Pulmonary Hemosiderosis and Mold

Over the past several years, there have been a number of young infants (most under 6 months old), in the eastern neighborhoods of Cleveland, who have been coughing up blood due to bleeding in their lungs. Some infants have died and more infants continue to to get ill. This bleeding, a disorder called Pulmonary Hemorrhage appears to be caused by something in their home environments, most likely toxins produced by an unusual fungus called Stachybotrys chartarum or similar fungi... read more

Mold - Center for Disease Control Part 5

My landlord or builder will not take any responsibility for cleaning up the mold in my home. Where can I go for help?

If you feel your property owner, landlord, or builder has not been responsive to concerns you’ve expressed regarding mold exposure, you can contact your local board of health or housing authority. Applicable codes, insurance, inspection, legal, and similar issues about mold generally fall under state and local (not federal) jurisdiction. You could also review your lease or building contract and contact local or state government authorities, your insurance company, or an attorney to learn more about local codes and regulations and your legal rights. CDC does not have enforcement power in such matters, nor can we provide you with advice. You can contact your county or state health department about mold issues in your area to learn about what mold assessment and remediation services they may offer. You can find information on your state's Indoor Air Quality program at http://www.cdc.gov/nceh/airpollution/indoor_air.htm.

I'm sure that mold in my workplace is making me sick.

If you believe you are ill because of exposure to mold in the building where you work, you should first consult your health care provider to determine the appropriate action to take to protect your health. Notify your employer and, if applicable, your union representative about your concern so that your employer can take action to clean up and prevent mold growth. To find out more about mold, remediation of mold, or workplace safety and health guidelines and regulations, you may also want to contact your local (city, county, or state) health department.

You should also read the U.S. Environmental Protection Agency (EPA) Guidelines, Mold Remediation in Schools and Commercial Buildings, at http://www.epa.gov/iaq/molds/mold_remediation.html.

I am very concerned about mold in my children’s school and how it affects their health.

If you believe your children are ill because of exposure to mold in their school, first consult their health care provider to determine the appropriate medical action to take. Contact the school’s administration to express your concern and to ask that they remove the mold and prevent future mold growth. If needed, you could also contact the local school board.

CDC is not a regulatory agency and does not have enforcement authority in local matters. Your local health department may also have information on mold, and you may want to get in touch with your state Indoor Air Quality office. Information on this office is available at http://www.cdc.gov/nceh/airpollution/indoor_air.htm.

Mold - Center for Disease Control - Part 4

I found mold growing in my home, how do I test the mold?

Generally, it is not necessary to identify the species of mold growing in a residence, and CDC does not recommend routine sampling for molds. Current evidence indicates that allergies are the type of diseases most often associated with molds. Since the susceptibility of individuals can vary greatly either because of the amount or type of mold, sampling and culturing are not reliable in determining your health risk. If you are susceptible to mold and mold is seen or smelled, there is a potential health risk; therefore, no matter what type of mold is present, you should arrange for its removal. Furthermore, reliable sampling for mold can be expensive, and standards for judging what is and what is not an acceptable or tolerable quantity of mold have not been established.

A qualified environmental lab took samples of the mold in my home and gave
me the results. Can CDC interpret these results?

Standards for judging what is an acceptable, tolerable, or normal quantity of mold have not been established. If you do decide to pay for environmental sampling for molds, before the work starts, you should ask the consultants who will do the work to establish criteria for interpreting the test results. They should tell you in advance what they will do or what recommendations they will make based on the sampling results. The results of samples taken in your unique situation cannot be interpreted without physical inspection of the contaminated area or without considering the building’s characteristics and the factors that led to the present condition.

What type of doctor should I see concerning mold exposure?

You should first consult a family or general health care provider who will decide whether you need referral to a specialist. Such specialists might include an allergist who treats patients with mold allergies or an infectious disease physician who treats mold infections. If an infection is in the lungs, a pulmonary physician might be recommended. Patients who have been exposed to molds in their workplace may be referred to an occupational physician. CDC is not a clinical facility. CDC does not see patients, diagnose illness, provide treatment, prescribe medication, or provide referrals to health care providers.

MOLD - Center for Disease Control - Part 3

How can people decrease mold exposure?

Sensitive individuals should avoid areas that are likely to have mold, such as compost piles, cut grass, and wooded areas. Inside homes, mold growth can be slowed by keeping humidity levels between 40% and 60%, and ventilating showers and cooking areas. If there is mold growth in your home, you should clean up the mold and fix the water problem. Mold growth can be removed from hard surfaces with commercial products, soap and water, or a bleach solution of no more than 1 cup of bleach in 1 gallon of water.

If you choose to use bleach to clean up mold:

•Never mix bleach with ammonia or other household cleaners. Mixing bleach with ammonia or other cleaning products will produce dangerous, toxic fumes.
•Open windows and doors to provide fresh air.
•Wear non-porous gloves and protective eye wear.
•If the area to be cleaned is more than 10 square feet, consult the U.S. Environmental Protection Agency (EPA) guide titled Mold Remediation in Schools and Commercial Buildings. Although focused on schools and commercial buildings, this document also applies to other building types. You can get it by going to the EPA web site at http://www.epa.gov/mold/mold_remediation.html.
•Always follow the manufacturer’s instructions when using bleach or any other cleaning product.

Specific Recommendations:

•Keep the humidity level in the house between 40% and 60%.
•Use an air conditioner or a dehumidifier during humid months.
•Be sure the home has adequate ventilation, including exhaust fans.
•Add mold inhibitors to paints before application.
•Clean bathrooms with mold killing products.
•Do not carpet bathrooms and basements.
•Remove or replace previously soaked carpets and upholstery.

What areas have high mold exposures?

•Antique shops
•Greenhouses
•Saunas
•Farms
•Mills
•Construction areas
•Flower shops
•Summer cottages

Molds - Center for Disease Control - Part 2

How do molds affect people?

