{"id":16002,"date":"2021-10-04T13:06:58","date_gmt":"2021-10-04T17:06:58","guid":{"rendered":"https:\/\/iseai.org\/?p=16002"},"modified":"2022-11-15T11:26:41","modified_gmt":"2022-11-15T16:26:41","slug":"exposure-concerns-in-your-home-how-an-indoor-environmental-professional-can-help","status":"publish","type":"post","link":"https:\/\/iseai.org\/exposure-concerns-in-your-home-how-an-indoor-environmental-professional-can-help\/","title":{"rendered":"Exposure Concerns in Your Home? How an Indoor Environmental Professional Can Help"},"content":{"rendered":"<div class=\"fusion-fullwidth fullwidth-box fusion-builder-row-1 fusion-flex-container nonhundred-percent-fullwidth non-hundred-percent-height-scrolling\" style=\"--awb-border-radius-top-left:0px;--awb-border-radius-top-right:0px;--awb-border-radius-bottom-right:0px;--awb-border-radius-bottom-left:0px;--awb-flex-wrap:wrap;\" ><div class=\"fusion-builder-row fusion-row fusion-flex-align-items-flex-start fusion-flex-content-wrap\" style=\"max-width:1040px;margin-left: calc(-4% \/ 2 );margin-right: calc(-4% \/ 2 );\"><div class=\"fusion-layout-column fusion_builder_column fusion-builder-column-0 fusion_builder_column_1_1 1_1 fusion-flex-column\" style=\"--awb-bg-size:cover;--awb-width-large:100%;--awb-margin-top-large:0px;--awb-spacing-right-large:1.92%;--awb-margin-bottom-large:20px;--awb-spacing-left-large:1.92%;--awb-width-medium:100%;--awb-order-medium:0;--awb-spacing-right-medium:1.92%;--awb-spacing-left-medium:1.92%;--awb-width-small:100%;--awb-order-small:0;--awb-spacing-right-small:1.92%;--awb-spacing-left-small:1.92%;\"><div class=\"fusion-column-wrapper fusion-column-has-shadow fusion-flex-justify-content-flex-start fusion-content-layout-column\"><div class=\"fusion-text fusion-text-1\"><p>By\u00a0Jill Carnahan, MD, ISEAI Board Director. Dr Jill\u2019s practice:\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/\" target=\"_blank\" rel=\"noopener\">Flatiron Functional Medicine<\/a>. (<a href=\"https:\/\/www.jillcarnahan.com\/2021\/09\/10\/indoor-environmental-professional\/\" target=\"_blank\" rel=\"noopener\">Original Article<\/a>)<\/p>\n<p>The environment and human lifestyles are changing rapidly and our genetics haven\u2019t kept up with these changes. Humans spend more time indoors and are exposed to more chemicals and contaminants than ever before, and this has a direct impact on our health.<\/p>\n<p>Our homes are our safe havens \u2013 the place most of us feel comfortable and protected from the world. But what happens when your home becomes hazardous to your health?<\/p>\n<p>This is the reality for a growing number of people struggling with environmentally acquired illnesses. These potentially life-changing conditions can be triggered by hidden harmful toxins lurking in their homes. But the good news is, if you\u2019re concerned that you or a loved one may be battling an environmentally acquired illness, there are ways to deal with these harmful compounds hiding out in your home and sabotaging your health.<\/p>\n<p>And one of our most powerful weapons in this fight is a group of specialists known as Indoor Environmental Professionals. Today we\u2019re going to explore exactly how environmentally acquired illnesses can make you sick and how an Indoor Environmental Professional can help. Let\u2019s dive in.<\/p>\n<div class=\"wp-block-spacer\" aria-hidden=\"true\"><\/div>\n<h2>What Is an Environmentally Acquired Illness?<\/h2>\n<p>An environmentally acquired illness (EAI) is an umbrella term that encompasses multiple conditions. In a nutshell, an environmentally acquired illness is a chronic condition triggered by exposure to environmental toxins that may cause an inflammatory response in your body.