I have a
specific question that I would be grateful if you could address.
I regularly encounter condensation mould in dwellings and have
successfully required remedial action based on the accepted risk to
health. Recently I have been challenged to prove that the mould
was viable and emitting spores at the time of the inspection. I
have countered, arguing that the environmental conditions necessary to
produce the mould and the heat loss associated with the damp dwelling
are in themselves prejudicial to health. Can you advise me if
there is a reliable method of identifying if a condensation mould is
emitting spores without air sampling? Does the vegetative state
of the mould prove it is spore forming and active?-
Chris , United Kingdom
There are numerous studies that link
dampness parameters to respiratory illness in residential buildings.
A number of have been conducted and published in the U.K. These are
summarized in the publication “Damp Indoor Spaces and Health” by the
Committee on Damp Indoor Spaces and Health, Board on Health Promotion
and Disease Prevention, Institute of Medicine of the National
Academies, The National Academies Press, Washington, D.C. (www.nap.edu).
The relationship between damp environments and human health effects is
reviewed in chapter 5 of this publication.
The relationship between respiratory
symptoms and dampness parameters such as water damage, visible mold
growth and very high relative humidity is epidemiologically very
strong.
On the other hand only a few studies
have been able to show a relationship between respiratory health
symptoms and airborne mold concentrations. As a consequence, indoor
air quality scientists as well as public health authorities place
emphases on correcting “dampness” problems in mitigating respiratory
health problems experienced by building occupants.
Airborne mold concentrations in
buildings vary considerably over a course of a single day and of
course seasonably. In addition a variety of species may be present
which also vary considerably. It is this variability that makes it
difficult to demonstrate a dose-response relationship between
respiratory symptoms and airborne mold.
Airborne mold sampling methods are
problematic in that some methods only quantify airborne mold particles
that are viable and culturable on the media used. These viable/culturable
methods lend themselves to identification of genera and species.
However, most airborne mold particles are no longer viable and thus
cannot be quantified. Nevertheless, non-viable mold particles are
allergenic and thus can cause health effects.
Total mold spore methods can in
theory provide a better characterization of mold exposure risks.
However, they are limited by the fact that major mold genera and their
associated species (i.e., Aspergillus, Penicillium,
Aureobasidium, yeast, etc.) cannot be easily differentiated and
are usually only reported as Aspergillus/Penicillium spores or
amerospores. In addition many laboratories use optical magnifications
(400 or 600X) that are not adequate to even see many of the small
spores in this group.
Many fungal species grow rapidly when
environmental conditions are optimal. Under such conditions they
primarily produce vegetative hyphae. However, as soon as they are
subject to some environmental stress (such as decreasing moisture
levels, the presence of ultraviolet light, etc.) they begin to produce
reproductive spores which are designed to move via air currents to new
substrates.
One can use a tape lift sample from
visible mold growth area to determine whether mold spores are present
and in many cases identify mold present to the genus level. One can
press the tape lift sample onto a culture media to determine whether
vegetative mold structures or spores present can grow and by inference
release spores into the indoor environment.
The consensus in the mold scientific
community is that the presence of visible mold growth indicates that a
potential mold exposure problem exists that requires remediation to
protect the health and well-being of building occupants. As such, you
are correct in your approach in conducting building evaluations and
making remediation recommendations. In the US we tend to want test
results because it reflects common practices in medicine and a need to
show that that is a potential causal association exists between
airborne mold and health effects particularly as it relates to
litigation.
March 24, 2005