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#1 Posted : 09 October 2009 08:57:00(UTC)
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Posted By Mart S Hello All I have been able to find lots of information about how to reduce the risk of aspergillosis in a hospital environment when construction work is being undertaken, but very little about construction work in an active doctors surgery. I am involved in a small project at a medium sized doctors surgery, which involves demolishing some internal walls and the creation of a small extension. I am very aware of the increased risk to high risk patients of aspergillosis, caused by the dust created by the construction work. Is there anybody here who could advise the level of protection measures we would need for this type of work at this sort of location, as there doesn't appear to be much guidance out there other than for hospitals. Thank you
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#2 Posted : 09 October 2009 09:09:00(UTC)
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Posted By A Campbell Mart, The obvious... likely to have vulnerable people attend surgery, asthmatics, elderly, infirm etc. If pre existing respiratory problems may be exhibated by increase of dust levels. Have you not discussed avoiding dust creation during peak surgery times? In the city refurbishments were not allowed during peak trading hours as a condition of the contract!
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#3 Posted : 09 October 2009 09:25:00(UTC)
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Posted By Mart S Thanks. To be honest I think we have got most of it covered through effective screening, sealing of ventilation in the demolition areas, dust surpression, out of hours working etc. and ensuring that high risk patients use consulting rooms at the other side of the building. Interested to hear the thoughts of others.
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#4 Posted : 09 October 2009 10:46:00(UTC)
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Posted By Ian Blenkharn I presume you are representing the building contractor. It's not appropriate to seek on here the steps that you should take to prevent aspergillosis (actually, you are trying to prevent the release of Aspergillus spores and other fungal spores, not the disease itself) but all credit for being aware of this potential problem and taking some positive steps to prevention. The responsibility lies with the PCT. They will have estates staff - who are probably paying for the job anyway - and an IPC team who should be working together to deal with this type of problem. Contact the surgery and ask them to put you in touch with the relevant PCT staff, or contact the PCT directly.
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