Microscopic fungi and their metabolites in dwellings - a bioassay study

Ing. Elena Piecková1, M.P.H., Ph.D., MUDr. Zdenka Jesenská1, Dr., Sc., Ken Wilikins2, Ph.D.

1Institute of Preventive and Clinical Medicine, Bratislava, Slovakia, Institute of Preventive and Clinical Medicine, Limbová 14, SK-83301 Bratislava, Slovakia; tel.: +421 7 59369172-3; fax: +421 7 54773906;

2National Institute of Occupational Health, Copenhagen, Denmark; Correspondence address: Elena Piecková; IPCM, Limbová 14; SK-83301 Bratislava; Slovakia; e-mail: pieckova@upkm.sanet.sk

Abstract

The ciliostatic effect of chloroform-extractable endo- and exocellular metabolites of the most frequently isolated fungal strains from growth in dwellings: Alternaria sp., Aspergillus glaucus group, A. versicolor, Cladosporium sphaerospermum, Penicillium sp., P. chrysogenum, Stachybotrys chartarum, Trichoderma viride and Ulocladium sp. was studied on tracheal cilia from day old chicks in vitro. Biomass extracts from Alternaria sp. and A. versicolor as well as exocellular extracts from P. chrysogenum, S. chartarum I, T. viride and Ulocladium sp. stopped cilia movement during the first 24 hours. Biomass extracts of P. chrysogenum, S. chartarum I and T. viride as well as media extracts from Alternaria sp., C. sphaerospermum and Penicillium sp. stopped cilia movement between 24 and 48 hours. Between 48 and 72 hours the biomass extract of an A. glaucus gr. isolate and media extracts of A. versicolor and S. chartarum II showed activity while the other extracts (cellular from C. sphaerospermum, S. chartarum II and Ulocladium sp. and media one from A. glaucus gr.) showed no activity. The results are discussed in relationship with health status of people living/working in moldy buildings.

Key words: indoor environment, chronic respiratory symptoms, microscopic fungi, fungal chloroform-extractable endo- and exometabolites, cilliated epithelium, tracheal organ cultures, ciliostatic effect.

Moisture, mold and health in apartment homes

A. Nevalainen, Ph.D., M. Vahteristo, M.Sc., J. Koivisto, Civ.Eng., T. Meklin, M.Sc., A. Hyvärinen, M.Sc., J. Keski-Karhu, M.Sc., T. Husman, M.D.

National Public Health Institute, Division of Environmental Health, POB 95, FIN-70701 Kuopio, Finland, tel. +358-17-201 342, fax +358-17-201 155, e-mail aino.nevalainen@ktl.fi

Abstract

The prevalence of observations of moisture or mold, and the respiratory health status of the occupants, was surveyed in a random sample of 120 apartment buildings. The buildings and two apartments from each were given a walk-through inspection and all the signs of moisture and mold recorded using questionnaires and checking lists by civil engineers. A health questionnaire was sent to the occupants. In 60% of the apartments, signs of moisture damage could be observed, and 42% of the apartments were assessed to be in need of repair because of the moisture observations. Respiratory symptoms, such as cough, nocturnal cough and dyspnea, sore throat, hoarseness, rhinitis, nasal bleeding and impaired sense of smell were significantly associated with the observations of moisture, as well as sinusitis (OR=2.58). When the exposure was defined as mold present the symptom findings were almost similar. The results show the health-based importance of good maintenance.

Key words: Apartment house, moisture, mold, exposure, health effects

Toxigenic microbes in indoor environment: identification, structure and biological effects of the aerosolizing toxins

Salkinoja-Salonen M.S.1 *, Ph.D., Prof. (Microbiol.), Andersson M.A.1, M.Sc. (Microbiol.), Mikkola R.1, M.Sc.(Chem.), Paananen A.2, B.Sc. (Biochem.), Peltola J.1, M. Agr.&For., Mussalo-Rauhamaa H.3,M.D.,Ph.D., Vuorio R.1,Ph.D.(Microbiol.), Saris N.-E.4, Ph.D., Prof. emer. (Med. Chem.), Grigorjev P.5, Ph.D. (Biophys.), Helin J. 6, Ph.D. (Biochem.), Koljalg, U.7, Ph.D. (Mycol.), Timonen T.2 U., M.D., Docent (Immunol.)

1Dept. of Appl. Chem. & Microb., POB 56, FIN 00014, Univ. of Helsinki, Finland; 2Haartman Inst., Univ. of Helsinki, POB 21, FIN00014, Univ. of Helsinki, Finland; 3Helsinki University Central Hospital, Dept of Dermatology and Allergic Diseases, Meilahdentie 2, FIN 00250 Finland; 4Institute of Biomedicine, Univ. of Helsinki, POB 9, FIN00014 Univ. of Helsinki, Finland; 5Institute of Cell Biophysics, Russian Acad. of Sci., Pushshino, Moscow Region, RU-142292, Russia; 6Inst. of Biotechnology, Univ. of Helsinki, POB 56 FIN 00014, Univ. of Helsinki; 7Estonian Acad. Sci., Inst. of Zoology and Botany, 181 Ria St, EE2400, Tartu Estonia

Corresponding author, M.S. Salkinoja-Salonen, Dept of Appl Chem & Microbiol, POB 56, FIN 00014 University of Helsinki, Finland, Tel +358 (0)9 70859300, Fax +358 (0)9 70859301, Email: mirja.salkinoja-salonen@helsinki.fi

Abstract

Almost 500 pure cultures, bacteria and fungi, were isolated and identified to genus or species level from indoor environments where the occupants were suffering health problems. Over 80 different taxa were identified. Seven bacterial species classified to Hazard Group 2 were found. Extracts prepared from the building materials and from the pure cultures, were tested for their effects on cellular energy production and conservation using boar spermatozoon and human NK cells as test cells. Strains giving toxic responses were found among strains from 11 taxa. Cell free extracts prepared from cultures of Bacillus cereus, Bacillus licheniformis, Streptomyces griseus, a new species of Nocardiopsis, Stachybotrys chartarum and Trichoderma sp were shown to contain toxins that depleted the spermatozoon of ATP and destroyed plasma membrane integrity. Strains of Streptomyces griseus and Bacillus cereus were shown to produce toxins that caused mitochondrial swelling and programmed NK-cells towards apoptosis. These toxins were dodecadepsipeptides and operated as K+ ionophores across the mitochondrial membrane. Strains of Bacillus licheniformis and Trichoderma produced toxins that depleted the spermatozoon of ATP. The toxins were nonenzymatic, highly hydrophobic, robust molecules of small size (<104 g mol-1), effective at low concentration (ppb). We propose that the building related health symptoms of the occupants exposed to one or several of the taxa indicated above, may be caused by microbially emitted toxins. We discuss possible mechanisms of human toxicity.

