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Source http//www.who.org/aboutwho/en/definition.
html
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To reach Complete Health an individual / group
must be able to 1. Identify aspirations
capabilities 2. Realise aspirations 3.
Satisfy needs 4. Change or Cope with their
environment Source The World Health
Organisation http//www.who.int/hpr/confrence2/
documents/ottawa.html
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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
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Building (Services) Engineering for

• Enhancement Satisfaction of Persons
• Prevention Engagement of Hazards
• Compensation Assistance
• Care Support Care Organisation

Source Gerontechnology 2(2)169-172 2002
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Building (Services) Engineering for

• Enhancement Satisfaction of persons
• Comfort
• Prevention Engagement of Hazards
• Safety Security
• Compensation Assistance
• Assistive Technology
• Care Support Care Organisation
• Health Care Technology

Source Gerontechnology 2(2)169-172 2002
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Building (Services) Engineering for

• Enhancement Satisfaction of persons
• Comfort (Thermal, Lighting, Acoustic, Olfactory,
  Communication)
• Prevention Engagement of Hazards
• Safety Security (Burglary, Fire Hazards, other
  Accident Risks, Cancer, Allergy, Hyperreactivity,
  Infection)
• Compensation Assistance of persons
• Assistive Technology (Mobility, Communication,
  Daily Work and Domestic Activities, Stimulation
  of Independence)
• Care Support Care Organisation
• Health Care Technology (Surveillance,
  Telemedicine, Telecare, Empowering of Frail
  Persons, Managing Care)

Source Gerontechnology 2(2)169-172 2002
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Comfort Health

• Comfortable in one category may bring discomfort
  in another
• Comfort may be unhealthy
• Discomfort may lead to disease
• Health is more than comfort

Improving Quality of Live ? Increasing Comfort
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Segovia Aqueduct
Source ENCYCLOPÆDIA BRITANNICA
http//www.britannica.com/bcom/eb/article/single_
image/0,5716,20704bin5Fid,00.html
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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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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
Source The World Health Organisation
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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 1998. Life in the 21st
century. A vision for all http//www.who.int/whr/
1998/whr-en.htm
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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 http//www.britannica.com
/
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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 1979.
Bouwfysica. Spruyt, van Mantgem de Does,
Leiden. ISBN 90 238 0979 3
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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) 1991. Codex Medicus. Elsevier,
Amsterdam. ISBN 90-6228-183-4
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• 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 1991. Ziekmakende Gebouwen
  en de evolutie van de mens. Bouwfysica
• 2(2)18-25
• - E Eyskens, L Feenstra, AE Meinders (eds) 1991.
  Codex Medicus. Elsevier, Amsterdam.
• ISBN 90-6228-183-4
• - 6th Framework RD Program of the European
  Union, 2002

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Sick Buildings Bad Dwellings User Control 1.
Actual Use 2. Maintenance 3. Finishing and
Furnishing 4. Renovation / Expansion 5. Move out
/ Change job Owner gt Tenant gt Employee
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• 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

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• 3 Barriers against Disease
• Building, Building Services, Urban Planning
• Furnishing and Maintenance
• Hereditary Factors, Physical and Mental Fitness,
  Vaccinations, Healthy Nutrition

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• Ambient Intelligence
• Learning Environments, reacting on persons and
  environmental changes
• A revolution in Building Services
• Combining Comfort, Safety and Security, with
  Assistance and Health Care
• Towards Health Supportive Built Environments