Comprehensive Cleaning Protocol for CIRS-Affected Properties

Chronic Inflammatory Response Syndrome (CIRS) requires a highly detailed cleaning and maintenance regimen to reduce exposure to biotoxins such as mold, actinomyces, and endotoxins. Below is an expanded guide to cleaning and maintaining a safe environment for individuals affected by CIRS.

1. Cleaning & Preventing Actinomyces

Actinomyces (commonly referred to as “actinos”) are bacteria that thrive in house dust and on human skin. They are significant contributors to CIRS due to their ability to produce toxins that trigger chronic inflammation. Actinos are particularly challenging to remove because they can hide beneath biofilms, protective layers that shield them from cleaning agents.

Initial Deep Cleaning

• Vacuuming: Use a HEPA vacuum on all floors, furniture, and mattresses. Empty the vacuum bag outdoors while wearing a mask, sealing the contents in plastic bags for disposal.

• Surface Cleaning: Clean every surface in the home using an actino-specific cleaning solution:

  • Mix 1 quart of water with 6 drops of Seventh Generation Free & Clear Dish Soap.

  • Optional: Add 2 tablespoons of vinegar or concentrated lemon juice.

  • Spray this solution onto electrostatic cloths (e.g., Swiffer) and wipe surfaces. Discard used cloths in sealed plastic bags.

• Biofilm Removal: Scrub bathrooms and kitchens thoroughly to remove biofilms. Use the same cleaning solution, followed by hydrogen peroxide on drains.

• Textile Care: Wash all bedding, curtains, and washable items in hot water with:

  • 1 cup Borax

  • 2 tablespoons vinegar or citric acid (added during the rinse cycle).

• Replace non-washable pillows, pet beds, and any contaminated items.

Air Quality Management

• Install HEPA air filters capable of capturing particles as small as 0.007 microns.

• Use dehumidifiers to maintain relative humidity below 60%.

• Ensure proper air circulation by running fans or HVAC systems continuously.

2. Cleaning & Maintaining Plumbing

Plumbing systems can harbor mold and bacteria if not properly maintained. Regular cleaning of drains and pipes is essential.

Monthly Drain Maintenance

1. Scrub drains with a stiff brush using the actino-cleaning solution (water + dish soap + optional vinegar).

2. Pour hydrogen peroxide into the drain; wait 15 minutes before flushing with water.

3. Ensure all drains are used weekly to prevent stagnant water where microbes can grow.

3. Ongoing Maintenance

Maintaining a clean environment is crucial for long-term health improvement in CIRS patients.

Daily Tasks

• Shower daily with soap to remove skin cells that feed actinos.

• Vacuum mattresses and pillows every morning using a HEPA vacuum.

• Store worn clothing in sealed laundry bins to prevent biotoxin release.

Weekly Tasks

• Vacuum bedrooms twice per week; other rooms weekly.

• Dust all surfaces with electrostatic cloths twice per week.

• Clean bathrooms thoroughly twice per week using biofilm-removing solutions.

Biweekly Tasks

• Wipe down all surfaces with dampened Swiffer cloths sprayed with the cleaning solution.

Monthly Tasks

• Clean all drains following the steps outlined above.

• Professionally clean drapes and curtains every six months.

• Replace pillows every six months or use washable options like shredded foam or ball fiber pillows.

4. Maintaining a Mold-Free Space

Preventing mold growth is critical for CIRS patients because mold spores can exacerbate symptoms.

Humidity Control

• Use a hygrometer to monitor indoor humidity levels.

• Run dehumidifiers in high-humidity areas to maintain levels below 60%.

Air Filtration

• Install HEPA air filters in bedrooms and living spaces. Run them continuously for optimal air quality.

• Replace furnace filters regularly; recommended brands include:

  • 3M Filtrete (high filtration efficiency with low static pressure).

  • Kirkland brand from Costco (cost-effective alternative).

Bathroom Upgrades

• Replace bathroom exhaust fans with high-capacity models like Fantech 100, ensuring they vent outdoors.

• After showers, run exhaust fans for at least 30 minutes and dry shower walls with a squeegee or towel.

5. Special Considerations for Contaminated Items

If contaminated items are brought into the space:

1. Remove them immediately from the clean environment.

2. Run air filters at maximum capacity during and after handling contaminated materials.

3. Clean any affected areas following the protocols outlined above.

6. Recommended Tools & Supplies

This protocol is designed to create a safe living environment for individuals affected by CIRS by addressing key sources of biotoxins such as actinomyces, mold, and endotoxins. Consistent implementation of these practices will help reduce exposure and promote recovery over time.