An Assessment of the occurrence of mould bioaerosols in the in- and outdoor ENVIRONMENT of shacks in Durban, SOUTH AFRICA

N. Gqaleni1, Ph.D., S. Danaviah, B.Sc. Hons., S. Bux, M.Med.Sc. AA.Chuturgoon, M.Sc., M.F. Dutton, Ph.D.

1Department of Physiology, Faculty of Medicine, University of Natal, Private Bag 7, Congella 4013, South Africa, Tel:+ 27 31 260 4275, Fax:+ 27 31 260 4455, Email: gqalenin@med.and.ac.za

ABSTRACT

The occurrence of fungal aerosols in the shacks of Malukazi squatter settlement (Durban, South Africa) was investigated. An initial questionnaire survey was conducted in 15 homes (shacks) and 10 reference homes followed by detailed measurements of indoor and outdoor bioaerosols using an Anderson sampler. Surface moulds, whenever visible, were sampled and identified. Temperature and relative humidity were also monitored. About 40% (19 out 49) of children in the study homes compared to 20% (reference) reported frequent respiratory tract (RT) symptoms. Most of the shacks lacked proper ventilation and showed signs of dampness and mouldiness. Indoor fungal contaminant levels in control homes were lower than or comparable to those outdoor, whereas 9 of the 15 (60%) shacks showed higher indoor mould levels. It was in these homes that most RT symptoms were reported. Predominant airborne fungal organisms identified included Aspergillus and Penicillium.

Key words: shacks, moulds, bioaerosols, respiratory symptoms

EVALUATION OF EXPOSURE TO ENVIRONMENTAL BACTERIA

Laitinen Sirpa, Ph.D., Kangas Juhani, Ph.D.

Kuopio Regional Institute of Occupational Health, Kuopio Regional Institute of Occupational Health, PO Box 93, FIN-70701 Kuopio, Finland, Tel: +358-17-201211, Fax: +358-17-201474

Abstract

The present study provides information about the methods used to determine airborne bacteria in occupational environments. The best means proved to be the analysis of filter samples with endotoxin and peptidoglycan assays. The results of the assay, which measures the biological activity of cell wall components, mainly endotoxins, correlated well with the measured concentrations of viable airborne bacteria, especially with the levels of gram-negative bacteria. The endotoxin analyzed by chemical markers did not correlate well with the results of the assay nor with the viable bacteria levels, despite the similarity between the bacterial species identified from the culture media and the corresponding 3-OH fatty acids analyzed by the GC-MS assay. Indicative information on total bacteria levels could be obtained from peptidoglycans, which correlated well with total viable bacteria.

Key words: Bacteria, determination, endotoxin, exposure, environment, peptidoglycan

Analysis of Microbial Contamination of a Ventilation System Detected by Measurement of Microbial Volatile Organic CompoundS

Marion J. Fedoruk1, M.D., C.I.H., Steven Uhlman, CIH, Dean B. Baker, M.D., M.P.H., Haiou Yang, Ph.D.

1Associate Clinical Professor, University of California, Irvine Center for Occupational Health, Orange, CA

Introduction

Measurement of atmospheric microbial volatile organic compounds (MVOCs) has been identified as a method to assess microbial growth in indoor environments. Complex mixtures of volatile organic compounds (VOCs) including alcohol, ketones, aldehydes, aromatic and chlorinated hydrocarbons, sulfur-based compounds, amines, and terpenes are known to be produced by microbial metabolism (Burge, 1995).

The measurement of atmospheric MVOCs has several potential advantages in identifying building microbial amplification sites compared to measurements of atmospheric fungi or bacteria. MVOC analysis may also serve as a sensitive marker of microbial growth. Periods of high mold spore production may be preceded by increased MVOC production (Abramson et al. 1983). MVOCs are gases and can readily disperse throughout a building and potentially penetrate barriers such as vinyl wallpaper and polyethylene sheeting (Strom, 1994). Such barriers may impede spore transport. MVOC analysis can potentially identify indoor microbial amplification sites before there are any visible signs of growth, especially if the growth is present in poorly accessible areas or areas that are not subject to direct inspection (Borjesson, 1990).

MVOC analysis has not been widely utilized in the assessment of building microbial problems for several reasons. The factors responsible for stimulating and modulating MVOC production and metabolism in fungi and bacteria have not been well characterized. Although fungal growth as measured by carbon dioxide production has been correlated with MVOCs, data on specific MVOC production associated with individual fungi and bacteria are scant (Borjesson, 1990).

The interpretation of MVOC results is difficult since there is limited information on concentrations that represent normal or typical indoor values. VOCs that have been identified as being produced by fungi and bacteria can also be generated by other biogenic sources including trees and algae. The other limiting factor is the concern that indoor MVOC concentration may not be related to other measures of fungal activity (Miller, 1988). MVOC testing is also more costly than many other tests commonly used to assess indoor microbial problems.

Using data from an office building in California, this study demonstrates that measurement of MVOCs can be an investigation tool to assess hidden bioaerosol sources when there is a high index of suspicion of a source, and, especially, when other environmental tests fail to identify a problem.

Mycobacteria and related genera are major colonizers of a wall in a children’s day care center

Maria Andersson1* M.Sc. Ph. D., Irina Tsitko2 M.Sc. Ph.D., Riitta Vuorio3 Ph.D., Mirja S. Salkinoja-Salonen4 Ph.D.

