Submitted:
08 July 2026
Posted:
09 July 2026
You are already at the latest version
Abstract
Keywords:
1. Introduction
2. Materials and Methods
2.1. Study Design
2.2. Sample and Recruitment
2.3. Air Quality Sampling
2.4. Laboratory Analysis
2.5. Data analysis
2.5.1. Ventilation rates

2.5.2. Comparing IAQ Pollutants Between Office Spaces with and Without the Presence of Scent-Free Policies
2.5.3. Evaluating IAQ Parameters Against Health-based Canadian IAQ Guidelines
2.5.4. Assessing the Role of Scent-Free Policies in Supporting Healthier and More Accessible Indoor Environments
2.6. Data verification
3. Results
3.1. Descriptives of Common Pollutants Found in Office Spaces with and Without the Presence of Scent-Free Policies
3.2. Comparing Pollutant Concentrations Between Spaces with and without Scent-free policies
3.3. Evaluating Buildings Against Health-Based Canadian IAQ Guidelines
3.3.1. Evaluating TVOCs Against Well Standard
3.3.2. Evaluating Common Office Space VOCs Listed on Health Canada Guidelines
3.4. Associations Between Potentially Hazardous VOCs and Scent-Free Policy Implementation
4. Discussion
4.1. Differences in Pollutant Concentrations between Spaces with and without Scent-free Policies
4.2. Evaluation of Current IAQ Guidelines Against Sampled Office Spaces
4.3. Increasing Accessibility: Reduction of Potentially Hazardous VOCs with Scent-Free Policies
4.4. Future Directions: Scent-Free Policy Education and Implementation
5. Conclusions
Supplementary Materials
Author Contributions
Funding
Institutional Review Board Statement
Informed Consent Statement
Data Availability Statement
Acknowledgments
Conflicts of Interest
Appendix A
| Characteristic | With Policy (n=16) | No Policy (n=16) | |
| Building Characteristics | |||
| Building type: Office | 37.50% | 87.50% | |
| Building type: Healthcare | 37.50% | - | |
| Building type: Education | 25.00% | 12.50% | |
| Mean building age (years, SD) | 63.2 (27.9) | 32.9 (17.3) | |
| Total building size (sq. ft, SD) | 97,708 (14,577) | 48,196 (70,490) | |
| Primary province: Ontario | 68.70% | 56.20% | |
| Indoor Environment Characteristics | |||
| Ventilation: Mechanical | 50.00% | 75.00% | |
| Ventilation: Mechanical + Natural | 12.50% | 0% | |
| Meeting room size, sq. ft (SD) | 300.3 (163.2) | 633.8 (1,074.9) | |
| Office room size, sq. ft (SD) | 1,062.6 (1,982.3) | 606.1 (1,149.9) | |
| Washroom size, sq. ft (SD) | 166.8 (133.2) | 162.7 (157.1) | |
| Occupancy characteristics | |||
| Meeting room occupancy (# of people, SD) | 12.7 (13.0) | 23.7 (53.1) | |
| Office room occupancy (# of people, SD) | 11.7 (19.5) | 13.6 (19.2) | |
| Washroom occupancy # of people, SD) | 12.4 (27.5) | 3.3 (4.9) | |
| Sampling Characteristics | |||
| Sampled in spring | 56.20% | 86.50% | |
| Sampled in winter | 18.80% | 12.50% | |
| Sampled in summer | 25.00% | - | |
| Potential Exposure Sources | |||
| Renovations: Painting (within 12 months) | 18.80% | 18.80% | |
| Renovations: Carpet installation | 12.50% | 18.80% | |
| Outdoor emission sources: Airports | 31.20% | 56.30% | |
| Outdoor emission sources: Smoking areas | 25.00% | 37.50% | |
| Outdoor emission sources: Heavy traffic | 62.50% | 50.00% | |
References
- Salonen, H., Salthammer, T., Castagnoli, E., Täubel, M., & Morawska, L. (2024). Cleaning products: Their chemistry, effects on indoor air quality, and implications for human health. Environment International, 190, 108836. [CrossRef]
- Mannan, M., & Al-Ghamdi, S. G. (2021). Indoor air quality in buildings: A comprehensive review on the factors influencing air pollution in residential and commercial structure. International Journal of Environmental Research and Public Health, 18(6), 3276. [CrossRef]
- Molot, J., Sears, M., & Anisman, H. (2023). Multiple chemical sensitivity: It’s time to catch up to the science. Neuroscience & Biobehavioral Reviews, 151, 105227. [CrossRef]
- Roy, S., Molot, J., Lattanzio, R., Bray, R., Armstrong, J., Trifunovski, A., & Peris, R. Fragrance-Free Policies: A Scoping Review of Definitions, Implementation, and Gaps. Association pour la santé environnementale du Québec – Environmental Health Association of Québec. Québec, Ontario, Canada. 2026a, (Manuscript submitted).
