What is Alternaria?

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Alternaria is one of the most important allergenic molds found in the US. It is most common as an outdoor mold, as it thrives on various types of vegetation. Alternaria spores can be detected from Spring through late Fall in most temperate areas, and can reach levels of thousands of spores per cubic meter of air. While one usually thinks of molds as a problem in damp or even wet conditions, Alternaria spores can be at their highest concentrations during dry, windy conditions that are ideal for the spores to become airborne.

Alternaria is one of the most common outdoor molds, but also has been found in the indoor environment. The National Survey of Lead and Allergens in Housing conducted a study looking at house dust samples from 831 homes in 75 different locations throughout the US. Alternaria was found in over 90% of those dust samples. While much of that allergenic load was probably due to outdoor Alternaria finding its way inside, Alternaria is known to grow on moist surfaces in the home as well.

Alternaria is known to be a problem in allergic disease. In patients who show allergy to molds, up to 70% of those patients demonstrate allergy to Alternaria, and Alternaria is known to be a risk factor for asthma. Dampness and mold problems have been reported to occur in 20 – 50% of modern homes. Additionally, keep in mind that mold spores often outnumber pollen spores by 1,000 to one, and mold can produce spores for months on end, versus the weeks of pollen production by many allergenic plants.

Mold Prevention, Health Risks, and Solutions

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Mold is a common yet troublesome issue for any home or business owner. Understanding mold, its effects, and how to manage it can save you from health problems, costly repairs and downtime from running your business. This quick guide covers essential information about mold, including what it is, why it grows, and how to prevent and address it effectively.

What is Mold?

Mold is a type of fungus that thrives in moist environments. It reproduces through tiny spores that float in the air and settle on damp surfaces. Common types of mold include:

  • Aspergillus/Penicillium 
  • Cladosporium
  • Chaetomium 
  • Stachybotrys (Black Mold)

These molds can grow on various materials like wood, paper, and fabric when conditions are right.

How Does Mold Grow?

For mold to thrive, it requires three primary conditions:

  1. Moisture: Mold needs water to grow. Common sources of moisture include leaks, high humidity, and poor ventilation.
  2. Organic Material: Mold feeds on organic substances. Common household items such as wood, drywall, and fabric can provide a food source.
  3. Temperature: Mold grows best in warm environments, though it can also survive in cooler conditions.

Health Risks Associated with Mold

Exposure to mold can cause a range of health issues, particularly for individuals with allergies or respiratory conditions. Potential health effects include:

  • Allergic Reactions: Symptoms such as sneezing, itchy eyes, and runny nose.
  • Respiratory Problems: Coughing, wheezing, and difficulty breathing.
  • Skin Irritations: Rashes and itching.

In severe cases, mold can lead to chronic respiratory conditions and infections. It’s important to address mold problems promptly to minimize health risks.

How to Prevent Mold Growth

Preventing mold involves controlling moisture and maintaining a clean environment. Follow these tips to keep mold at bay:

  1. Control Indoor Humidity: Use dehumidifiers and air conditioners to maintain humidity levels below 60%.
  2. Fix Leaks: Repair any leaks in roofs, pipes, or walls immediately to prevent water accumulation.
  3. Ventilate Properly: Ensure good ventilation in areas like bathrooms and kitchens to reduce moisture buildup.
  4. Clean and Dry: Promptly clean and dry any spills or leaks within 24-48 hours.
  5. Regular Inspections: Check areas prone to moisture, such as basements and attics, for signs of mold growth.

How to Remove Mold

If you discover mold in your home, it’s essential to address it promptly. Here’s a basic guide to mold removal:

  1. Small Areas: For minor mold issues, clean affected areas with a mixture of water and detergent. Use protective gear like gloves and a mask.
  2. Large Areas: For extensive mold growth, it’s best to consult a professional mold remediation service. They have the expertise and equipment to handle large infestations safely and effectively.

Conclusion

Understanding mold and taking proactive measures to prevent its growth can protect your home and health. By controlling moisture, maintaining proper ventilation, and addressing issues quickly, you can minimize the risk of mold and its associated problems. For persistent or severe mold issues, seek professional help to ensure a thorough and effective remediation process.

Sick Building Syndrome

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Sick Building Syndrome (SBS) is a term commonly used for non-specific symptoms that are temporally related to occupancy of a particular building. When building-related symptoms are characteristic of a specific clinical entity, they are called Building Related Illness (BRI). These illnesses are varied, and include Legionnaires’ disease, building related hypersensitivity pneumonitis, building-related asthma, and others.

SBS symptoms include mucous membrane irritation (cough, scratchy throat, stuffy sinuses, and itchy eyes), headache, fatigue, difficulty concentrating, and other non-specific symptoms. The causes of SBS vary with the building and its occupants. SBS was once called “Tight Building Syndrome” and was considered to be a result of excess tightening of buildings in response to energy use concerns. However, many buildings with an excess of symptoms among the occupants are well ventilated. Still, increase in ventilation rates is often the “cure” for the problem.

