{"id":274,"date":"2017-06-21T16:49:38","date_gmt":"2017-06-21T20:49:38","guid":{"rendered":"https:\/\/health.uconn.edu\/mold-moisture\/?page_id=274"},"modified":"2017-06-21T16:57:57","modified_gmt":"2017-06-21T20:57:57","slug":"course-page","status":"publish","type":"page","link":"https:\/\/health.uconn.edu\/mold-moisture\/resources-for-providers\/course-page\/","title":{"rendered":"Resources for Health Providers Course Page"},"content":{"rendered":"<script type=\"text\/javascript\">var gform;gform||(document.addEventListener(\"gform_main_scripts_loaded\",function(){gform.scriptsLoaded=!0}),window.addEventListener(\"DOMContentLoaded\",function(){gform.domLoaded=!0}),gform={domLoaded:!1,scriptsLoaded:!1,initializeOnLoaded:function(o){gform.domLoaded&&gform.scriptsLoaded?o():!gform.domLoaded&&gform.scriptsLoaded?window.addEventListener(\"DOMContentLoaded\",o):document.addEventListener(\"gform_main_scripts_loaded\",o)},hooks:{action:{},filter:{}},addAction:function(o,n,r,t){gform.addHook(\"action\",o,n,r,t)},addFilter:function(o,n,r,t){gform.addHook(\"filter\",o,n,r,t)},doAction:function(o){gform.doHook(\"action\",o,arguments)},applyFilters:function(o){return gform.doHook(\"filter\",o,arguments)},removeAction:function(o,n){gform.removeHook(\"action\",o,n)},removeFilter:function(o,n,r){gform.removeHook(\"filter\",o,n,r)},addHook:function(o,n,r,t,i){null==gform.hooks[o][n]&&(gform.hooks[o][n]=[]);var e=gform.hooks[o][n];null==i&&(i=n+\"_\"+e.length),gform.hooks[o][n].push({tag:i,callable:r,priority:t=null==t?10:t})},doHook:function(n,o,r){var t;if(r=Array.prototype.slice.call(r,1),null!=gform.hooks[n][o]&&((o=gform.hooks[n][o]).sort(function(o,n){return o.priority-n.priority}),o.forEach(function(o){\"function\"!=typeof(t=o.callable)&&(t=window[t]),\"action\"==n?t.apply(null,r):r[0]=t.apply(null,r)})),\"filter\"==n)return r[0]},removeHook:function(o,n,t,i){var r;null!=gform.hooks[o][n]&&(r=(r=gform.hooks[o][n]).filter(function(o,n,r){return!!(null!=i&&i!=o.tag||null!=t&&t!=o.priority)}),gform.hooks[o][n]=r)}});<\/script>\n                <div class='gf_browser_gecko gform_wrapper gform_legacy_markup_wrapper gform-theme--no-framework' data-form-theme='legacy' data-form-index='0' id='gform_wrapper_2' style='display:none'><div id='gf_2' class='gform_anchor' tabindex='-1'><\/div>\n                        <div class='gform_heading'>\n                            <h3 class=\"gform_title\">Resources for Health Providers Course<\/h3>\n                            <p class='gform_description'><\/p>\n                        <\/div><form method='post' enctype='multipart\/form-data'  id='gform_2'  action='\/mold-moisture\/wp-json\/wp\/v2\/pages\/274#gf_2' data-formid='2' novalidate>\n        <div id='gf_progressbar_wrapper_2' class='gf_progressbar_wrapper' data-start-at-zero=''>\n        \t<h3 class=\"gf_progressbar_title\">Step <span class='gf_step_current_page'>1<\/span> of <span class='gf_step_page_count'>5<\/span>\n        \t<\/h3>\n            <div class='gf_progressbar gf_progressbar_blue' aria-hidden='true'>\n                <div class='gf_progressbar_percentage percentbar_blue percentbar_20' style='width:20%;'><span>20%<\/span><\/div>\n            <\/div><\/div>\n                        <div class='gform-body gform_body'><div id='gform_page_2_1' class='gform_page ' data-js='page-field-id-1' >\n                                    <div class='gform_page_fields'><ul id='gform_fields_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_2_1\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_1\" ><h2>Resources for Providers and Their Patients Who Are Exposed to Damp, Moldy Environments<\/h2><\/li><li id=\"field_2_2\" class=\"gfield gfield--type-name gfield--input-type-name gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_2\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Name<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_complex ginput_container ginput_container--name no_prefix has_first_name no_middle_name has_last_name no_suffix gf_name_has_2 ginput_container_name gform-grid-row' id='input_2_2'>\n                            \n                            <span id='input_2_2_3_container' class='name_first gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.3' id='input_2_2_3' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_2_3' class='gform-field-label gform-field-label--type-sub '>First<\/label>\n                                                <\/span>\n                            \n                            <span id='input_2_2_6_container' class='name_last gform-grid-col gform-grid-col--size-auto' >\n                                                    <input type='text' name='input_2.6' id='input_2_2_6' value=''   aria-required='true'     \/>\n                                                    <label for='input_2_2_6' class='gform-field-label gform-field-label--type-sub '>Last<\/label>\n                                                <\/span>\n                            \n                        <\/div><\/li><li id=\"field_2_3\" class=\"gfield gfield--type-select gfield--input-type-select field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_3\" ><label class='gfield_label gform-field-label' for='input_2_3'>Degree<\/label><div class='ginput_container ginput_container_select'><select name='input_3' id='input_2_3' class='medium gfield_select'     aria-invalid=\"false\" ><option value='APRN' >APRN<\/option><option value='DrPH' >DrPH<\/option><option value='M.D.' >M.D.<\/option><option value='M.P.H.' >M.P.H.<\/option><option value='P.A.' >P.A.<\/option><option value='Ph.D.' >Ph.D.<\/option><option value='R.N.' >R.N.<\/option><option value='Multiple\/Other\/Prefer not to say' >Multiple\/Other\/Prefer not to say<\/option><\/select><\/div><\/li><li id=\"field_2_27\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_27\" ><label class='gfield_label gform-field-label' for='input_2_27'>Specify degree<\/label><div class='gfield_description' id='gfield_description_2_27'>List degrees, or leave blank.