operation of the equipment. It is important that those with responsibility for the design, construction, and maintenance of buildings also have an understanding of the potential health effects associated with indoor environments, and the impact that design and operation of the systems can have on those effects.

Recommendation: Educate those with responsibilities for the design and maintenance of indoor environments about the magnitude and severity of diseases caused by indoor allergens.

Engineers, architects, contractors, and building maintenance personnel receive limited if any education about the health implications of the design, construction, and maintenance of buildings. Improved education in these areas is important to reducing the incidence, prevalence, and severity of adverse health effects associated with indoor environmental exposures.

Recommendation: Develop educational processes and accountability procedures for architects, engineers, contractors, and building maintenance personnel with respect to the health implications of the design, construction, and operation of buildings.

An interdisciplinary approach to the prevention and control on the adverse health effects associated with indoor exposures, including indoor allergens, is important. Such an approach should improve education in all areas of expertise and result in reduced health risks for building occupants.

Recommendation: Develop interdisciplinary educational programs for health care and building design, construction, and operations professionals.



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