- Canadian Centre for Occupational Health and Safety (CCOHS). (2024). Indoor air quality - general. Retrieved June 10, 2025, from https://www.ccohs.ca/oshanswers/chemicals/iaq/iaq_intro.html.
- Bhoonah, R., Mendez, M., & Maury-Micolier, A. (2024). Human health impacts and indoor chemical reactions of vocs from cleaning products and occupants. Atmospheric Environment, 338, 120846. [CrossRef]
- Steinemann, A. (2016). Fragranced consumer products: Exposures and effects from emissions. Air Quality, Atmosphere & Health, 9(8), 861–866. [CrossRef]
- Laura N. Vandenberg, Theo Colborn, Tyrone B. Hayes, Jerrold J. Heindel, David R. Jacobs, Duk-Hee Lee, Toshi Shioda, Ana M. Soto, Frederick S. vom Saal, Wade V. Welshons, R. Thomas Zoeller, John Peterson Myers. (2012). Hormones and Endocrine-Disrupting Chemicals: Low-Dose Effects and Nonmonotonic Dose Responses. Endocrine Reviews, Volume 33, Issue 3. Pages 378–455. [CrossRef]
- Thangavel, P., Park, D., & Lee, Y.-C. (2022). Recent insights into particulate matter (pm2.5)-mediated toxicity in humans: An overview. International Journal of Environmental Research and Public Health, 19(12), 7511. [CrossRef]
- Maung, T. Z., Bishop, J. E., Holt, E., Turner, A. M., & Pfrang, C. (2022). Indoor air pollution and the health of vulnerable groups: A systematic review focused on particulate matter (pm), volatile organic compounds (vocs) and their effects on children and people with pre-existing lung disease. International Journal of Environmental Research and Public Health, 19(14), 8752. [CrossRef]
- Tjalvin, G., Svanes, Ø., Igland, J., Bertelsen, R., Benediktsdóttir, B., Dharmage, S., Forsberg, B., Holm, M., Janson, C., Jõgi, N., Johannessen, A., Malinovschi, A., Pape, K., Real, F., Sigsgaard, T., Torén, K., Vindenes, H., Zock, J.-P., Schlünssen, V., & Svanes, C. (2022). Maternal preconception occupational exposure to cleaning products and disinfectants and offspring asthma. Journal of Allergy and Clinical Immunology, 149(1), 422–431.e5. [CrossRef]
- Chiarello, D. I., Ustáriz, J., Marín, R., Carrasco-Wong, I., Farías, M., Giordano, A., Gallardo, F. S., Illanes, S. E., & Gutiérrez, J. (2023). Cellular mechanisms linking to outdoor and indoor air pollution damage during pregnancy. Frontiers in Endocrinology, 14. [CrossRef]
- Palmer, R. F., Kattari, D., Rincon, R., & Miller, C. S. (2024). Assessing chemical intolerance in parents predicts the risk of autism and adhd in their children. Journal of Xenobiotics, 14(1), 350–367. [CrossRef]
- Subri, M. S. M., Arifin, K., Sohaimin, M. F. A. M., & Abas, A. (2024). The parameter of the Sick Building Syndrome: A systematic literature review. Heliyon, 10(12), Article e32431. [CrossRef]
- Yousufzai, S. J., Psaradellis, E., Peris, R., & Barakat, C. (2025). A qualitative exploration of policy, institutional, and social misconceptions faced by individuals with multiple chemical sensitivity. International Journal of Environmental Research and Public Health, 22(9), 1383. [CrossRef]
- Robins, S., Molot, J., & Peris, R. (2026). Prevalence of multiple chemical sensitivity in Canada between 2000 and 2020. International Journal of Environmental Research and Public Health, 23(2), Article 236. [CrossRef]
- Masri, S., Miller, C.S., Palmer, R.F. et al. Toxicant-induced loss of tolerance for chemicals, foods, and drugs: assessing patterns of exposure behind a global phenomenon. Environ Sci Eur 33, 65 (2021). [CrossRef]
- Miller, C. S., & Prihoda, T. J. (1999). The environmental exposure and sensitivity inventory (eesi): A standardized approach for measuring chemical intolerances for research and clinical applications. Toxicology and Industrial Health, 15(3-4), 370–385. [CrossRef]
- Grandjean, P. (2016). Paracelsus revisited: The dose concept in a complex world. Basic & Clinical Pharmacology & Toxicology, 119(2), 126–132. [CrossRef]
