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Many things can affect the air quality in a home. Mold and mildew in the walls can create mycotoxins that can exacerbate breathing conditions like COPD and asthma. Faulty vents and chimney flues can cause dangerous combustion by-products like carbon monoxide to be present in the home. Even clogged drains can cause bacteria to linger in the air.
What you can't see CAN hurt you. That's why it's important to have the air quality in the property you're considering purchasing evaluated by an experienced home inspector. Most air quality issues can be addressed when you know about them. A home inspector with air quality experience can give you a detailed report on the air inside a home so you can take the appropriate action.