<\/div><div class='ginput_container ginput_container_text'><input name='input_27' id='input_2_27' type='text' value='' class='medium'  aria-describedby=\"gfield_description_2_27\"    aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_4\" class=\"gfield gfield--type-checkbox gfield--type-choice gfield--input-type-checkbox field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_4\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Medical Specialty<\/label><div class='gfield_description' id='gfield_description_2_4'>Select all that apply.<\/div><div class='ginput_container ginput_container_checkbox'><ul class='gfield_checkbox' id='input_2_4'><li class='gchoice gchoice_2_4_1'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.1' type='checkbox'  value='Allergy'  id='choice_2_4_1'   aria-describedby=\"gfield_description_2_4\"\/>\n\t\t\t\t\t\t\t\t<label for='choice_2_4_1' id='label_2_4_1' class='gform-field-label gform-field-label--type-inline'>Allergy<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_4_2'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.2' type='checkbox'  value='Family Medicine'  id='choice_2_4_2'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_4_2' id='label_2_4_2' class='gform-field-label gform-field-label--type-inline'>Family Medicine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_4_3'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.3' type='checkbox'  value='Internal Medicine'  id='choice_2_4_3'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_4_3' id='label_2_4_3' class='gform-field-label gform-field-label--type-inline'>Internal Medicine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_4_4'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.4' type='checkbox'  value='Occupational and Environmental Medicine'  id='choice_2_4_4'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_4_4' id='label_2_4_4' class='gform-field-label gform-field-label--type-inline'>Occupational and Environmental Medicine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_4_5'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.5' type='checkbox'  value='Pediatrics'  id='choice_2_4_5'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_4_5' id='label_2_4_5' class='gform-field-label gform-field-label--type-inline'>Pediatrics<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_4_6'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.6' type='checkbox'  value='Pulmonary Medicine'  id='choice_2_4_6'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_4_6' id='label_2_4_6' class='gform-field-label gform-field-label--type-inline'>Pulmonary Medicine<\/label>\n\t\t\t\t\t\t\t<\/li><li class='gchoice gchoice_2_4_7'>\n\t\t\t\t\t\t\t\t<input class='gfield-choice-input' name='input_4.7' type='checkbox'  value='Other'  id='choice_2_4_7'   \/>\n\t\t\t\t\t\t\t\t<label for='choice_2_4_7' id='label_2_4_7' class='gform-field-label gform-field-label--type-inline'>Other<\/label>\n\t\t\t\t\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_5\" class=\"gfield gfield--type-text gfield--input-type-text field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_5\" ><label class='gfield_label gform-field-label' for='input_2_5'>Specify Other<\/label><div class='ginput_container ginput_container_text'><input name='input_5' id='input_2_5' type='text' value='' class='medium'      aria-invalid=\"false\"   \/> <\/div><\/li><li id=\"field_2_6\" class=\"gfield gfield--type-email gfield--input-type-email gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_6\" ><label class='gfield_label gform-field-label' for='input_2_6'>Email<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_email'>\n                            <input name='input_6' id='input_2_6' type='email' value='' class='medium'    aria-required=\"true\" aria-invalid=\"false\"  \/>\n                        <\/div><\/li><li id=\"field_2_7\" class=\"gfield gfield--type-phone gfield--input-type-phone field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_7\" ><label class='gfield_label gform-field-label' for='input_2_7'>Phone<\/label><div class='ginput_container ginput_container_phone'><input name='input_7' id='input_2_7' type='tel' value='' class='medium'    aria-invalid=\"false\"   \/><\/div><\/li><li id=\"field_2_8\" class=\"gfield gfield--type-address gfield--input-type-address field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_8\" ><label class='gfield_label gform-field-label gfield_label_before_complex' >Address<\/label>    \n                    <div class='ginput_complex ginput_container has_street has_street2 has_city has_state has_zip has_country ginput_container_address gform-grid-row' id='input_2_8' >\n                         <span class='ginput_full address_line_1 ginput_address_line_1 gform-grid-col' id='input_2_8_1_container' >\n                                        <input type='text' name='input_8.1' id='input_2_8_1' value=''    aria-required='false'    \/>\n                                        <label for='input_2_8_1' id='input_2_8_1_label' class='gform-field-label gform-field-label--type-sub '>Street Address<\/label>\n                                    <\/span><span class='ginput_full address_line_2 ginput_address_line_2 gform-grid-col' id='input_2_8_2_container' >\n                                        <input type='text' name='input_8.2' id='input_2_8_2' value=''     aria-required='false'   \/>\n                                        <label for='input_2_8_2' id='input_2_8_2_label' class='gform-field-label gform-field-label--type-sub '>Address Line 2<\/label>\n                                    <\/span><span class='ginput_left address_city ginput_address_city gform-grid-col' id='input_2_8_3_container' >\n                                    <input type='text' name='input_8.3' id='input_2_8_3' value=''    aria-required='false'    \/>\n                                    <label for='input_2_8_3' id='input_2_8_3_label' class='gform-field-label