Clean Air

Clean air regulations shouldn’t stop at the door. Clean-air action has always looked outward, at traffic and the street. But most of us spend up to 90% of our lives indoors — and especially for Clinically Vulnerable people, those are the hours that carry the most risk: classrooms, clinics, workplaces and waiting rooms, where the air, and everything in it, is shared.

Indoor air can pose a health risk

Poor indoor air can increase exposure to airborne infections, allergens and harmful pollution. For Clinically Vulnerable families, cleaner indoor air means greater safety, inclusion and freedom to take part in everyday life. Just as we expect clean drinking water in every public building, we should expect clean indoor air. Both are essential to health, safety and equal access.

A teenager in a hoodie coughs into his hand; airborne droplets drift towards an illustrated diagram of the lungs and airways.

Risks to children

Children need more oxygen than adults, yet their lungs are smaller and still developing. So the same air in a room can expose a child to far more risk, from infections and pollutants, than an adult.

Illustration of virus particles floating in the air.

Airborne pathogens

Respiratory viruses can remain longer in stuffy, poorly ventilated rooms. Fresh air and filtration are among the few measures that actually reduce that risk – surface cleaning does not.

A trigger spray bottle and an aerosol air freshener releasing a fine mist and vapour into the air.

It is not just pathogens

Indoor air can also carry fine particles (PM2.5), nitrogen dioxide from cooking and heating, and volatile compounds from cleaning sprays and air fresheners – all of which can trigger asthma and inflammation.

See the air in the room

Use our calculator to understand air quality

Most UK classrooms have high occupancy and are naturally ventilated. Change the ventilation and watch two things: the CO₂ level (which indicates good air quality when under 800 ppm) and how quickly the air is changed (cleaned or replaced) for the people using the room.

Numbers are illustrative, based on real-world studies and calculations.

CO₂ level

1957

parts per million

Poor

Clean air per person

1.5

litres/sec per person

Low

Windows shut, full class. In real classrooms, CO₂ averaged 1,957 ppm over the day, with some rooms exceeding the highest measurable 4,000 ppm (Coley). Stale air lets pollution build up – both biological (viruses and bacteria) and chemical (fine particles and fumes from traffic, cooking and cleaning) – which harm health in the short and long term.

Sources. Litres-per-person figures from the Clean Air Calculator, Dr Adam Squires, University of Bath. Real-classroom CO₂ and ventilation: Coley & Beisteiner; Korsavi, Montazami & Mumovic (UCL, 2020). Clean air per person (10 good, 14 better, 21 best): Lancet COVID-19 Commission. 800 ppm health target: SAGE-EMG.

What good air looks like

Clean air can be measured – so it should be guaranteed.

We already set standards for drinking water, food safety and sanitation. The air we share indoors should meet clear health-based standards too. These are practical, evidence-based targets that help reduce exposure to airborne infections and harmful pollution in schools, healthcare settings and public buildings.

  • <800ppm CO₂

    Rebreathed air

    Lower CO₂ means less rebreathed air and a lower risk of airborne infection.

  • ≥21L/s per person

    Fresh or clean air

    Fresh and filtered air dilute and remove airborne viruses and indoor pollutants.

  • ≤15µg/m³ PM2.5 (24h)

    Fine particles

    Fine particles can reach deep into the lungs and enter the bloodstream.

  • 0ozone / fogging

    Avoid completely

    Ozone-generating “air cleaners” and chemical “foggers” don’t clean the air – they add pollutants to it. Choose ventilation and properly sized HEPA filters instead.

Sources: SAGE-EMG (CO₂), Lancet COVID-19 Commission (clean air per person), BS ISO 17772-1 (ventilation), WHO Air Quality Guidelines 2021 (PM2.5).

What CVF is calling for

Clean indoor air must be written into law

  1. Clear indoor air standards

    Legally enforceable indoor air-quality standards for schools, healthcare settings and public buildings — not voluntary guidance.

  2. Investment in clean air

    Long-term funding for ventilation, filtration and maintenance, recognising clean indoor air as essential public infrastructure.

  3. Monitoring that leads to action

    Routine CO₂ monitoring, with clear thresholds and practical steps to improve air quality when standards are not met.

Clean air reduces the spread of airborne infections, and exposure to allergens and pollution, whilst helping to create safer, more accessible indoor spaces for everyone. For Clinically Vulnerable people and their families, it can mean being able to attend school, work and healthcare appointments with increased protection of their health.

Ventilation was recognised as an important factor early in the pandemic, but it was not sufficiently funded or prioritised. Clean indoor air must now be implemented as an essential public health and accessibility measure. — Clinically Vulnerable Families

Use your voice

Cleaner air is possible — indoors as well as outdoors

Ask your school, workplace or local services what they are doing to improve indoor air quality. Speak to your councillor or MP and support policies that make clean, breathable indoor and outdoor spaces available to everyone. #CleanAirDay