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Fatih Kara


            may be many different reasons for this. It is remarkable that all these areas, that
            is, indoor spaces and cities are the places where people are exposed to high
            levels of CO . It is also noteworthy that in the past, sanatoriums, especially
                        2
            those used for the treatment of tuberculosis and chronic lung diseases, were
            usually built in high/mountainous areas, far from urban centers.
               According  to  the  1968  health  standards  set  by  the  World  Health
            Organization  (WHO)  for  residential  buildings,  it  was  observed  that  5000
                                   3
            ppm CO  concentrations caused changes in respiratory rates (Goromosov,
                    2
            1968:41). This popular limit value has led to the widespread misconception
            that  values  below  5000  ppm  will  not  have  a  negative  impact  on  health.  it
            has also been observed that CO  concentration of 1000 ppm in inhaled air
                                          2
            also reduces the amplitude of respiratory movements, affects the circulatory
            system and significantly changes the electrical activity of the brain (Eliseeva,
            1964). Due to this and such findings, it has been recommended for a long
            time that CO concentration should be kept below 500 ppm in the inhaled
                        2
               4
            air;  however, even the global outdoor average has reached 420 ppm today 5
            and it is not uncommon to encounter values above 500 ppm in urban CO
                                                                                2
            cages;  therefore,  it  is  no  longer  a  realistic  expectation  that  the  indoor  air
            will be drawn below the 500 ppm limit with natural ventilation (Lowther et
            al.,  2021).  In  many  countries  today,  the  recommended  upper  limit  for  CO
                                                                                2
                                                6
            exposure ranges from 600 to 1000 ppm. (Lowther et al., 2021). Although no
            consensus has yet been reached on what the safety limit should be for chronic
            CO exposure; in the medical literature, we can say that there is a common
               2
            and  serious  concern  about  the  negative  effects  of  CO   on  cognitive  and
                                                               2
            psychomotor performance, respiratory function and the functions of the inner
            membranes (endothelium) of the respiratory tract and vessels (Satish et al.,
            2012; Allen et al., 2016; Hong et al., 2018; Jacobson et al., 2019; Wargocki et
            al., 2020; Lowther et al., 2021).










            3 ppm is the English abbreviation for “parts per million” and is used specifically to refer to low gas
            concentrations. High gas concentrations are expressed in percentage (%). For example, the nitro-
            gen gas in the atmosphere is expressed as 78 percent instead of 780840 ppm (780840 per million).
            4 EN 12021:2014 standard
            5 For up-to-date records of global atmospheric carbon dioxide concentration, see. UCSD, Scripps
            Institution of Oceanography, https://keelingcurve.ucsd.edu/ (Son Access Date: 17.03.2023
            6  Also  see.  https://www.canada.ca/en/health-canada/services/publications/healthy-living/car-
            bon-dioxide-home.html (19.03.2021 - Last Access Date: 17.03.2023).



            366 The Journal of Environment, Urban and Climate
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