Some people are sensitive to molds. For these people, exposure to molds can cause symptoms such as nasal stuffiness, eye irritation, wheezing, or skin irritation. Some people, such as those with serious allergies to molds, may have more severe reactions. 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. Some people with chronic lung illnesses, such as obstructive lung disease, may develop mold infections in their lungs.

In 2004 the Institute of Medicine (IOM) found there was sufficient evidence to link indoor exposure to mold with upper respiratory tract symptoms, cough, and wheeze in otherwise healthy people; with asthma symptoms in people with asthma; and with hypersensitivity pneumonitis in individuals susceptible to that immune-mediated condition. The IOM also found limited or suggestive evidence linking indoor mold exposure and respiratory illness in otherwise healthy children. In 2009, the World Health Organization issued additional guidance, the WHO Guidelines for Indoor Air Quality: Dampness and Mould [PDF, 2.52 MB].

Where are molds found?

Molds are found in virtually every environment and can be detected, both indoors and outdoors, year round. Mold growth is encouraged by warm and humid conditions. Outdoors they can be found in shady, damp areas or places where leaves or other vegetation is decomposing. Indoors they can be found where humidity levels are high, such as basements or showers.

MOLDS - Center for Disease Control - Part 1

What are molds?

Molds are fungi that can be found both indoors and outdoors. No one knows how many species of fungi exist but estimates range from tens of thousands to perhaps three hundred thousand or more. Molds grow best in warm, damp, and humid conditions, and spread and reproduce by making spores. Mold spores can survive harsh environmental conditions, such as dry conditions, that do not support normal mold growth.

What are some of the common indoor molds?

• Cladosporium
• Penicillium
• Alternaria
• Aspergillus

Guidelines on Assessment and Remediation of Fungi in Indoor Environments - Part 3

Remediation
The goal of remediation is to remove or clean mold-damaged materials using work practices that protect occupants by controlling the dispersion of mold from the work area and protect remediation workers from exposures to mold. The listed remediation methods were designed to achieve this goal; however, they are not meant to exclude other similarly effective methods and are not a substitute for a site-specific work plan. Since little scientific information exists that evaluates the effectiveness and best practices for mold remediation, these guidelines are based on principles used to remediate common indoor environmental hazards. These guidelines are not intended for use in critical care facilities such as intensive care units, transplant units, or surgical suites.

Prior to any remediation, consideration must be given to the potential presence of other environmental hazards, such as asbestos and lead. These guidelines are based on possible health risks from mold exposure and may be superseded by standard procedures for the remediation of other indoor environmental hazards.

Moisture Control and Building Repair

In all situations, the underlying moisture problem must be corrected to prevent recurring mold growth. Indoor moisture can result from numerous causes, such as: façade and roof leaks; plumbing leaks; floods; condensation; and high relative humidity. An appropriate building expert may be needed to identify and repair building problems. An immediate response and thorough cleaning, drying, and/or removal of water-damaged materials will prevent or limit microbial growth.

Relative humidity should generally be maintained at levels below 65% to inhibit mold growth.19 Short-term periods of higher humidity would not be expected to result in mold growth.20 However, condensation on cold surfaces could result in water accumulation at much lower relative humidity levels. Relative humidity should be kept low enough to prevent condensation on windows and other surfaces.

Emphasis should be placed on ensuring proper repairs of the building infrastructure so that water intrusion and moisture accumulation is stopped and does not recur.

Worker Training

Proper training of workers is critical in successfully and safely remediating mold growth.21,22 Training topics that should be addressed include:

Causes of moisture intrusion and mold growth
Health concerns related to mold exposure
The use of appropriate personal protective equipment
Mold remediation work practices, procedures, and methods
For additional information, the National Institute of Environmental Health Sciences’ publication, “Guidelines for the Protection and Training of Workers Engaged in Maintenance and Remediation Work Associated with Mold” lists minimum training criteria for building maintenance and mold remediation workers that should be completed before addressing indoor mold growth.23

Trained building maintenance staff can address limited and occasional mold growth. For larger jobs, more extensively trained mold remediation workers may be needed.

Cleaning Methods

Non-porous materials (e.g. metals, glass, and hard plastics) can almost always be cleaned. Semi-porous and porous structural materials, such as wood and concrete can be cleaned if they are structurally sound. Porous materials, such as ceiling tiles and insulation, and wallboards (with more than a small area of mold growth) should be removed and discarded. Wallboard should be cleaned or removed at least six inches beyond visually assessed mold growth (including hidden areas, see Visual Inspection) or wet or water-damaged areas.24 A professional restoration consultant should be contacted to restore valuable items that have been damaged.

Cleaning should be done using a soap or detergent solution. Use the gentlest cleaning method that effectively removes the mold to limit dust generation. All materials to be reused should be dry and visibly free from mold. Consideration should also be given to cleaning surfaces and materials adjacent to areas of mold growth for settled spores and fungal fragments. A vacuum equipped with a High-Efficiency Particulate Air (HEPA) filter could also be used to clean these adjacent areas.

Disinfectants are seldom needed to perform an effective remediation because removal of fungal growth remains the most effective way to prevent exposure. Disinfectant use is recommended when addressing certain specific concerns such as mold growth resulting from sewage waters. If disinfectants are considered necessary, additional measures to protect workers and occupants may also be required. Disinfectants must be registered for use by the United States Environmental Protection Agency (EPA). Any antimicrobial products used in a HVAC system must be EPA-registered specifically for that use.

The use of gaseous, vapor-phase, or aerosolized (e.g. fogging) biocides for remedial purposes is not recommended. Using biocides in this manner can pose health concerns for people in occupied spaces of the building and for people returning to the treated space. Furthermore, the effectiveness of these treatments is unproven and does not address the possible health concerns from the presence of the remaining non-viable mold.