- Saito, A., Tanaka, H., Usuda, H., Shibata, T., Higashi, S., Yamashita, H., Inagaki, N., & Nagai, H. (2011). Characterization of skin inflammation induced by repeated exposure of toluene, xylene, and formaldehyde in mice. Environmental Toxicology, 26(3), 224–232. [CrossRef]
- Miao, F., Wang, R., Cui, G., Li, X., Wang, T., & Li, X. (2019). Engagement of microrna-155 in exaggerated oxidative stress signal and trpa1 in the dorsal horn of the spinal cord and neuropathic pain during chemotherapeutic oxaliplatin. Neurotoxicity Research, 36(4), 712–723. [CrossRef]
- Rossi, S., & Pitidis, A. (2018). Multiple chemical sensitivity. Journal of Occupational & Environmental Medicine, 60(2), 138–146. [CrossRef]
- Domingo, J. L. (2026). Mixture toxicity revisited: A translational review of experimental evidence from animal models to human health risk assessment. Toxicology, 520, Article 154372. [CrossRef]
- Health Canada. (2023). Consultation: Draft guidance on improving indoor air quality in office buildings. Retrieved October 11, 2025, from https://www.canada.ca/en/health-canada/programs/consultation-draft-guidance-improving-indoor-air-quality-office-buildings/for-professionals.html.
- Chamseddine, A., Elzein, I. M., & Hassan, N. (2025). Indoor air quality in critical indoor environments: A review paper. Water, Air, & Soil Pollution, 236(13). [CrossRef]
- Niza, I., Bueno, A., Gameiro da Silva, M., & Broday, E. (2024). Air quality and ventilation: Exploring solutions for healthy and sustainable urban environments in times of climate change. Results in Engineering, 24, 103157. [CrossRef]
- Babich, F., Demanega, I., Avella, F., & Belleri, A. (2020). Low polluting building materials and ventilation for good air quality in residential buildings: A cost–benefit study. Atmosphere, 11(1), 102. [CrossRef]
- Steinemann, A. (2019). Ten questions concerning scent-free policies and indoor environments. Building and Environment, 159, 106054. [CrossRef]
- Canadian Human Rights Commission. (2026). Environmental sensitivities and scent-free policies [PDF]. Retrieved July 2, 2025, from https://publications.gc.ca/collections/collection_2024/ccdp-chrc/HR4-124-2024-eng.pdf.
- Steinemann, A. (2020). The fragranced products phenomenon: Air quality and health, science and policy. Air Quality, Atmosphere & Health, 14(2), 235–243. [CrossRef]
- U.S. Environmental Protection Agency [EPA]. (2003). A standardized EPA protocol for characterizing indoor air quality in large office buildings (EPA/600/R-03/004). Environmental Health & Engineering, Inc. Retrieved from https://www.epa.gov/sites/default/files/2016-04/documents/standardized_iaq_base_protocol_for_characterizing_iaq_in_large_buildings-pdf.pdf.
- Horvat, T., Pehnec, G., & Jakovljević, I. (2025). Volatile organic compounds in indoor air: Sampling, determination, sources, health risk, and regulatory insights. Toxics, 13(5), 344. [CrossRef]
- Wu, X., Apte, M. G., Maddalena, R., & Bennett, D. H. (2011). Volatile organic compounds in small- and medium-sized commercial buildings in california. Environmental Science & Technology, 45(20), 9075–9083. [CrossRef]
- Zhong, L., Su, F.-C., & Batterman, S. (2017). Volatile organic compounds (vocs) in conventional and high performance school buildings in the u.s. International Journal of Environmental Research and Public Health, 14(1), 100. [CrossRef]
- Wolkoff, P. (2013). Indoor air pollutants in office environments: Assessment of comfort, health, and performance. International Journal of Hygiene and Environmental Health, 216(4), 371–394. [CrossRef]
- World Health Organization (WHO). (2010). Who guidelines for indoor air quality: Selected pollutants. World Health Organization. https://www.who.int/publications/i/item/9789289002134.
