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Pandemic Center

The Clean Indoor Air Initiative

The Clean Indoor Air Initiative

Americans spend 90% of their time indoors, yet most buildings aren't designed for health. There are no national indoor air quality standards. Cleaner air could cut respiratory disease by 80%, reduce student absences by 13%, and boost workplace productivity by 11%. Health-based standards and interventions are urgently needed.

Project Highlights

Indoor air quality is one of the greatest unmet public health challenges, with poor indoor air quality contributing to asthma; infectious diseases such as COVID, flu, and RSV; and cognitive impairment (e.g., headaches, dizziness, loss of productivity). The Clean Indoor Air Initiative launched in 2024 with the recognition that clean indoor air is essential for health, productivity, and economic growth. The Initiative advances healthier indoor environments through developing policy roadmaps and playbooks; convening experts in the field; supporting state and federal legislative efforts; communicating the evidence-base for how cleaner air supports health; and creating implementation tools for schools, nursing homes, and other indoor spaces. 

  • Coalition-building:
    • Hosting monthly meetings with the Clean Indoor Air Collaborative (30+ partner organizations) on clean indoor air action at the state level and developing a State Playbook for Cleaner Indoor Air with the collaborative.
    • Convened a 30-person roundtable in partnership with the Texas A&M Biosecurity and Pandemic Policy Center to advance national indoor air quality policy. Building on the roundtable, we published a two-pager on IAQ priorities for the Federal Government and Congress to consider (with 20+ signatories).
  • Advancing state, federal, and international government action:
    • Convening government leaders in September 2025 for a United Nations side event on Healthy Indoor Air, with lead country co-sponsors Montenegro and France, to catalyze global action.
    • Maintaining a database of proposed and passed state IAQ legislation, in partnership with the State Clean Indoor Air Collaborative and the Environmental Law Institute. In the past 5 years, 14 states have passed bills to improve IAQ.
    • Provided technical expertise to inform the development of Rhode Island bills H5597 and S0977 around indoor air quality in RI schools, building a coalition with the American Lung Association of Rhode Island and the Asthma and Allergy Foundation of America. The Senate bill passed unanimously with bipartisan support (June 2025), and both bills will be revisited during the next legislative cycle.
    • Leading the Policy Working Group of the Global Open Air Quality Standards initiative to develop a policy framework for universal air quality standards.
  • Sector-specific work:
    • Advancing cleaner indoor air in nursing homes by leading a project in partnership with CDC and the American Health Care Coalition (the association representing over 15,000 long term care facilities in the U.S.). The project is developing a toolkit for nursing home leaders on how and why to improve indoor air quality, aiming to support the health of over 1.3 million elderly in U.S. nursing centers.
    • Helped organize the Stanford Clean Indoor Air Forum (April 2025) to bring private sector leaders together to advance IAQ performance standards in commercial buildings and pave the way for routine IAQ monitoring in buildings.
    • Improving IAQ in schools through partnership with the Center for Green Schools, the Boston Public School District, and Boston University to develop a case study on how schools can incorporate routine IAQ monitoring to improve the air quality indoors.

Our Project Team 

The team is composed of Georgia Lagoudas, Sabrina Chwalek, Alice Im, and Skandan Ananthasekar along with partnerships with Beth Cameron and other Pandemic Center members. Team members also include past and present Brown undergraduate students.

Clean Indoor Air Project Team

  • Georgia Lagoudas

    Georgia Lagoudas, Ph.D.

    Senior Fellow
  • Sabrina Chwalek

    Sabrina Chwalek

    Visiting Fellow
  • Alice Im

    Alice Im

    Research Assistant
  • Skandan Ananthasekar Headshot

    Skandan Ananthasekar

    Visiting Fellow
  • Mary Claire Warren Headshot

    Mary Claire Warren

    Summer UTRA
  • Ruviha Homma

    Ruviha Homma

    Summer UTRA
  • Huyen Nguyen

    Huyen Nguyen

    Sophomore

Our Partners

  • Brown University Center for Long Term Care Quality & Innovation
  • American Health Care Association
  • U.S. Centers for Disease Control and Prevention
  • Texas A&M University Biosecurity and Pandemic Policy Center
  • Stanford University Department of Emergency Medicine
  • Australian Academy of Science
  • Burnet Institute of Australia

 

Read More About The Clean Indoor Air Initiative 

https://pandemics.sph.brown.edu/news/2025-04-07/sustainable-buildings

https://pandemics.sph.brown.edu/news/2025-03-20/rhode-island-air-quality-schools

https://pandemics.sph.brown.edu/news/2025-03-04/indoor-air-actions

 

More Resources 

Clean Indoor Air Two-Pager

Federal and State Policy Opportunities to Improve Indoor Air Quality

 

Contact Information

Contact georgia_lagoudas@brown.edu or cleanair@brown.edu

Brown University School of Public Health
Providence RI 02903 401-863-3375 public_health@brown.edu

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The Clean Indoor Air Initiative