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School Facilities & Health

How school facilities affect students’ physical health and readiness to learn.

Image of a teacher and students using an outdoor gym space
Photo credit: Hannah Thompson

Throughout their developing years, children spend many hours each day at school: more than 15,000 hours over the course of a typical K-12 school career. Indoors or out, students rely on the school’s facilities to safeguard their health and provide such basics as clean air, good drinking water, and protection from hazards – including pathogens such as SARS-CoV-2, the virus that causes COVID-19. Some features of the school environment can be designed and controlled; for example, its architecture, lighting, and acoustics. In critical ways, however, a school must be adapted continually to mitigate hazards and sustain a healthful environment.

Take-Aways

  • Where facilities are not routinely maintained and periodically reconditioned, they can present active dangers to students’ health. These commonly include respiratory problems, especially asthma in younger children, and exposure to harmful molds or toxins such as lead and asbestos.

  • Short of causing illness, a distressed school environment is linked to general declines in student attendance, engagement, and academic performance. In particular, uncomfortable temperatures and poor indoor air quality can interfere with students’ ability to concentrate and think clearly.

  • The COVID-19 pandemic brought urgent attention to indoor air quality and ventilation, producing significant new understandings and investments to improve school heating, ventilation, and air conditioning (HVAC) systems.

Summaries

Foundations for Student Success: How School Buildings Influence Student Health, Thinking, and Performance

2019: T.H. Chan School of Public Health / Harvard University

Gathers research evidence to make the case that “the school building is foundational to student success.” The authors focus particularly on links between children’s physical health, cognitive development, and academic performance. They suggest key health performance indicators for school facilities and show how environmental exposures can impair students’ readiness to learn.

How School Facilities Impact Student Health and Performance: Advancing Equity With Green Infrastructure

2024: Alyssa Perez / WestED

Briefly summarizes evidence of three key ways that school facilities affect students’ physical health, mental health, and academic performance: indoor air quality; thermal comfort; and exposure to natural light. Highlights how sustainable building designs and adaptations can improve these facilities conditions. Includes information on using federal funding to adopt sustainable building technologies and reduce environmental hazards.

The Impact of School Facilities on Student Learning and Engagement

2021: NetZED Laboratory / University of Oregon

Provides a systematic overview of research evidence on the various ways school facilities either support or impede student engagement and learning. The main report is supplemented by an annotated bibliography and a set of brief info-sheets on each of the main categories of impact.

Commentaries

Addressing Our Nation’s Toxic School Infrastructure in the Wake of COVID-19

2022: Erika Kitzmiller & Akira Drake Rodriguez / Educational Researcher

Considering the wide variance in school building quality that was revealed by the COVID-19 pandemic, argues that historical underinvestment in school facilities – both capital to build and support for regular maintenance – has created unhealthy school buildings across the nation. Suggests priorities for federal investment and research.

Critical Connections: Health and Academics

2015: Shannon L. Michael & Co-Authors / Journal of School Health

Lifts up a school’s physical environment as a key factor among 10 that are considered within the “Whole School, Whole Community, Whole Child” framework. See also a response article, Significance of the School Physical Environment: A Commentary, by William J. Fisk & co-authors, that summarizes additional evidence about the effects of indoor environmental quality on academic achievement.

Deep Dives

State-Level Perspective on Improving School Building Quality

Healthy School Environments, Healthy Hoosiers

2023: Perkins&Will, Indiana Board of Education

Developed with support from the National Association of State Boards of Education, this whitepaper surveys what is known – and much yet unmeasured – about the status of school facilities in Indiana, and recommends first steps toward a strategy “to respond to Indiana’s pressing health challenges through school design and maintenance.” The report considers the distinct health needs of students and of the adult K-12 workforce, and speaks to the role of schools in promoting community health and development.

Indoor Air Quality and Ventilation

HVAC Choices for Health and Learning

2023: Emma Hines & Sara Ross / RMI & UndauntedK12

Defines key terms and concepts related to school HVAC technology, offers a framework for evaluating the cost of solutions and obtaining funding, and asserts the health and cost benefits of all-electric HVAC systems. Topical briefs and a recorded webinar with the authors accompany the full report.