1 Student, 2 Student, 3 Researcher, 4 Academy Professor, Dept. of Applied Chemistry and Microbiology, University of Helsinki FIN-00014, Finland, 1* Corresponding author, Maria Andersson, Dept. of Applied Chemistry and Microbiology, POB 56 Helsinki University FIN 000140 FINLAND, FAX +358 9 70859301, phone +358 9 70859339

Abstract

We quantitated and identified the cultivatable CMN (Nocardioform actinomycetes) taxons in water damaged and undamaged gypsum liners from an indoor wall in a children's day care center. The bacteria were characterized chemotaxonomically and their 16S rDNA sequenced. In the water damaged site most frequently isolated bacteria were CMN taxons; Dietzia sp (105 cfu g-1) and a new rapidly growing Mycobacterium species, Mycobacterium murale sp. nov1, (106 cfu g-1). M. murale was found to be closely related to the pathogen M. abscessus. One of M. murale strains was able to grow on toluene which is contained in commonly used cleaning agents in day care centers. The only CMN taxon found in the non water damaged liner was representative of a new genus, Williamsia muralis gen. nov. sp. nov.. (103 cfu g-1). Environmental mycobacteria, related to pathogenic species may survive and proliferate in water damaged indoor building materials.

Key words: Nocardioform actinomycetes, Mycobacteria, indoor contaminant, indoor building materials

Cellular and humoral responses in an animal model inhaling Penicillium chrysogenum spores

J. Danny Cooley1, Ph.d., Wing C. Wong1, M.S., Cynthia A Jumper2, M.D., David C. Straus1, Ph.D.

Departments of Microbiology and Immunology1 and Medicine2 at Texas Tech University Health Sciences Center, Lubbock, Texas

ABSTRACT

Penicillium chrysogenum (Pc) is a potential causative agent of the complaints and symptoms of occupants in buildings experiencing “sick building syndrome”. Viable Pc spores were recovered from the lungs of mice 15 minutes and 3 hours through 36 hours after intranasal (IN) inoculation of 1x106 spores, of which 25% were viable. Eighteen percent of the viable spores were deposited in the lungs, however, by 12 h, only 1x104 viable spores were recovered. This suggests that the mucociliary tract had cleared the majority of spores deposited, but four percent (1x104) of the viable spores were retained in the airways and were probably deposited in the alveolar spaces and remained viable for up to 36 h post-inoculation. Similar acute doses of viable spores induced significant (P<0.001) increases in tumor necrosis factor a (TNF-a), while non-viable (NV) Pc spores did not. Repeated doses (3 weeks) of 1x104 viable spores induced significant (P<0.05) increases in total serum IgE and bronchioalveolar lavage (BAL) interleukin-4 (IL-4), whereas 1x104 NV spores did not. This suggests that viable Pc spores are capable of inducing allergic responses.

Key words: Fungus, spores, Penicillium, deposition and retention, allergy, asthma, TNF-a, IL-4, IgE

Sporulation of the Hyphomycete Stachybotrys chartarum Under Three Light Conditions

Patricia Heinsohn1, Ph.D., C.I.H., Sharon Harney, Ph.D., K. Alexandros Exuzides, Ph.D.

1 Exponent, 149 Commonwealth Drive, Menlo Park, CA 94025, phone (650) 688-1767 fax: (650) 688-1799; 2 Forensic Analytical, 3777 Depot Road, Suite 409, Hayward, California 94545-2756; 3 Exponent, 149 Commonwealth Drive, Menlo Park, CA 94025

Abstract

Stachybotrys chartarum is a widespread hyphomycete commonly isolated from a variety of substrates including soil and wood. It can be found growing in building materials, which have become wet before or after construction. The inhalation of S. chartarum conidia can cause pneumomycotoxicoses, and a recent study linked S. chartarum to the deaths of infants diagnosed with pulmonary hemosiderosis in Cleveland. While S. chartarum is frequently isolated, the conditions under which it sporulates are unknown and are important issues in assessing indoor air quality. This study reports on the sporulation of S. chartarum under three different artificial light conditions. Two isolates of S. chartarum were inoculated onto two different media, MEA and CMA, and exposed to either 24 hour dark, a light/dark cycle, or 24 hour light. After growth initiation, growth rate and degree of sporulation were measured. Results indicate that growth rate and degree of sporulation differ with light conditions and media. On CMA the initial growth rate under 24 hour light was higher than under light/dark and 24 hour dark. Light/dark conditions were more conducive to early sporulation whereas 24 hour dark delayed sporulation. Sporulation did not occur under any light condition on MEA for six days. The data indicate that under favorable growth conditions, S. chartarum can sporulate under any light condition. Therefore, S. chartarum growing in buildings in dark areas can sporulate for dissemination into the air.

Key words: indoor air quality, Stachybotrys chartarum, fungal growth, water damaged buildings

MYCOTOXIN SPECTRA AS A BIOCHEMICAL PARAMETER FOR OCCUPATIONAL AND ENVIRONMENTAL FUNGUS EXPOSURE

M. Müller1*, Ph.D., J. Bünger, M.D., E. Hallier, M.D., Prof.

Center of Environmental and Occupational Medicine, Department of Occupational and Social Medicine, Georg-August-University, Waldweg 37, D-37073 Göttingen, Germany, Address of authors: E. Hallier, M.D., Prof., M. Müller, Ph.D.*, J. Bünger, M.D., Department of Occupational and Social Medicine, Georg-August-University, Waldweg 37, D-37073 Göttingen, Germany, Phone: 49-551-394950, Fax: 49-551-396184, e-mail: ehallie@gwdg.de, mmuelle3@gwdg.de, jbuenge@gwdg.de; 1* Address correspondence to this author at the Department of Occupational and Social Medicine, Georg-August-University, Waldweg 37, D-37073 Göttingen, Germany,

ABSTRACT

Mycotoxins are metabolites formed by molds in foodstuffs, fodder and organic waste materials. All molds produce specific mycotoxins and species can be characterized by their mycotoxin spectra. We have established a method for mycotoxin extraction from defined cultures. HPLC separation with diode array detection or iontrap mass spectro-metry and comparison to an authentic standards library was used to screen seven Aspergillus and Penicillium species collected at waste treatment plants for their major mycotoxins. The human hepatocarcinogen sterigmatocystin was detected in Aspergillus versicolor and Aspergillus nidulans. Verruculogen, a potent tremorgen, and fumagillin, formerly used as a cytostatic drug, are mycotoxins found in Aspergillus fumigatus. Penicillium crustosum and Penicillium brevicompactum each produced the tremorgens roquefortine C and penitrem A. The mycotoxin standards library can be used to identify specific mold species in ambient air samples from environmental and occupational investigations.

