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This article is based on a paper presented at the joint 45th AIVC conference and ASHRAE 2025 IEQ conference “IEQ 2025: Rising to New Challenges: Connecting IEQ to a Sustainable Future”, held on 24–26 September 2025 in Montreal, Canada.
Key words: Indoor Air Quality; DALY; Office Buildings; Cost-benefit.
Giobertti Morantes1,2 | Francesco Babich1 | Roberto Lollini1 |
PhD. Post-Doc-Researcher | PhD, Senior Researcher | Research Group Leader |
Max Sherman2 | Constanza Molina3 | Benjamin Jones2 |
PhD | PhD | PhD |
1EURAC Research, Institute for Renewable Energy, EEB Research Group, Bolzano, Italy2Department of Architecture and Built Environment, University of Nottingham, United Kingdom3School of Civil Construction, Faculty of Engineering, Pontificia Universidad Católica de ChileCorresponding author: Giobertti Morantes (gmorantesquintana@eurac.edu) | ||
Building decisions often compare intervention costs (filtration, source control, ventilation strategies) against energy or maintenance budgets, while health impacts remain difficult to express on the same scale. DALYs provide a single harm metric that combines years of life lost and years lived with disability. By assigning a monetary value to an averted DALY, office contaminant exposure can be translated into an annual economic burden that is directly comparable with the cost of control strategies [1]. This does not replace compliance or comfort-based assessments; it provides an additional, health-centred lens for prioritising interventions.
We start from a compiled dataset of office contaminant concentrations reported in the literature [2]. Concentrations are time-weighted to reflect typical office occupancy (about 6–8 hours/day), using an exposure factor of 0.25. For each contaminant (i), harm was calculated (Harmi,DALYs per 100,000 people·year) [1]. To monetise harm (Costi), we sample a cost-per-DALY distribution (HarmCost) representative of very-high Human Development Index (HDI) settings (Table 1) and compute:
Costi = HarmCost · Harmi
Uncertainty in concentrations, harm, and HarmCost is propagated with Monte Carlo sampling; we report medians and uncertainty using geometric standard deviation (GSD).
Table 1 shows the monetary value per averted DALY adopted (PPP-Int2011$: PPP-adjusted constant 2011 international dollars). We apply the very-high HDI distribution to reflect the predominant evidence of indoor air contaminants base from high-income office studies [3].
Table 1. Cost Per DALY Averted (HarmCost, Units Of PPP-Int2011$/DALY). [3].
HDI group | Cost Per DALY Averted | Range | Median (GSD) |
Very high | 69,000 | 22,000–170,000 | 56,000 (2.0) |
Across the prioritised contaminant set [1], six pollutants (out of 44 considered in this analysis [1]) account for most DALY burden and therefore most monetised costs. Particulate matter is the main driver (≈62% of total costs). Table 2 reports concentration and monetised cost results for these six highest-harm contaminants, ordered by median harm.
Table 2. Time-Adjusted Chronic Inhalation Concentrations, Harm and Monetary Cost of Pre-Prioritised Contaminants. Highest to Lowest Harm Median.
Contaminant | Mean concentration | Harm, Median (GSD) | Median cost |
PM2.5 | 10 | 250 (3.5) | 140 |
SO2 | 58 | 35 (7) | 26 |
NO2 | 6 | 30 (2) | 16 |
Formaldehyde | 4 | 15 (2.1) | 8.3 |
PM10-2.5 | 1 | 1.8 (7.7) | 1.1 |
Acrolein | 0.4 | 0.45 (4) | 0.26 |
Figure 1 shows the median annual monetary cost per person for the six highest-harm contaminants.

Figure 1. Median monetary cost per person-year for the six highest-harm office contaminants.
The monetised burden can be used as a screening benchmark: if an intervention that primarily reduces a given contaminant costs less (per person-year) than the estimated Costi, the measure is plausibly cost-effective on health grounds. Because PM2.5 dominates both health and monetary outcomes [4], strategies that reduce fine particle exposure (e.g., filtration, source control, and preventing outdoor particle ingress) are likely to yield the largest returns. Absolute cost estimates are directly proportional to the ‘cost per DALY averted’ values, so these should be stated clearly.
Results depend strongly on (i) representativeness of office concentration datasets, (ii) the harm estimates, and (iii) the chosen monetary valuation of a DALY. Cost-per-DALY estimates vary across valuation methods (willingness to pay, value of statistical life, gross domestic product multipliers) [5] and differences can shift absolute cost estimates by an order of magnitude [1].
DALY-based monetary valuation offers a practical approach to quantify IAQ health costs in offices. PM2.5 dominates impacts, reinforcing prioritisation of interventions. Transparent, standardised DALY monetisation remains essential for robust policy and investment decisions.
To a University of Nottingham Faculty of Engineering Research Excellence Scholarship. To the Chartered Institution of Building Services Engineers (CIBSE). To HARMONISE (Autonomous Province of Bolzano/Bozen, Decree No. 4400/2025).
[1] Morantes G. Quantifying population harm from indoor air contaminants in dwellings [Internet] [PhD Thesis]. [Nottingham]: University of Nottingham, UK; 2024. Available from: https://eprints.nottingham.ac.uk/id/eprint/78330
[2] Sérafin G, Blondeau P, Mandin C. Indoor air pollutant health prioritization in office buildings. Indoor Air. 2021 May;31(3):646–59.
[3] Daroudi R, Akbari Sari A, Nahvijou A, Faramarzi A. Cost per DALY averted in low, middle- and high-income countries: evidence from the global burden of disease study to estimate the cost-effectiveness thresholds. Cost Eff Resour Alloc. 2021 Dec;19(1):7.
[4] Chan WR, Parthasarathy S, Fisk WJ, McKone TE. Estimated effect of ventilation and filtration on chronic health risks in U.S. offices, schools, and retail stores. Indoor Air. 2016 Apr;26(2):331–43.
[5] Boulanger G, Bayeux T, Mandin C, Kirchner S, Vergriette B, Pernelet-Joly V, et al. Socio-economic costs of indoor air pollution: A tentative estimation for some pollutants of health interest in France. Environ Int. 2017 July;104:14–24.
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