure recommendations from the WHO air quality guidelines, respectively [8]. Figure 6(b) shows effect factors (μDALY/μgintake) for all activities and four standard ventilation scenarios, and Figure 6(c) shows characterisation factors (μDALY/μgemitted) on the primary -axis and impact scores (μDALY/hactivity and minuteslost/hactivity) on the secondary -axes with diagonal iso-impact lines for all activities and scenarios.

Intake fractions (μgintake/μgemitted) calculated by equation (2) are different for each scenario but independent of the emission rate: they depend on breathing rate, occupancy, particle deposition rate, and ACH [4]. Given a ventilation scenario, the total intake (μgintake/hactivity), represented by diagonal grey iso-intake lines, is higher for activities with higher emission rates. Markers in the orange and red zone indicate activity and window-opening combinations that lead to concentrations and, consequently, intake quantities, beyond WHO guidelines. These include low-emission activities such as lighting a candle in a closed airtight building at 0.2 ACH, which is a possible scenario. Unless having a very high ventilation rate (windows open only during activity, with a 24 hour average of 14 ACH) during the use of a very high-emission cook stove, all scenarios lead to intake well above guidelines.

Figure 6(b) shows that effect factors decrease with an increasing emission rate for each scenario, since they depend on indoor PM2.5 concentrations. Characterisation factors (), a product of and , also vary across activities and scenarios (see Figure 6(c)). Least impacts occur when windows are open during activities, especially if ventilation rates are very high (e.g., with cross-ventilation). We also note that indoor fuel burning for cooking (high, using maize straw) can lead to very high health impacts of 484 μDALY/hactivity (about 4 hourslost) in closed buildings at 0.2 ACH. However, these ACH are unlikely for this activity, occurring in rural homes in buildings with potentially high infiltration rates. Furthermore, occupants might ventilate during the use of the cook stove, which can otherwise cause discomfort due to increased temperatures and high, perceptible PM2.5 levels. Air renewal rates are more likely to be around 3 to 14 ACH, resulting in 98 to 119 μDALY/hactivity (52 to 63 minuteslost/hactivity). On the other hand, a candle burning can potentially occur in airtight buildings with closed windows, at 0.2 or 0.6 ACH, leading to 7 to 20 μDALY/hactivity (4 to 11 minuteslost/hactivity).

For a given activity-window scenario combination in the larger room (67 m3), concentrations are lower (see Figure 3), and impact scores are also lower. Results for the larger room are given in SI.

3.5. Individual Lifetime Risk

The individual lifetime risk () (DALY/person), representing the number of life years lost from the five disease outcomes, is calculated for each activity for an average scenario of 0.6 ACH air change rate from equation (6) and illustrated in Figure 7. It is considered that an individual is exposed PM2.5 resulting from daily one-hour activities over a lifetime of 86 years [46]. The ILR for 30 minute and 2 hour activity durations are also given.

Activities with very high emissions can lead to a loss of up to 10 years of life, distributed as follows for the use of cook stove (high): 42% of the risk is related to IHD, 30% to stroke, 3% to LRI, 9% to LC, and 15% to COPD.

From Figure 7, we note variations in the distance between the ILR for the default activity duration (one hour) and that of each two additional durations (30 minutes and 2 hours) for different activities. These are explained by two nonlinearities, one associated with the effect factor and one associated with the intake. First, the exposure-response model underlying the effect factors is supralinear and dependent on indoor PM2.5 concentrations (see equation (3)), which are a function of both indoor activity emissions and outdoor PM2.5 levels. Second, intake considers the concentration increment associated with a specific activity and hence is nonlinearly dependent on indoor PM2.5 concentrations (especially at very low emission rates, where outdoor PM2.5 have a higher relative influence on indoor PM2.5 concentrations).

4. Discussion

We have seen that the parametric model can be used with little or no variation in ACH during the day, but cannot integrate dynamic ventilation or occupancy scenarios. As for the dynamic model, window-opening scenarios can be defined with a minimum of one-hour time steps, while in reality, occupants can open windows for only a few minutes, especially during cold weather. Ventilation durations are thus potentially overestimated, leading to underestimations in concentrations and impacts, in particular for the open during and open after scenarios.

In the particular case of the heating stove, opening windows during the activity is counterproductive, leading to higher heating needs and thus higher environmental impacts. With a life cycle perspective, it is thus important to consider heating as a source of impacts (calculated using an energy simulation and LCA software) and identify best trade-offs that allow the reduction of damage from PM2.5 and heating altogether.

