Mold health issues refer to the harmful health effects of molds (moulds in British English) and their mycotoxins. Molds are ubiquitous in the biosphere, and mold spores are a common component of household and workplace dust. The vast majority of molds are not hazardous to humans, and reaction to molds can vary between individuals, with relatively minor allergic reactions being the most common. The United States Centers for Disease Control and Prevention (CDC) reported in its June 2006 report 'Mold Prevention Strategies and Possible Health Effects in the Aftermath of Hurricanes and Major Floods' that "excessive exposure to mold-contaminated materials can cause adverse health effects in susceptible persons regardless of the type of mold or the extent of contamination." When mold spores are present in abnormally high quantities, they can present especially hazardous health risks to humans after prolonged exposure, including allergic reactions or poisoning by mycotoxins, or causing fungal infection (mycosis).
Health effects People who are atopic (sensitive), already have allergies, asthma, or compromised immune systems and occupy damp or moldy buildings are at an increased risk of health problems such as inflammatory responses to mold spores, metabolites such as mycotoxins, and other components. Other problems are respiratory and/or immune system responses including respiratory symptoms, respiratory infections, exacerbation of asthma, and rarely hypersensitivity pneumonitis, allergic alveolitis, chronic rhinosinusitis and allergic fungal sinusitis. A person's reaction to mold depends on their sensitivity and other health conditions, the amount of mold present, length of exposure, and the type of mold or mold products. The five most common genera of indoor molds are Cladosporium, Penicillium, Aspergillus, Alternaria, and Trichoderma. Damp environments that allow mold to grow can also allow the proliferation of bacteria and release volatile organic compounds.
Symptoms of mold exposure Symptoms of mold exposure can include:
Nasal and sinus congestion, runny nose Respiratory problems, such as wheezing and difficulty breathing, chest tightness Cough Throat irritation Sneezing
Health effects linking to asthma Adverse respiratory health effects are associated with occupancy in buildings with moisture and mold damage. Infants in homes with mold have a much greater risk of developing asthma and allergic rhinitis. Infants may develop respiratory symptoms due to exposure to a specific type of fungal mold, called Penicillium. Signs that an infant may have mold-related respiratory problems include (but are not limited to) a persistent cough and wheeze. Increased exposure increases the probability of developing respiratory symptoms during their first year of life. As many as 21% of asthma cases may result from exposure to mold. Mold exposures have a variety of health effects depending on the person. Some people are more sensitive to mold than others. Exposure to mold can cause several health issues such as; throat irritation, nasal stuffiness, eye irritation, cough, and wheezing, as well as skin irritation in some cases. Exposure to mold may also cause heightened sensitivity depending on the time and nature of exposure. People at higher risk for mold allergies are people with chronic lung illnesses and weak immune systems, which can often result in more severe reactions when exposed to mold. There has been sufficient evidence that damp indoor environments are correlated with upper respiratory tract symptoms such as coughing, and wheezing in people with asthma.
Flood-specific mold health effects Among children and adolescents, the most common health effect post-flooding was lower respiratory tract symptoms, though there was a lack of association with measurements of total fungi. Another study found that these respiratory symptoms were positively associated with exposure to water damaged homes, exposure included being inside without participating in clean up. Despite lower respiratory effects among all children, there was a significant difference in health outcomes between children with pre-existing conditions and children without. Children with pre-existing conditions were at greater risk that can likely be attributed to the greater disruption of care in the face of flooding and natural disaster. Although mold is the primary focus post flooding for residents, the effects of dampness alone must also be considered. According to the American Institute of Medicine, there is a significant association between dampness in the home and wheeze, cough, and upper respiratory symptoms. A later analysis determined that 30% to 50% of asthma-related health outcomes are associated with not only mold, but also dampness in buildings. While there is a proven correlation between mold exposure and the development of upper and lower respiratory syndromes, there are still fewer incidences of negative health effects than one might expect. Barbeau and colleagues suggested that studies do not show a greater impact from mold exposure for several reasons: 1) the types of health effects are not severe and are therefore not caught; 2) people whose homes have flooded find alternative housing to prevent exposure; 3) self-selection, the healthier people participated in mold clean-up and were less likely to get sick; 4) exposures were time-limited as result of remediation efforts and; 5) the lack of access to health care post-flooding may result in fewer illnesses being discovered and reported for their association with mold. There are also certain notable scientific limitations in studying the exposure effects of dampness and molds on individuals because there are currently no known biomarkers that can prove that a person was exclusively exposed to molds. Thus, it is currently impossible to prove correlation between mold exposure and symptoms.
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