Mold growth, assessment, and remediation
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Mold (American English) or mould (British English), also sometimes referred to as
mildew Mildew is a form of fungus. It is distinguished from its closely related counterpart, mould, largely by its colour: moulds appear in shades of black, blue, red, and green, whereas mildew is white. It appears as a thin, superficial growth consi ...
, is a fungal growth that develops on wet materials. Mold is a natural part of the environment and plays an important part in nature by breaking down dead organic matter such as fallen leaves and dead trees; indoors, mold growth should be avoided. Mold reproduce by means of tiny
spores In biology, a spore is a unit of sexual or asexual reproduction that may be adapted for dispersal and for survival, often for extended periods of time, in unfavourable conditions. Spores form part of the life cycles of many plants, algae, ...
. The spores are like seeds, but invisible to the naked eye, that float through the air and deposit on surfaces. When the temperature, moisture, and available nutrient conditions are correct, the spores can form into new mold colonies where they are deposited. There are many types of mold, but all require moisture and a food source for growth.


Health effects

Mold is ubiquitous, and mold spores are a common component of household and workplace
dust Dust is made of fine particles of solid matter. On Earth, it generally consists of particles in the atmosphere that come from various sources such as soil lifted by wind (an aeolian process), volcanic eruptions, and pollution. Dust in ho ...
. In large amounts they can lead to mold health issues to humans, potentially causing allergic reactions and respiratory diseases.


Mycotoxins

Some mold produce
mycotoxin A mycotoxin (from the Greek μύκης , "fungus" and τοξίνη , "toxin") is a toxic secondary metabolite produced by organisms of kingdom Fungi and is capable of causing disease and death in both humans and other animals. The term 'mycotoxin' ...
s, chemical components of their cell walls, that can pose serious health risks to humans and animals. "Toxic mold" refers to mold which produce mycotoxins, such as '' Stachybotrys chartarum''. Exposure to high levels of mycotoxins can lead to
neurological disorders A neurological disorder is any disorder of the nervous system. Structural, biochemical or electrical abnormalities in the brain, spinal cord or other nerves can result in a range of symptoms. Examples of symptoms include paralysis, muscle weaknes ...
and death. Prolonged exposure (for example, on a daily basis) can be particularly harmful. Mycotoxins can persist in the indoor environment even after death of the
fungi A fungus ( : fungi or funguses) is any member of the group of eukaryotic organisms that includes microorganisms such as yeasts and molds, as well as the more familiar mushrooms. These organisms are classified as a kingdom, separately from ...
. They can adhere to dust
particles In the physical sciences, a particle (or corpuscule in older texts) is a small localized object which can be described by several physical or chemical properties, such as volume, density, or mass. They vary greatly in size or quantity, from s ...
and can spread through the air attached to these dust particles or spores. There must be very specific
temperature Temperature is a physical quantity that expresses quantitatively the perceptions of hotness and coldness. Temperature is measurement, measured with a thermometer. Thermometers are calibrated in various Conversion of units of temperature, temp ...
and
humidity Humidity is the concentration of water vapor present in the air. Water vapor, the gaseous state of water, is generally invisible to the human eye. Humidity indicates the likelihood for precipitation, dew, or fog to be present. Humidity dep ...
conditions in order for fungi to produce mycotoxins.