Quality Assurance Indicators

Measures to ensure the quality and effectiveness of remediation should be undertaken regardless of the project size. Evaluations during as well as after remediation should be conducted to confirm the effectiveness of remedial work, particularly for large-scale remediation. At minimum, these quality assurance indicators should be followed and documented:

The underlying moisture problem was identified and eliminated
Isolation of the work area was appropriate and effective
Mold removal and worksite cleanup was performed according to the site-specific plan
Any additional moisture or mold damage discovered during remediation was properly addressed
Upon completion of remediation, surfaces are free from visible dust and debris.
If environmental sampling was performed, the results of such sampling were evaluated by a trained building or environmental health professional.10
Restoring Treated Spaces

After completing mold remediation and correcting moisture problems, building materials that were removed should be replaced and brought to an intact and finished condition. The use of new building materials that do not promote mold growth should be considered. Anti-microbial paints are usually unnecessary after proper mold remediation. They should not be used in lieu of mold removal and proper moisture control, but may be useful in areas that are reasonably expected to be subject to moisture.

Allersearch AllerMold Mold&Mildew Inhibitor/Removal Spray Refill (1ga) Allersearch AllerMold Mold&Mildew Inhibitor/Removal Spray Refill (1ga)

Guidelines on Assessment and Remediation of Fungi in Indoor Environments

Environmental Assessment
The presence of mold growth, water damage, or musty odors should be addressed quickly. In all instances, any sources of water must be identified and corrected and the extent of water damage and any mold growth determined. Water-damaged materials should be removed or cleaned and dried. For additional information on cleaning water-damaged materials and personal belongings, refer to the EPA document “Mold Remediation in Schools and Commercial Buildings.”⁹

A trained building or environmental health professional may be helpful in assessing the extent of the moisture problem and mold growth and developing a site-specific work plan. The presence of a trained professional to provide oversight during remediation can also be helpful to ensure quality work and compliance with the work plan. According to the American Industrial Hygiene Association a trained professional should have, at a minimum, a relevant science or engineering degree and two years of full-time supervised experience in mold assessment.¹⁰

Visual Inspection

A visual inspection is the most important initial step in identifying a possible mold problem and in determining remedial strategies. The extent of any water damage and mold growth should be visually assessed and the affected building materials identified. A visual inspection should also include observations of hidden areas where damages may be present, such as crawl spaces, attics, and behind wallboard. Carpet backing and padding, wallpaper, moldings (e.g. baseboards), insulation and other materials that are suspected of hiding mold growth should also be assessed.

Ceiling tiles, paper-covered gypsum wallboard (drywall), structural wood, and other cellulose-containing surfaces should be given careful attention during a visual inspection. Ventilation systems should be visually checked for damp conditions and/or mold growth on system components such as filters, insulation, and coils/fins, as well as for overall cleanliness.

Equipment such as a moisture meter or infrared camera (to detect moisture in building materials) or a borescope (to view spaces in ductwork or behind walls) may be helpful in identifying hidden sources of mold growth, the extent of water damage, and in determining if the water source is active.

Using personal protective equipment such as gloves and respiratory protection (e.g. N-95 disposable respirator) should be considered if assessment work might disturb mold. Efforts should also be made to minimize the generation and migration of any dust and mold.

Environmental Sampling

Environmental sampling is not usually necessary to proceed with remediation of visually identified mold growth or water-damaged materials. Decisions about appropriate remediation strategies can generally be made on the basis of a thorough visual inspection. Environmental sampling may be helpful in some cases, such as, to confirm the presence of visually identified mold or if the source of perceived indoor mold growth cannot be visually identified.

If environmental samples will be collected, a sampling plan should be developed that includes a clear purpose, sampling strategy, and addresses the interpretation of results. ^11,12 Many types of sampling can be performed (e.g. air, surface, dust, and bulk materials) on a variety of fungal components and metabolites, using diverse sampling methodologies. Sampling methods for fungi are not well standardized, however, and may yield highly variable results that can be difficult to interpret.^11-17 Currently, there are no standards, or clear and widely accepted guidelines with which to compare results for health or environmental assessments.

Environmental sampling should be conducted by an individual who is trained in the appropriate sampling methods and is aware of the limitations of the methods used. Using a laboratory that specializes in environmental mycology is also recommended. The laboratory should be accredited in microbiology by an independent and reputable certifying organization.



For additional information on sampling, refer to the American Conference of Governmental Industrial Hygienists’ publication, “Bioaerosols: Assessment and Control” and the American Industrial Hygiene Association’s “ Field Guide for the Determination of Biological Contaminants in Environmental Samples."

Source:  NYC DEP

Allersearch AllerMold Mold & Mildew Inhibitor / Removal Spray Allersearch AllerMold Mold & Mildew Inhibitor / Removal Spray

Guidelines on Assessment and Remediation of Fungi in Indoor Environments - Part 1

Introduction
Fungi (mold) are present almost everywhere. In an indoor environment hundreds of different kinds of mold are able to grow wherever there is moisture and an organic substrate (food source). They can grow on building and other materials, including: the paper on gypsum wallboard (drywall); ceiling tiles; wood products; paint; wallpaper; carpeting; some furnishings; books/papers; clothes; and other fabrics. Mold can also grow on moist, dirty surfaces such as concrete, fiberglass insulation, and ceramic tiles. It is neither possible nor warranted to eliminate the presence of all indoor fungal spores and fragments; however, mold growth indoors can and should be prevented and removed if present.

The purpose of these guidelines is to provide an approach to address potential and observed mold growth on structural materials in commercial, school, and residential buildings. Mold growth in critical care areas of health-care facilities such as intensive care units or surgery suites may pose significant health concerns to patients. This document is not intended for such situations. Please visit the US Centers for Disease Control and Prevention (CDC) for more information on dealing with mold growth and its cleanup in health-care facilities.¹ Mold on bathroom tile grout, in shower stalls, and on bathtubs is a common occurrence. Occupants can control this growth through frequent use of household cleaners.

