|
Toxic Mold
Q
1.
I heard about toxic molds that grow in homes and other
buildings. Should I be
concerned about a serious health risk to me and my family?
A.
The hazards presented by molds that may contain mycotoxins
should be considered the same as other common molds which can grow in
your house. There is always a little mold everywhere - in the air and
on many surfaces. There
are very few case reports that toxic molds (those containing certain
mycotoxins) inside homes can cause unique or rare, health conditions
such as pulmonary hemorrhage or memory loss.
These case reports are rare, and a causal link between the
presence of the toxic mold and these conditions has not been proven.
A common-sense approach should be used for any mold
contamination existing inside buildings and homes.
The common health concerns from molds include hay-fever like
allergic symptoms. Certain individuals with chronic respiratory
disease (chronic obstructive pulmonary disorder, asthma) may
experience difficulty breathing.
Individuals with immune suppression may be at increased risk
for infection from molds. If you or your family members have these
conditions, a qualified medical clinician should be consulted for
diagnosis and treatment. For the most part, one should take routine
measures to prevent mold growth in the home.
Q
2. How
common is mold, including Stachybotrys chartarum (also known by
its synonyn Stachybotrys atra) in buildings?
A.
Molds are very common in buildings and homes and will grow
anywhere indoors where there is moisture.
The most common indoor molds are Cladosporium, Penicillium,
Aspergillus, and Alternaria. We do not have accurate
information about how often Stachybotrys chartarum is
found in buildings and homes. While it is less common than other mold
species it is not rare.
Q
3. How
do molds get in the indoor environment and how do they grow?
A.
Molds naturally grow in the indoor environment.
Mold spores may also enter your house through open doorways,
windows, heating, ventilation, and air conditioning systems.
Spores in the air outside also attach themselves to people and
animals, making clothing, shoes, bags, and pets convenient vehicles
for carrying mold indoors.
When
mold spores drop on places where there is excessive moisture, such as
where leakage may have occurred in roofs, pipes, walls, plant pots, or
where there has been flooding, they will grow. Many building materials
provide suitable nutrients that encourage mold to grow.
Wet cellulose materials, including paper and paper products,
cardboard, ceiling tiles, wood, and wood products, are particularly
conducive for the growth of some molds.
Other materials such as dust, paints, wallpaper, insulation
materials, drywall, carpet, fabric, and upholstery, commonly support
mold growth.
Q
4. What
is Stachybotrys chartarum (stachybotrys atra)?
A.
Stachybotrys chartarum (also known by its synonym Stachybotrys
atra) is a greenish-black mold.
It can grow on material with a high cellulose and low nitrogen
content, such as fiberboard, gypsum board, paper, dust, and lint.
Growth occurs when there is moisture from
water damage, excessive humidity, water leaks, condensation,
water infiltration, or flooding.
Constant moisture is required for its growth.
It is not necessary, however, to determine what type of mold
you may have. All molds
should be treated the same with respect to potential health risks and
removal.
Q
5. Are there any
circumstances where people should vacate a home or other building
because of mold?
A.
These decisions have to be made individually.
If you believe you are ill because of exposure to mold in a
building, you should consult your physician to determine the
appropriate action to take.
Q
6. Who are the people who
are most at risk for health problems associated with exposure to mold?
A.
People with allergies may be more sensitive to molds.
People with immune suppression or underlying lung disease are
more susceptible to fungal infections.
Q
7. How
do you know if you have a mold problem?
A.
Large mold infestations can usually be seen or smelled.
Q
8. Does Stachybotrys
chartarum (Stachybotrys atra) cause acute idiopathic pulmonary
hemorrhage among infants?
A.
To date, a possible association between acute idiopathic
pulmonary hemorrhage among infants and Stachybotrys chartarum
(Stachybotrys atra) has not been proved.
Further studies are needed to determine what causes acute
idiopathic hemorrhage.
Q
9. What
if my child has acute idiopathic pulmonary hemorrhage?
A.
Parents should ensure that their children get proper medical
treatment.
Q
10. What
are the potential health effects of mold in buildings and homes?
A.
Mold exposure does not always present a health problem indoors.