Symptoms

Symptoms of mold exposure may include
nasal congestion Nasal congestion is the blockage of nasal breathing usually due to membranes lining the nose becoming swollen from inflamed blood vessels. Background In about 85% of cases, nasal congestion leads to mouth breathing rather than nasal breathin ...
;
sinusitis Sinusitis, also known as rhinosinusitis, is inflammation of the mucous membranes that line the sinuses resulting in symptoms that may include thick nasal mucus, a plugged nose, and facial pain. Other signs and symptoms may include fever, head ...
;
rhinorrhea Rhinorrhea, rhinorrhoea, or informally runny nose is the free discharge of a thin mucus fluid from the nose; it is a common condition. It is a common symptom of allergies ( hay fever) or certain viral infections, such as the common cold or CO ...
, eye irritation; respiratory difficulties, such as
wheezing A wheeze is a continuous, coarse, whistling sound produced in the respiratory airways during breathing. For wheezes to occur, some part of the respiratory tree must be narrowed or obstructed (for example narrowing of the lower respiratory tract ...
, chest pain,
cough A cough is a sudden expulsion of air through the large breathing passages that can help clear them of fluids, irritants, foreign particles and microbes. As a protective reflex, coughing can be repetitive with the cough reflex following three ph ...
, and persistent
sneezing A sneeze (also known as sternutation) is a semi-autonomous, convulsive expulsion of air from the lungs through the nose and mouth, usually caused by foreign particles irritating the nasal mucosa. A sneeze expels air forcibly from the mouth and ...
;
throat irritation Throat irritation can refer to a dry cough, a scratchy feeling at the back of the throat, a sensation of a lumpy feeling, something stuck at the back of the throat, or possibly a feeling of dust in the throat. The symptoms are unpleasant and usuall ...
;
skin irritation Irritation, in biology and physiology, is a state of inflammation or painful reaction to allergy or cell-lining damage. A stimulus or agent which induces the state of irritation is an irritant. Irritants are typically thought of as chemical age ...
, such as a
rash A rash is a change of the human skin which affects its color, appearance, or texture. A rash may be localized in one part of the body, or affect all the skin. Rashes may cause the skin to change color, itch, become warm, bumpy, chapped, dry, c ...
; and headache.
Immunocompromised Immunodeficiency, also known as immunocompromisation, is a state in which the immune system's ability to fight infectious diseases and cancer is compromised or entirely absent. Most cases are acquired ("secondary") due to extrinsic factors that a ...
people and people with chronic lung illnesses, such as
obstructive lung disease Obstructive lung disease is a category of respiratory disease characterized by airway obstruction. Many obstructive diseases of the lung result from narrowing (obstruction) of the smaller bronchi and larger bronchioles, often because of excessiv ...
, may get serious
infections An infection is the invasion of tissues by pathogens, their multiplication, and the reaction of host tissues to the infectious agent and the toxins they produce. An infectious disease, also known as a transmissible disease or communicable di ...
in their lungs when they are exposed to mold. These people should stay away from areas that are likely to have mold, such as compost piles, cut grass, and wooded areas.


Asthma

Infants may develop respiratory symptoms as a result of exposure to ''
Penicillium ''Penicillium'' () is a genus of ascomycetous fungi that is part of the mycobiome of many species and is of major importance in the natural environment, in food spoilage, and in food and drug production. Some members of the genus produce pe ...
'', a fungal
genus Genus ( plural genera ) is a taxonomic rank used in the biological classification of living and fossil organisms as well as viruses. In the hierarchy of biological classification, genus comes above species and below family. In binomial nom ...
. Signs of mold-related respiratory problems in an infant include a persistent cough or wheeze. Increased exposure increases the probability of developing respiratory symptoms during the first year of life. Studies have indicated a correlation between the probability of developing
asthma Asthma is a long-term inflammatory disease of the airways of the lungs. It is characterized by variable and recurring symptoms, reversible airflow obstruction, and easily triggered bronchospasms. Symptoms include episodes of wheezing, co ...
and exposure to ''Penicillium''. Mold exposure has a variety of
health effects Health effects (or health impacts) are changes in health resulting from exposure to a source. Health effects are an important consideration in many areas, such as hygiene, pollution studies, occupational safety and health, ( utrition and health s ...
, and sensitivity to mold varies. Exposure to mold may cause
throat irritation Throat irritation can refer to a dry cough, a scratchy feeling at the back of the throat, a sensation of a lumpy feeling, something stuck at the back of the throat, or possibly a feeling of dust in the throat. The symptoms are unpleasant and usuall ...
, nasal stuffiness, eye irritation, cough and wheezing and skin irritation in some cases. Exposure to mold may heighten sensitivity, depending on the time and nature of exposure. People with chronic lung diseases are at higher risk for mold allergies, and will experience more severe reactions when exposed to mold. Damp indoor environments correlate with upper-respiratory-tract symptoms, such as coughing and wheezing in people with asthma.