gform-field-label--type-sub '>City<\/label>\n                                 <\/span><span class='ginput_right address_state ginput_address_state gform-grid-col' id='input_2_8_4_container' >\n                                        <input type='text' name='input_8.4' id='input_2_8_4' value=''      aria-required='false'    \/>\n                                        <label for='input_2_8_4' id='input_2_8_4_label' class='gform-field-label gform-field-label--type-sub '>State \/ Province \/ Region<\/label>\n                                      <\/span><span class='ginput_left address_zip ginput_address_zip gform-grid-col' id='input_2_8_5_container' >\n                                    <input type='text' name='input_8.5' id='input_2_8_5' value=''    aria-required='false'    \/>\n                                    <label for='input_2_8_5' id='input_2_8_5_label' class='gform-field-label gform-field-label--type-sub '>ZIP \/ Postal Code<\/label>\n                                <\/span><span class='ginput_right address_country ginput_address_country gform-grid-col' id='input_2_8_6_container' >\n                                        <select name='input_8.6' id='input_2_8_6'   aria-required='false'    ><option value='' selected='selected'><\/option><option value='Afghanistan' >Afghanistan<\/option><option value='Albania' >Albania<\/option><option value='Algeria' >Algeria<\/option><option value='American Samoa' >American Samoa<\/option><option value='Andorra' >Andorra<\/option><option value='Angola' >Angola<\/option><option value='Anguilla' >Anguilla<\/option><option value='Antarctica' >Antarctica<\/option><option value='Antigua and Barbuda' >Antigua and Barbuda<\/option><option value='Argentina' >Argentina<\/option><option value='Armenia' >Armenia<\/option><option value='Aruba' >Aruba<\/option><option value='Australia' >Australia<\/option><option value='Austria' >Austria<\/option><option value='Azerbaijan' >Azerbaijan<\/option><option value='Bahamas' >Bahamas<\/option><option value='Bahrain' >Bahrain<\/option><option value='Bangladesh' >Bangladesh<\/option><option value='Barbados' >Barbados<\/option><option value='Belarus' >Belarus<\/option><option value='Belgium' >Belgium<\/option><option value='Belize' >Belize<\/option><option value='Benin' >Benin<\/option><option value='Bermuda' >Bermuda<\/option><option value='Bhutan' >Bhutan<\/option><option value='Bolivia' >Bolivia<\/option><option value='Bonaire, Sint Eustatius and Saba' >Bonaire, Sint Eustatius and Saba<\/option><option value='Bosnia and Herzegovina' >Bosnia and Herzegovina<\/option><option value='Botswana' >Botswana<\/option><option value='Bouvet Island' >Bouvet Island<\/option><option value='Brazil' >Brazil<\/option><option value='British Indian Ocean Territory' >British Indian Ocean Territory<\/option><option value='Brunei Darussalam' >Brunei Darussalam<\/option><option value='Bulgaria' >Bulgaria<\/option><option value='Burkina Faso' >Burkina Faso<\/option><option value='Burundi' >Burundi<\/option><option value='Cabo Verde' >Cabo Verde<\/option><option value='Cambodia' >Cambodia<\/option><option value='Cameroon' >Cameroon<\/option><option value='Canada' >Canada<\/option><option value='Cayman Islands' >Cayman Islands<\/option><option value='Central African Republic' >Central African Republic<\/option><option value='Chad' >Chad<\/option><option value='Chile' >Chile<\/option><option value='China' >China<\/option><option value='Christmas Island' >Christmas Island<\/option><option value='Cocos Islands' >Cocos Islands<\/option><option value='Colombia' >Colombia<\/option><option value='Comoros' >Comoros<\/option><option value='Congo' >Congo<\/option><option value='Congo, Democratic Republic of the' >Congo, Democratic Republic of the<\/option><option value='Cook Islands' >Cook Islands<\/option><option value='Costa Rica' >Costa Rica<\/option><option value='Croatia' >Croatia<\/option><option value='Cuba' >Cuba<\/option><option value='Cura\u00e7ao' >Cura\u00e7ao<\/option><option value='Cyprus' >Cyprus<\/option><option value='Czechia' >Czechia<\/option><option value='C\u00f4te d&#039;Ivoire' >C\u00f4te d&#039;Ivoire<\/option><option value='Denmark' >Denmark<\/option><option value='Djibouti' >Djibouti<\/option><option value='Dominica' >Dominica<\/option><option value='Dominican Republic' >Dominican Republic<\/option><option value='Ecuador' >Ecuador<\/option><option value='Egypt' >Egypt<\/option><option value='El Salvador' >El Salvador<\/option><option value='Equatorial Guinea' >Equatorial Guinea<\/option><option value='Eritrea' >Eritrea<\/option><option value='Estonia' >Estonia<\/option><option value='Eswatini' >Eswatini<\/option><option value='Ethiopia' >Ethiopia<\/option><option value='Falkland Islands' >Falkland Islands<\/option><option value='Faroe Islands' >Faroe Islands<\/option><option value='Fiji' >Fiji<\/option><option value='Finland' >Finland<\/option><option value='France' >France<\/option><option value='French Guiana' >French Guiana<\/option><option value='French Polynesia' >French Polynesia<\/option><option value='French Southern Territories' >French Southern Territories<\/option><option value='Gabon' >Gabon<\/option><option value='Gambia' >Gambia<\/option><option value='Georgia' >Georgia<\/option><option value='Germany' >Germany<\/option><option value='Ghana' >Ghana<\/option><option value='Gibraltar' >Gibraltar<\/option><option value='Greece' >Greece<\/option><option value='Greenland' >Greenland<\/option><option value='Grenada' >Grenada<\/option><option value='Guadeloupe' >Guadeloupe<\/option><option value='Guam' >Guam<\/option><option value='Guatemala' >Guatemala<\/option><option value='Guernsey' >Guernsey<\/option><option value='Guinea' >Guinea<\/option><option value='Guinea-Bissau' >Guinea-Bissau<\/option><option value='Guyana' >Guyana<\/option><option value='Haiti' >Haiti<\/option><option value='Heard Island and McDonald Islands' >Heard Island and McDonald Islands<\/option><option value='Holy