- Papapostolou, V., Kuang, M., Mui, W., Low, J. C., & Polidori, A. (2023). Laboratory Evaluation of VOC Sensors: Laboratory Testing Protocol [Technical report]. South Coast Air Quality Management District. https://www.aqmd.gov/docs/default-source/aq-spec/protocols/voc-sensors-laboratory-testing-protocol.pdf.
- Wang, N., Müller, T., Ernle, L., Bekö, G., Wargocki, P., & Williams, J. (2024). How does personal hygiene influence indoor air quality? Environmental Science & Technology, 58(22), 9750–9759. [CrossRef]
- Wu, T., Müller, T., Wang, N., Byron, J., Langer, S., Williams, J., & Licina, D. (2024). Indoor emission, oxidation, and new particle formation of personal care product related volatile organic compounds. Environmental Science & Technology Letters, 11(10), 1053–1061. [CrossRef]
- Trifunovski, A., Lattanzio, R., Molot, J., Barakat, C., Gaudet, M., Bray, R., Diallo, N., & Peris, R. (2026). Technician decontamination and indoor air quality testing: Toward formalized protocols. Association pour la santé environnementale du Québec – Environmental Health Association of Québec. Québec, Ontario, Canada. (Manuscript in preparation; under review).
- Kang, H. (2013). The prevention and handling of the missing data. Korean Journal of Anesthesiology, 64(5), 402. [CrossRef]
- Wendelberger, J., & Campbell, K. (1994). NON-DETECT DATA IN ENVIRONMENTAL INVESTIGATIONS [PDF]. https://digital.library.unt.edu/ark:/67531/metadc1315539/m2/1/high_res_d/10156972.pdf.
- Persily, A. (2015). Challenges in developing ventilation and indoor air quality standards: The story of ashrae standard 62. Building and Environment, 91, 61–69. [CrossRef]
- Persily, A., & de Jonge, L. (2017). Carbon dioxide generation rates for building occupants. Indoor Air, 27(5), 868–879. [CrossRef]
- Takahashi, H., Bivolarova, M., Keli, A., Nickel, J., & Melikov, A. (2019). Non-uniformity in outdoor co2 concentration in city of copenhagen. E3S Web of Conferences, 111, 02007.
- Kim, M., & Choi, J.-H. (2019). Can increased outdoor co2 concentrations impact on the ventilation and energy in buildings? a case study in shanghai, china. Atmospheric Environment, 210, 220–230. [CrossRef]
- Caron-Beaudoin, É., Whyte, K., Bouchard, M. F., Chevrier, J., Haddad, S., Copes, R., Frohlich, K. L., Dokkie, D., Juul, S., Bouchard, M., & Verner, M.-A. (2022). Volatile organic compounds (vocs) in indoor air and tap water samples in residences of pregnant women living in an area of unconventional natural gas operations: Findings from the experiva study. Science of The Total Environment, 805, 150242. [CrossRef]
- Rothman, K. J., Huybrechts, K. F., & Murray, E. J. (2024). Stratified analysis. In Epidemiology (pp. 171–193). Oxford University PressNew York. [CrossRef]
- Mai, J.-L., Yang, W.-W., Zeng, Y., Guan, Y.-F., & Chen, S.-J. (2024). Volatile organic compounds (vocs) in residential indoor air during interior finish period: Sources, variations, and health risks. Hygiene and Environmental Health Advances, 9, 100087. [CrossRef]
- Domhagen, F., Langer, S., & Sasic Kalagasidis, A. (2023). Modelling voc levels in a new office building using passive sampling, humidity, temperature, and ventilation measurements. Building and Environment, 238, 110337. [CrossRef]
- Liang, X., Zhang, B., Wang, K., Ji, X., Geng, Z., & Chen, C. (2022). Indoor formaldehyde pollution and its influencing factors of newly decorated residential buildings in kunshan city, jiangsu province. Current Urban Studies, 10(02), 263–274. [CrossRef]
- International WELL Building Institute. (2016). Building WELL through performance verification. Retrieved November 9, 2025, from https://resources.wellcertified.com/articles/building-well-through-performance-verification/.
- Mansor, A. A. ., Abdullah, S., Ahmad, A. N., Ismail, N. A., & Ismail, M. (2023). Investigating Indoor Air Quality (IAQ) and Sick Building Syndrome Symptoms (SBSS) using generalized linear model. Healthscope: The Official Research Book of Faculty of Health Sciences, UiTM, 6(1), 23-30. Retrieved from https://healthscopefsk.com/index.php/research/article/view/308.