However some people are sensitive to molds.
These people may experience symptoms such as nasal stuffiness,
eye irritation, or wheezing when exposed to molds.
Some people may have more severe reactions to molds.
Severe reactions may occur among workers exposed to large
amounts of molds in occupational settings, such as farmers working
around moldy hay. Severe
reactions may include fever and shortness of breath.
People with chronic illnesses, such as obstructive lung
disease, may develop mold infections in their lungs.
Q
11. How do you get the
molds out of buildings, including homes, schools, and places of
employment?
A.
In most cases mold can be removed by a thorough cleaning with
bleach and water. If
you have an extensive amount of mold and you do not think you can manage
the cleanup on your own, you may want to contact a professional who has
experience in cleaning mold in buildings and homes.
Q
12. What should
people to do if they determine they have Stachybotrys chartarum
(Stachybotrys atra) in their buildings or homes?
A.
Mold growing in homes and buildings, whether it is Stachybotrys
chartarum (Stachybotrys atra) or other molds, indicates that there
is a problem with water or moisture.
This is the first problem that needs to be addressed.
Mold can be cleaned off surfaces with a weak bleach solution.
Mold under carpets typically requires that the carpets be
removed. Once mold starts
to grow in insulation or wallboard the only way to deal with the problem
is by removal and replacement. We
do not believe that one needs to take any different precautions with Stachybotrys
chartarum (Stachybotrys atra), than with other molds.
In areas where flooding has occurred, prompt cleaning of walls
and other flood-damaged items with water mixed with chlorine bleach,
diluted 10 parts water to 1 part bleach, is necessary to prevent mold
growth. Never mix
bleach with ammonia. Moldy
items should be discarded.
Q
13. How do you keep
mold out of buildings and homes?
A.
As part of routine building maintenance, buildings should be
inspected for evidence of water damage and visible mold.
The conditions causing mold (such as water leaks, condensation,
infiltration, or flooding) should be corrected to prevent mold from
growing.
Specific
Recommendations:
Keep
humidity level in house below 50%.
Use
air conditioner or a dehumidifier during humid months.
Be
sure home has adequate ventilation, including exhaust
fans in kitchen and bathrooms.
Use
mold inhibitors which can be added to paints.
Clean
bathroom with mold killing products.
Do
not carpet bathrooms.
Remove
and replace flooded carpets.
Summary:
In summary, Stachybotrys chartarum (Stachybotrys atra)
and other molds may cause health symptoms that are nonspecific.
At present there is no test that proves an association between Stachybotrys
chartarum (Stachybotrys atra) and particular health symptoms.
Individuals with persistent symptoms should see their physician.
However, if Stachybotrys chartarum (stachybotrys atra) or other
molds are found in a building, prudent practice recommends that they be
removed. Use the simplest
and most expedient method that properly and safely removes mold.
March 10, 2000 :
MMWR
Update: Pulmonary Hemorrhage/Hemosiderosis Among Infants ---
Cleveland, Ohio, 1993-1996
Report to
the CDC Working Group on Pulmonary Hemorrhage/Hemosiderosis - June
17, 1999
Some additional information on fungi and fungal
diseases at the CDC Web site:
CDC/NCID Division of Bacterial and Mycotic Diseases:
Fungal
Diseases
NIOSH publication:
HISTOPLASMOSIS:
Protecting Workers at Risk
Emerging Infectious Diseases article: "Emerging
Disease Issues and Fungal Pathogens Associated with HIV Infection"
by Neil M. Ampel, M.D. University of Arizona College of Medicine, Tucson
Veterans Affairs Medical Center, Tucson, Arizona, USA
Emerging Infectious Diseases article: "Coccidioidomycosis:
A Reemerging Infectious Disease" by Theo N. Kirkland, M.D., and
Joshua Fierer, M.D., Departments of Pathology and Medicine, University
of California, San Diego School of Medicine and Department of Veterans
Affairs Medical Center, San Diego, California, USA
California Department of Health Services
Indoor Air Quality Info
Sheet
Mold in My Home: What Do I Do? March 1998
From:
Centers for Disease
Control
|