Purpose of an IH/CIE:
IH/CIEs are third-party scientists specializing in building health evaluations.
They possess expertise in microbiology, building sciences, and mold remediation fundamentals.
State licensing may be required.
Their specialized training enables them to identify mold species and determine the necessity and extent of remediation.
Cost of Hiring an IH/CIE:
Cost varies based on market and services requested.
Preliminary inspections (initial inspections & air testing as well as clearance testing) are generally less expensive than protocol generation.
Protocol creation and remediation planning are more costly.
Other services they offer include mold project supervision and ongoing air testing. (typically associated with commercial projects)
IH/CIE Services on Mold Projects:
Preliminary Inspection:
Consists of a visual inspection, collection of a moisture survey, air samples, and perhaps swabs, and tape lifts.
The sample collection is labeled & sent off to a lab for analysis.
The IH will give their interpretation of the analysis and communicate with the client.
Protocol Preparation:
The IH will develop a remediation plan outlining work per each room or area.
They'll make recommendations for PPE, equipment required, chemicals & products, as well as clearance testing.
Clearance Testing:
Upon arrival, they'll perform a post-remediation visual inspection first.
If the project looks & smells acceptable they'll setup & perform air testing.
"Flagging" means a project has failed with visual issues (no samples need to be collected).
Project Management:
On-site or periodic inspections for complex or commercial projects.
When to Involve an IH/CIE:
Recent Water Damage (Wet Materials):
Primarily for post-remediation verification (clearance testing).
There's generally no need to have a protocol prepared when the water damage migration line is clearly defined.
Dried Water Damage:
Require a IH to prepare a protocol in situations such as:
When affected area outlines are unclear.
When moisture sources are unidentifiable.
When liability claims exist.
Contractors should always involve an IH/CIE for mold clearance testing.
Remediation Protocol Request:
When the aforementioned situations arise.
To potentially reduce unnecessary contractor work and costs.
If we as the contractor aren't sure what the scope of work should be, we tend to over scope the project to error on the side of caution & liability.
Remediation Triggering Mold Species:
While all molds can cause allergies, some are associated with infectious illness.
No mold species is lethal to healthy adults; occupant health issues are typically due to complications of their pre-existing health conditions.
We should avoid conversations regarding health implications & recommendations, and defer to the clients primary physician.
The remediation process is the same regardless of mold species, it shouldn't matter to us what we are removing in terms of fungal contamination.
These species will often trigger remediation.
Aspergillus:
Associated with Aspergillosis, ABPA or Allergic BronchoPulmonary Aspergillosis , and AFS or Allergic Fungal Sinusitis .
Generally these illness affect individuals with underlying health conditions.
Penicillium:
Linked to penicilliosis, keratitis, endophthalmitis, otomycosis, pneumonia, endocarditis, and UTIs or Urinary Tract Infections.
Fusarium:
Can infect humans and animals through spore inhalation or skin exposure.
Stachybotrys:
The species of mold that's commonly referred to as "Black mold" or "toxic mold."
This species of mold often is not black in color.
Associated with IPH or Infant Pulmonary Hemorrhage, in infants but is extremely rare.
There is insufficient evidence for neurological damage from inhalation.
Can cause uncontrollable nosebleeds in adults not wearing proper respirator protection.
Bird/Bat Droppings (Histoplasma capsulatum, Cryptococcus neoformans):
Heavy exposure can cause flu-like illnesses in healthy individuals.
Severe effects primarily occur in immunocompromised individuals.