- Justo Alonso, M., Moazami, T., Liu, P., Jørgensen, R., & Mathisen, H. (2022). Assessing the indoor air quality and their predictor variable in 21 home offices during the covid-19 pandemic in Norway. Building and Environment, 225, 109580. [CrossRef]
- Mansfield E.R., Helms B.P. Detecting Multicollinearity. Am. Stat. 1982;36:158–160. [CrossRef]
- González-Ramírez, R., Chen, Y., Liedtke, W. B., & Morales-Lázaro, S. L. (2017). TRP channels and pain. In T. L. Emir (Ed.), Neurobiology of TRP channels. CRC Press/Taylor & Francis. https://www.ncbi.nlm.nih.gov/books/NBK476120/.
- Talavera, K., Startek, J. B., Alvarez-Collazo, J., Boonen, B., Alpizar, Y. A., Sanchez, A., Naert, R., & Nilius, B. (2020, April 1). Mammalian transient receptor potential TRPA1 channels: From structure to disease. Physiological Reviews, 100(2), 725–803. [CrossRef]
- International Fragrance Association. (n.d.). IFRA transparency list. Retrieved March 17, 2026, from https://ifrafragrance.org/transparency-list.
- Steinemann, A. (2017). Health and societal effects from exposure to fragranced consumer products. Preventive Medicine Reports, 5, 45–47. [CrossRef]
- Kazemi, Z., Aboutaleb, E., Shahsavani, A., Kermani, M., & Kazemi, Z. (2022). Evaluation of pollutants in perfumes, colognes and health effects on the consumer: A systematic review. Journal of Environmental Health Science and Engineering, 20(1), 589–598. [CrossRef]
- Lv, J., Li, X., Shen, Y., You, J., Wen, M., Wang, J., & Yang, X. (2023). Assessing volatile organic compounds exposure and chronic obstructive pulmonary diseases in us adults. Frontiers in Public Health, 11. [CrossRef]
- American Medical Association (AMA). Policy Finder American Medical Association. (2025). Fragrance regulation H-135.902. American Medical Association.
- Lin, W.-T., Tsai, R.-Y., Chen, H.-L., Tsay, Y.-S., & Lee, C.-C. (2022). Probabilistic prediction models and influence factors of indoor formaldehyde and voc levels in newly renovated houses. Atmosphere, 13(5), 675. [CrossRef]
- Holøs, S. B., Yang, A., Lind, M., Thunshelle, K., Schild, P., & Mysen, M. (2018). VOC emission rates in newly built and renovated buildings, and the influence of ventilation – a review and meta-analysis. International Journal of Ventilation, 18(3), 153–166. [CrossRef]
- Robertson, N. M., Qiu, A., Raju, S., McCormack, M. C., & Koehler, K. (2024). Cleaning indoor air—what works for respiratory health: An updated literature review and recommendations. Journal of Allergy and Clinical Immunology, 154(4), 847–860. [CrossRef]
- Gržinić, G., Wolska, L., Rybak, B., Olkowska, E., & Nyka, M. (2025). Managing the quality of indoor air in office rooms: Looking for a solution. International Journal of Environmental Science and Technology, 22(14), 14591–14606. [CrossRef]
- Martins, C., Teófilo, V., Clemente, M., Corda, M., Fermoso, J., Aguado, A., Rodriguez, S., Moshammer, H., Kristian, A., Ferri, M., Costa-Ruiz, B., Pérez, L., Hanke, W., Badyda, A., Kepa, P., Affek, K., Doskocz, N., Martín-Torrijos, L., Mulayim, M.,...Viegas, S. (2025). Sources, levels, and determinants of indoor air pollutants in Europe: A systematic review. Science of The Total Environment, 964, 178574. [CrossRef]
- Zarogianni, A., Loupa, G., & Rapsomanikis, S. (2018). Fragrances and aerosol during office cleaning. Aerosol and Air Quality Research, 18(5), 1162–1167. [CrossRef]
- Siddiqui, T., Khan, M. U., Sharma, V., & Gupta, K. (2024). Terpenoids in essential oils: Chemistry, classification, and potential impact on human health and industry. Phytomedicine Plus, 4(2), 100549. [CrossRef]
- Nematollahi, N., Ross, P. A., Hoffmann, A. A., Kolev, S. D., & Steinemann, A. (2021). Limonene emissions: Do different types have different biological effects? International Journal of Environmental Research and Public Health, 18(19), 10505. [CrossRef]
- Wolkoff, P. (2020). Indoor air chemistry: Terpene reaction products and airway effects. International Journal of Hygiene and Environmental Health, 225, 113439. [CrossRef]
- Calogirou, A., Larsen, B., & Kotzias, D. (1999). Gas-phase terpene oxidation products: A review. Atmospheric Environment, 33(9), 1423–1439. [CrossRef]
- Environment and Climate Change Canada. (2022). Ozone layer depletion: Montreal Protocol [Web page]. Retrieved November 9, 2025, from https://www.canada.ca/en/environment-climate-change/corporate/international-affairs/partnerships-organizations/ozone-layer-depletion-montreal-convention.html.