Key words: Mycotoxin spectra, mold exposure, biochemical parameter, growth conditions, Aspergil-lus, Penicillium, carcinogen, tremorgen

Production of Mycotoxins on water damaged building materials

Kristian Fog Nielsen1,2,*, M.Sc. Chem. Eng., Ph.D.stud., Suzanne Gravesen1, M.Sc..

1 Energy and Indoor Climate Division, Danish Building Research Institute, Dr. Neergaards Vej 15, DK-2970 Hørsholm, Denmark, Phone no. + 45 45 86 55 33, Fax. no. + 45 45 86 75 35, kfn@ibt.dtu.dk;2 Biology, Senior Researcher, Department of Biotechnology, Technical University of Denmark, Building 221, DK-2800 Lyngby, Denmark, Phone no. +45 45 93 30 66, Fax. no. + 45 45 88 49 22; sug@sbi.dk; * Corresponding author

Abstract

The ability to produce mycotoxins during growth on inoculated building materials was investigated for Penicillium chrysogenum, P. polonicum, P. brevicompactum, Chaetomium spp., Aspergillus ustus, A. niger, Ulocladium spp., and Alternaria spp. Both isolates of P. polonicum produced 3-methoxy-viridicatin, verrucosidin, and verrucofortine. Of five isolates of P. brevicompactum two produced mycophenolic acid. C. globosum produced the toxic chaetoglobosins A and C. No toxin production was detected from any of the five isolates of P. chrysogenum. Alternariol and alternariol monomethyl ether were detected from all five isolates of Alternaria arborescens-group and A. tenuissima-group. No known mycotoxins were detected from Ulocladium spp., and A. ustus. A. niger produced several naphtho-g-pyrones and tetra cyclic compounds. All investigated species, especially A. ustus and A. niger produced many unknown secondary metabolites.

Analyses of naturally infested materials showed that Aspergillus versicolor produced sterigmatocystin and 5-methoxysterigmatocystin C. globosum produced the chaetoglobosins A and C, and P. chrysogenum produced the non toxic meleagrin.

Key words: Mycotoxin, chaetoglobosin, Chaetomium globosum, Aspergillus, Penicillium, Ulocladium, Alternaria, chaetoglobosin, alternariol, sterigmatocystin, Indoor, building.

MEMBRANE TOXIC SUBSTANCES IN WATER-DAMAGED CONSTRUCTION MATERIALS AND FUNGAL PURE CULTURES

Peltola1* Joanna, M. agr. for., Andersson1 MariaM M.Sc. M. agr. for., Mikkola1 Raimo M.Sc. M. agr. for., Mussalo-Rauhamaa2 Helena, Ph.D., M.D., Salkinoja-Salonen1 Mirja S. Academy Professor (Microbiology)

1 University of Helsinki, Department of Applied Chemistry and Microbiology, Division of Microbiology, PO Box 56, FIN-00014 University of Helsinki, Finland; 2 Helsinki University Central Hospital, Departments of Dermatology and Allergic Diseases, Clinic for Indoor Air Health Problems, Meilahdentie 2, FIN-00250 Helsinki, Finland; 1* Corresponding author, Joanna Peltola, University of Helsinki, Department of Applied Chemistry and Microbiology, Division of Microbiology, PO Box 56, FIN-00014 University of Helsinki, Finland, Tel. +358-(0)9-70859305, Fax. +358-(0)9-70859301, Email: joanna.peltola@helsinki.fi

Abstract

We showed toxic substances in and isolated toxin producing microbes from water-damaged building materials. The toxins were extracted from the building materials and microbial cultures in methanol and analysed using boar spermatozoa as test cells. The fungal genera isolated from the toxic materials were identified as representatives of Stachybotrys chartarum, Aspergillus, Alternaria, and Penicillium. We found that toxin from the building materials and from four fungal isolates paralysed sperm cell motility and damaged cell membrane at low concentrations (EC50 < 10 mg of methanol soluble solids ml-1 of extended boar semen). The toxic isolates were identified to Stachybotrys chartarum. The toxin from one Stachybotrys chartarum strain was partially purified. To our knowledge, this is the first demonstration of membrane damaging toxin and their producer fungi from the building material.

Key words: health effects, membrane damage, sick building, sperm cell, Stachybotrys chartarum, toxicity, water-damage

Effects of Stachybotrys chartarum spores and toxin on alveolar surfactant phospholipid composition and concentration in mice.

Sumarah1 M.W., Rand1 T.G., Oulton2 M., Mason1 C.D., MacDonald2 J., Anthes2 M.

1 Department of Biology, Saint Mary's University, Halifax, Nova Scotia, Canada; 2 Department of Physiology and Obstetrics and Gynaecology, Dalhousie University, Halifax, Nova Scotia, Canada

ABSTRACT

Surfactant is an important phospholipid-rich surface coating material produced by alveolar type II cells. It promotes lung stability by reducing the surface tension of the air-alveolar interface, and serves in alveolar defense. In this study, we evaluated the effects of Stachybotrys chartarum conidia and a trichothecene, isosatratoxin-F, on the concentration of phospholipids in alveolar surfactant subtypes in mice. Alveolar surfactant phospholipid content in the total surfactant and the different metabolic subfractions of lung lavage fluid of mice showed some significant changes within 24 h post-exposure, compared to the surfactant from control mice which were either untreated, exposed to saline or Cladosporium cladosporioides spores. In both the S. chartarum- and the isosatratoxin F-treated mice, exposure significantly increased lysophosphatidylcholine (LP) concentrations in total surfactant. Exposure to S. chartarum also resulted in an increased sphingomyelin (SP) and phosphatidylserine (PS) and depressed phosphatidylcholine (PC) content in surfactant. The isosatratoxin F-treated mice also supported depressed phosphatidylinositol (PI) and phosphatidylglycerol (PG) surfactant concentrations. Compared to both of the controls, S. chartarum-treated mice had significantly elevated SP in the P10 subfraction, phosphatidylserine (PS) in the P60 and P100 subfractions and significantly elevated PC content in the LB fraction. These mice also showed significant depressed PC content in the P10 subfraction. Isosatratoxin-F-treated mice had significantly elevated PC and PE concentrations in the P10 and P60 subfractions and depressed PE concentrations in the P100 subfraction. In contrast, C. cladosporioides-exposed mice showed significant elevations in PE and PC in the P10 subfraction and LB fraction, respectively, and a significant depression in SP concentration in the LB fraction. While the mechanisms of cytotoxicity are unclear, these results reveal that alveolar type II cells are sensitive to exposure to S. chartarum conidia and to isosatratoxin F. Sensitivity is manifest by alterations in the normal metabolic processing of alveolar surfactant. In exposed mice, this effect appears to involve significant changes in the content of phospholipids in total and fractionated surfactant from mice. These results further indicate that alveolar type II cells show high sensitivity toward S. chartarum conidia and toxins, and support our earlier hypothesis that S. chartarum influences both synthesis and secretion of pulmonary surfactant in the lung.

