Case study of factors contributing to a crisis building.

Coughing, throat irritation, shortness of breath and disorientation were experienced by employees of a communications firm, resulting in building evacuation. Describes how a multidisciplinary team analysed the source of the problem. Results suggested that the outbreak was due to multiple factors including microbial growth in the air handling system, chemical product use in the building, and insufficient outdoor air. States that psychosocial factors also played a role.