- United Nations Environment Programme (UNEP). (2021). The story behind unexpected emissions of CFC-11. Retrieved September 22, 2025, from https://ozone.unep.org/story-behind-unexpected-emissions-cfc-11.
- Rahman, M., & Kim, K.-H. (2014). Potential hazard of volatile organic compounds contained in household spray products. Atmospheric Environment, 85, 266–274. [CrossRef]
- Kazemi, Z., Aboutaleb, E., Shahsavani, A., Kermani, M., & Kazemi, Z. (2022). Evaluation of pollutants in perfumes, colognes and health effects on the consumer: A systematic review. Journal of Environmental Health Science and Engineering, 20(1), 589–598. [CrossRef]
- Gautam, A., & Cressey, P. J. (2025). Benzene in cosmetic products: Non cancer and cancer risk assessment. Toxicology Reports, 15, 102135. [CrossRef]
- Holden, K. A., Lee, A. R., Hawcutt, D. B., & Sinha, I. P. (2023). The impact of poor housing and indoor air quality on respiratory health in children. Breathe, 19(2), 230058. [CrossRef]
- Wolkoff, P. (2024). Indoor air humidity revisited: Impact on acute symptoms, work productivity, and risk of influenza and covid-19 infection. International Journal of Hygiene and Environmental Health, 256. Retrieved November 5, 2025, from . [CrossRef]
- Garcia-Gonzalez, H., Lopez-Pola, M. T., Rodriguez, R., Fernandez-Rubio, P., & Fernandez-Rodriguez, P. (2025). Assessing volatile organic compounds (VOCs) in a laboratory and office building environment. Air Quality, Atmosphere & Health, 18(11), 3329–3345. [CrossRef]
- Cleary, E., Asher, M., Olawoyin, R., & Zhang, K. (2017). Assessment of indoor air quality exposures and impacts on respiratory outcomes in river rouge and dearborn, Michigan. Chemosphere, 187, 320–329. [CrossRef]
- Bernstein, J. A., Alexis, N., Bacchus, H., Bernstein, I., Fritz, P., Horner, E., Li, N., Mason, S., Nel, A., Oullette, J., Reijula, K., Reponen, T., Seltzer, J., Smith, A., & Tarlo, S. M. (2008). The health effects of nonindustrial indoor air pollution. Journal of Allergy and Clinical Immunology, 121(3), 585–591. [CrossRef]
- Umweltbundesamt. (UBA). (2025). German committee on indoor air guide values. Umweltbundesamt. Retrieved June 26, 2025, from https://www.umweltbundesamt.de/en/topics/health/commissions-working-groups/german-committee-on-indoor-air-guide-values#german-committee-on-indoor-air-guide-values-air.