DIFFERENT METHODS TO CHARACTERIZE MOLDY BUILDINGS

Toivola1 Mika, B.Sc., Reiman2 Marjut, Ph.D.; Hyvärinen3 Anne, M.Sc.; Meklin4 Teija, M.Sc.; Nevalainen Aino, Ph.D.

1 National Public Health Institute of Finland, Division of Environmental Health, Laboratory of Environmental Microbiology; 2 Kuopio Regional Institute of Occupational Health, Kuopio, Finland; 3 National Public Health Institute of Finland, Division ofEnvironmental Health, Laboratory of Environmental Microbiology; 4. National Public Health Institute of Finland, Division of Environmental Health, Laboratory of Environmental Microbiology; 5 National Public Health Institute of Finland, Division ofEnvironmental Health, Laboratory of Environmental Microbiology; Correspondence: Mika Toivola, National Public Health Institute, P.O.Box 95, 70701 Kuopio, Finland, Phone:+358 17 201211, Fax:+358 17 201155, e-mail: mika.toivola@ktl.fi

ABSTRACT

Different methods were evaluated for their potential to show unusual microbial conditions in a building. The buildings studied were schools and offices. The buildings were inspected for visible signs of moisture by a civil engineer. Samples were taken from the air, surfaces and structures. Indoor air concentrations of viable microbes were higher in moldy than reference buildings. This difference could not be seen in the total counts of biological particles. In most cases, the concentrations of microbes on the surfaces were low. In some cases microbial concentrations were high in material samples although no contamination could be seen in surface swab samples from the same damage area. With one sample or one method alone, the conclusion of the mold problem in the building could not necessarily be drawn.

Key words: mold, buildings, methods

Comparative studies of collection efficiency of airborne fungal matter using Andersen single-stage sampler and Air-O-Cell cassettes

Stella M. Tsai1, M.Sc., Chin S. Yang1, Ph.D., Patrick Moffett2, Andrew Puccetti3, Ph.D., C.I.H.

1 P&K Microbiology Services, Inc., Cherry Hill, NJ 08034, Phone: (609) 427-4044, Fax: (609) 427-0232; 2 Environmental Management and Engineering, Inc., Huntington Beach, CA; 3 Irvine, CA

Abstract

The collection efficiency of airborne fungal matter using the Andersen single-stage sampler and Zefon Air-O-Cell cassettes was compared in this study. A total of 814 sets of samples were collected. The correlation coefficient (r) between these two methods was at 0.33 (p < 0.05) for total fungal matter and at 0.29 (p < 0.05) for Cladosporium. The correlation coefficient (r) between the total fungal and Cladosporium concentrations collected from Andersen air samples and Air-O-Cell cassettes was at 0.78 (p < 0.05) and 0.62 (p < 0.05), respectively. Stachybotrys-like spores were detected in 74 Air-O-Cell samples. Stachybotrys chartarum was detected in 5 Andersen samples. Four sets of samples showed Stachybotrys chartarum on both Air-O-Cell and Andersen air samples.

Key words: Air-O-Cell cassette, Andersen single-stage sampler (N-6), airborne fungal matter

Trichothecene mycotoxins in some water-damaged buildings

Tapani Tuomi1 Ph.D., Lauri Saarinen M.Sc., Sanna Lappalainen Lic. Phil., Outi Lindroos M.Sc., Marjo Nikulin Ph.D., Kari Reijula M.D., Ph.D.

Finnish Institute of Occupational Health (FIOH), Uusimaa Regional Institute, Arinatie 3 A, 00370 Helsinki, Finland, Indoor Air and Environment Program of the FIOH, 1 Author to whom correspondence should be addressed (fax 358-9-5061087, e-mail tapani.tuomi@occuphealth.fi)

Abstract

Bulk samples of moldy interior finishes, settled dust, contact inoculated microbiological samples (mixed cultures), as well as pure cultures isolated from indoor environments, were subjected to the qualitative and semi-quantitative simultaneous analysis of 12 trichothecenes. The analysis method was developed as a result of the present study and it includes extraction, sample pre-treatment and reverse-phase HPLC-separation with following tandem mass spectrometric identification and quantitation using electrospray ionization on a quadrupole ion trap mass analyzer.

Similarly to previous studies on fodder or foods, contaminated with trichothecene producing moulds, diacetoxyscirpenol and T-2 toxin were the most prevalent trichothecenes. Apart from these, 3-acetyl-deoxynivalenol, T-2 tetraol, verrucarol and roridin A were occasionally present, particularly in samples contaminated with Fusaria or Stachybotrys spp. Satratoxins G and H were also found on rare occasions, especially from sites with a severe occurrence of Stachybotrys spp. All examined sites were Finnish water-damaged buildings, with confirmed health implications, resulting from fungal propagation.