Water accumulation in indoor environments can lead to mold growth (and other environmental problems), which has been associated with human health effects (see Appendix A).^2-6 Indoor mold growth can be prevented or minimized, however, by actively maintaining, inspecting, and correcting buildings for moisture problems and immediately drying and managing water-damaged materials. In the event that mold growth does occur, this guide is intended to assist those responsible for maintaining facilities in evaluating and correcting this problem.

Removing mold growth and correcting the underlying cause of water accumulation can help to reduce mold exposures and related health symptoms.^7,8 Prompt remediation of mold-damaged materials and infrastructure repair should be the primary response to mold growth in buildings. The simplest, most expedient remediation that properly and safely removes mold growth from buildings should be used. Extensive mold growth poses more difficult problems that should be addressed on a case-by-case basis in consultation with an appropriate building or environmental health professional. In all situations, the source of water must be identified and corrected or the mold growth will recur.

Effective communication with building occupants is an important component of all remedial efforts. Individuals who believe they have mold-related health problems should see their physicians. Individuals who may have an occupationally related illness should be referred to an occupational/environmental physician for evaluation, following any needed initial care. Clinic contact information is available from the New York State Department of Health.

Hidden Mold

You may suspect hidden mold if a building smells moldy, but you cannot see the source, or if you know there has been water damage and residents are reporting health problems. Mold may be hidden in places such as the back side of dry wall, wallpaper, or paneling, the top side of ceiling tiles, the underside of carpets and pads, etc. Other possible locations of hidden mold include areas inside walls around pipes (with leaking or condensing pipes), the surface of walls behind furniture (where condensation forms), inside ductwork, and in roof materials above ceiling tiles (due to roof leaks or insufficient insulation).

Investigating hidden mold problems

Investigating hidden mold problems may be difficult and will require caution when the investigation involves disturbing potential sites of mold growth. For example, removal of wallpaper can lead to a massive release of spores if there is mold growing on the underside of the paper. If you believe that you may have a hidden mold problem, consider hiring an experienced professional.

Cleanup and Biocides

Biocides are substances that can destroy living organisms. The use of a chemical or biocide that kills organisms such as mold (chlorine bleach, for example) is not recommended as a routine practice during mold cleanup. There may be instances, however, when professional judgment may indicate its use (for example, when immune-compromised individuals are present). In most cases, it is not possible or desirable to sterilize an area; a background level of mold spores will remain - these spores will not grow if the moisture problem has been resolved. If you choose to use disinfectants or biocides, always ventilate the area and exhaust the air to the outdoors. Never mix chlorine bleach solution with other cleaning solutions or detergents that contain ammonia because toxic fumes could be produced.

Moisture and Mold Prevention and Control Tips

When water leaks or spills occur indoors - ACT QUICKLY. If wet or damp materials or areas are dried 24-48 hours after a leak or spill happens, in most cases mold will not grow.

Clean and repair roof gutters regularly.

Make sure the ground slopes away from the building foundation, so that water does not enter or collect around the foundation.

Keep air conditioning drip pans clean and the drain lines unobstructed and flowing properly.

Keep indoor humidity low. If possible, keep indoor humidity below 60 percent (ideally between 30 and 50 percent) relative humidity. Relative humidity can be measured with a moisture or humidity meter, a small, inexpensive ($10-$50) instrument available at many hardware stores.

If you see condensation or moisture collecting on windows, walls or pipes ACT QUICKLY to dry the wet surface and reduce the moisture/water source. Condensation can be a sign of high humidity.

Actions that will help to reduce humidity

• Vent appliances that produce moisture, such as clothes dryers, stoves, and kerosene heaters to the outside where possible. (Combustion appliances such as stoves and kerosene heaters produce water vapor and will increase the humidity unless vented to the outside.)
  
• Use air conditioners and/or de-humidifiers when needed.
  
• Run the bathroom fan or open the window when showering. Use exhaust fans or open windows whenever cooking, running the dishwasher or dishwashing, etc.

Actions that will help prevent condensation

• Reduce the humidity.
  
• Increase ventilation or air movement by opening doors and/or windows, when practical. Use fans as needed.
  
• Cover cold surfaces, such as cold water pipes, with insulation.
  
• Increase air temperature.

Renters: Report all plumbing leaks and moisture problems immediately to your building owner, manager, or superintendent. In cases where persistent water problems are not addressed, you may want to contact local, state, or federal health or housing authorities. [Note: Find your state health department contacts at www.epa.gov/iaq/whereyoulive.html.]

Testing or Sampling for Mold

Is sampling for mold needed? In most cases, if visible mold growth is present, sampling is unnecessary. Since no EPA or other federal limits have been set for mold or mold spores, sampling cannot be used to check a building's compliance with federal mold standards. Surface sampling may be useful to determine if an area has been adequately cleaned or remediated. Sampling for mold should be conducted by professionals who have specific experience in designing mold sampling protocols, sampling methods, and interpreting results. Sample analysis should follow analytical methods recommended by the American Industrial Hygiene Association (AIHA), the American Conference of Governmental Industrial Hygienists (ACGIH), or other professional organizations.

What to Wear When Cleaning Mold

It is important to take precautions to LIMIT YOUR EXPOSURE to mold and mold spores.

• Avoid breathing in mold or mold spores. In order to limit your exposure to airborne mold, you may want to wear an N-95 respirator, available at many hardware stores and from companies that advertise on the Internet. (They cost about $12 to $25.) Some N-95 respirators resemble a paper dust mask with a nozzle on the front, others are made primarily of plastic or rubber and have removable cartridges that trap most of the mold spores from entering. In order to be effective, the respirator or mask must fit properly, so carefully follow the instructions supplied with the respirator. Please note that the Occupational Safety and Health Administration (OSHA) requires that respirators fit properly (fit testing) when used in an occupational setting; consult OSHA for more information (800-321-OSHA or www.osha.gov).
  
• Wear gloves. Long gloves that extend to the middle of the forearm are recommended. When working with water and a mild detergent, ordinary household rubber gloves may be used. If you are using a disinfectant, a biocide such as chlorine bleach, or a strong cleaning solution, you should select gloves made from natural rubber, neoprene, nitrile, polyurethane, or PVC (see Cleanup and Biocides). Avoid touching mold or moldy items with your bare hands.
  