See' >Holy See<\/option><option value='Honduras' >Honduras<\/option><option value='Hong Kong' >Hong Kong<\/option><option value='Hungary' >Hungary<\/option><option value='Iceland' >Iceland<\/option><option value='India' >India<\/option><option value='Indonesia' >Indonesia<\/option><option value='Iran' >Iran<\/option><option value='Iraq' >Iraq<\/option><option value='Ireland' >Ireland<\/option><option value='Isle of Man' >Isle of Man<\/option><option value='Israel' >Israel<\/option><option value='Italy' >Italy<\/option><option value='Jamaica' >Jamaica<\/option><option value='Japan' >Japan<\/option><option value='Jersey' >Jersey<\/option><option value='Jordan' >Jordan<\/option><option value='Kazakhstan' >Kazakhstan<\/option><option value='Kenya' >Kenya<\/option><option value='Kiribati' >Kiribati<\/option><option value='Korea, Democratic People&#039;s Republic of' >Korea, Democratic People&#039;s Republic of<\/option><option value='Korea, Republic of' >Korea, Republic of<\/option><option value='Kuwait' >Kuwait<\/option><option value='Kyrgyzstan' >Kyrgyzstan<\/option><option value='Lao People&#039;s Democratic Republic' >Lao People&#039;s Democratic Republic<\/option><option value='Latvia' >Latvia<\/option><option value='Lebanon' >Lebanon<\/option><option value='Lesotho' >Lesotho<\/option><option value='Liberia' >Liberia<\/option><option value='Libya' >Libya<\/option><option value='Liechtenstein' >Liechtenstein<\/option><option value='Lithuania' >Lithuania<\/option><option value='Luxembourg' >Luxembourg<\/option><option value='Macao' >Macao<\/option><option value='Madagascar' >Madagascar<\/option><option value='Malawi' >Malawi<\/option><option value='Malaysia' >Malaysia<\/option><option value='Maldives' >Maldives<\/option><option value='Mali' >Mali<\/option><option value='Malta' >Malta<\/option><option value='Marshall Islands' >Marshall Islands<\/option><option value='Martinique' >Martinique<\/option><option value='Mauritania' >Mauritania<\/option><option value='Mauritius' >Mauritius<\/option><option value='Mayotte' >Mayotte<\/option><option value='Mexico' >Mexico<\/option><option value='Micronesia' >Micronesia<\/option><option value='Moldova' >Moldova<\/option><option value='Monaco' >Monaco<\/option><option value='Mongolia' >Mongolia<\/option><option value='Montenegro' >Montenegro<\/option><option value='Montserrat' >Montserrat<\/option><option value='Morocco' >Morocco<\/option><option value='Mozambique' >Mozambique<\/option><option value='Myanmar' >Myanmar<\/option><option value='Namibia' >Namibia<\/option><option value='Nauru' >Nauru<\/option><option value='Nepal' >Nepal<\/option><option value='Netherlands' >Netherlands<\/option><option value='New Caledonia' >New Caledonia<\/option><option value='New Zealand' >New Zealand<\/option><option value='Nicaragua' >Nicaragua<\/option><option value='Niger' >Niger<\/option><option value='Nigeria' >Nigeria<\/option><option value='Niue' >Niue<\/option><option value='Norfolk Island' >Norfolk Island<\/option><option value='North Macedonia' >North Macedonia<\/option><option value='Northern Mariana Islands' >Northern Mariana Islands<\/option><option value='Norway' >Norway<\/option><option value='Oman' >Oman<\/option><option value='Pakistan' >Pakistan<\/option><option value='Palau' >Palau<\/option><option value='Palestine, State of' >Palestine, State of<\/option><option value='Panama' >Panama<\/option><option value='Papua New Guinea' >Papua New Guinea<\/option><option value='Paraguay' >Paraguay<\/option><option value='Peru' >Peru<\/option><option value='Philippines' >Philippines<\/option><option value='Pitcairn' >Pitcairn<\/option><option value='Poland' >Poland<\/option><option value='Portugal' >Portugal<\/option><option value='Puerto Rico' >Puerto Rico<\/option><option value='Qatar' >Qatar<\/option><option value='Romania' >Romania<\/option><option value='Russian Federation' >Russian Federation<\/option><option value='Rwanda' >Rwanda<\/option><option value='R\u00e9union' >R\u00e9union<\/option><option value='Saint Barth\u00e9lemy' >Saint Barth\u00e9lemy<\/option><option value='Saint Helena, Ascension and Tristan da Cunha' >Saint Helena, Ascension and Tristan da Cunha<\/option><option value='Saint Kitts and Nevis' >Saint Kitts and Nevis<\/option><option value='Saint Lucia' >Saint Lucia<\/option><option value='Saint Martin' >Saint Martin<\/option><option value='Saint Pierre and Miquelon' >Saint Pierre and Miquelon<\/option><option value='Saint Vincent and the Grenadines' >Saint Vincent and the Grenadines<\/option><option value='Samoa' >Samoa<\/option><option value='San Marino' >San Marino<\/option><option value='Sao Tome and Principe' >Sao Tome and Principe<\/option><option value='Saudi Arabia' >Saudi Arabia<\/option><option value='Senegal' >Senegal<\/option><option value='Serbia' >Serbia<\/option><option value='Seychelles' >Seychelles<\/option><option value='Sierra Leone' >Sierra Leone<\/option><option value='Singapore' >Singapore<\/option><option value='Sint Maarten' >Sint Maarten<\/option><option value='Slovakia' >Slovakia<\/option><option value='Slovenia' >Slovenia<\/option><option value='Solomon Islands' >Solomon Islands<\/option><option value='Somalia' >Somalia<\/option><option value='South Africa' >South Africa<\/option><option value='South Georgia and the South Sandwich Islands' >South Georgia and the South Sandwich Islands<\/option><option value='South Sudan' >South Sudan<\/option><option value='Spain' >Spain<\/option><option value='Sri Lanka' >Sri Lanka<\/option><option value='Sudan' >Sudan<\/option><option value='Suriname' >Suriname<\/option><option value='Svalbard and Jan Mayen' >Svalbard and Jan Mayen<\/option><option value='Sweden' >Sweden<\/option><option value='Switzerland' >Switzerland<\/option><option value='Syria Arab Republic' >Syria Arab Republic<\/option><option value='Taiwan' >Taiwan<\/option><option value='Tajikistan' >Tajikistan<\/option><option value='Tanzania, the United Republic of' >Tanzania, the United Republic