<\/p>\n<p>Just a few types of specific environmentally acquired illnesses include:<sup>1<\/sup><\/p>\n<ul>\n<li><a href=\"https:\/\/www.jillcarnahan.com\/2018\/03\/26\/five-essential-tips-for-living-with-mold-toxicity-and-cirs\/\" target=\"_blank\" rel=\"noopener\">Chronic inflammatory response syndrome<\/a>\u00a0(CIRS)<\/li>\n<li><a href=\"https:\/\/www.jillcarnahan.com\/2015\/02\/08\/toxic-mold-exposure-cause-symptoms\/\" target=\"_blank\" rel=\"noopener\">Mold illness<\/a><\/li>\n<li><a href=\"https:\/\/www.jillcarnahan.com\/2016\/10\/31\/mast-cell-activation-syndrome-mcas-when-histamine-goes-haywire\/\" target=\"_blank\" rel=\"noopener\">Mast cell activation syndrome<\/a>\u00a0(MCAS)<\/li>\n<li><a href=\"https:\/\/www.jillcarnahan.com\/2020\/01\/13\/how-to-make-your-house-safe-when-you-have-multiple-chemical-sensitivities\/\" target=\"_blank\" rel=\"noopener\">Multiple chemical sensitivity<\/a>\u00a0(MCS)<\/li>\n<\/ul>\n<p>So how exactly can environmental triggers make you ill?<\/p>\n<div class=\"wp-block-spacer\" aria-hidden=\"true\"><\/div>\n<h3>How Does Environmentally Acquired Illness Make You Sick?<\/h3>\n<p>When it comes to environmentally acquired illnesses, pinpointing the exact cause is not always so straightforward. You see, we\u2019re all potentially exposed to a concerning amount of triggering toxins on a daily basis. Our bodies are designed with natural detoxification pathways to appropriately neutralize and excrete these toxins, but sometimes become overwhelmed.<\/p>\n<p>Think of our \u201ctoxic load\u201d as a bucket. We\u2019re well equipped to handle a certain amount of toxins. But if we encounter more toxins than our \u201cbucket\u201d can hold, those toxins begin to overflow \u2013 and that\u2019s where the trouble begins.<\/p>\n<p>As this overflow of toxins begins to accumulate in your body, it triggers a cascade of inflammatory chemical messengers \u2013 sometimes causing widespread inflammation. And over time, repeated exposure may turn into chronic inflammation. This can cause damage on a cellular level, leading to debilitating chronic illness.<\/p>\n<div class=\"wp-block-spacer\" aria-hidden=\"true\"><\/div>\n<h3>What Exactly Causes Environmentally Acquired Illness?<\/h3>\n<p>Some of the most common underlying triggers that contribute to environmentally acquired illnesses include:<sup>2<\/sup><\/p>\n<ul>\n<li>Microbial growth (e.g. mold &amp; bacteria) &amp; related byproducts (mVOCs, mycotoxins)<sup>2<\/sup><\/li>\n<li>Underlying persistent infections like\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2015\/07\/19\/simple-tips-to-prevent-lyme-disease\/\" target=\"_blank\" rel=\"noopener\">Lyme disease<\/a>,\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2020\/10\/06\/bartonella-how-to-protect-yourself-from-this-stealthy-intruder\/\" target=\"_blank\" rel=\"noopener\">Bartonella<\/a>,\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2020\/12\/20\/hydrogen-sulfide-sibo-what-it-is-and-how-to-heal-it\/\" target=\"_blank\" rel=\"noopener\">small intestinal bacterial overgrowth<\/a>\u00a0(SIBO), and Epstein Barr<\/li>\n<li>Toxic chemicals such as volatile organic compounds,\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2021\/05\/25\/the-truth-about-bpa-and-how-to-avoid-this-toxic-health-hazard\/\" target=\"_blank\" rel=\"noopener\">BPA\u2019s<\/a>, parabens,\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2020\/02\/26\/toxic-pcbs-are-everywhere-heres-how-to-protect-yourself\/\" target=\"_blank\" rel=\"noopener\">PCB\u2019s<\/a>, and\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2021\/06\/30\/are-you-eating-plastic-how-microplastics-might-be-hiding-out-on-your-dinner-plate\/\" target=\"_blank\" rel=\"noopener\">microplastics<\/a><\/li>\n<li>Heavy metals like\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2021\/06\/02\/lead-toxicity-a-look-at-why-lead-is-so-hazardous-to-your-health\/\" target=\"_blank\" rel=\"noopener\">lead<\/a>,\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2021\/06\/07\/cadmium-where-this-menacing-metal-hides-out-and-how-to-protect-yourself\/\" target=\"_blank\" rel=\"noopener\">cadmium<\/a>, and\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2021\/05\/17\/aluminum-in-everyday-products-is-it-really-safe\/\" target=\"_blank\" rel=\"noopener\">aluminum<\/a><\/li>\n<li><a href=\"https:\/\/www.jillcarnahan.com\/2017\/11\/29\/is-the-air-in-your-home-a-cloud-of-pollution\/\">Air pollution<\/a>\u00a0(outdoor) from dust, pollen, agriculture\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2021\/08\/24\/does-exposure-to-wildfire-smoke-affect-your-health-plus-how-to-best-protect-yourself\/\">wildfire smoke<\/a>, automobile exhaust<\/li>\n<li>Air pollution (indoor) dust, carpet\/rug fibers, laundry, dust mites, pets, cigarettes, etc.