The emission factor obtained in the literature is dependent on the mass of coal burnt [21], which was calculated according to heating needs with Pleiades [35]. The emission rate could thus be adapted in the model if specific information on the mass burnt or the heating need is known. Furthermore, activities linked with the indoor burning of fuels are more likely to occur in rural regions, in homes having high ventilation/infiltration rates. Different ventilation rates can be used as sensitivity analysis to reflect associations between indoor pollution levels and occupant behaviour (e.g., opening of windows when concentrations are uncomfortably high), especially if actual ventilation rates are unknown. In an LCA context, results are given for a large number of scenarios that combine different emission rates and building characteristics (i.e., ventilation rates and occupancy). Practitioners can thus apply those results that are relevant for their specific study context.

Health impacts are calculated for activities with a reference duration of one hour, but some activities can be shorter (e.g., smoking for a few minutes) or last longer (e.g., heating for a few hours). Scaling results to actual activity durations can provide approximations, since the calculated nonlinear effect factors depend on average indoor air PM2.5 concentrations, which vary with different activity durations. A sensitivity analysis is given in SI section S.6 for the duration of 30 minutes and 2 hours for all activities at 0.6 ACH. Similarly, the factors provided do not consider multiple occurrences of different activities at the same time, which could increase concentrations and lead to variations in effect factors and impact scores. Finally, the emission of other contaminants from the activities (e.g., volatile organic compounds, VOCs, and from candle burning) was not considered, which could be responsible for additional health impacts.

Future scopes include the study of the influence of PM toxicity if compositions of emitted particles for specific activities are known, and the calculation of characterisation factors and impact scores for more activities. Studies focusing on fugitive emissions are few and fairly recent. With growing awareness around health impacts of indoor solid fuel burning for heating or cooking, more data could be available and allow the derivation of impact scores for different types of stoves (e.g., certified heating stoves). The effect of a kitchen hood, which leads to 60 to 100% reduction in PM2.5 concentrations [47], on health impacts of cooking could be included. Furthermore, effect factors were calculated based on ambient PM2.5 concentrations, though occupants are mainly exposed to indoor concentrations, which are often higher than those outdoors: effect factors are hence possibly overestimated. Representative building archetypes with their respective activity scenarios can be modelled to calculate annual exposure concentrations considering the fractions of time spent indoors and outdoors.

5. Conclusion

In this paper, we have provided a set of intake fractions, effect factors, characterisation factors, and impact scores for 19 one-hour activities and 10 different ventilation scenarios. Indoor concentrations depend on indoor settings (e.g., window layout and opening scenarios), outdoor PM2.5 level, and activity duration. These parameters influence the indoor exposure PM2.5 level used to calculate effect factors. We note that, at very low ACH, all activities induced exposure concentrations beyond WHO recommendations. High or very high ventilation during all activities allowed the reduction of concentrations well below these recommendations. For instance, 98 to 119 μDALY/hactivity (52 to 63 minuteslost/hactivity) was associated with traditional fuel cook stoves, with high air renewal rates (3 and 14 ACH), while 7 to 11 μDALY/hactivity (4 to 11 minuteslost/hactivity) was associated with candle burning in closed buildings at 0.2 to 0.6 ACH. Characterisation factors for the one-hour activities (or any other activities with corresponding emission rates) provided in this study can be integrated to LCIA methods, and the framework proposed can help to devise optimal ventilation strategies in building design. The derived impact scores () for an activity unit of one hour can be scaled by activity duration to obtain an approximation of actual activity impacts. This constitutes a valuable starting point for the integration of indoor activities and their PM2.5-related emissions, exposures, and health effects into LCA and environmental footprint studies.

Data Availability

Data are avaialble upon request from the first author.

Conflicts of Interest

The authors declare that they have no conflicts of interest.

Acknowledgments

The authors are thankful for the financial support of the PhD thesis by the Chair ParisTech VINCI Eco-design of buildings and infrastructure. The project acknowledges the UNEP GLAM human health task force and the financial support from the USEtox International Centre.

Supplementary Materials

Supplementary 1. Background model data, ventilation scenario descriptions, heat stove emission calculations, particle size number distribution, indoor PM2.5 concentrations as a function of the ventilation scenario, and results for the larger room are provided.

Supplementary 2. Effect factors, characterisation factors, and impact scores for all activities, scenarios, and occupancy rates are given.