of<\/option><option value='Thailand' >Thailand<\/option><option value='Timor-Leste' >Timor-Leste<\/option><option value='Togo' >Togo<\/option><option value='Tokelau' >Tokelau<\/option><option value='Tonga' >Tonga<\/option><option value='Trinidad and Tobago' >Trinidad and Tobago<\/option><option value='Tunisia' >Tunisia<\/option><option value='Turkmenistan' >Turkmenistan<\/option><option value='Turks and Caicos Islands' >Turks and Caicos Islands<\/option><option value='Tuvalu' >Tuvalu<\/option><option value='T\u00fcrkiye' >T\u00fcrkiye<\/option><option value='US Minor Outlying Islands' >US Minor Outlying Islands<\/option><option value='Uganda' >Uganda<\/option><option value='Ukraine' >Ukraine<\/option><option value='United Arab Emirates' >United Arab Emirates<\/option><option value='United Kingdom' >United Kingdom<\/option><option value='United States' >United States<\/option><option value='Uruguay' >Uruguay<\/option><option value='Uzbekistan' >Uzbekistan<\/option><option value='Vanuatu' >Vanuatu<\/option><option value='Venezuela' >Venezuela<\/option><option value='Viet Nam' >Viet Nam<\/option><option value='Virgin Islands, British' >Virgin Islands, British<\/option><option value='Virgin Islands, U.S.' >Virgin Islands, U.S.<\/option><option value='Wallis and Futuna' >Wallis and Futuna<\/option><option value='Western Sahara' >Western Sahara<\/option><option value='Yemen' >Yemen<\/option><option value='Zambia' >Zambia<\/option><option value='Zimbabwe' >Zimbabwe<\/option><option value='\u00c5land Islands' >\u00c5land Islands<\/option><\/select>\n                                        <label for='input_2_8_6' id='input_2_8_6_label' class='gform-field-label gform-field-label--type-sub '>Country<\/label>\n                                    <\/span>\n                    <div class='gf_clear gf_clear_complex'><\/div>\n                <\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                         <input type='button' id='gform_next_button_2_9' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_2' class='gform_page' data-js='page-field-id-9' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_2' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_2_10\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_10\" ><h2>Case Introduction<\/h2>\n\n<h4>A woman with newly exacerbated asthma symptoms living in a condominium<\/h4>\n\n<p>A 43 year old female patient with a three year history of asthma, is referred by an allergist to an occupational medicine physician because of exacerbated asthma symptoms (onset over the winter).  Her symptoms include dyspnea, needing her rescue inhaler more frequently, and increasing occurrences of night time cough. At the time of the visit her spirometry is within normal range (in compliance with maintenance medication).  She had a previous history of allergic rhinitis \u2013sensitive to mold, pollen, grass and cedar-, epilepsy-diagnosed 30 years ago-, and Stage 4 breast cancer diagnosed two years ago.  As part of her treatment she completed chemotherapy the previous fall. She recently moved to her grandmother\u2019s home because she reports that her condominium (condo) is water damaged from winter storms and smells of mold. She says there is mold and wetness along the wall shared with the next condo and mold on wallboard in the basement level.  Her family is concerned over her immune status so insisted she move out of the condo and seek treatment. She returns to her condo to empty a dehumidifier, but stays only briefly because when she is there she especially feels that her breathing becomes difficult. She misses living on her own in the condo.  She is a paralegal for an insurance company and denies any adverse breathing concerns or exposures while at work.<\/p><\/li><li id=\"field_2_11\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_11\" ><label class='gfield_label gform-field-label' for='input_2_11'>What do you think are the patient\u2019s main concerns?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_11' id='input_2_11' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_13\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_13\" ><label class='gfield_label gform-field-label' for='input_2_13'>What approach to determining building-relatedness do you take?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_13' id='input_2_13' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><li id=\"field_2_12\" class=\"gfield gfield--type-textarea gfield--input-type-textarea field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_12\" ><label class='gfield_label gform-field-label' for='input_2_12'>Aside from the immediate needs of the patient what are other considerations?<\/label><div class='ginput_container ginput_container_textarea'><textarea name='input_12' id='input_2_12' class='textarea medium'      aria-invalid=\"false\"   rows='10' cols='50'><\/textarea><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_14' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"1\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_14' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_3' class='gform_page' data-js='page-field-id-14' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_3' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_2_16\" class=\"gfield gfield--type-section gfield--input-type-section gsection field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_16\" ><h2 class=\"gsection_title\">Video Lecture: Resources for Providers and Their Patients Who Are Exposed to Damp, Moldy Environments<\/h2><div class='gsection_description' id='gfield_description_2_16'>Speaker: Paula Schenck, M.P.H.