After The Storm: Addressing A Hidden Danger – Mold

Hurricane season produces storms that bring damaging wind, heavy rain, and flooding. These storms can cause structural damage. Additionally, water and sewage debris exposes both buildings and their contents to a potential hazard, one that may be hidden from view – mold.

In 1999, Melinda Ballard, an activist for insurance policyholders, sued her insurer over mold damage in her 22-room house in Dripping Springs, Texas, that resulted from such a storm. The case, which started as a single claim for water damage, became a case about mold contamination throughout the house. This case became one of the first to increase public awareness about mold and became a landmark mold case for property insurers.

When property is in a flood-prone area or the forecast calls for severe weather, taking appropriate protection on a timely basis is important. Boarding up windows, installing shutters, and using sandbags or barriers will reduce water damage and make cleanup following the storm easier.

 

Steps to Reduce Water Damage

A commercial property owner should follow a few key procedures to protect the building – including:

  • Development of a building-specific water management plan that includes actions to be taken before, during and after a water event
  • Inspecting the roof periodically to make sure that drains and scuppers are free of debris
  • Inspection of the building exterior to make certain drains are clear, windows are protected, property is graded away from foundation walls, and there are no cracked walls and settled foundations
  • Making certain below-grade service equipment is properly protected
  • Utilizing sandbags, flood walls, or barriers to keep water from pooling against the foundation

What If Water Damage Occurs

Sometimes water or sewage damage will occur despite the best planning. In these cases, once the water level drops to permit inspection of service utilities and structural elements, the most important step to take is to initiate drying. Air movement and timeliness are the best ways to reduce mold growth. Depending on the location and extent of damage, mold may start to grow within 24 to 48 hours. Building owners/managers may start to document conditions and take measures to reduce damage. These actions may include:

  • Removal of wet rugs, carpeting, white goods (linens, sheets, towels), clothing, books, and paper
  • Restoring service equipment to allow for drying and dehumidifying the structure
  • Inspection of the building interior to look for evidence of leaks, water infiltration or water damage through roofs, walls, or windows
  • Looking for any evidence of mold growth on structural elements – documenting its location

The building owner should report a damage claim to their insurance agent/broker as soon as possible – providing them with details of the loss. The agent may provide an experienced mold professional, such as a Certified Industrial Hygienist (Board for Global EHS Credentialing) or a Licensed Mold Assessor Consultant (in Florida and Texas).

A mold consultant is trained to inspect the property – including the exterior walls (standing water against the foundation), beneath any crawl space, the roof, as well as all interior structural elements, service equipment, food handling operations and building drains. Conducting visual assessments and using tools such as thermal imaging cameras and moisture meters, the consultant will assess the extent of the water damage and/or mold growth and provide recommendations to address immediate needs and a remediation plan to share with contractors. The mold consultant may also opine on determining the cause and origin of the mold to make sure the damage is a covered peril under the policy. The immediate need will be to address the source of the water issue so drying can be started. Remember, mold needs two things to grow – a source of moisture and a food source. Most building materials will provide the food, so controlling the moisture is critical to reducing damage.

The mold consultant may also be asked by the insurance company to work with the restoration contractor to be certain that all work is performed properly and in accordance with the agreed upon work scope. Once restoration has been completed, a post-remediation verification assessment may be performed by the mold consultant as a means for project completion and claim closeout.

There are five general principles used in remediating mold-impacted structures and materials. These principles, listed below, may require a multi-disciplinary approach utilizing specialists in several fields (IICRC S520 –Reference Guide for Professional Mold Remediation, 2015).

  • Provide for the safety and health of workers and building occupants
  • Document conditions and work practices
  • Control contamination at the source
  • Physically remove the contamination (source material)
  • Correct the moisture problem to prevent recontamination

HETI: Assisting Before and After the Storm

HETI’s staff of certified industrial hygienists and mold assessors can assist clients with the development of an appropriate water management plan, storm preparedness, mold testing, project oversight and invoice review – all tools critical for managing losses and restoring operations.


To find out more about HETI’s indoor environment and industrial hygiene services, please contact us.

Jacqueline Armstrong Licensed Mold Assesor and Senior Risk Manager

ASSP New England PDC

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HETI is exhibiting at ASSP New England Area PDC, Nov 4–5, 2025, at the Sheraton Nashua, 11 Tara Blvd, Nashua, NH 03062. Visit and meet our professional staff at Booth #15 to discuss industrial hygiene, PFAS investigation, risk assessment, site remediation, and scalable EHS programs that reduce risk and ensure compliance. See you there!

NAEM Forum 2025

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We’re live now at NAEM Forum25!
HETI is exhibiting today and tomorrow at the NAEM EHS & Sustainability Management Forum — stop by booth #216 to meet our team!
Learn how HETI helps organizations achieve their environmental, health, and safety goals through solutions in risk characterization, industrial hygiene, PFAS investigation, and site remediation.

NAEM 2025

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HETI is excited to be exhibiting at NAEM Forum25: EHS & Sustainability Management Forum, October 21–24 at The Westin La Paloma Resort & Spa, 3800 E Sunrise Dr, Tucson, Arizona 85718!
Stop by booth #216 to learn how our experts can help your organization achieve its environmental, health, and safety goals through comprehensive solutions in risk characterization, industrial hygiene, PFAS investigation, and site remediation.

