In the quest to design healthier, more sustainable buildings, a team of researchers led by Mohsen Bayat Pour from Lund University has developed a groundbreaking decision analysis framework that could revolutionize how we approach building envelope design. Published in the journal *Indoor and Built Environment*, their work bridges the gap between moisture safety, economic considerations, and, crucially, occupant health.
Bayat Pour and his colleagues have expanded the inutility decision analysis (IDA) method, initially introduced by the same team, to include health impacts, specifically those related to mould exposure. This is a significant step forward, as previous frameworks often overlooked the long-term health consequences of building design choices.
The study analyzed three case studies of timber-framed walls under Stockholm climate conditions. The results were striking. The probability of exceeding the mould index threshold varied dramatically: 2.3% for CS1, 0% for CS2, and a concerning 71.5% for CS3. These findings underscore the variability in mould risk across different design choices.
But the research didn’t stop at identifying mould risk. It went further, linking mould occurrence to specific health issues like asthma and allergic rhinitis. Under worst-case conditions, the potential lifetime costs of these health impacts were calculated to be as high as 22,415 €/m² for asthma and 3,403 €/m² for allergic rhinitis. These figures highlight the substantial economic burden that poor building design can place on both occupants and the healthcare system.
The IDA method demonstrated the trade-offs between initial costs and health-related costs. For instance, CS1 combined relatively low initial costs with manageable health inutility, while CS2, despite its high initial costs, avoided health costs entirely. On the other hand, CS3, with the lowest initial costs, incurred the largest health inutility.
“This research shows that we can no longer afford to make design decisions based solely on initial costs,” said Bayat Pour. “We need to consider the long-term impacts on both the environment and human health. The IDA method provides a transparent and balanced decision framework that can help us achieve this.”
The implications for the construction and energy sectors are profound. By adopting this holistic approach, developers and architects can create buildings that are not only energy-efficient and sustainable but also promote occupant health. This could lead to a significant reduction in healthcare costs and improved quality of life for building occupants.
Moreover, the probabilistic analysis and decision-making tools developed in this study could be integrated into machine learning models to further enhance predictive capabilities. This could pave the way for smarter, more adaptive building designs that respond to changing environmental conditions and occupant needs.
As the construction industry continues to evolve, the insights from this research will be invaluable. By prioritizing health and sustainability, we can build a future where our buildings are not just structures, but havens of well-being.