• Wear goggles. Goggles that do not have ventilation holes are recommended. Avoid getting mold or mold spores in your eyes.

How Do I Know When the Remediation or Cleanup is Finished?

You must have completely fixed the water or moisture problem before the cleanup or remediation can be considered finished.

• You should have completed mold removal. Visible mold and moldy odors should not be present. Please note that mold may cause staining and cosmetic damage.
  
• You should have revisited the site(s) shortly after cleanup and it should show no signs of water damage or mold growth.
  
• People should have been able to occupy or re-occupy the area without health complaints or physical symptoms.
  
• Ultimately, this is a judgment call; there is no easy answer. If you have concerns or questions consult our Frequently Asked Questions database and ask a question if you don't find what you need.

Mold Cleanup Guidelines

The tips and techniques presented in this section will help you clean up your mold problem. Professional cleaners or remediators may use methods not covered in this publication. Please note that mold may cause staining and cosmetic damage. It may not be possible to clean an item so that its original appearance is restored.

Fix plumbing leaks and other water problems as soon as possible. Dry all items completely.
 

Scrub mold off hard surfaces with detergent and water, and dry completely.

Absorbent or porous materials, such as ceiling tiles and carpet, may have to be thrown away if they become moldy. Mold can grow on or fill in the empty spaces and crevices of porous materials, so the mold may be difficult or impossible to remove completely.

Avoid exposing yourself or others to mold (see discussions: What to Wear When Cleaning Moldy Areas and Hidden Mold).

Do not paint or caulk moldy surfaces. Clean up the mold and dry the surfaces before painting. Paint applied over moldy surfaces is likely to peel.
 

If you are unsure about how to clean an item, or if the item is expensive or of sentimental value, you may wish to consult a specialist. Specialists in furniture repair, restoration, painting, art restoration and conservation, carpet and rug cleaning, water damage, and fire or water restoration are commonly listed in phone books. Be sure to ask for and check references. Look for specialists who are affiliated with professional organizations.

BATHROOM TIP

Places that are often or always damp can be hard to maintain completely free of mold. If there's some mold in the shower or elsewhere in the bathroom that seems to reappear, increasing ventilation (running a fan or opening a window) and cleaning more frequently will usually prevent mold from recurring, or at least keep the mold to a minimum

A Brief Guide to Mold, Moisture, and Your Home

Who should do the cleanup depends on a number of factors. One consideration is the size of the mold problem. If the moldy area is less than about 10 square feet (less than roughly a 3 ft. by 3 ft. patch), in most cases, you can handle the job yourself, follow the guidelines. However:

• If there has been a lot of water damage, and/or mold growth covers more than 10 square feet, consult EPA's Mold Remediation in Schools and Commercial Buildings. Although focused on schools and commercial buildings, this document is applicable to other building types.
  
• If you choose to hire a contractor (or other professional service provider) to do the cleanup, make sure the contractor has experience cleaning up mold. Check references and ask the contractor to follow the recommendations in EPA's Mold Remediation in Schools and Commercial Buildings, the guidelines of the American Conference of Governmental Industrial Hygenists (ACGIH), or other guidelines from professional or government organizations.
  
• If you suspect that the heating/ventilation/air conditioning (HVAC) system may be contaminated with mold (it is part of an identified moisture problem, for instance, or there is mold near the intake to the system), consult EPA's guide Should You Have the Air Ducts in Your Home Cleaned? before taking further action. Do not run the HVAC system if you know or suspect that it is contaminated with mold - it could spread mold throughout the building.
  
• If the water and/or mold damage was caused by sewage or other contaminated water, then call in a professional who has experience cleaning and fixing buildings damaged by contaminated water.
  
• If you have health concerns, consult a health professional before starting cleanup.

Source:  Environmental Protection Agency

A Brief Guide to Mold, Moisture, and Your Home

Why is mold growing in my home?

Molds are part of the natural environment. Outdoors, molds play a part in nature by breaking down dead organic matter such as fallen leaves and dead trees, but indoors, mold growth should be avoided. Molds reproduce by means of tiny spores; the spores are invisible to the naked eye and float through outdoor and indoor air. Mold may begin growing indoors when mold spores land on surfaces that are wet. There are many types of mold, and none of them will grow without water or moisture.

Can mold cause health problems?

Molds are usually not a problem indoors, unless mold spores land on a wet or damp spot and begin growing. Molds have the potential to cause health problems. Molds produce allergens (substances that can cause allergic reactions), irritants, and in some cases, potentially toxic substances (mycotoxins). Inhaling or touching mold or mold spores may cause allergic reactions in sensitive individuals. Allergic responses include hay fever-type symptoms, such as sneezing, runny nose, red eyes, and skin rash (dermatitis). Allergic reactions to mold are common. They can be immediate or delayed. Molds can also cause asthma attacks in people with asthma who are allergic to mold. In addition, mold exposure can irritate the eyes, skin, nose, throat, and lungs of both mold-allergic and non-allergic people. Symptoms other than the allergic and irritant types are not commonly reported as a result of inhaling mold. Research on mold and health effects is ongoing. This brochure provides a brief overview; it does not describe all potential health effects related to mold exposure. For more detailed information consult a health professional. You may also wish to consult your state or local health department.

How do I get rid of mold?

It is impossible to get rid of all mold and mold spores indoors; some mold spores will be found floating through the air and in house dust. The mold spores will not grow if moisture is not present. Indoor mold growth can and should be prevented or controlled by controlling moisture indoors. If there is mold growth in your home, you must clean up the mold and fix the water problem. If you clean up the mold, but don't fix the water problem, then, most likely, the mold problem will come back.

Source:  Environmental Protection Agency

About Molds and Asthma

Molds are microscopic fungi that live on plant and animal matter. Molds can be found almost anywhere when moisture is present.