<\/li>\n<li>Indoor combustion sources such as stoves, candles, fireplaces<\/li>\n<li>Hormones, pesticides,\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2020\/08\/14\/just-how-dangerous-is-glyphosate-the-answer-is-shocking\/\" target=\"_blank\" rel=\"noopener\">herbicides<\/a>, and fertilizers found in food<\/li>\n<li>Electric &amp; Magnetic Fields (EMF)<\/li>\n<\/ul>\n<p>Because exposure to toxins\/contaminants can have a cumulative effect, it\u2019s not uncommon for environmentally acquired illnesses to have more than one underlying trigger.<\/p>\n<div class=\"wp-block-spacer\" aria-hidden=\"true\"><\/div>\n<h3>How Do I Know if I Have an Environmentally Acquired Illness?<\/h3>\n<p>Environmentally acquired illnesses can be tricky to diagnose for a couple of reasons. For one, symptoms of environmentally acquired illness can present as a number of vague, difficult to pinpoint, and seemingly unrelated symptoms. Just a handful of symptoms that can be caused by environmental toxins include:<\/p>\n<ul>\n<li>Brain fog and memory problems<\/li>\n<li>Headaches and sensitivity to light, sound, and\/or touch<\/li>\n<li>Insomnia and\/or poor sleep quality<\/li>\n<li>Anxiety, depression, and mood swings<\/li>\n<li>Fatigue and muscle weakness<\/li>\n<li>Muscle weakness and\/or joint pain<\/li>\n<li>Respiratory issues like recurring infections, wheezing, and\/or allergy symptoms<\/li>\n<li>Digestive upset such as diarrhea, constipation, nausea, and vomiting<\/li>\n<li>Skin problems including rashes, itching, blotching, and\/or redness<\/li>\n<\/ul>\n<p>Secondly, exposure to environmental contaminants may exacerbate other underlying conditions. Environmental toxins have been directly linked to causing and\/or exacerbating a number of conditions, including:<sup>3<\/sup><\/p>\n<ul>\n<li>Neurodegenerative diseases like dementia, Parkinson\u2019s, and Alzheimer\u2019s<\/li>\n<li>Metabolic disorders like diabetes, metabolic syndrome, and obesity<\/li>\n<li>Epilepsy and other seizure disorders<\/li>\n<li>Depression, anxiety, and other mental conditions<\/li>\n<li>Autoimmune diseases<\/li>\n<li>Cancer<\/li>\n<li>Digestive disorders such as Celiac disease, food sensitivities, leaky gut syndrome, and dysbiosis<\/li>\n<li>Respiratory conditions such as asthma, allergies, pneumonia, and COPD (chronic obstructive pulmonary disease)<\/li>\n<li>Skin issues like psoriasis and eczema<\/li>\n<\/ul>\n<p>With such a vast array of symptoms and conditions linked to environmental toxins, you\u2019re probably wondering how on earth environmentally acquired illnesses are diagnosed and treated.<\/p>\n<div class=\"wp-block-spacer\" aria-hidden=\"true\"><\/div>\n<h3>How Are Environmentally Acquired Illnesses Diagnosed and Treated?<\/h3>\n<p>Diagnosing and treating environmentally acquired illnesses requires a big-picture approach that includes things like a thorough intake, laboratory tests, eliminating ongoing toxin exposures,\u00a0 healing your body, resetting your immune system, repairing your gut, and restoring hormonal imbalances.<\/p>\n<p>If you\u2019re concerned that you or a loved one might be struggling with an environmentally acquired illness, I cannot overemphasize the importance of seeking out the guidance of an experienced\u00a0<a href=\"https:\/\/www.jillcarnahan.com\/2018\/01\/16\/how-to-choose-a-good-integrative-and-functional-medicine-doctor\/\" target=\"_blank\" rel=\"noopener\">Integrative and Functional Medicine Doctor<\/a> to help you identify and treat the root causes of your symptoms. Finding a clinician who specializes in treating environmental exposures can be a great help. Also see ISEAI&#8217;s <a href=\"https:\/\/iseai.org\/find-a-professional\/\">Get Help<\/a> page.<\/p>\n<p>But healing your body is only part of the equation. When it comes to environmentally acquired illnesses, it\u2019s equally as important to address the environmental factors that may be triggering your condition. This often requires a comprehensive evaluation of your environment to identify your exposures. Following this evaluation, you may need to take action to remediate or environmentally-clean the identified exposure.