Nasal symptoms among residents in moldy housing.

OBJECTIVES: The aim of this study was to determine whether mold allergy mediated through immunoglobulin E (IgE) was responsible for the chronic nasal symptoms experienced by residents of moldy dwellings. A secondary aim was to investigate whether nasal mucosal findings were a possible reflection of other pathological mechanisms of chronic rhinitis. METHODS: Sixteen adults living in moldy housing and complaining of chronic rhinitis were compared with sixteen healthy referents without any known mold exposure. All the buildings were surveyed for visible signs of moisture and mold. Microbial measurements were performed in the damp buildings with mold problems and in half of the reference buildings. The clinical study consisted of an otorhinolaryngological examination, nasal cytology, and skin prick tests. In the study cases, nasal provocation tests with fungi cultured from the homes and nasal mucosal biopsy were performed. RESULTS: In the housing with signs of moisture and mold, the concentrations of microorganisms were elevated, but were within the normal range of those of the reference buildings. The only positive skin reaction for molds was detected in one referent. No reactions were elicited in the nasal provocation tests with molds. Squamous metaplasia were detected in four biopsies and three cytograms of the cases but not in the nasal smears of the referents. CONCLUSIONS: In this material, the respiratory symptoms reported by occupants of moldy residences were not caused by mold allergy but were apparently related to nonspecific inflammation following irritation.

Firefighting efforts may lead to massive fungal growth and exposure within one week. A case report.

A case study on extensive fungal growth that occurred in an apartment building after firefighting efforts is described in this paper. Exposure to airborne microorganisms (both viable and total) was investigated by filter sampling in three periods before and during remedial actions after the fire. Material samples were also analyzed. Extensive mold growth was observed on the building materials as soon as eight days after the fire. High concentrations of fungal spores, 10(7) cfu/g, were found when material samples were analyzed. Concentrations of airborne fungal spores (10(4) spores/m3) were also high and increased by two orders of magnitude during the demolition of moldy building materials and during the clean-up after the demolition. The proportions of airborne viable fungi in comparison with the total spore concentrations were 28-83% immediately after the fire, but they had decreased to <1% two months after the fire during the reconstruction phase. Paecilomyces was the main fungal genus in the indoor air before and during the demolition, while Penicillium dominated during the reconstruction. Paecilomyces was not detected in the outdoor air. Paecilomyces and Penicillium were also found in the material samples. The results show that fast and extensive mold growth in a building may take place also in subarctic climates, at least during summer. High concentrations of fungal spores are released to the air during the demolition of moldy building materials and the following clean-up. Therefore, personal protection is necessary during such work.