Community Medicine (PSM) · Environmental Health (Water, Air, Sanitation, Radiation, Housing)

An urban apartment complex reports persistent headache, eye irritation, and dry cough among residents that resolve when they leave the building. No specific aetiological agent is identified. This presentation best fits:

  • A Sick building syndrome
  • B Building-related illness
  • C Multiple chemical sensitivity
  • D Occupational asthma
Correct answer: A. Sick building syndrome

Explanation

Sick building syndrome is defined by acute, non-specific symptoms (headache, mucosal irritation, dry cough) that occur while in the building and improve on departure, with no identifiable specific aetiological agent or diagnosable disease. Building-related illness (option B) implies a clinically diagnosable and specifically attributable condition such as Legionnaires disease. Multiple chemical sensitivity lacks standardised diagnostic criteria and is not a formal PSM classification. Occupational asthma is a specific building-related illness with a defined immunological or irritant mechanism.

Reference: Park's Textbook of Preventive and Social Medicine, 27th ed.

High-yield for: NEET PGINI-CETNExTFMGEUSMLEPLABMRCP

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