Identifying the K-12 Classrooms’ Indoor Air Quality Factors that Affect Student Academic Performance

2021: Adel Kabirikopaei & Co-Authors / Science of The Total Environment

Examines the components of classroom air quality and investigates the effect of different ventilation systems on air quality and student performance.

The Importance of Filtration in Schools (Video)

2020: Western Cooling Efficiency Center / University of California, Davis

10-minute presentation covers key terms and concepts related to indoor air quality and take-aways from research on health impacts, performance standards, and monitoring procedures.  Pairs with a video on ventilation.

The Importance of Ventilation in Schools (Video)

2020: Western Cooling Efficiency Center / University of California, Davis

10-minute presentation covers key terms and concepts related to indoor air quality and take-aways from research on health impacts, performance standards, and monitoring procedures. Pairs with a video on filtration.

The Ventilation Problem In Schools: Literature Review

2017: William J. Fisk / Lawrence Berkeley National Laboratory

Summarizes evidence that improving the ventilation of school buildings can reduce respiratory health risks for students, decreasing absences and boosting achievement. The authors find that while ventilation rates in classrooms commonly fall below prevailing health standards, the costs associated with available remedies are modest – less than 0.1% of what local school districts typically spend in a year. Ventilation Rates and School Performance is a blog that reviews the summary and points to highlights in the research.

Water Quality

Examining Differences in the Implementation of School Water-Quality Practices and Water-Access Policies by School Demographic Characteristics

2019: Angie L. Craddock & Co-Authors / Preventive Medicine Reports

Examines variations in practices related to water quality and water access in schools serving different student populations. Finds that most U.S. schools provide drinking water and guidance on the importance of hydration, but other best practices related to water quality – such as testing water outlets for the presence of lead – are less common.

Water in Many Schools Isn’t Safe to Drink. Here’s What Districts Can Do

2023: By Mark Lieberman / Education Week

Provides an overview of water quality and access issues faced by public schools across the country and identifies state and federal resources to assist schools and districts.

Hazardous Materials

Indoor Environmental Contaminants in Schools

2023: US Environmental Protection Agency

Provides overviews and links to detailed guidance on 7 hazardous substances found most commonly at school facilities: asbestos; chemicals; formaldehyde; lead; mercury; polychlorinated biphenyls (PCBs); and radon.

Public Health Stops at the School House Door

2016: Jerome A. Paulson & Claire L. Barnett / Environmental Health Perspectives

Many school and day care buildings have been found to have environmental health problems that impact children’s health and diminish their ability to learn. This article explains the scope of the problem and recommends a set of remedies.

ADA Accessibility

School Districts Need Better Information to Help Improve Access for People with Disabilities

2020: U.S. Government Accountability Office

National survey on the extent to which school facilities present physical barriers that may limit access for people with disabilities, and how local school districts plan to address those challenges. Recommends ways for federal agencies, including the Departments of Education and Justice, to assist districts and states.

Tools

5 Step Guide To Checking Ventilation Rates In Classrooms

2020: T.H. Chan School of Public Health / Harvard University

Instructs users on how to measure or estimate the ventilation rate in a classroom and compare the results to research-based targets.

Building Walkthrough Toolkit

2022: National Education Association

A resource for staff and community members to systematically catalog health concerns in their schools, this kit includes surveys, observation checklists, and guidance for identifying and mapping specific hazards.

Facility Evaluation Tool

2024: Delaware Department of Education

State legislation enacted in 2022 directed the Delaware Department of Education to establish a standard system to determine the condition of school facilities in the state.

IAQ in Schools

2024: Lawrence Berkeley National Laboratory

An online resource bank with summaries of the research on specific problems such as particulate pollution, allergens, and mold, and on approaches to ventilation.

School District Indoor Air Quality Management Plan Toolkit

2024: U.S. Green Building Council

A how-to guide for local school district leaders to draft a comprehensive Indoor Air Quality (IAQ) management plan for their facilities. Offers model language for each plan component, and links to case-study examples. Includes a downloadable plan template.

School Health Research Library

2023: Center for Green Schools

A database of papers linking schools and health outcomes that have been published in peer-reviewed scientific journals since 2016. Searchable by type of health measure, type of school, location, and other factors, or by the report title.


Federal Resources

To find federal agency resources on this topic, please visit the Federal Support for Facilities page.


Topic Areas