
Hospitals are increasingly focusing on environmentally friendly practices and rare disease treatment. The National Organization for Rare Disorders (NORD), for instance, has established 40 Rare Disease Centers of Excellence in 26 states and Washington, D.C., to diagnose, treat, and research rare diseases. These centers consist of multiple medical institutions and many have outreach clinics across their state. In terms of environmentally friendly practices, hospitals are adopting eco-friendly initiatives, such as paperless record-keeping, energy-efficient boilers, and green roofs. Some hospitals are also implementing advanced disinfection technologies, such as UV light disinfection systems, and hydrogen peroxide vapor (HPV) systems. These initiatives not only benefit the environment but also protect the health and safety of patients, staff, and the community.
| Characteristics | Values |
|---|---|
| Name | International Society for Environmentally Acquired Illness (ISEAI) |
| Type | Nonprofit professional medical society |
| Focus | Reducing human suffering caused by environmentally acquired illnesses |
| Approach | Integration of clinical practice, education, and research |
| Members | Clinicians, scientists, indoor environmental professionals |
| Services | Providing tools, education, and support for managing complex patients with environmentally acquired illnesses |
| Resources | Lecture recordings, presentations, research articles |
| Patient Support | Access to physicians, environmental professionals, and other licensed clinicians |
| Location | New York-Presbyterian |
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What You'll Learn

The International Society for Environmentally Acquired Illness (ISEAI)
ISEAI is made up of an active community of collaborative, open-minded clinicians, scientists, and indoor environmental professionals. They provide tools and resources to help manage complex patients facing environmentally acquired illnesses (EAI). This includes illnesses caused by mold exposure, other environmental toxicants, and persistent infections such as Lyme disease.
ISEAI members work with patients experiencing symptoms such as fatigue, brain fog, pain, anxiety, and digestive and sleep issues. They also support patients who have been misdiagnosed or told their problems are "in their heads", a phenomenon known as "medical gaslighting". The society offers a directory of medical professionals with additional education and training in the diagnosis and treatment of environmentally acquired illnesses. The directory also includes indoor environmental professionals (IEPs) with formal certifications and training who can assess, test, and remediate homes while considering chronic illness concerns.
ISEAI also hosts events and symposiums to raise awareness and share knowledge about environmentally acquired illnesses. These events bring together medical and environmental professionals, students, and the public to discuss the latest research and treatments.
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Mould exposure
Mould can grow indoors and outdoors in various places, including basements, walls, carpets, fabrics, and upholstery. It thrives in damp and moist environments, such as bathrooms, kitchens, and areas with poor ventilation. Mould can enter a home through open doors and windows, vents, and heating and air conditioning systems. It can also be brought indoors on clothing, shoes, bags, and even pets.
To prevent mould exposure, it is important to address any moisture issues in your home and maintain good ventilation. Regular cleaning with mould-killing products, especially in damp areas, can help prevent mould growth. If you see or smell mould, it is important to remove it promptly using household products, soap and water, or a diluted bleach solution.
If you suspect that you are experiencing health issues due to mould exposure, it is important to consult a healthcare professional. Organisations such as the International Society for Environmentally Acquired Illness (ISEAI) provide resources and support for individuals with environmentally acquired illnesses. ISEAI connects patients with medical professionals who have expertise in the diagnosis and treatment of environmentally acquired illnesses, including mould exposure. These professionals can help manage complex health issues related to mould exposure and provide guidance on remediation and prevention.
Additionally, indoor environmental professionals (IEPs) can assess, test, and remediate homes while considering the impact on chronic illnesses potentially caused by mould exposure. They work closely with medical professionals to provide comprehensive care and improve the overall health and well-being of individuals affected by mould exposure.
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Lyme disease
The Rheumatology Unit at Massachusetts General Hospital is also an internationally recognized teaching hospital affiliated with Harvard Medical School. Their fellowship program entails an intensive study of the clinical, diagnostic, therapeutic, pathogenic, and research aspects of Lyme arthritis and other rheumatologic diseases. The hospital's Lyme Disease Program is highly skilled in treating Lyme arthritis and the many other manifestations of Lyme disease across all disease stages. Patients under 12 years of age are generally referred to pediatric rheumatologists at the Mass General for Children.
Before a patient's first appointment, a rheumatologist will review their records, particularly previous Lyme testing. Based on this evaluation, the patient will either be scheduled for a formal appointment or referred to another specialist for the best care available for their specific case. At the first appointment, a rheumatologist will review the patient's history, perform a physical examination, and decide which tests are necessary for diagnostic purposes. Many symptoms of Lyme disease can be seen in other conditions, so accurate diagnosis is critical.