<\/div><\/li><li id=\"field_2_15\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_15\" ><iframe loading=\"lazy\" width=\"560\" height=\"315\" src=\"https:\/\/www.youtube.com\/embed\/NEI5M4lVIyQ\" frameborder=\"0\" allowfullscreen><\/iframe><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_17' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"2\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_17' class='gform_next_button gform-theme-button button' value='Next'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"4\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_4' class='gform_page' data-js='page-field-id-17' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_4' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_2_18\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_2_18\" ><label class='gfield_label gform-field-label' >1. Molds in indoor environments may be:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_18'>\n\t\t\t<li class='gchoice gchoice_2_18_0'>\n\t\t\t\t<input name='input_18' type='radio' value='gquiz1806b89e7e'  id='choice_2_18_0'    \/>\n\t\t\t\t<label for='choice_2_18_0' id='label_2_18_0' class='gform-field-label gform-field-label--type-inline'>A. A direct factor influencing illness<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_18_1'>\n\t\t\t\t<input name='input_18' type='radio' value='gquiz18179cc95a'  id='choice_2_18_1'    \/>\n\t\t\t\t<label for='choice_2_18_1' id='label_2_18_1' class='gform-field-label gform-field-label--type-inline'>B. An indicator of biological agents that may aerosolize in damp indoor environments<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_18_2'>\n\t\t\t\t<input name='input_18' type='radio' value='gquiz18cd1814e8'  id='choice_2_18_2'    \/>\n\t\t\t\t<label for='choice_2_18_2' id='label_2_18_2' class='gform-field-label gform-field-label--type-inline'>C. Acting on building materials to release chemicals and dusts of concern to respiratory health<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_18_3'>\n\t\t\t\t<input name='input_18' type='radio' value='gquiz18cfd4df79'  id='choice_2_18_3'    \/>\n\t\t\t\t<label for='choice_2_18_3' id='label_2_18_3' class='gform-field-label gform-field-label--type-inline'>D. Only A and C are correct<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_18_4'>\n\t\t\t\t<input name='input_18' type='radio' value='gquiz18041574de'  id='choice_2_18_4'    \/>\n\t\t\t\t<label for='choice_2_18_4' id='label_2_18_4' class='gform-field-label gform-field-label--type-inline'>E. A, B and C are all correct<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_19\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio gfield_contains_required field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_2_19\" ><label class='gfield_label gform-field-label' >2. The 2009 review from the World Health Organization agreed with the conclusions of the earlier National Institute of Health Panel that there is sufficient evidence of an association between molds or other agents in damp indoor environments and upper respiratory symptoms, cough, wheeze, and asthma exacerbation. In addition the WHO review:<span class=\"gfield_required\"><span class=\"gfield_required gfield_required_asterisk\">*<\/span><\/span><\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_19'>\n\t\t\t<li class='gchoice gchoice_2_19_0'>\n\t\t\t\t<input name='input_19' type='radio' value='gquiz1913aaf03e'  id='choice_2_19_0'    \/>\n\t\t\t\t<label for='choice_2_19_0' id='label_2_19_0' class='gform-field-label gform-field-label--type-inline'>A. Documents relationships in non-atopic and in those not previously sensitized<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_19_1'>\n\t\t\t\t<input name='input_19' type='radio' value='gquiz1983cdb8fc'  id='choice_2_19_1'    \/>\n\t\t\t\t<label for='choice_2_19_1' id='label_2_19_1' class='gform-field-label gform-field-label--type-inline'>B. Found mold exposure by inhalation in usual indoor settings to be toxic to those exposed<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_19_2'>\n\t\t\t\t<input name='input_19' type='radio' value='gquiz1934c46e42'  id='choice_2_19_2'    \/>\n\t\t\t\t<label for='choice_2_19_2' id='label_2_19_2' class='gform-field-label gform-field-label--type-inline'>C. Found that qualitative exposure assessment (seeing and\/or smelling mold) correlated with health effects, while quantitative mold measurements in the air were not shown to be significant<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_19_3'>\n\t\t\t\t<input name='input_19' type='radio' value='gquiz197985692a'  id='choice_2_19_3'    \/>\n\t\t\t\t<label for='choice_2_19_3' id='label_2_19_3' class='gform-field-label gform-field-label--type-inline'>D. Only A and C are correct<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_19_4'>\n\t\t\t\t<input name='input_19' type='radio' value='gquiz19aa8d3e4d'  id='choice_2_19_4'    \/>\n\t\t\t\t<label for='choice_2_19_4' id='label_2_19_4' class='gform-field-label gform-field-label--type-inline'>E. A, B and C are all correct<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_20\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_2_20\" ><label class='gfield_label gform-field-label' >3. To choose what respiratory protection would be indicated to protect individuals cleaning up flooded environments, considerations include:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_20'>\n\t\t\t<li class='gchoice gchoice_2_20_0'>\n\t\t\t\t<input name='input_20' type='radio' value='gquiz20574ad684'  id='choice_2_20_0'    \/>\n\t\t\t\t<label for='choice_2_20_0' id='label_2_20_0' class='gform-field-label gform-field-label--type-inline'>A. The added demand of wearing personal protective equipment and their individual health suitability for using a respirator<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_20_1'>\n\t\t\t\t<input name='input_20' type='radio' value='gquiz2045426be3'  id='choice_2_20_1'    \/>\n\t\t\t\t<label for='choice_2_20_1' id='label_2_20_1' class='gform-field-label gform-field-label--type-inline'>B. The time of day that the person would be working<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_20_2'>\n\t\t\t\t<input name='input_20' type='radio' value='gquiz204024cc90'  id='choice_2_20_2'    \/>\n\t\t\t\t<label