- Bari, M., Kindzierski, W. B., Wheeler, A. J., Héroux, M.-È., & Wallace, L. A. (2015). Source apportionment of indoor and outdoor volatile organic compounds at homes in edmonton, canada. Building and Environment, 90, 114–124. [CrossRef]
- Nematollahi, N., Doronila, A., Mornane, P.J. et al. Volatile chemical emissions from fragranced baby products. Air Qual Atmos Health 11, 785–790 (2018). [CrossRef]
- Pál, L., Lovas, S., McKee, M., Diószegi, J., Kovács, N., & Szűcs, S. (2024). Exposure to volatile organic compounds in offices and in residential and educational buildings in the European Union between 2010 and 2023: A systematic review and health risk assessment. Science of The Total Environment, 945, 173965. [CrossRef]
- Rádis-Baptista, G. (2023). Do synthetic fragrances in personal care and household products impact indoor air quality and pose health risks? Journal of Xenobiotics, 13(1), 121–131. [CrossRef]
- Temkin, A. M., Geller, S. L., Swanson, S. A., Leiba, N. S., Naidenko, O. V., & Andrews, D. Q. (2023). Volatile organic compounds emitted by conventional and “green” cleaning products in the u.s. market. Chemosphere, 341, 139570. [CrossRef]
- Harčárová, K., Vilčeková, S., & Balintova, M. (2020). Building materials as potential emission sources of voc in the indoor environment of buildings. Key Engineering Materials, 838, 74–80. [CrossRef]
- Nurmatov, U. B., Tagieva, N., Semple, S., Devereux, G., & Sheikh, A. (2013). Volatile organic compounds and risk of asthma and allergy: A systematic review and meta-analysis of observational and interventional studies. Primary Care Respiratory Journal, 22(1), PS9–PS15. [CrossRef]
- Yoon, H., Hong, Y., Cho, S., Kim, H., Kim, Y., Sohn, J., Kwon, M., Park, S., Cho, M., & Cheong, H. (2010). Exposure to volatile organic compounds and loss of pulmonary function in the elderly. European Respiratory Journal, 36(6), 1270–1276. [CrossRef]
- Halios, C. H., Landeg-Cox, C., Lowther, S. D., Middleton, A., Marczylo, T., & Dimitroulopoulou, S. (2022). Chemicals in european residences – part i: A review of emissions, concentrations and health effects of volatile organic compounds (vocs). Science of The Total Environment, 839, 156201. [CrossRef]
- Radbel, J., Rebuli, M. E., Kipen, H., & Brigham, E. (2024). Indoor air pollution and airway health. Journal of Allergy and Clinical Immunology, 154(4), 835–846. [CrossRef]
- Liu, X., Chang, Y., Xu, C., Li, Y., Wang, Y., Sun, Y., Duan, M., Li, W., & Cui, J. (2024). Association of volatile organic compound levels with chronic obstructive pulmonary diseases in nhanes 2013–2016. Scientific Reports, 14(1). [CrossRef]
- Lv, J., Li, X., Shen, Y., You, J., Wen, M., Wang, J., & Yang, X. (2023). Assessing volatile organic compounds exposure and chronic obstructive pulmonary diseases in us adults. Frontiers in Public Health, 11. [CrossRef]
- Khoshakhlagh, A., Mohammadzadeh, M., & Gruszecka-Kosowska, A. (2024). Dermatitis, a nightmare for those exposed to environmental pollutants. Journal of Hazardous Materials Advances, 15, 100454. [CrossRef]
- Steinemann, A. C., MacGregor, I. C., Gordon, S. M., Gallagher, L. G., Davis, A. L., Ribeiro, D. S., & Wallace, L. A. (2011). Fragranced consumer products: Chemicals emitted, ingredients unlisted. Environmental Impact Assessment Review, 31(3), 328–333. [CrossRef]
- Diallo, N.A.; Molot, J.; Bray, R.; Trifunovski, A.; Peris, R. Chemical exposures, sensitization, provocation and symptom profiles in adults with multiple chemical sensitivity: A cross-sectional survey. 2026; (Manuscript submitted).
- Du, L., Batterman, S., Godwin, C., Rowe, Z., & Chin, J. (2016). Air exchange rates and migration of vocs in basements and residences. Indoor Air, 25(6), 598–609. [CrossRef]
- Ceballos, D. M., & Burr, G. A. (2012). Evaluating a persistent nuisance odor in an office building. Journal of Occupational and Environmental Hygiene, 9(1), D1–D6. [CrossRef]
- Roy, S., Diallo, N., Molot, J., Lattanzio, R., Bray, R., Armstrong, J., & Peris, R. Fragrance-free policies in practice: identifying implementation gaps through lived experience. Association pour la santé environnementale du Québec – Environmental Health Association of Québec. Québec, Ontario, Canada. 2026a, (Manuscript submitted).
- Trifunovski, A., Rotondi, N. K., Abbass-Dick, J., & Barakat, C. (2025). Analysis of women’s knowledge, health risk perceptions, beliefs and avoidance behaviour in relation to Endocrine-Disrupting Chemicals in Personal care and household products. Toxics, 13(5), Article 414. [CrossRef]
- Damiani, G., Alessandrini, M., Caccamo, D., Cormano, A., Guzzi, G., Mazzatenta, A., Micarelli, A., Migliore, A., Piroli, A., Bianca, M., Tapparo, O., & Pigatto, P. (2021). Italian expert consensus on clinical and Therapeutic management of multiple chemical sensitivity (MCS). International Journal of Environmental Research and Public Health, 18(21), Article 11294. [CrossRef]
- Bray R, Wang Y, Argiropoulos N, Robins S, Molot J, Pigeon MA, Gaudet M, Auger P, Bélanger E, Peris R. (2024). The Impact of COVID-19 Health Measures on Adults With Multiple Chemical Sensitivity: Cross-Sectional Study jMIR Form Res 2024;8:e48434. http://doi.org/10.2196/48434.