Key words: trichothecene; analysis; indoor air; HPLC/MS

SARCOIDOSIS AND EXPOSURE TO OCCUAPTIONAL AND ENVIRONMENTAL AGENTS

Carol Ortiz, M.P.H., Michael Hodgson, M.D., M.P.H., Daniel McNally, M.D., Eileen Storey, MD, MPH

Divisions of Occupational and Environmental Medicine and Pulmonary Diseases, Department of Medicine, University of Connecticut Health Center, Farmington, CT 06030-6210, address correspondence to: UCHC MC 6210, Farmington, CT 06030-6210, email: @nso.uchc.edu

Supported in part by grants NIEHS. 1 KO7-ES00305-01, and by EPA R825251 -01 -0

ABSTRACT

An index patient with sarcoidosis that appeared reversibly related to a school generated a case-control study. All 59 patients seen between 1992 and 1997 in a pulmonary division, and unmatched controls from orthopedic surgeons, received two copies of a self-administered questionnaire inquiring about occupational and environmental histories. Thirty-one (52.2%) of the patients and ninety-four (32.4%) of the controls responded. Patients were significantly more likely to have been exposed to inorganic dusts (odds ratio [OR] 3.48; 95% confidence interval [95%CI]: 1.02 - 11.80), molds (OR 9.8; 95%CI: (0.98 - 98.40) and solvents or oils in the work place (OR: 9.8; 95%CI: (1.60 - 48.0) than controls. They described exposure at home through moldy basements (OR: 2.37; 95% CI: 1.0, 5.8) or mold on bathroom walls (OR: 5.69; 95% CI 1.3-25.6) more frequently than controls. Sarcoidosis may represent a disease at least in part attributable to occupational and environmental exposures.

Key words: sarcoidosis, bioaerosols, indoor air, environmental disease, occupational disease, moisture

IMMUNOCHEMICAL DETECTION OF MYCOTOXINS ASSOCIATED WITH STACHYBOTRYOTOXICOSIS

R. Dietrich1, Ph.D., E. Johanning2, M.D., M.Sc., M. Gareis3, D.V.M., Ph.D., Prof., E. Schneider1, Ph.D., E. Usleber1, Ph.D., E. Märtlbauer1, Ph.D., Prof.

1 Institute for Hygiene and Technology of Food of Animal Origin, Veterinary Faculty, University of Munich, Veterinaerstrasse 13, D-80539 Munich, Germany; 2 Eastern New York Occupational & Environmental Health Center, 155 Washington Avenue, Albany, New York 12210; 3 Institute for Microbiology and Toxicology at the Federal Center of Meat Research, E.-C.-Baumann-Str. 20, D-95326 Kulmbach, Germany; Address for Correspondence: R. Dietrich, Ph.D., Institute for Hygiene and Technology of Food of Animal Origin, Veterinary Faculty, University of Munich, Veterinaerstrasse 13, D-80539 Munich, Germany; Tel.: +49 89 2180 2973, Fax: +49 89 2180 2106, e-mail: R.Dietrich@mh.vetmed.uni-muenchen.de

Abstract:

Using high-affinity monoclonal antibodies (Mab) against roridin A which exhibit cross-reactions with satratoxins and other macrocyclic trichothecenes several immunochemical methods were developed for the direct detection of satratoxins in contaminated building materials. Applying a lab-independent enzyme-linked immunofiltration assay (ELIFA) technique positive results were obtained within 10 min for toxin concentrations of > 200 mg/kg. The detection limit of a microtiter plate assay format was 1 mg/kg. For samples contaminated with Stachybotrys chartarum, an excellent agreement could be observed between the enzyme immunoassay (EIA) and a cytotoxicity test. The results of the EIA could be confirmed by HPLC analyses using immunoaffinity columns for sample clean-up. Furthermore, a new method was established for the sensitive detection of verrucarol in serum. In three out of 58 serum samples traces of verrucarol were detected. Two other sera reacted strongly positive for macrocyclic trichothecenes. Altogether, these results underline the importance and usefulness of immunochemical methods for epidemiological studies on airborne mycotoxins in indoor environments.

MITIGATION OF VISIBLE FUNGAL CONTAMINATION IN BUILDINGS: EXPERIENCE FROM 1993 - 1998

PHILIP R. MOREY1, Ph.D., CIH, DARYL SAWYER2, B.S.

1AQS Services, Inc,. 2235 Baltimore Pike, Gettysburg, PA 17325, (correspondence address), Phone: (717) 338-0535, Fax: (717) 334-5295; 2 AQS Services, Inc., 1337 Capital Circle, Marietta, Georgia 30067, Phone: (770) 933-0638, Fax: (770) 933-0641

Abstract:

Experience in the early 1990’s led to the recommendation that removal of visible fungal growth from interior surfaces in buildings be performed in a manner that minimized the dispersion of particles (dusts) in indoor air. Several documents beginning with the 1994 New York City Guidelines on Assessment and Remediation of Stachybotrys atra in Indoor Environments provided practitioners with procedures that can be used to remove visible fungal growth from building interiors. All fungal remediation guidelines recommend that sustained and extensive fungal growth on interior surfaces should be physically removed and that people performing remediation work should use appropriate personal protective equipment. In addition, all guidelines published in 1993-1998 recommend that moisture problems in building infrastructure be fixed in order to prevent new fungal growth. Fungal remediation guidelines specify a certain surface area of visible fungal growth (generally 3 to 10m2) that requires containment barriers similar to those used when hazardous chemical or physical materials are removed from buildings. Misunderstanding of 1993-1998 guidelines has resulted in both overly conservative approaches to clean-up as well as to dispersion of fungal spores throughout a building because of poor dust control. Unlike guidelines on removal of hazardous chemical and physical agents where rigid inspection protocols and specific numerical guidelines are appropriate, the removal of mycobiota is a variable process depending on many factors including the biology of the fungal taxa. Factors such as the following should be considered during the remediation process: (a) the location, extent, and kind of fungal growth in building systems, (b) the susceptibility of building materials to biodeterioration, (c) the porosity of building materials, (d) the susceptibility of occupants to bioaerosol exposure, and (e) sampling and monitoring protocols appropriate for the fungal contaminants. Fungal remediation in buildings continues to require a considerable degree of professional judgement with regard to procedures appropriate for containment of dusts and for control of the contaminant mycobiota.

Key words: Fungi, Remediation, Colonization, Dust, Stachybotrys chartarum, Aspergillus versicolor

Microfungal contamination of damp buildings: Biological aspects

Suzanne Gravesen, Ph.D.

All correspondence to: Suzanne Gravesen, Senior researcher, Energy & Indoor Climate Division, Danish Building Research Institute, Dr. Neergaardvej 15, DK 2970 Hørsholm, Phone: +45 45 86 55 33, Fax: +45 45 86 75 35, E-mail: sug@sbi.dk

Abstract

Thie intention with preparing this review has been to present some of the questions and problems connected with moldy buildings, comprising examples of building materials and constructions at risk for mold infestation, identification of the building associated fungal flora - new term: FUNGA - (conf. fauna, flora, funga).