for='choice_2_20_2' id='label_2_20_2' class='gform-field-label gform-field-label--type-inline'>C. The amount of mold present and expected dust generation<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_20_3'>\n\t\t\t\t<input name='input_20' type='radio' value='gquiz206538b2d4'  id='choice_2_20_3'    \/>\n\t\t\t\t<label for='choice_2_20_3' id='label_2_20_3' class='gform-field-label gform-field-label--type-inline'>D. Only A and C are correct<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_20_4'>\n\t\t\t\t<input name='input_20' type='radio' value='gquiz20dc2a82ef'  id='choice_2_20_4'    \/>\n\t\t\t\t<label for='choice_2_20_4' id='label_2_20_4' class='gform-field-label gform-field-label--type-inline'>E. A, B and C are all correct<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_21\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_2_21\" ><label class='gfield_label gform-field-label' >4. Providers consider multiple factors in determining the strength of an environmental or a building relationship with illness. The provider should:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_21'>\n\t\t\t<li class='gchoice gchoice_2_21_0'>\n\t\t\t\t<input name='input_21' type='radio' value='gquiz21fe8c6c1f'  id='choice_2_21_0'    \/>\n\t\t\t\t<label for='choice_2_21_0' id='label_2_21_0' class='gform-field-label gform-field-label--type-inline'>A.\tExplore biological reasonableness, time patterns and consistency of symptoms, exposures in the environment, the status of others in the same environment, and alternate explanations.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_21_1'>\n\t\t\t\t<input name='input_21' type='radio' value='gquiz21ac9f6d20'  id='choice_2_21_1'    \/>\n\t\t\t\t<label for='choice_2_21_1' id='label_2_21_1' class='gform-field-label gform-field-label--type-inline'>B.\tConsider if individual factors alone provide a reason to suggest changes in the environment to reduce exposures to contributing agents of illness.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_21_2'>\n\t\t\t\t<input name='input_21' type='radio' value='gquiz21f16dfda6'  id='choice_2_21_2'    \/>\n\t\t\t\t<label for='choice_2_21_2' id='label_2_21_2' class='gform-field-label gform-field-label--type-inline'>C.\tConsider that symptom onset coincident with severe wet weather and indoor water incursion is sufficient to suspect an environmental relationship with respiratory illness.<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_21_3'>\n\t\t\t\t<input name='input_21' type='radio' value='gquiz215adffbaf'  id='choice_2_21_3'    \/>\n\t\t\t\t<label for='choice_2_21_3' id='label_2_21_3' class='gform-field-label gform-field-label--type-inline'>D.\tOnly A and C are correct<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_21_4'>\n\t\t\t\t<input name='input_21' type='radio' value='gquiz211f9c6f73'  id='choice_2_21_4'    \/>\n\t\t\t\t<label for='choice_2_21_4' id='label_2_21_4' class='gform-field-label gform-field-label--type-inline'>E.\tA, B and C are all correct<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><li id=\"field_2_22\" class=\"gfield gfield--type-quiz gfield--type-choice gfield--input-type-radio field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-field  gquiz-instant-feedback \"  data-field-class=\"gquiz-field  gquiz-instant-feedback\" data-js-reload=\"field_2_22\" ><label class='gfield_label gform-field-label' >5. Climate change may worsen indoor environmental problems and introduce new ones. Government resources available to provide guidance to the physician and the patients faced with mold clean-up after storms include:<\/label><div class='ginput_container ginput_container_radio'><ul class='gfield_radio' id='input_2_22'>\n\t\t\t<li class='gchoice gchoice_2_22_0'>\n\t\t\t\t<input name='input_22' type='radio' value='gquiz2280b74cae'  id='choice_2_22_0'    \/>\n\t\t\t\t<label for='choice_2_22_0' id='label_2_22_0' class='gform-field-label gform-field-label--type-inline'>A.\tOccupational Safety and Health Administration: Respirator Medical Evaluation Questionnaire<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_22_1'>\n\t\t\t\t<input name='input_22' type='radio' value='gquiz22f73e2991'  id='choice_2_22_1'    \/>\n\t\t\t\t<label for='choice_2_22_1' id='label_2_22_1' class='gform-field-label gform-field-label--type-inline'>B.\tCenters for Disease Control and Prevention: Safety information for health care professionals<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_22_2'>\n\t\t\t\t<input name='input_22' type='radio' value='gquiz22d6aaac25'  id='choice_2_22_2'    \/>\n\t\t\t\t<label for='choice_2_22_2' id='label_2_22_2' class='gform-field-label gform-field-label--type-inline'>C.\tUS Environmental Protection Agency: Mold course and other resources<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_22_3'>\n\t\t\t\t<input name='input_22' type='radio' value='gquiz22ae4bb617'  id='choice_2_22_3'    \/>\n\t\t\t\t<label for='choice_2_22_3' id='label_2_22_3' class='gform-field-label gform-field-label--type-inline'>D.\tNational Institute of Environmental Health Sciences Resources<\/label>\n\t\t\t<\/li>\n\t\t\t<li class='gchoice gchoice_2_22_4'>\n\t\t\t\t<input name='input_22' type='radio' value='gquiz22e8376d6a'  id='choice_2_22_4'    \/>\n\t\t\t\t<label for='choice_2_22_4' id='label_2_22_4' class='gform-field-label gform-field-label--type-inline'>E.