Indoor Air Quality Health Complaints: An Integrated Clinical and Environmental Approach

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1 Indoor Air Quality Health Complaints: An Integrated Clinical and Environmental Approach Approved for public release, distribution unlimited. As of date March 8, 09

2 Indoor Air Quality Health Complaints: An Integrated Clinical and Environmental Approach determines patient symptoms could be associated with damp housing conditions conducts a two-part patient interview Part :. Affirmative responses to all five questions indicate the need for a home. If there are negative responses, but clinical suspicion of mold exposure remains, complete Part. If there are negative responses, and no clinical suspicion remains, do not recommend a home Part :. A majority of RED responses indicates the need for a home. If a majority of responses are not RED, but clinical suspicion remains, the health care provider may still recommend a home. If a majority of responses are not RED, and no clinical suspicion remains, do not recommend a home Health Care Provider: annotates the International Classification of Diseases, Tenth Edition (ICD-0) code, Z77.0: Contact with and (suspected) exposure to mold, in the patient s electronic health record If a Health Care Provider recommends a home : notifies Preventive Medicine Services/ Public Health Department Preventive Medicine Services/Public Health Department:. Conducts a case review. Assists with coordinating a housing partner-led home. tifies RHC preventive medicine physician of health care providerrecommended home

3 Health Care Provider Tools to Determine if a Home Assessment is Warranted Part : Tool to Determine if a Home Assessment for Potential Mold Exposure is Warranted During the past months, have there been any water problems or dampness in your home from broken pipes, leaks, heavy rain, or floods? In the last months, how often have you noticed any moldy/musty smells inside your home? In the last months, was there fungal growth covering an area greater than or equal to the size of a standard 8 x piece of paper in your home? Daily* Weekly* Monthly* A few times a year Never 4 5 In the past months, have you noticed condensation on windows in your home? Have any of your furnishings, clothes, or other possessions been in a building that had water damage? *A response of daily, weekly, or monthly to question # indicates an affirmative response. Procedures to Assist Health Care Providers to Determine When Home Assessments for Potential Mold Exposure Are Warranted. Chew GL, Horner WE, Kennedy K, Grimes C, Barnes CS, Phipatanakul W, Larenas-Linnemann D, Miller JD, Environmental Allergens Workgroup. J Allergy Clin Immunol Pract. 06;4():47. Epub 06 Mar 5

4 Health Care Provider Tools to Determine if a Home Assessment is Warranted Part : Tool to Determine if a Home Assessment is Warranted for Potential Mold Exposure Building Characteristics Building Is there a crawlspace under the building? Don t Know Are any bedrooms in the basement? Heating/ Ventilation/ Cooling During the winter, what is the primary way your home is heated? Fireplace/Woodburning stove Space heater Forced Hot Air (Vents) Radiators Baseboard Heater During the winter, what is the secondary way your home is heated? Fireplace/Woodburning stove Space heater ; Other How do you cool your home? Evaporative cooler In the bathroom where you shower/ bathe, does the exhaust fan work? Don t Know If yes, how frequently do you use it when you shower/bathe? Never Sometimes All the Time Does your kitchen vent exhaust outdoors? Does your clothes dryer vent outdoors? Don t Know Don t Know N/A Dust Reservoirs Do you have wall-to-wall carpeting in your kitchen or bathrooms? What kind of floor covering is in the bedroom? Wall-to-wall Carpeting Some Carpeting All Smooth Floor Dampness Do you use a dehumidifier? Do you use a humidifier (or add moisture to air because it is dry in your home)? Procedures to Assist Health Care Providers to Determine When Home Assessments for Potential Mold Exposure Are Warranted. Chew GL, Horner WE, Kennedy K, Grimes C, Barnes CS, Phipatanakul W, Larenas-Linnemann D, Miller JD, Environmental Allergens Workgroup. J Allergy Clin Immunol Pract. 06;4():47. Epub 06 Mar 5 4

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