Last updated: 6 Sep 2026 | 3 Views |
When 'small children just get sick' stops being an answer parents accept
Why wiping the toys every day is not enough, and why the air conditioning is the thing schools overlook most
Small children getting sick often is normal — until one parent put her own child's illness statistics on the head teacher's desk and asked why he was only ill during term time.
Head teacher Wanna is 56 and has run a 180-pupil private kindergarten in Bang Khae for 19 years: nine classrooms, three nap rooms, an activity room and a dining room, all air-conditioned and sealed against PM2.5.
In the first semester of the 2025 academic year, sickness absence ran abnormally high — an average of 19 children absent out of 180 every day, over 10 percent, for almost the entire term.
The repeating symptoms were not ordinary colds but persistent cough, congestion, and asthma flare-ups in children with a history of allergy. By mid-term, 22 parents had given notice that they were moving their children for the following semester.
The parent worked in data. She had kept a log of her four-year-old son's symptoms for two years, because he is allergic and she reports to his doctor at every appointment.
What she showed the head teacher was a very clear graph: her son averaged 3 days a month of coughing and congestion during school holidays, and 14 days a month during term. The pattern repeated identically across both years.
She said she was not there to complain. She was there because she believed the school did not know, and she wanted them to investigate before she had to move her son.
Head teacher Wanna says her instinct was to answer as she had for nineteen years — that small children together simply get sick. But looking at that graph she could not say it, because the graph did not say the child got sick. It said the child got sick only when he was at school.
She had an air conditioning technician inspect the whole school on a Saturday. He opened the face panel of each of the 16 units in turn. Nearly every one showed sheets of black-green growth on the coil and in the condensate tray.
He explained that the school services its units twice a year, which meets the general standard, but scheduled servicing only cleans the coil and removable filters. Nobody reaches inside the duct work, the ceiling void, or the deeper parts of the machine.
What makes a school worse than an ordinary building is the usage pattern: eight hours a day, five days a week, then sealed with no ventilation at all through every weekend and every school holiday.
The two-month holiday is the worst period. Rooms sealed, moisture sitting in the coils, no air conditioning running, no circulation. Then on the first morning of term, every unit is switched on at once — and two months of accumulation is blown out over 180 children simultaneously.
The paediatrician the school consulted gave three reasons why kindergarten children are the highest-risk group for air quality.
First, breathing rate relative to body weight. Small children inhale several times more air per kilogram of body weight than adults, which means that in identical air, a child receives a far higher dose of spores and allergens per unit of body mass than their teacher.
Second, height. Kindergarten children stand 90 to 110 centimetres tall and spend most of their time sitting or lying on the floor — the level where dust and settling spores accumulate most.
Third, immune systems and airways that are still developing. A small child's airways are far narrower, so a modest amount of inflammation narrows them enough to trigger wheezing far more easily than in an adult.
Head teacher Wanna stresses that her school was not negligent. Every toy is wiped with disinfectant each evening, nap mats are put out in the sun weekly, floors are mopped twice a day, and every child's temperature is checked each morning.
The school also installed air purifiers in every classroom during the worst PM2.5 seasons, at over four hundred thousand baht. They genuinely helped with particulates and did nothing at all about spores coming out of the air conditioning vents.
After the mould was found, the school had all 16 units serviced immediately at nearly ninety thousand baht. Absence rates did fall for the first two weeks, then climbed back up within about six weeks.
The same technician told her plainly that servicing alone is not enough for a school, because the organisms in the duct work and ceiling void remain — and recommended she find an ozone treatment service, the method hospitals use where airborne contamination must be controlled.
A kindergarten pupil stays an average of three years. Losing 22 children is not one term's fees but several years of income — and parents who leave always tell other parents why.
Children inhale more air per kilogram of body weight, spend their time at the height where dust and spores settle, and have narrow airways that constrict easily when inflamed. The same problem is many times more severe for them than for their teachers.
Kindergarten teachers spend eight hours a day, five days a week, in sealed classrooms all year. Rising staff sickness is usually dismissed as coincidence, when it is the same signal the children are sending.
A school has a duty of care for the children in it. When mould is found in the air conditioning of every room and children are having asthma flare-ups, that is not a comfort issue — it is a safety issue the school must be able to show it has addressed.
Essential, and good schools already do it. But it addresses organisms on the surfaces children's hands touch, not the spores suspended in the air and coming out of the vents for the whole eight hours children are in the room.
They genuinely help with PM2.5 and are worth having for that. But a purifier only filters the air passing through it, and it can never remove the mould growing in the coil and duct work that is producing the spores.
It does clean the coil and removable filters, and it does relieve symptoms temporarily. But it cannot reach the duct work or the ceiling void, and in a school sealed every weekend and every holiday, the organisms repopulate within about six weeks.
Genuinely drives out moisture and reduces surface dust mites, and should continue. But it does not touch the source in the air conditioning, and spores blown out settle on the freshly aired mats within days.
A necessary measure for person-to-person illness. But this school's problem was not spreading child to child — it was spreading from the air conditioning to every child at once, so individual screening changed nothing.
What head teacher Wanna understood once the technician opened the units is that for nineteen years the school had managed hygiene brilliantly in everything visible: children's hands, toys, floors and nap mats.
Nobody had ever managed the invisible part — the air that 180 children share for eight hours a day, circulated through sixteen systems that all had mould growing in them.
Ozone solves precisely this, because it is a gas. Released into a sealed classroom with the air conditioning recirculating, it is drawn into the coil, across the condensate tray and through the duct work and ceiling void, while also spreading into toys, nap mats, carpet and storage cupboards. Where it meets mould, spores or bacteria, the third oxygen atom breaks away and destroys the cell wall. Then the ozone decomposes back into ordinary oxygen — no chemical residue on toys children put in their mouths, and no added humidity.