The mode of exposure and some of the fungal components suggested to be involved as some of the etiological agents in adverse health reactions in buildings: allergens, mycotoxins and MVOCs are described and discussed.

Furthermore the nine projects included in ”The Danish mold research programme 1998-2001” supported by a grant from the Danish Research Councils are presented. The aim of this multidisciplinary programme is to combat mold growth in existing Danish buildings and to prevent growth in buildings which are going to be constructed.

Key words: mold infestation, exposure, mold allergens, mycotoxins, Penicillium chrysogenum, Aspergillus versicolor, Stachybotrys chartarum, Chaetomium globosum, sick building syndrome.

DURING REMOVAL OF BIOAEROSOL CONTAMINATED ROOF SUBSTRATE MATERIAL IN AN OCCUPIED FACILITY

William A. Turner1 M.S., P.E., Steve M. Caulfield1, P.E., Francis A. Patnode1, Gerard Blanchette2 P.E., Terry Brennan3 M.S.

1 Indoor Air Quality Services Division, The H.L. Turner Group Inc., 26 Pinewood Drive, Harrison, Maine 04040; 2 Engineering Services Division, The H.L. Turner Group Inc., 27 Locke Road, Concord, New Hampshire, 03301; 3 Camroden Associates, East Carter Road, Westmoreland, New York, 13490; Address all Correspondence to: William A. Turner, Vice President, Indoor Air Quality Division, The H.L. Turner Group Inc., 26 Pinewood Drive, Harrison, Maine 04040 USA, ph. 207-583-4571, fax 207-583-4572, email: bturner@hlturner.com

ABSTRACT

Visual observations and bulk sampling revealed that the four (4) yr. old plywood substrate of a failed roofing system would need to be removed and replaced. The microbial amplification which lead to the structural failure was likely caused by uncontrolled moisture migration in the humidified building. A plan was devised to establish and provide ongoing pressure containment and monitoring during removal and replacement of the entire roof from the top floor of a three story 40,000 sq.ft. facility. A replacement roofing system with adequate vapor and air barriers was designed and installed. Continuous multizone pressure monitoring and the use of real time laser particle counting during the renovation were planned to assure that containment of the construction zone was successful during the three (3) month removal and replacement process. Results confirmed that pressure containment to prevent intra-zonal transport of bioaerosols from the roof and fourth floor reconstruction area to the occupied floors below was successful. This approach allowed the project to be completed on schedule, within budget, and with little risk of occupant exposure to the large volume of contaminated materials that were removed.

Key words: pressure containment, microbial aerosol control, decontamination, containment partitions, IAQ during renovation, occupied facility

CHARACTERIZATION, PREVENTION, AND CONTROL OF MILDEW IN RESIDENTIAL ENVIRONMENTS: AN APPLIED RESEARCH STUDY

Eugene C. Cole, Dr.P.H., Carl E. Cook, M.S., Pamela D. Dulaney, Keith E. Leese, Michael S. Newell, Mehboob U. Ahmed, M.S., Laurie Selman, Holly A. Bowers, April L. Corbett, Cari J. Cole

Dyn. Corp. Health Research Services, 4815 Emperor Blvd, Suite 300, Durham, North Carolina 27703, Phone: (919) 941-9626, Fax: (919) 941-9625

Abstract

A 10-week, 10-home cleaning and mold and mildew prevention study was conducted in humid North Carolina to: 1) characterize “mold and mildew” on hard surfaces associated with moisture, and 2) assess efficacy and frequency of application of a disinfectant product in the treatment group (5 homes) compared to the control group (5 homes). After professional cleaning and standardization of cleaning products and vacuum cleaners, a total of 24 hard surface sites were selected, with each sampled twice per week in all 10 homes. Sites in intervention homes were treated with a spray disinfectant after each sampling and on one additional day (3 times per week total). Samples (4,800) were processed for culturable fungi (molds and yeasts). Sites included window frames, sink/tub faucets, toilet-floor and tub-floor connections, under sink plumbing and cabinets, dishwasher vent, floor under washing machine, laundry room walls, shower curtain liners, and trash cans. More than 30 different fungi were recovered, many of which are considered potentially allergenic, toxigenic, and opportunistic. They included species of Cladosporium, Penicillium, Aspergillus, Fusarium, Aureobasidium, Paecilomyces, Alternaria, Trichoderma, Phialophora, Ulocladium, Stachybotrys/ Memnionella, Wallemia and Acremonium. Mold and mildew contamination was significantly reduced in treatment homes where hard surfaces were routinely disinfected, compared to controls. The importance of both cleaning and disinfection in the maintenance of a healthy home environment was demonstrated.

Key words: mold & mildew, mildew reservoirs, mildew characterization and control, mold & mildew disinfection, mildew organisms identified

ACGIH TLV Statement on Bioaerosols; American Council of Government Industrial Hygienists presentedfor the Bioaerosols Committee by

Harriet M. Ammann, Ph.D.

Office of Environmental Health Assessment Services, Washington State Department of Health, P.O. Box 47846, 7700 Cleanwater Lane, Olympia, Washington 98504-7846, Phone: 360-236-3171, FAX: 360-236-2257, e-mail: HMA0303@doh.wa.gov

INDUSTRIAL HYGIENE & CLEARANCE CONSIDERATIONS FOR A MICROBIAL REMEDIATION PROJECT

John A. Tiffany, M.S., Howard A. Bader, P.E., B.S., Adam J. Pratt, B.S.

Tiffany-Bader Environmental, Inc., P.O. Box 1022, 355 Long Lane, Bedminster, NJ 07921-1022, Phone: 908-439-3937, Fax: 908-439-2213, E-mail: TBEnvir@aol.com, Web Address: www.envirocenter.com/TBE

ABSTRACT:

A general consensus on final clearance levels for microbial remediation projects does not exist. No numeric standards for microbial sampling exist. In-depth microbial surveys should determine the full extent of contamination and which areas do not need abatement or only need local abatement. To pass final clearance, 3 parameters should be used: visual inspection, and results of air and swab sampling. In the authors’ projects, spore trap samples were collected as a screening test prior to final clearance samples (air and swab). If the spore traps show that work areas were not sufficiently cleaned, the areas were re-cleaned. The authors have broken down projects into smaller work zones to separate more heavily contaminated zones from less contaminated zones. On-going clearance testing as areas were finished sped up the abatement. Procedures such as localized remediation within fully contained areas limited microbial release inside the work area and helped achieve final clearance faster.