\tAll of the above<\/label>\n\t\t\t<\/li><\/ul><\/div><\/li><\/ul>\n                    <\/div>\n                    <div class='gform_page_footer top_label'>\n                        <input type='button' id='gform_previous_button_2_23' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"3\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> <input type='button' id='gform_next_button_2_23' class='gform_next_button gform-theme-button button' value='Next: Case Conclusion'  onclick='jQuery(\"#gform_target_page_number_2\").val(\"5\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); ' onkeypress='if( event.keyCode == 13 ){ jQuery(\"#gform_target_page_number_2\").val(\"5\");  jQuery(\"#gform_2\").trigger(\"submit\",[true]); } ' \/> \n                    <\/div>\n                <\/div>\n                <div id='gform_page_2_5' class='gform_page' data-js='page-field-id-23' style='display:none;'>\n                    <div class='gform_page_fields'>\n                        <ul id='gform_fields_2_5' class='gform_fields top_label form_sublabel_below description_above validation_below'><li id=\"field_2_24\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_24\" ><p>The patient believes that exposures in the condo environment are causing her symptoms and asks for support to convince the condo association to fix the damage in her condo.  You are aware of record-setting ice storms that winter - 54.9 inches of snowfall was recorded at the nearby airport for January 2011. You consider that her respiratory symptom onset coincides with snow and ice in winter 2011 possibly indicating a building relationship. You advise the patient not to return to condo until after the condo problems are fixed.<\/p>\n<p>The clinic environmental specialist provides educational materials from the US Environmental Protection Agency and the Centers for Disease Control and Prevention and facilitates her locating an appropriate building engineering expert to assess the condo damage.  The patient retains the expert and his thorough building review concludes that extreme accumulation of snow on the patient\u2019s roof over several weeks led to ice dams and water leaking into the building. The remediation plan calls for fixing the roof and flashing to avoid future ice dams and removing and replacing all damaged materials including severely wetted wall board.  You medically follow her over the next few months documenting that she feels well and is asymptomatic while living at her grandmother\u2019s home.  Seventeen months after the ice storms, she moves back to a rebuilt condominium.  Three months later she denies any dyspnea, other symptoms of asthma exacerbation and reports that she hasn\u2019t used her rescue inhaler at all since moving back into her condo, and you discharge her from care. <\/p><\/li><li id=\"field_2_25\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_25\" ><h2>Teaching Points<\/h2>\n<p>Providers should consider multiple factors in determining the strength of an environmental\u2014or as in this case, a building\u2014relationship with illness. To establish that indoor exposures are agents of illness the provider should explore; biological reasonableness, time relationships, patterns and consistency of symptoms, exposures in the environment, the status of others in the same environment, and alternate explanations. In this teaching case, the advent of ice storms coincident with the onset of new (or renewed) respiratory symptoms, the patient\u2019s temporal symptom pattern in the damaged condo, her recovery out of the environment, and the expert confirmation of water damage established a strong likelihood of a relationship. <\/p>\n\n<p>Where information is limited, the provider may judge that individual factors alone provide a reason to suggest changes in the environment, to reduce exposures to contributing agents of illness. Symptom onset coincident with severe wet weather and indoor water incursion is sufficient to suspect an environmental relationship with respiratory illness.<\/p>\n\n<p>This case illustrates the importance of exploring symptom occurrence, environmental conditions, and temporality of events in the patient\u2019s history and underscores the value of an environmental change in medical management. Even though other factors in the patient\u2019s medical history may be contributing causes, intervening to eliminate or reduce probable environmental exposures can be part of efficacious treatment.  <\/p><\/li><li id=\"field_2_26\" class=\"gfield gfield--type-html gfield--input-type-html gfield_html gfield_html_formatted gfield_no_follows_desc field_sublabel_below gfield--no-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_26\" ><h2>In Brief<\/h2>\n<p>A 43-year-old woman diagnosed with building-related asthma exacerbation has full remission of asthma symptoms after environmental remediation of a condominium apartment. Symptom onset coincided with a series of winter snow and ice storms.  Ice dams on the condo roof resulted in massive water incursion. Avoiding the environment until the building was completely fixed and all damaged materials replaced was a key element of medical care. Severe weather events bring attention to threats of respiratory illness associated with moisture incursion and indoor exposures.  <\/p><\/li><li id=\"field_2_28\" class=\"gfield gfield--type-honeypot gform_validation_container field_sublabel_below gfield--has-description field_description_above field_validation_below gfield_visibility_visible gquiz-instant-feedback \"  data-field-class=\"gquiz-instant-feedback\" data-js-reload=\"field_2_28\" ><label class='gfield_label gform-field-label' for='input_2_28'>Comments<\/label><div class='gfield_description' id='gfield_description_2_28'>This field is for validation purposes and should be left unchanged.<\/div><div class='ginput_container'><input name='input_28' id='input_2_28' type='text' value='' autocomplete='new-password'\/><\/div><\/li><\/ul><\/div>\n        <div class='gform_page_footer top_label'><input type='submit' id='gform_previous_button_2' class='gform_previous_button gform-theme-button gform-theme-button--secondary button' value='Previous'  onclick='if(window[\"gf_submitting_2\"]){return false;}  if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  ' onkeypress='if( event.keyCode == 13 ){ if(window[\"gf_submitting_2\"]){return false;} if( !jQuery(\"#gform_2\")[0].checkValidity || jQuery(\"#gform_2\")[0].checkValidity()){window[\"gf_submitting_2\"]=true;}  jQuery(\"#gform_2\").trigger(\"submit\",[true]); 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