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Updated: Jun 24, 2025

Author Spotlight: Unraveling the Impact of Mechanical Ventilation on Diaphragm Function and Patient Outcomes
Published on: November 3, 2023
Ventilation and Public Health: A Fraught History
1Elaine LaFay is with the History Department, Rutgers University, New Brunswick, NJ. Paul E. Sampson is with the History Department, University of Scranton, Scranton, PA.
None:
Since the beginning of the COVID-19 pandemic, a vigorous public health discussion has arisen over indoor air quality and ventilation. In popular press articles, bestselling books, and the US Environmental Protection Agency's recently announced Clean Air in Buildings Challenge, scholars and policy experts have claimed that improved ventilation systems can lead to better productivity and performance. By reevaluating those claims in light of the history of public health in Great Britain and the United States, we found that better ventilation has frequently been proposed as a cost-effective and nonintrusive means of improving health in institutions experiencing structural and environmental public health problems. Furthermore, our examination of efforts to provide ventilation for enslaved people, incarcerated people, and the urban poor revealed a consistent lack of government regulation and a disassociation of air quality concerns from broader environmental, social, and economic realities. By continuing to ignore these broader contexts, current ventilation efforts risk repeating this pattern. (Am J Public Health. 2024;114(8):798-804. https://doi.org/10.2105/AJPH.2024.307670).
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