With the air conditioning recirculating during the cycle, ozone travels through the coil, the condensate tray and the whole duct system — the real spore source that twice-yearly servicing never touches.
This is the decisive reason for a kindergarten. Ozone decomposes back into ordinary oxygen, so there is no deposit or film on toys, tables, nap mats or floors children crawl on, and nothing to rinse off afterwards.
Testing confirms 99.99% removal of deep-seated mould in air conditioning systems and furnishings, with virus and bacteria kill an order of magnitude beyond that — the level required for rooms where 180 small children share air.
Nap mats, plush toys, pillows and activity room carpet are the school's biggest spore and dust mite reservoirs. Ozone penetrates the fibres of all of them in one cycle, with nothing sent out for laundering.
A nap mat used daily in a sealed air-conditioned room is perfect dust mite habitat. Ozone reduces both the mites and the allergens they leave — the most common asthma trigger in this age group.
Steam and wet washing add water to rooms about to be sealed for two days, feeding mould directly. Ozone is a dry gas and leaves nothing behind for the next growth cycle.
The automatic digital timer cycle runs roughly thirty minutes — two to start, twelve to disperse, twelve to purify, twelve to rest. A nine-classroom school is completed in a single Saturday with no teaching time lost.
The most dangerous moment is the first morning of term, when every unit is switched on at once after two months sealed. Treating before term begins cuts the problem at exactly the point it actually happens.
WHD uses the Master Ozone Generator, the only ozone brand in Thailand certified by the Department of Medical Sciences, Ministry of Public Health, and tested by Intertek UK — documentation a school can show to parents.
When a parent asks what the school is doing, saying that every room is ozone-disinfected before each term and monthly during term, with certified equipment, is completely different from saying you have increased cleaning.
The team assesses the school layout, the number of rooms and their air volumes, the number and position of air conditioning units, and porous materials such as nap mats, carpet and soft toys, then sets the ozone volume and cycles.
Toy cupboards and drawers are opened, nap mats laid out with their surfaces exposed, the air conditioning set to recirculate so the duct work is treated, doors and windows sealed, and everyone leaves the area.
The machine runs its automatic cycle of about thirty minutes per room. The rooms are then fully ventilated, surface moisture is checked, and school opens as normal on Monday.
“For nineteen years I told parents that small children together simply get sick. Then a mother showed me a graph proving her son was only ill during term time, and I had nothing to say. When we opened all sixteen air conditioners and saw the mould, I understood that for nineteen years we had managed everything except the air. We now ozone-treat before every term.”
Head teacher Wanna B. — director of a 180-pupil private kindergarten, Bang Khae
Over the past decade many Thai schools have converted from open, fan-cooled classrooms to sealed air-conditioned ones, for good reasons: PM2.5 protection and comfort in the heat.
But that change carries a side effect almost nobody discusses. The classroom becomes a sealed space recirculating the same body of air for eight hours, with no fresh outside air introduced at all.
In Thailand's humidity, averaging 70 to 85 percent, a coil condensing continuously is the ideal environment for mould. And a school's usage pattern — sealed every weekend and every holiday — gives it long uninterrupted periods to grow freely.
The result is that a system installed to keep outside dust away becomes an indoor allergen generator, and children are the group it affects most.
After this, head teacher Wanna's school rebuilt its standards, and she says the most important change was to stop equating cleanliness with what is visible.
The new standard has five points: service every unit at least twice a year; ozone-treat every room before every term; ozone-treat monthly during term; run the air conditioning for at least two hours on Friday evening before the weekend closure to drive out residual moisture; and keep documentation each time for parents.
That last point matters more than people expect, she says, because when parents ask what the school is doing, having documentation and a defined schedule to show is completely different from an assurance in words.
Her advice to other schools is not to wait for a parent to bring the data to you — because by then, several other parents are thinking the same thing and quietly moving their children without saying anything at all.
About thirty minutes per room following the machine's cycle. A school this size including nap rooms and dining room is normally completed in a single Saturday, and opens as normal on Monday.
No. Ozone decomposes back into ordinary oxygen after reacting, leaving no deposit or film on toys, tables, nap mats or floors, and nothing to rinse off before the children use them.
No. We only recommend opening toy cupboards and drawers and laying nap mats out with their surfaces exposed, so the gas distributes more evenly.
At minimum before every term, because the riskiest moment is the first morning when every unit is switched on after two months sealed. Monthly treatment during term is also recommended.
No — they complement each other. Servicing removes heavy deposits from the removable parts; ozone destroys mould and spores in the duct work and ceiling void that cannot be dismantled. Both should run on their own schedules.
Yes. A nap mat used daily in a sealed air-conditioned room is ideal dust mite habitat, and ozone reduces both the mites and the allergens they leave — the most common asthma trigger at this age.
WHD uses the Master Ozone Generator, the only ozone brand in Thailand certified by the Department of Medical Sciences, Ministry of Public Health, and tested by Intertek UK. Documentation is available to share with parents.
For bookings of 15,000 baht and above, WHD includes free hospital-grade CHEMGENE HLD4H spray disinfection, certified by Mahidol University and NHS England — suited to high-contact school surfaces such as stair rails, door handles and desks.
If your school has abnormally high sickness absence — particularly persistent cough, congestion and asthma flare-ups that improve during the holidays — open the face panel of one air conditioner before concluding that small children just get sick.
Ozone treatment reaches the duct work and ceiling void that servicing cannot, treats nap mats, soft toys and carpet in the same cycle, leaves no chemical residue on toys children put in their mouths, and can be done at weekends or in the holidays.
For bookings of 15,000 baht or more, WHD includes free hospital-grade CHEMGENE HLD4H spray disinfection.
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