Molds create tiny spores to reproduce, just as plants produce seeds. Mold spores float through the indoor and outdoor air continually. When mold spores land on damp places indoors, they may begin growing.

For people sensitive to molds, inhaling mold spores can trigger an asthma attack.

 Actions you can take

• If mold is a problem in your home, you need to clean up the mold and eliminate sources of moisture.
• If you see mold on hard surfaces, clean it up with soap and water. Let the area dry completely.
• Use exhaust fans or open a window in the bathroom and kitchen when showering, cooking or washing dishes.
• Fix water leaks as soon as possible to keep mold from growing.
• Dry damp or wet things completely within one to two days to keep mold from growing.
• Maintain low indoor humidity, ideally between 30-50% relative humidity. Humidity levels can be measured by hygrometers, which are available at local hardware stores.

Source:  Environmental Protection Agency

The Link between Black Mold and Pregnancy

2010 Posted by: birthuse in: Baby Health

Humans and mold have lived together since the very beginning, but mold has become a big

health issue only recently. So many cases of toxic mold poisoning have come to light recently that people can’t help but be concerned.  Because this concern is so new, we have only just begun

studying the effects of black mold and pregnancy. There isn’t much real evidence, but doctors are very concerned about how exposure to black mold during pregnancy can affect babies.

Black Mold and Birth Defects

There are countless stories of women being exposed to mold during pregnancy and suffering miscarriage or birth defects.  However, there is not yet any solid hard scientific evidence that exposure to mold directly causes birth defects. Studies with animals have shown that there is a definite link between black mold and pregnancy, but animals are different than humans, so the results are somewhat inconclusive.

Still, most doctors assume that there is some connection, and that pregnant women should be careful about exposure.

Asthma and Pregnancy

Modern scientific studies say that the causes of lifelong chronic allergies are both genetic and environmental.  A lot of evidence states that the development of allergies and asthma actually begins in the womb. This is especially the case with asthma. Researchers are finding out that asthma may not

be genetic at all. It is caused by triggers in the environment. Studies show that asthma sufferers develop the condition at some point in their lives due to exposure to toxins, such as mold. It may begin in the uterus.

SIDS And Mold

Some studies have suggested that there may be a link between Sudden Infant Death Syndrome and exposure to black mold in the womb. There are also a variety of chronic fatigue illnesses that children who have been exposed to mold may suffer. Still, the studies have not been done to show whether this is fully the case or not.

What You Can Do

If you have just found that you are pregnant, or if you are just starting to worry about mold, you should get your home or workplace tested for mold. You can get a home testing kit from the hardware store. It is probably a good idea to start off your pregnancy in a mold-free environment. Nobody knows the exact relation between mold and birth defects, allergies and asthma, but it’s better to be safe than sorry.

For you baby’s health, it is also important to keep your house mold-free after birth. There are no studies showing that mold has an effect on breast feeding, but mold is definitely unhealthy for your

baby’s general health.

One more thing to think about is your workplace. Many women work in the early or middle stages of pregnancy and it is often more difficult to find mold in a building where you work than in your home. Ask your boss about mold inspections, especially if you work in an old building. If you can see or smell mold in your workplace, you are definitely in danger.  If your boss or supervisor will not do anything about the mold problem, you can seek a legal solution. There are laws to protect you and your unborn baby's health.

Learn more about toxic mold health problems on our site. You’ll also find other information such

as why not to use BLEACH or Health Issues as reported by the Mayo Clinic. If you suspect mold you might want to consider professional lab testing or the latest safe removal process.

Reference: http://birthuse.blogmas.com/the‐link‐between‐black‐mold‐and‐pregnancy/

Living with Mold - Health Concerns and Problems

Several have asked me if I've had any health problems related to the mold in my home, or the clean-up of it, especially in light of my most recent health problems.
It's hard to say for sure. But I will attempt an answer after I share a little about mold and health-related problems.
Mold has been linked to a myriad of health conditions. Some of these are well-documented. Others are still unproven, and not accepted by many medical authorities. Most everyone has some of the symptoms attributed to mold some of the time.
Several state government agencies list conditions that can be caused or made worse by mold exposure. Some experts say more research is needed before it can be detmined for sure if some of the conditions listed below are linked to mold. Conditions attributed to mold include:

• Allergy to mold -- Mold allergy has been well documented. We test for it in our office, as do most allergists. Symptoms can include runny nose, itchy eyes, wheezing, and skin rashes. Allergic fungal sinusitis is also a form of mold allergy.
  
• Infections - Usually infection from mold occurs only in persons on chemotherapy or with diseases which may make them more susceptible to infection. Skin, eyes, and lungs are often affected. Aspergillus is the most notable fungus to cause infection (aspergillosis), but others have been associated with infections also.
  
• Mold can irritate mucous membranes of the eyes and respiratory system.
  
• Trigeminal nerve effects have been associated with mold, and have been reported to cause decreased attention, disorientation, diminished reflex time, and dizziness.
  
• Volatile compounds (VOCS) produced by mold are thought to cause headache, attention deficit, inability to concentrate, and dizziness.
  
• It is uncertain whether exposure over time to moldy odors can desensitize an individual so they have less perception of all odors, or cause them to be more highly irritated by odors.
  