The International Society for Environmentally Acquired Illness (ISEAI) is a nonprofit professional medical society working to reduce the human suffering caused by environmentally acquired illnesses through clinical practice, education, and research. ISEAI members include physicians with an interest in environmentally acquired illnesses, such as Lyme disease, most with full prescriptive rights. ISEAI also lists indoor environmental professionals who can assess, test, and remediate homes while taking chronic illness concerns into consideration.
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Environmental health services
EVS teams play an essential role in eradicating dangerous pathogens, ensuring a safe environment for patients, visitors, and staff. They use specialized cleaning agents and techniques to clean and sanitize patient rooms, waiting areas, operating rooms, restrooms, and other hospital areas. Additionally, they collect, launder, and distribute hospital gowns and clean linens, maintain floors, exterminate pests, transport patients, and perform specialized cleaning services.
Hospital EVS technicians are also responsible for removing trash and hazardous waste, properly disposing of sharps, and maintaining the safety of shared patient equipment, such as wheelchairs, walkers, and gurneys. They utilize advanced cleaning tools and machinery, including high-efficiency particulate air (HEPA) filters, UV-C light disinfection, and electrostatic sprayers to ensure comprehensive sterilization.
The primary focus of Hospital EVS is preventing Healthcare-Associated Infections (HAIs). Surfaces must be thoroughly disinfected according to strict guidelines, which can vary depending on the type of pathogen. EVS professionals undergo rigorous training and certification processes to ensure they are well-equipped to maintain the highest cleanliness and safety standards. They are knowledgeable about infection control practices, the use of disinfectants, proper waste disposal, and handling hazardous materials.
Outsourcing environmental services can be beneficial to hospitals as it provides access to specialized knowledge and training in cleaning and sanitation protocols. Outsourced service providers understand sterilization standards, infection control, and the use of advanced cleaning technologies specific to healthcare settings. Additionally, outsourcing can help hospitals manage costs and meet regulatory requirements, reducing the risk of non-compliance penalties.
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Environmental health programs
The International Society for Environmentally Acquired Illness (ISEAI) is a prominent nonprofit professional medical society dedicated to mitigating the impact of environmentally acquired illnesses. ISEAI achieves this through the integration of clinical practice, education, and research. The society comprises a diverse group of collaborative clinicians, scientists, and indoor environmental professionals who offer tools and resources to manage complex cases of environmentally acquired illnesses effectively. ISEAI also provides a directory of medical professionals with expertise in environmentally acquired illnesses, including licensed MDs, DOs, and NDs, ensuring easy access to specialized care.
ISEAI's efforts extend beyond patient care, as they actively engage in educational initiatives and knowledge dissemination. Their symposium, for instance, serves as a platform for candid discussions on the complexities of treating chronically ill patients with environmentally acquired illnesses. Additionally, ISEAI members actively participate in research and the development of clinical practices related to mold illness, contributing to the advancement of environmental medicine.
Other organizations, such as the National Center for Environmental Health (NCEH), play a crucial role in promoting health and quality of life by preventing or controlling diseases, injuries, and disabilities associated with environmental factors outside the workplace. NCEH directs programs aimed at mitigating the adverse health effects of exposure to toxic substances and addressing societal and environmental factors that increase the risk of exposure and disease.
Furthermore, the Centers for Disease Control and Prevention (CDC) is another key player in environmental health programs. They provide leadership and direction in preventing and controlling diseases and other preventable conditions, as well as responding to public health emergencies. The Consumer Product Safety Commission, under the CDC, works to ensure the safety of consumer products by providing information, establishing safety standards, and promoting research into the causes and prevention of product-related illnesses and injuries.
Additionally, hospitals and healthcare facilities themselves play a critical role in implementing integrated health, safety, and environmental programs. This includes ensuring safe environmental conditions and access to basic amenities like piped water, improved sanitation, soap for handwashing, adequate waste disposal, sterilization equipment, and reliable energy services. By addressing these fundamental aspects, healthcare facilities can significantly reduce infection rates and improve overall environmental health.
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Frequently asked questions
Environmentally acquired diseases are infections that are picked up in a hospital setting. These infections are often caused by pathogens and can be difficult to treat due to antimicrobial resistance.
EVS is responsible for maintaining a clean, safe, and hygienic hospital environment. This includes routine cleaning, waste management, linen management, and specialized disinfection protocols to prevent the spread of infections.
Many hospitals have implemented eco-friendly initiatives such as paperless record-keeping, energy-efficient systems, green roofs, and recycling programs to reduce their environmental impact and promote sustainability.
While hospitals focus on preventing and controlling the spread of infections, there is no specific mention of hospitals specializing in treating environmentally acquired diseases.
The National Organization for Rare Disorders (NORD) has established Rare Disease Centers of Excellence in 26 states and Washington, D.C. These centers provide access to world-class doctors and medical teams experienced in diagnosing and treating a wide range of rare diseases.











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