Some people consider that SBS is caused not by the physical environment, but, rather, by psychosocial factors. Gender, lack of control, poor management, too much work, too little work, perceived housekeeping quality, and many other social factors have been blamed for the symptoms. In some cases, psychosocial factors may be the major cause of complaints. However, clearly, in some cases, environmental factors are at fault. For example, paper dust, and photocopier use have both been related to increases in complaints in a dose-dependent way. An excess of volatile organic compounds have been blamed for SBS symptoms. However, one study attributed this effect to the perception of odors at VOC concentrations far below those that would be likely to have an effect. These authors discuss the possibility that reactive chemistry might produce irritants that might be responsible for some symptoms.

Mold contamination has clearly been related to cases of BRI. However, its relationship to SBS is less clear. A Swedish study documented that dampness in residential buildings was associated with SBS symptoms with symptoms increasing with the number of dampness indicators present. Whether or not mold growth was responsible for these symptoms remains unknown. An extremely interesting study exposed people to measured doses of airborne fungal spores from growth on building materials. In this study, symptoms were similar among the two fungi studied AND for the placebo tests, indicating no specific effect of the spores. Mycotoxins have not been measured in quantities sufficient to cause the normal SBS symptoms, and the data regarding the role of mycotoxins in indoor air remain equivocal.

Most Common Mold Symptoms

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Mold allergies are easily treatable when properly diagnosed, so it is important for individuals who suspect their symptoms may be related to mold to consult with an allergy specialist or a physician to determine an appropriate course of treatment. Taking steps such as repairing water leaks and installing dehumidifiers in the home can also help to hinder mold growth and relieve mold allergy symptoms. Understanding what causes mold allergies and taking preventative measures to avoid exposure are essential in managing symptoms.

Itching Eyes

Itching eyes are a common allergic symptom that can develop following exposure to mold spores, pet dander and seasonal pollens. Individuals who experience itching eyes during wet or humid weather or when moisture levels are high inside the home may be suffering from mold allergy symptoms.

Stuffy Nose & Post Nasal Drip

Nasal congestion is a common mold allergy symptom that is often triggered after periods of wet weather or when an individual is exposed to mold spores in the home. When nasal stuffiness occurs, it is often accompanied by postnasal drip, a condition in which nasal secretions run down the back of the throat. Additional symptoms of postnasal drip include bad breath and coughing.

Itching Throat

Individuals with mold allergies may also experience an itching sensation in the throat. Itching throat symptoms are typically caused by postnasal drip, but can also be a symptom of a serious allergic reaction that can lead to throat swelling if left untreated. It is important for sufferers to seek medical attention if itching throat symptoms are present to ensure prompt treatment.

Sinus Headaches

Mold spores can cause the sinuses to become congested, which in turn can trigger sinus headaches in individuals with mold allergies. Sinus headaches cause pain and pressure in the forehead and sinus cavities. In certain cases, sinus pressure can also cause tooth and ear pain. Sinus headaches tend to worsen when lying down.

Exacerbated Asthma Symptoms

Individuals with mold allergies who also suffer from asthma may experience exacerbated asthma symptoms when exposed to mold. Asthma symptoms include chest tightness, wheezing and coughing. Anyone experiencing a severe asthma attack following possible mold exposure should seek immediate medical attention.

Long & Short Term Effects of Mold

The type and severity of health effects that result from mold exposure is widely variable among different locations, from person to person and over time. Although difficult to predict, exposure to molds growing indoors is most often associated with the following allergy symptoms:

Nasal and sinus congestion
Cough/sore throat
Chest tightness
Dyspnea (breathing difficulty)
Asthma (or exacerbation of it)
Epistaxis (nosebleed)
Upper respiratory tract infections
Headache
Skin and eye irritation

Long-term exposure to indoor molds is certainly unhealthy to anyone, but some groups will develop more severe symptoms sooner than others, including:

Infants and children
Elderly people
Individuals with respiratory conditions, allergies and/or asthma

Some indoor molds are capable of producing extremely potent toxins (mycotoxins) that are lipid-soluble and readily absorbed by the intestinal lining, airways, and skin. These agents, usually contained in the fungal spores, have toxic effects ranging from short-term irritation to immunosuppression and cancer.

More severe symptoms that could result from continuous human exposure to indoor mycotoxigenic molds include:

Cancer (aflatoxin best characterized as potential human carcinogen)
Hypersensitivity pneumonitis/pulmonary fibrosis
Pulmonary injury/hemosiderosis (bleeding)
Neurotoxicity
Hematologic and immunologic disorders
Hepatic, endocrine and/or renal toxicities
Pregnancy, gastrointestinal and/or cardiac conditions

It is important to notice that the clinical relevance of mycotoxins under realistic airborne exposure levels is not fully established. Further, some or much of the supporting evidence for these other health effects is based on case studies rather than controlled studies, studies that have not yet been reproduced or involve symptoms that are subjective.