• Some molds (fungi) produce toxins or poisons. Toxic molds can suppress the immune system, or damage intestines, skin, or lungs. They can increase susceptibility to cancer. They can cause blood vessels in the skin or lungs to rupture.
  Toxic molds are reported to cause nausea and diarrhea, depression, headaches, tremors, kidney problems, and infertility.
  Penicillium is a toxic mold which has been linked with kidney damage and has been shown to be carcinogenic (cancer-producing) in laboratory animals.
  Aspergillis is the most toxic mold according to some sources. Some of the toxins produced by aspergillis are reported to cause liver cancer and damage other vital organs.
  Stachybotrys is the mold usually thought of in "sick building syndrome." It is being investigated as a cause of hemorrhage in the lungs of infants (acute pulmonary hemorrhage and hemosiderosis). It has been associated with runny nose, cough, flu-like symptoms, skin irritation in areas of heavy perspiration such as the armpits, headaches, hair loss, malaise, chronic fatigue, depression, yeast infections, and urinary tract infections.
  Stachybotrys is particularly difficult to test for, so is not usually available in commercial mold test kits.
  Fusarium is another mold known to produce toxins.
  As you can see, some of the symptoms above are quite common.
  I had been experiencing decreased attention span and increasing fatigue for some time before I began the mold project. But I hadn't been sleeping well, and felt that was the underlying cause. I've not seen insomnia reported as being related to mold.
  Several weeks after the mold-cleanup was finished I was able to get back to better sleep patterns, but it was only temporary. When I slept better my restlessness and fatigue were much improved. So probably the fatigue and attention span problems were related to insomnia rather than mold. (See update below.)
  When I went to the doctor for a checkup because of the insomnia and fatigue, another health problem was discovered. At first it was thought I might have an incurable form of cancer called Multiple Myeloma. But the final diagnosis was Monoclonal Gammopathy of Undetermined Significance (MGUS).
  MGUS is an over growth of one of the immunoglobulins produced in the bone marrow and circulated through the blood. In itself it causes no problems, but it must be monitored because in some cases it does lead to Multiple Myeloma.
  Is any of this related to mold? Perhaps. It could also be related to any number of toxins that are in our environment, to food additives, or to causes not yet understood. Scientists are working on answers for questions about cancer as well as about mold.
  But experts do agree on one thing: Indoor mold can lead to health problems. It needs to be controlled or eliminated.
  [Update June 2, 2008: Earlier this year, I was diagnosed with Multiple Myeloma. Treatment is working well. I've also learned the cause of my insomnia and fatigue. It was not related to mold, but rather to a compromised airway due to an old jaw injury. I had surgery to fix that in May of 2008, and saw immediate improvement.]
  
  References:
  
  1. Got mold? Frequently asked questions about mold, Washington State Department of Health.
  2. Mold in my home: What do I do?, California Department of Health Services, Department of Human Services, United States Government..
  3. Health Effects of Toxin-Producing Indoor Molds in California, California Environmental Health Investigations Branch.
  4. Mold Mini Course, Texas Cooperative Extention, Texas A&M University System.

Frequently Asked Mold Questions

What causes mold to develop?
Mold requires nutrients, water, oxygen and favorable temperatures to grow. Nutrients for mold are present in dead organic material such as wood, paper or fabrics; mold can also derive nutrients from some synthetic products such as paints and adhesives. Mold requires moisture, although some mold species can obtain that moisture from moist air when the relative humidity is above 70 per cent. Many molds thrive at normal indoor temperatures; few if any molds are able to grow below 40 F or above 100 F. Outside this range molds may remain dormant or inactive; they may begin to grow again when the temperature is more favorable. Temperatures well above 100 F will kill mold and mold spores, but the exact temperature required to kill specific species is not well established.

How does mold get into a building?
Molds are decomposers of organic material such as wood, plants and animals. Mold and mold spores are found in high concentrations wherever there is dead matter such as a pile of leaves, manure or compost. Mold spores enter buildings through the air or on people, animals and objects that are brought into the building. Spores are small bundles of genetic material and chemicals (similar to seeds) that molds make under certain conditions.

Are there harmful and non-harmful molds?
There are only a few molds that can cause infection in healthy humans. Some molds cause infections only in people with compromised immune systems. The biggest health problem from exposure to mold is allergy and asthma in susceptible people. There are more than 100,000 types of mold. Good information has been developed for only a small number of these molds – at least in terms of their effects on human health. Most people tolerate exposure to moderate levels of many different molds without any apparent adverse health effects.

Some molds produce powerful chemicals called “mycotoxins” that can produce illness in animals and people. Scientific knowledge about the health effects of these toxins on humans is quite limited.

Does mold affect everyone the same way?
No. Some individuals have a genetic makeup that puts them at risk for developing allergies to mold. People who have an allergy to mold, especially if they also have asthma, can become ill from exposure to a small amount of mold. Individuals also seem to be quite different in their response to exposure to the toxic chemicals that some molds release. These differences between individuals contribute to the difficult question of determining safe exposure limits for mold.

How much mold exposure is harmful?
No one knows the answer to this question for several reasons. Individuals are very different with respect to the amount of mold exposure they can tolerate. Children under the age of one year may be more susceptible to the effects of some molds than older individuals. Measuring or estimating “exposure” levels is very difficult. “Exposure” means the amount of mold (microscopic spores and mold fragments) that gets into a person usually by breathing, but also by eating or absorption through the skin. For example, a building may have a lot of mold in the walls but very little of that mold is getting into the air stream. In that case the people working or living in that building would have little mold exposure.

Can mold exposure cause brain damage or death?
Although some “experts” claim that individuals have brain damage or have died because of exposure to mold and especially mold toxins, there is no good science at this time to support these claims. Consequently it is prudent to minimize one’s exposure to really moldy environments. By “really moldy” we mean where there are large visible areas of mold (more than a few square feet) or the building has a “musty” odor because of hidden mold growth. There are many epidemiological studies showing that people who live in houses with dampness have many more health problems, especially respiratory, than do people who live in dry houses. This association does not “prove” that it is the mold that is responsible for the increase in illness. However, it does support the assertion that it is not wise to live in damp, moldy buildings.

Does tighter building construction promote mold development?
Tighter building construction does not by itself promote mold growth, but tight construction combined with some poor choices in design, building materials or operations can increase the probability of mold growth. What do we mean? The tighter the building construction the less air exchange there is between the inside air and the outside air. Whatever gets into the inside air stays there longer than it would in a house with loose construction. Moisture that gets into the air from activities such as cooking, bathing and even breathing will remain in a tight house longer than it would in a loose house. That’s why exhaust fans should be installed in bathrooms and kitchens and vented to the outside. Clothes dryers should also be vented to the outside.

