Environmental Infection Control During Demolition/Construction

The CDC has published the Guidelines for Environmental Infection Control in Health-Care Facilities in 2003 outlining recommendations for environmental infection control (EIC) during demolition and construction.  Attention is given to engineering and EIC concerns during construction, demolition, renovation, and repair of health-care facilities.  The use of an infection control risk assessment (ICRA) is strongly supported before the start of these or any other activities expected to generate dust or water aerosols.

In recent years, the healthcare patient population has become more immunosuppressed in recent years making environmental infection control more critical.  Technical issues regarding air handling, construction, demolition, water supply, pest control, and medical waste management requires collaboration with infection control practitioners, industrial hygienists, facility engineers, architects, including external consultants and contractors.

Higgins can assist in the following areas during demolition and construction events:

  • Conducting a Contingency Plan Survey Prior to Demolition/Construction Events
  • Design and Monitoring of EIC Containment Systems and Negative Air Placement
  • Environmental Sampling & Protocols - Particulate & Bioaerosols
  • Developing an Infection Control Risk Assessments (ICRA) and ICRA Construction Permits
  • EIC Training & Oversight of Healthcare Workers and Construction Contractors
  • Periodic Inspections and EIC Audits During Demolition/Construction Events
  • Airborne-Particle Sampling - Effectiveness of Air Filtration and Dust-Control Measures;
  • TSP Sampling to Provide Onsite Analysis of Environmental Surfaces After Cleaning and Disinfection
  • Developing an Interim Life Safety Measures and Life Safety Risk Assessments
  • EIC Audits During Preventative Maintenance (PM) Procedures / Review of PM Protocols
  • EIC Air Monitoring during recovery of water-system disruptions, water leaks, and natural disasters