Causes and growing conditions

Mold is found everywhere and can grow on almost any substance when moisture is present. It reproduces by
spores In biology, a spore is a unit of sexual or asexual reproduction that may be adapted for dispersal and for survival, often for extended periods of time, in unfavourable conditions. Spores form part of the life cycles of many plants, algae, ...
, which are carried by air currents. When spores land on a moist surface suitable for life, they begin to grow. Mold is normally found indoors at levels that do not affect most healthy individuals. Because common
building material Building material is material used for construction. Many naturally occurring substances, such as clay, rocks, sand, wood, and even twigs and leaves, have been used to construct buildings. Apart from naturally occurring materials, many man-ma ...
s are capable of sustaining mold growth and mold spores are ubiquitous, mold growth in an indoor environment is typically related to water or moisture exposure and may be caused by incomplete drying of flooring materials (such as
concrete Concrete is a composite material composed of fine and coarse aggregate bonded together with a fluid cement (cement paste) that hardens (cures) over time. Concrete is the second-most-used substance in the world after water, and is the most wid ...
).
Flood A flood is an overflow of water ( or rarely other fluids) that submerges land that is usually dry. In the sense of "flowing water", the word may also be applied to the inflow of the tide. Floods are an area of study of the discipline hydrol ...
ing, leaky roofs, poor building maintenance, or indoor
plumbing Plumbing is any system that conveys fluids for a wide range of applications. Plumbing uses pipes, valves, plumbing fixtures, tanks, and other apparatuses to convey fluids. Heating and cooling (HVAC), waste removal, and potable water deliv ...
problems can lead to interior mold growth. Water vapor commonly Condensation, condenses on surfaces cooler than the moisture-laden air, enabling mold to flourish. This moisture vapor passes through walls and ceilings, typically condensing during the winter in climates with a long heating season. Floors over crawl spaces and basements, without vapor barriers or with dirt floors, are mold-prone. The "doormat test" detects moisture from concrete slabs without a sub-slab vapor barrier. Inorganic materials, such as metal or polished concrete, do not support mold growth, although surface mold growth is still possible. Significant mold growth requires moisture and food sources and a substrate capable of sustaining growth. Common cellulose-based building materials, such as plywood, drywall, furring strips, finish carpentry, cabinetry, wood framing, composite wood flooring, Carpet, carpets, and carpet padding provide food for mold. In carpet, organic load such as invisible dust and cellulose are food sources. After water damage to a building, mold grows in walls and then becomes Dormancy, dormant until subsequent high humidity; suitable conditions reactivate mold. Mycotoxin levels are higher in buildings which have had a water incident.


Hidden mold

Mold is detectable by smell and signs of water damage on walls or ceiling and can grow in places invisible to the human eye. It may be found behind wallpaper or Panelling, paneling, on the inside of Dropped ceiling, dropped ceilings, the back of drywall, or the underside of carpets or carpet padding. Piping in walls may also be a source of mold, since they may leak (causing moisture and condensation). Spores need three things to grow into mold: Nutrient, nutrients – cellulose (the cell wall of green plants) is a common food for indoor spores; moisture – to begin the decaying process caused by mold; and time – mold growth begins from 24 hours to 10 days after the provision of growing conditions. Mold colonies can grow inside buildings, and the chief hazard is the inhalation of mycotoxins. After a flood or major leak, mycotoxin levels are higher – even after a building has dried out. Food sources for mold in buildings include cellulose-based materials such as wood, Corrugated fiberboard, cardboard and the paper facing on drywall and organic matter such as soap, Textile, textiles, and dust containing skin cells. If a house has mold, the moisture may originate in the basement or crawl space, a leaking roof or a leak in plumbing pipes. Insufficient ventilation may accelerate moisture buildup. Visible mold colonies may form where ventilation is poorest and on perimeter walls (because they are nearest the dew point). If there are mold problems in a house only during certain times of the year, the house is probably too Hermetic seal, airtight or too drafty. Mold problems occur in airtight homes more frequently in the warmer months (when humidity is high inside the house, and moisture is trapped), and occur in drafty homes more frequently in the colder months (when warm air escapes from the living area and condenses). If a house is artificially humidified, by the use of a humidifier, during the winter, this can create conditions favorable to mold. Moving air may prevent mold from growing, since it has the same Desiccation, desiccating effect as low humidity. Mold grows best in warm temperatures, , although growth may occur between . Removing one of the three requirements for mold reduces (or eliminates) new mold growth: moisture; food for the mold spores (for example, dust or dander); and warmth since mold generally does not grow in cold environments. Heating, ventilation, and air conditioning (HVAC) systems can produce all three requirements for mold growth. The air conditioning system creates a difference in temperature, encouraging condensation. The high rate of dusty air movement through an HVAC system may furnish ample food for mold. Since the air-conditioning system is not always running, warm conditions are the final component for mold growth.