<\/p>\n<p>And that\u2019s where an Indoor Environmental Professional comes into play.<\/p>\n<div class=\"wp-block-spacer\" aria-hidden=\"true\"><\/div>\n<h2>What Is an Indoor Environmental Professional (IEP)?<\/h2>\n<p>An Indoor Environmental Professional (IEP) specializes in indoor environmental assessments in relation to environmentally acquired illnesses. These professionals work closely with patients and their healthcare providers as well as homeowners, landlords, and architects to identify and address environmental concerns. Also read this <a href=\"https:\/\/iseai.org\/finding-the-right-indoor-environmental-professional-to-assess-your-home\/\">ISEAI blog<\/a> about finding an IEP.<\/p>\n<div class=\"wp-block-spacer\" aria-hidden=\"true\"><\/div>\n<h3>What Exactly Does an Indoor Environmental Professional (IEP) Do?<\/h3>\n<p>If you\u2019re concerned that your home is harboring toxins that are contributing to your environmentally acquired illness, a consultation with an Indoor Environmental Professional could be the next right step for you.<\/p>\n<p>During the evaluation, your Indoor Environmental Professional would typically:<sup>4<\/sup><\/p>\n<ul>\n<li>Discuss client\/clinician concerns regarding specific environmental exposures<\/li>\n<li>Obtain an in-depth and detailed historical account of the building<\/li>\n<li>Review any documents from prior and\/or related inspections or tests performed on the site<\/li>\n<li>Assess for any other documented history of past water leaks, damp conditions, damages, remediations, and\/or cleaning efforts<\/li>\n<li>Thoroughly evaluate the environment using visual and real-time measurement devices, and potential sampling requiring lab analysis<\/li>\n<li>Compile a detailed report with their findings, interpretation of findings, and specific recommendations for your home<\/li>\n<li>Provide and utilize industry-standard documents and recommendations if cleaning or remediation efforts are indicated (e.g., <a href=\"https:\/\/iicrc.org\/s520\/\" target=\"_blank\" rel=\"noopener\">IICRC S520<\/a>)<\/li>\n<li>Closely monitor when additional services are needed to ensure cleaning\/remediation efforts fully address the areas of concern in your home (if\/as needed)<\/li>\n<li>Communicate with clinicians treating your environmentally acquired illness (if\/as needed &amp; agreed upon)<\/li>\n<\/ul>\n<p>IEP\u2019s are an essential resource for those suffering from environmentally acquired illnesses. However, not all IEP\u2019s and their credentials are created equally. So it\u2019s important to know how to find the right Indoor Environmental Professional for your situation.<\/p>\n<div class=\"wp-block-spacer\" aria-hidden=\"true\"><\/div>\n<h3>How Do I Find the Right Indoor Environmental Professional?<\/h3>\n<p>While \u201cIndoor Environmental Professional\u201d is not a credential in itself, it encompasses a range of professionals that may be credentialed from a number of organizations. But only a handful of credentialing organizations are recognized for their excellent standards, integrity, stringent continuing education requirements, and in-depth knowledge of the complex interconnection between environment and health.<\/p>\n<p>So before hiring an IEP, do your homework and make sure to hire a professional with a top-notch credential. Among these \u201cgold-standard\u201d certifications are:<sup>3<\/sup><\/p>\n<ul>\n<li><strong><a href=\"https:\/\/www.acac.org\/find\/database.aspx\" target=\"_blank\" rel=\"noopener\">ACAC<\/a>:\u00a0<\/strong>The American Council for Accredited Certification (<i>For onsite assessments, look for\u00a0<span class=\"il\">ACAC<\/span>\u00a0candidates with\u00a0<a href=\"https:\/\/www.acac.org\/forms\/applications\/ciecdescription.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.acac.org\/forms\/applications\/ciecdescription.pdf&amp;source=gmail&amp;ust=1552172334334000&amp;usg=AFQjCNHWpRsplKYgHJWHeL6J2kmG81aFlA\">CIEC<\/a>\u00a0and\u00a0<a href=\"https:\/\/www.acac.org\/forms\/applications\/cmcdescription.