Presents a critical review of evidence for direct associations between these aspects of indoor environmental quality (IEQ) and performance or attendance. Evidence on indirect connections potentially linking IEQ to performance or attendance is also summarized. Regarding direct associations, little strongly designed research was available. Persuasive evidence links higher indoor concentrations of NO2 to reduced school attendance, and suggestive evidence links low ventilation rates to reduced performance. Regarding indirect associations, many studies link indoor dampness and microbiologic pollutants (primarily in homes) to asthma exacerbations and respiratory infections, which in turn have been related to reduced performance and attendance.
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