Assessment

An observation of the indoor environment should be conducted before any sampling is performed. The area should be surveyed for odors indicating mold or Bacteria, bacterial growth, moisture sources, such as Water stagnation, stagnant water or leaking pipes, and water-damaged Building material, building materials. This can include moving furniture, lifting (or removing) carpets, checking behind wallpaper or paneling, checking ventilation ductwork and exposing wall cavities. Efforts typically focus on areas where there are signs of liquid moisture or water vapor (
humidity Humidity is the concentration of water vapor present in the air. Water vapor, the gaseous state of water, is generally invisible to the human eye. Humidity indicates the likelihood for precipitation, dew, or fog to be present. Humidity dep ...
), or where moisture problems are suspected. Often, quick decisions about the immediate safety and health of the environment can be made by these observations before sampling is even needed. The United States Environmental Protection Agency (EPA) does not generally recommend sampling unless an occupant of the space has symptoms. In most cases, if visible mold growth is present, sampling is unnecessary. Sampling should be performed by a trained professional with specific experience in mold-sampling protocols, sampling methods and the interpretation of findings. It should be done only to make a particular determination, such as airborne spore concentration or identifying a particular species.


Sampling

Before sampling, a subsequent course of action should be determined. In the U.S., sampling and analysis should follow the recommendations of the Occupational Safety and Health Administration (OSHA), National Institute for Occupational Safety and Health (NIOSH), the EPA and the American Industrial Hygiene Association (AIHA). Types of samples include air, surface, bulk, dust, and swab. Multiple types of sampling are recommended by the AIHA, since each has limitations.


Air sampling

Air is the most common form of sampling to assess mold levels. Although, the Environmental Protection Agency (EPA) does not have any current testing protocols. Air sampling is considered to be the most representative method for assessing respiratory exposure to mold. Indoor and outdoor air are sampled, and their mold spore concentrations are compared. Indoor mold concentrations should be less than or equal to outdoor concentrations with similar distributions of species. A predominant difference in species or higher indoor concentrations can indicate poor indoor air quality and a possible Hazard#health hazard, health hazard. Air sampling can be used to identify hidden mold and is often used to assess the effectiveness of control measures after remediation. An indoor mold air sampling campaign should be performed over the course of at least several days as the environmental conditions can lead to variations in the day-to-day mold concentration. Stationary samplers assess a specific environment, such as a room or building, whereas personal samplers assess the mold exposure one person receives in all of the environments they enter over the course of sampling. Personal samplers can be attached to workers to assess their respiratory exposures to molds on the job. Personal samplers usually show higher levels of exposure than stationary samples due to the "personal cloud" effect, where the activities of the person re-suspend settled particles. There are several methods that can be used for indoor mold air sampling.


Swab and surface sampling

Surface sampling measures the number of mold spores deposited on indoor surfaces. With swab, a cotton swab is rubbed across the area being sampled, often a measured area, and subsequently sent to the mold testing laboratory. The swab can rubbed on an agar plate to grow the mold on a growth medium. Final results indicate mold levels and species located in the suspect area. Surface sampling can be used to identify the source of mold exposure. Molecular analyses, such as Real-time polymerase chain reaction, qPCR, may also be used for species identification and quantification. Swab and surface sampling can give detailed information about the mold, but cannot measure the actual mold exposure because it is not Aerosolization, aerosolized.


Bulk and dust sampling

Bulk removal of material from the contaminated area is used to identify and quantify the mold in the sample. This method is often used to verify contamination and identify the source of contamination. Dust samples can be collected using a vacuum with a collection filter attached. Dust from surfaces such as floors, beds, or furniture is often collected to assess health effects from exposure in epidemiology studies. Researchers of indoor mold also use a long-term settled dust collection system where a dust cloth or a petri dish is left out in the environment for a set period of time, sometimes weeks. Dust samples can be analyzed using culture-based or culture-independent methods. Quantitative PCR is a DNA-based molecular method that can identify and quantify fungal species. The Environmental Relative Moldiness Index (ERMI) is a numerical that can be used in epidemiological studies to assess mold burdens of houses in the United States. The ERMI consists of a list of 36 fungal species commonly associated with damp houses that can be measured using qPCR. Like swab and surface sampling, bulk and dust sampling can give detailed information about the mold source, but cannot accurately determine the level of exposure to the source.