| IAQ Parameter | Guideline Threshold |
Average Value |
Average Value |
Offices Not Meeting Guidelines |
Offices Not Meeting Guidelines |
| With Policies | No Policies | With Policies n (%) | No Policies n (%) | ||
| CO₂ (ppm) n=32 | < 1000 | 669 | 563 | 2/16 (12.5%) | 0 (0) |
| CO (ppm) n=32 | < 10.0 | 0.57 | 1.8 | 0 (0) | 0 (0) |
| PM₂.₅ n=32 (mg/m³) | Unknown | 0.004 | 0.004 | - | - |
| Temperature (°C) n=32 | 23.0 - 25.5 | 23.1 | 22.9 | 9/16 (56.2%) | 9/16 (56.2%) |
| Relative Humidity (%) n=32 | 30.0 - 60.0 | 35.5 | 29.9 | 11/16 (68.8%) | 8/16 (50.0%) |
| Formaldehyde (µg/m³) n=32 | < 50.0 | 11.9 | 15.1 | 0 (0) | 1/16 (6.2%) |
| TVOCs (µg/m³) | < 500 | 489.3 | 1,229.8 | 5/16 (31.2%) | 9/16 (56.2%) |
| Acetaldehyde (µg/m³) n=30 | < 280 | 25.8 | 36.4 | 0 (0) | 0 (0) |
| Acrolein (µg/m³) n=12 | < 0.44 | 0.667 | 0.808 | 1/5 (20%) | 2/7 (28.6%) |
| Benzene (µg/m³) n=22 | No safe level | 1.4 | 6.12 | 7/7 (100%) | 15/15 (100%) |
| Toluene (µg/m³) n=31 | < 2,300 | 2.71 | 21.5 | 0 (0) | 0 (0) |
| m-/p-xylene (µg/m³) n=25 | < 150 | 2.58 | 17.9 | 0 (0) | 1/14 (7.1%) |
| Multivariable regression (gamma family, log link function) | ||||||
| Acetaldehyde | Acetone | Toluene | TVOCs | o-Xylene | m-/p-Xylenes | |
| Adjusted OR (95% CI) | ||||||
| Policy | ||||||
| Without policy |
2.17 (1.05-4.38)* |
7.72 (4.07-14.51)*** |
3.40 (1.17-9.90)* |
3.90 (2.02-7.40)*** |
15.49 (5.64-44.31)*** |
6.86 (2.39-19.04)*** |
| With policy | Ref | Ref | Ref | Ref | Ref | Ref |
| Site | ||||||
| Meeting room | Ref | Ref | Ref | Ref | Ref | Ref |
| Office | 1.26 (0.55-2.81) |
0.72 (0.32-1.55) |
1.23 (0.29-5.02) |
1.29 (0.60-2.71) |
0.61 (0.19-1.92) |
1.08 (0.29-4.14) |
| Washroom | 1.21 (0.45-3.40) |
0.48 (0.19-1.22) |
0.43 (0.10-1.97) |
0.81 (0.32-2.12) |
1.42 (0.42-4.78) |
1.20 (0.28-5.08) |
| Size | 0.58 (0.25-1.38) |
1.01 (0.53-1.92) |
1.06 (0.34-3.17) |
0.86 (0.45-1.66) |
2.88 (0.79-12.03) |
1.38 (0.42-4.98) |
| Occupancy | 1.19 (0.64-2.15) |
0.54 (0.25-1.13) |
0.42 (0.11-1.62) |
0.57 (0.32-1.00) |
N/A | N/A |
| Ventilation rate | 0.82 (0.53-1.35) |
0.60 (0.40-0.92)* |
0.39 (0.21-0.74) |
0.60 (0.40-0.95)* |
0.59 (0.26-1.30) |
N/A |
| McFadden’s R² | 0.031 | 0.119 | 0.154 | 0.048 | 0.231 | 0.066 |
| Note: Data are Odds Ratio (95% confidence interval); *p<0.05, **p<0.01, p<***<0.001; N/A = Variable excluded due to failed convergence | ||||||
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© 2026 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (http://creativecommons.org/licenses/by/4.0/).