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Final Guidelines for the Protection and Training of Workers Engaged In Maintenance and Remediation Work Associated with Mold 2 ACKNOWLEDGMENTS The National Institute of Environmental Health Sciences' Worker Education and Training Program (NIEHS WETP) acknowledges the Society for Occupational and Environmental Health (SOEH) and the Association of Occupational and Environmental Clinics (AOEC) for their foresight and assistance in developing this workshop. NIEHS WETP gratefully acknowledges Hunter College of the City University of New York for providing meeting locations and logistical support for the first workshop and the University of Medicine and Dentistry of New Jersey School of Public Health for financial support. The technical expertise contributed by the New York City Department of Health and Mental Hygiene is also appreciated The following Workshop Steering Committee members were significantly involved in planning and executing the workshops: Vincent M. Coluccio, DrPH, Vincent M. Coluccio & Associates, Inc. Christopher D'Andrea, New York City Department of Health Albert DeVita, Laborers, AGC Education and Training Fund Denny Dobbin, Society for Occupational and Environmental Health Susan Klitzman, DrPH, Hunter College Urban Public Health Program Bruce Lippy, PhD, National Clearinghouse for Worker Safety and Health Training Pat Mastin, National Institute of Environmental Health Sciences Clifford Mitchell, M.D., Johns Hopkins Bloomberg School of Public Health John Moran, National Clearinghouse for Worker Safety and Health Training Ted Outwater, National Institute of Environmental Health Sciences Glenn Paulson, Ph.D., UMDNJ School of Public Health NIEHS acknowledges the significant efforts of John Moran of the National Clearinghouse for Worker Safety and Health Training who created the original draft guidelines that served as the basis for discussion at the Manhattan workshop. Larry Cooper is also recognized in his role as Chair of the Mold Remediation Standard Committee of the Institute of Inspection, Cleaning and Restoration, and for his active involvement in the workshop and for the copies of the S520 Standard and Reference Guide for Professional Mold Remediation he shared with workshop participants. NIEHS WETP also wishes to thank Al DeVita and the Laborers-AGC for providing their mold remediation worker training curricula, which was a core model in shaping this document. NIEHS WETP greatly appreciates the work of Dr. Vincent Coluccio for coordinating the Manhattan workshop and revising the original draft document and Dr. Bruce Lippy for revising these final guidelines. 1.0 INTRODUCTION 1.1 Background "Mold" is ubiquitous in nature and in buildings. Molds and yeasts comprise one of the five major types of microbes and are believed to number over 1.5 million species, only 100,000 of which have been described. Molds, fungi, and bacteria have always been a concern associated with flooding of structures occupied by humans and there has been growing concern about adverse health consequences associated with exposures to mold in residential structures, largely in