Remediation

The first step in solving an indoor mold problem is to remove the moisture source; new mold will begin to grow on moist, porous surfaces within 24 to 48 hours. There are a number of ways to prevent mold growth. Some cleaning companies specialize in fabric restoration, removing mold (and mold spores) from clothing to eliminate odor and prevent further damage to garments. The effective way to clean mold is to use detergent solutions which physically remove mold. Many commercially available detergents marketed for mold cleanup include an EPA-approved antifungal agent. Mold will start to grow once moisture and organic material come together. This can happen anywhere in a property including bathrooms, walls, garages, bedrooms, kitchens, etc. A smell is a good indicator that there is mold growth that needs immediate attention. If not attended to, the growth can spread through the property contributing to adverse health problems and causing secondary damage to the structure and its contents. Significant mold growth may require professional mold remediation to remove the affected building materials and eradicate the source of excess moisture. In extreme cases of mold growth in buildings, it may be more cost-effective to condemn the building than to reduce mold to safe levels. The goals of remediation are to remove (or clean) contaminated materials, preventing fungi (and fungi-contaminated dust) from entering an occupied (or non-contaminated) area while protecting workers performing the Dust abatement, abatement.


Cleanup and removal methods

The purpose of cleanup is to eliminate mold and remove contaminated materials. Killing mold with a biocide is insufficient, since Chemical substance, chemical substances and proteins causing reactions in humans remain in dead mold. The following methods are used. * Evaluation: Before remediation, the area is assessed to ensure safety, clean up the entire moldy area, and properly approach the mold. The EPA provides the following instructions: * HVAC cleaning: Should be done by a trained professional. * Protective clothing: Includes a half- or full-face respirator. Goggles with a half-face respirator prevent mold spores from reaching the mucous membranes of the eyes. Disposable Hazmat suit, hazmat suits are available to keep out particles down to one micrometer, and personal protective equipment keep mold spores from entering skin cuts. Gloves are made of Natural rubber, rubber, nitrile, polyurethane, or neoprene. * Dry brushing or agitation device: Wire brushing or sanding is used when microbial growth can be seen on solid wood surfaces such as framing or underlayment (the subfloor). * Dry-ice blasting: Removes mold from wood and cement; however, this process may spray mold and its byproducts into surrounding air. * Wet vacuum: Wet vacuuming is used on wet materials, and this method is one of those approved by the EPA. * Damp wipe: Removal of mold from Porosity, non-porous surfaces by wiping or scrubbing with water and a detergent and drying quickly. * HEPA (high-efficiency particulate air) vacuum cleaner: Used in remediation areas after materials have been dried and contaminated materials removed; collected debris and dust is stored to prevent debris release. * Debris disposal: Sealed in the remediation area, debris is usually discarded with ordinary construction waste.


Equipment

Equipment used in mold remediation includes: * Moisture meter to measure drying of damaged materials; * Hygrometer, Humidity gauge, often paired with a thermometer; * Borescope, a flexible tube with a camera at the end, to illuminate potential mold problems inside walls, ceilings and crawl spaces; * Digital camera to document findings during evaluation; * Personal protective equipment (PPE): respirators, Glove, gloves, impervious suit, and eye protection; * Thermographic camera, infrared thermal-imaging cameras to identify secondary moisture sources.


Protection levels

During mold remediation in the U.S., the level of contamination dictates the protection level for remediation workers. Contamination levels have been enumerated as I, II, III, and IV: * ''Level I'': Small, isolated areas ( or less); remediation may be conducted by trained building staff; * ''Level II'': Mid-sized, isolated areas (); may also be remediated by trained, protected building staff; * ''Level III'': Large, isolated areas (): Professionals experienced in microbial investigations or mold remediation should be consulted, and personnel should be trained in the handling of Dangerous goods, hazardous materials and equipped with respiratory protection, gloves and eye protection; * ''Level IV'': Extensive contamination (more than ); requires trained, equipped professionals After remediation, the premises should be reevaluated to ensure success.


Residential mold prevention and control

According to the EPA, residential mold may be prevented and controlled by cleaning and repairing Rain gutter, rain gutters, to prevent moisture seepage into the home; keeping air-conditioning drip pans clean and drainage lines clear; monitoring indoor humidity; drying areas of moisture or condensation and removing their sources; ensuring that there is adequate ventilation by installing an exhaust fan in your bathroom; treating exposed structural wood or wood framing with an EPA-approved fungicidal encapsulation coating after pre-cleaning (particularly homes with a crawl space, unfinished basement, or a poorly-ventilated attic).


See also

* Environmental engineering * Environmental health * Greenguard Environmental Institute * High-ozone shock treatment * House dust mite * Hurricane response * Occupational asthma * Sick building syndrome


Notes


External links


Environmental Protection Agency Mold Homepage
* {{HVAC Building biology Cleaning Fungi and humans Industrial hygiene Occupational safety and health