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.acac.org\/forms\/applications\/cmcdescription.pdf&amp;source=gmail&amp;ust=1552172334334000&amp;usg=AFQjCNGhScmY680EMujXCCPqvv_LniQhtA\">CMC<\/a>\u00a0<wbr \/>certifications. For remediation, look for ACAC candidates with\u00a0<a href=\"https:\/\/www.acac.org\/forms\/applications\/cmrsdescription.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.acac.org\/forms\/applications\/cmrsdescription.pdf&amp;source=gmail&amp;ust=1552172334334000&amp;usg=AFQjCNHGQWysQJqxwCTtHwas3UQgS9Nn8A\">CMRS<\/a>\u00a0and\u00a0<a href=\"https:\/\/www.acac.org\/forms\/applications\/cmrdescription.pdf\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.acac.org\/forms\/applications\/cmrdescription.pdf&amp;source=gmail&amp;ust=1552172334334000&amp;usg=AFQjCNGZoInKrxJAVDArMNCRxncL_9j0jw\">CMR<\/a>\u00a0certifications. Learn more about\u00a0<span class=\"il\">ACAC<\/span>\u00a0certification\u00a0<a href=\"https:\/\/www.acac.org\/about\/intro.aspx\" target=\"_blank\" rel=\"noopener noreferrer\" data-saferedirecturl=\"https:\/\/www.google.com\/url?q=https:\/\/www.acac.org\/about\/intro.aspx&amp;source=gmail&amp;ust=1552172334334000&amp;usg=AFQjCNE5e5UswCISofnoazz_WqNpDtbYzw\">here<\/a>.)<\/i><\/li>\n<li><strong><a href=\"http:\/\/www.abih.org\/about-abih\/cih-caih\" target=\"_blank\" rel=\"noopener\">CIH<\/a>:<\/strong>\u00a0Certified Industrial Hygienist<\/li>\n<li><strong><a href=\"https:\/\/www.normi.org\/\" target=\"_blank\" rel=\"noopener\">NORMI<\/a>:\u00a0<\/strong>National Organization of Remediators and Mold Inspectors<\/li>\n<li><strong><a href=\"https:\/\/www.aiha.org\/\" target=\"_blank\" rel=\"noopener\">AIHA<\/a>:<\/strong>\u00a0American Industrial Hygiene Association<\/li>\n<li><strong><a href=\"https:\/\/www.bcsp.org\/CSP\" target=\"_blank\" rel=\"noopener\">CSP<\/a>:\u00a0<\/strong>Certified Safety Professionals<\/li>\n<\/ul>\n<p>If you\u2019re concerned about the safety of your home or workplace, it\u2019s essential that your indoor environmental evaluation is completed by a credentialed, knowledgeable, and experienced Indoor Environmental Professional who\u2019s well-versed in working with clients suffering from environmentally acquired illnesses. Be sure to ask about this, as there may be special considerations during an assessment or remediation, depending on your sensitivities to various exposures.<\/p>\n<p>If you need help locating an experienced Indoor Environmental Professional who understands chronic health concerns you can\u00a0<a href=\"https:\/\/iseai.org\/find-a-professional\/\">check out the International Society for Environmentally Acquired Illness database of vetted and credentialed professionals by clicking right here<\/a>. Some companies even offer virtual consultations if you\u2019re unable to find an Indoor Environmental Professional in your area!<\/p>\n<h3>References:<\/h3>\n<ol>\n<li><a href=\"https:\/\/iseai.org\/the-atoz-of-eai\/\">The A to Z of EAI (Environmentally Acquired Illness) \u2013 ISEAI<\/a><\/li>\n<li><a href=\"https:\/\/apps.who.int\/iris\/handle\/10665\/164348\">WHO guidelines for indoor air quality: dampness and mould<\/a><\/li>\n<li><a href=\"https:\/\/iseai.org\/about-eai\/\">About EAI \u2013 ISEAI<\/a><\/li>\n<li><a href=\"https:\/\/iseai.org\/finding-the-right-indoor-environmental-professional-to-assess-your-home\/\">Finding the Right Indoor Environmental Professional to Assess Your Home \u2013 ISEAI<\/a><\/li>\n<\/ol>\n<\/div><\/div><\/div><\/div><\/div>\n","protected":false},"excerpt":{"rendered":"","protected":false},"author":2,"featured_media":16022,"comment_status":"open","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"_bbp_topic_count":0,"_bbp_reply_count":0,"_bbp_total_topic_count":0,"_bbp_total_reply_count":0,"_bbp_voice_count":0,"_bbp_anonymous_reply_count":0,"_bbp_topic_count_hidden":0,"_bbp_reply_count_hidden":0,"_bbp_forum_subforum_count":0,"footnotes":""},"categories":[6,346],"tags":[347],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v21.5 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>Exposure Concerns in Your Home? 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