Tight construction permits control of the air exchange between the inside and the outside and can prevent the deposition of moisture in walls and roofs. Controlling moisture, including indoor relative humidity is the key to preventing mold growth. Tight building construction when combined with source control of moisture (exhaust fans) and controlled ventilation (intentional introduction of outside air) reduces the probability of mold growth in a building. Controlled ventilation can be provided by a duct that brings outside air to the return side of the air handler of a forced air system. A timing device or fan cycler can be programmed to have the air handler turn on for a specified number of minutes each hour even when there is no call for heating or cooling. In cold climates controlled ventilation is frequently provided by a heat recovery ventilator (HRV).

Do new building materials (e.g. drywall or paper faced gypsum board) promote mold growth?
Mold needs water, a nutrient source, oxygen and favorable temperature to grow. Many species of mold love paper faced gypsum board. Why? Making paper involves the mechanical and chemical processing of wood. Paper is largely pre-digested so it is easy for mold to get nutrients from the paper. But unless there is enough moisture present mold can’t grow on the paper. If paper faced gypsum board is kept dry, it can be used and still not have mold. This material is kept dry by controlling the interior relative humidity, keeping rain from entering roofs and walls, and NOT using paper faced gypsum in areas that are likely to get wet. This means no paper faced gypsum board in shower and tub areas. Cement board, mortar or non-paper faced gypsum can safely be used in these damp areas because these products do not contain nutrients to support mold growth.

Are there reliable tests to indicate the presence of mold?
Almost all of us already have two effective mold detectors: our eyes and our noses. If black or green discoloration is noticed that is fuzzy in appearance and is in a location that is damp or had been damp, it is almost certainly mold. If a building smells musty, there probably is mold somewhere; the mold may be on boxes stored in a basement or in walls or in the crawl space. If you want to find mold, look for the presence of water or a location where water was likely to have been. If there is still any question about whether the black stuff is mold, have a reliable laboratory examine the material. All you need to know is whether mold is seen when the material is examined under the microscope.

An increasing number of companies are offering “air testing for mold.” On the surface this seems like a reasonable thing to do. The problem, however, is that the results of most air sampling for mold are meaningless for two reasons. Air sampling for mold was not developed to determine if an environment was safe or had a dangerous level of mold in the air. Air sampling was developed to help identify the location of a hidden reservoir of mold. If the source of mold is already identified, air sampling does not provide additional meaningful information. Furthermore, safe or toxic levels of air borne mold have not been established. An individual air sample for mold provides a “snapshot” of what was in the air during the few minutes of sampling. The results may not be indicative of the amount of mold that is in the air during most of the day.

Air sampling for mold should be done either to obtain an answer to a question that cannot be answered without the air sampling or to obtain data as part of a research project. The Center for Disease Control (CDC), the U.S. Environmental Protection Agency (EPA) and the American Conference of Governmental Industrial Hygienists do not recommend routine air testing for mold.

If mold is present, what’s the best way to get rid of it?
The answer depends on how much mold is present and where it is located. If the mold is on furnishings or boxes simply discard the materials. Moldy materials are not considered hazardous waste; they can be sent to a regular landfill. However, it is smart to seal the mold material in heavy plastic to protect the people who handle it in transit and prevent spreading large amounts of the mold into the building as you carry the material out of it.

If the mold is on a hard surface but occupies less than 10 square feet wash the area with soapy water (scrubbing with a brush may be necessary), rinse and allow the area to dry before repainting. If you have asthma, severe allergies and a weaken immune system get someone else to do the clean up.

Larger areas (greater than 10 square feet in area) should be cleaned by someone with experience in doing this type of work. Remember, determine what caused the moisture problem and correct that problem. Otherwise, mold is likely to recur.

Is it possible to completely eliminate mold from the inside of a home or office building?
The answer depends upon what is meant by “completely eliminate mold.” To keep a building completely free of mold spores requires very efficient air filtration and is only accomplished in special situations such as hospital operating rooms and manufacturing “clean rooms.” Remember, mold spores are in the outside air virtually all the time and some of them will get inside buildings.

However, it is possible to keep mold from growing inside a building. Moisture control is the key to controlling mold in interior spaces. Air filtration can contribute to lowering mold spores in the air but is secondary to moisture control.

Should I use bleach to get rid of mold?
No. Although bleach will kill and decolorize mold, it does not remove mold. Dead mold can still cause allergic reactions. It is not necessary to kill mold to remove mold. Soap and water and scrubbing can remove mold from hard surfaces. The Environmental Protection Agency (EPA), the Center for Disease Control (CDC) and the New York City Health Department agree that bleach or other biocides should not routinely be used to clean up mold.

How do I know when the mold clean up is finished?

The mold cleanup is finished when there is no visible mold remaining and there is no dust or dirt remaining that could contain large amounts of mold and mold spores. Routine clearance testing for mold is not necessary. Leaving a few mold spores behind is not a problem if the underlying moisture problem has been corrected. Remember that mold spores are virtually everywhere. Even if all mold and mold spores are removed as part of the cleanup, spores from outside will re-enter that space. The spores won’t be able to grow unless water is also present.

Guidelines on Assessment and Remediation of Fungi in Indoor Environments

This 2008 document revises existing guidelines and supersedes all prior editions. It is based both on a review of the current literature regarding fungi (mold) and on comments from a review panel consisting of experts in the fields of mycology/microbiology, environmental health sciences, environmental/occupational medicine, industrial hygiene, and environmental remediation.

These guidelines are intended for use by building owners and managers, environmental contractors and environmental consultants. It is also available for general distribution to anyone concerned about indoor mold growth. The attached fact sheet, “Mold Growth: Prevention and Cleanup for Building Owners and Managers,” is a simplified summary of these guidelines, which may be useful for building owners, managers and workers. It is strongly recommended that the complete guidelines be referred to before addressing the assessment or remediation of indoor mold growth... read more