Infection Control Risk Assessments: Preventing Healthcare-Associated Infections During Construction And Renovation

In light of widely recognized concerns of increased healthcare-associated infection risks during healthcare construction and/or renovation activities, the Joint Commission, which accredits most U.S. hospitals, requires hospitals to conduct an Infection Control Risk Assessment (ICRA) whenever construction, renovation, or major maintenance could affect infection risks as described in its Environment of Care and Infection Prevention & Control standards. Also, the Facility Guidelines Institute (FGI), which develops and maintains the nationally recognized “Guidelines for Design and Construction” of healthcare facilities in the U.S., requires an ICRA during planning, design and construction activities. In addition, a number of state health departments adopt the FGI guidelines into their state health facility construction codes. Accordingly, an ICRA is not optional but likely mandatory for many, if not most, hospitals and other healthcare facilities planning or involved with construction and/or renovation activities.

 

What is a Healthcare-Associated Infection?

A healthcare-associated (or acquired) infection (HAI) is an infection that a patient acquires during a hospital stay or at another healthcare facility (such as an ambulatory surgical center, outpatient clinic, or a long-term care facility), which was not present at the time of admission. HAIs, which can be caused by bacteria, fungi, and viruses, pose significant risks of illness and possibly death. In fact, it has been estimated that at any given time about one in 31 hospital inpatients has an HAI.1

 

Cost of HAIs

HAIs not only lead to increased illnesses and deaths but also create a significant financial burden on the healthcare system. The estimated direct annual cost of treating HAIs in the United States ranges from $28.4 billion to $45 billion. Such infections are unnecessary and can be avoided through proper healthcare worker behavior and adherence to prevention procedures and guidelines.2

 

Infection Prevention

In the U.S., the discipline of infection control was established in the 1950s in response to a nationwide epidemic of nosocomial Staphylococcus aureus and the recognition of the need for nosocomial infection surveillance.3 Hospital infections became a recognized public health problem in post-World War II America; and in 1958 the American Heart Association published its first manual on hospital infection control. Infection prevention is a young medical profession dating back to 1970. The Association for Practitioners in Infection Control was founded in 1972.4

Infection prevention traditionally focuses on patient safety. Specifically, infection preventionists are responsible for using surveillance to track infection trends, planning appropriate interventions, measuring success, and reporting data to public health agencies. In recent years, the scope of infection control has expanded to include mitigation of emerging infectious diseases, environmental monitoring, and increased oversight of facility and construction-related infection issues.3

 

What is an ICRA?

An Infection Control Risk Assessment is essentially a step-by-step, multidisciplinary assessment that identifies and describes potential infection hazards and their locations and then specifies control measures to protect patients, staff, and visitors. The basic steps for conducting an ICRA include:

  • Assemble a qualified, multi-disciplinary ICRA team
  • Define project scope: Type of activity (maintenance, renovation, demolition, new construction); location/ proximity to patient-care areas; duration; etc.
  • Identify risks & potential hazards: Procedures or construction activities that might release dust, water aerosols, or pathogens; patient populations that could be exposed to such releases
  • Assess nearby patient risk groups: Low Risk (offices, healthy outpatients) to Highest Risk (transplant, oncology, burn units)
  • Develop written ICRA plan and implement control measures
  • Ongoing monitoring, inspections & documentation during project
  • Closeout and verification at project completion: Remove safety barriers; clean and disinfect the areas; verify air/water systems are safe; document that all ICRA measures were followed 5

Resources from HETI

The U.S. healthcare industry is growing rapidly, which thereby increases the overall risks of HAIs and the associated economic burden on the industry. ICRAs during construction, renovation, and maintenance activities are considered essential for preventing HAIs and are mandated by various national and state standards, regulations, codes and guidelines. Accordingly, it is essential to ensure that a team assembled for conducting and implementing an ICRA comprise qualified, multidisciplinary, and experienced experts, professionals and practitioners.

HETI has an exceptionally well-qualified staff of industrial hygiene & safety professionals and experts with extensive experience in a wide variety of healthcare-related services. We are readily available to work with clients to provide as-needed professional services to develop and implement effective and comprehensive ICRA programs.


References

  • 1 Healthcare-Associated Infections, HHS.gov
  • 2 Clinical and economic burden of healthcare-associated infections: A prospective cohort study, PMC
  • 3 History of infection prevention and control, PMC
  • 4 Better Together, The Synergist, February 2025
  • 5 Using the Healthcare Physical Environment to Prevent and Control Infection: A Best Practice Guide to Help Healthcare Organizations Create Safe, Healing Environments, ASHE

Mark Ostapczuk, CIH, CSP Director, Life Sciences Practice


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New England AIHA 2025

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HETI is live today at the New England AIHA All-Day Conference!
Join us TODAY, October 14th, at the Four Points by Sheraton in Norwood, MA.
Stop by our booth in the Tiffany Ballroom to connect with the HETI team and learn how we help clients across industries stay ahead in environmental health & safety, industrial hygiene, and risk management.

New England AIHA 2025

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HETI will be exhibiting at the New England AIHA Conference this Wednesday, October 14th, at the Four Points by Sheraton in Norwood, MA!
Stop by our booth to network with our team and learn how we help organizations stay compliant, safe, and sustainable through expert environmental health and safety solutions.
We look forward to connecting with you!

NEBSA 2025

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HETI is live right now at the New England Biosafety Association Conference! Stop by our booth to connect with our team and discover how we can help strengthen your biosafety and EHS programs

New England Biosafety Association 2025

HETI is excited to be exhibiting at the New England Biosafety Association (NEBSA) Conference!

Stop by our booth to connect with our team, learn more about our environmental health & safety and risk management solutions, and explore how we can support your organization’s biosafety initiatives.

We look forward to networking and building meaningful partnerships—see you there!