Key words: Final Clearance, Indicator Fungi, Industrial Hygiene, Localized Remediation, Microbial Abatement, Remediation, Spore Traps

MICROBES AND MOISTURE CONTENT OF MATERIALS FROM DAMAGED BUILDING

Meklin1 T., M.Sc., Haatainen2 S., B.Sc, Kauriinvaha3 E. M.Sc, Kettunen3 A-V. M.Sc, Haverinen1 U., M.Sc., Vahteristo1 M. M.Sc., Viljanen3 M. Prof., Nevalainen1 A Ph.D.

1 National Public Health Institute, Division of Environmental Health, P.O.Box 95, FIN-70701, Kuopio, Finland, Telephone +358 17 201 211, Telefax +358 17 201 155; 2 Kuopio Regional Institute of Occupational Health, Kuopio, 3 Helsinki University of Technology, Laboratory of Structural Engineering and Building Physics, Helsinki; Address of correspondence: Teija Meklin, 1National Public Health Institute, Division of Environmental Health, P.O.Box 95, FIN-70701, Kuopio, Finland, Telephone +358 17 201 211, Telefax +358 17 201 155, e-mail Teija.Meklin@ktl.fi

Abstract

The aim of the study was to characterize the microbial flora of the envelope of a school building and the correlation of the microbial concentrations and the moisture content of materials was estimated. Material samples (n=95) were taken from different structures before the dismantling of the school. In all, 40 sample pairs were taken from which both concentrations of microbes and moisture contents (% by weight) were determined. The range of the total concentration of fungi was <45 - 8 600 000 cfu/g for all the analyzed material samples. The growth of microbes in a building is mostly regulated by the moisture of the materials and often the elevated concentrations of mesophilic fungi (>10 000 cfu/g) were associated with elevated moisture content of the material. However, the microbial concentrations did not fully correlate with the moisture contents of the material.

Key words: building materials, microbes, moisture

Use of MVOC measurements and odour perception as indicator of mould in indoor areas.

Keller R., Senkpiel K., Ohgke H.

Department of Medical Microbiology and Hygiene, Medical University of Lübeck, Ratzeburger Allee 160, 23538 Lübeck, Germany

Abstract

Moulds are amongst the most important indoor allergens. Mould formation in buildings and residential housing is often caused or facilitated by construction defects and lack of building use. Moulds produce a range of volatile organic compounds, the Microbial Volatile Organic Compounds (MVOCs). Some of these compounds, such as 1-octene-3-ol, 2-methyl-1-propanol, dimethylsulphide, dimethyldisulphide, dimethylsulphoxide, 2-heptanone and geosmin, produce a musty, foul or earthy odour which can be detected long before any visible signs of mould growth are evident.

In small test samples (between 1and 5 litres) thermodesorption combined with mass spectrometry allows an analytical detection of these compounds in indoor air at concentrations substantially lower than their olfactory threshold. For these analyses, only small test samples (1 to 5 litres) are required.

Result of this study: 131 residences were analysed. In all rooms (n=96) with olfactory signs of mould formation, more than 50 ng/m³ of MVOC´s could be detected.

MVOC is sensitive, specific, valid and thus helps to prevent exposure to fungal allergens.

A MODEL FOR ASSESSING HEALTH RISKS ASSOCIATED WITH EXPOSURES TO LEGIONELLA BACTERIA

Brenda E. Barry, Ph.D., Jerry F. Ludwig, Ph.D., P.E., John F. McCarthy, Sc.D., C.I.H.

Environmental Health & Engineering, Inc., Newton, MA, Address for Correspondence: Brenda E. Barry, Ph.D., Senior Associate, Environmental Health & Engineering, Inc., 60 Wells Avenue, Newton, MA 02459-3210, Phone: (617)-964-8550, FAX: (617)-964-8556,

ABSTRACT

Assessing the potential human health risks for developing disease caused by inhalation of Legionella bacteria depends on several factors. We developed an exposure assessment model based on a scenario in which Legionella bacteria are detected in a hospital cooling tower. Exposure risks were evaluated and compared for two potentially exposed individuals, a maintenance worker on the roof next to the cooling tower and a hospital patient inside the building. Variables for the emission source included bacterial concentration in the tower, tower water and air flow rates, and the percentage of tower drift. Pathway variables included distance from the tower, wind conditions, moisture level in the air, and air filters in the ventilation system. We determined that the risk of exposure to even one viable Legionella bacterium was 200,000 times greater for the maintenance worker than for the hospital patient. This exposure assessment model provides a useful approach for estimating health risks associated with exposures to Legionella bacteria.

Key words: Legionella bacteria, exposure assessment, model, health risk

CONCENTRATIONS OF VIABLE SPORES OF FUNGI AND ACTINOMYCETES IN VENTILATION CHANNELS

Outi Lindroos, M.Sc., Sanna Lappalainen, Phil.Lic., Kari Reijula, M.D, Ph.D.

Uusimaa Regional Institute of Occupational Health, Indoor Air & Environment Program, Finnish Institute of Occupational Health, Helsinki, Finland, Corresponding author: Outi Lindroos, Uusimaa Regional Institute of Occupational Health, Arinatie 3 A, FIN-00370 Helsinki, Finland, tel. +358-9-474 7987, fax +358-9-506 1087, E-mail: Outi.Lindroos@occuphealth.fi

ABSTRACT

In this work we studied if accumulation of fungal spores to the ventilation channels has any significance as microbial source in indoor air. Concentrations of viable spores were determined from samples that were collected from ventilation channels, and the geometric mean and median values were calculated. The concentrations of fungal spores and actinomycetes on ventilation channel surfaces were low even in abundantly dusty channels, and therefore accumulation of spores in the channels did not seem to form any significant microbial source in indoor air. In the samples from exhaust channels in buildings with verified mold damages, prevalence of fungal species such as Acremonium sp., Aspergillus versicolor, Chaetomium sp., Eurotium herbariorum, Paecilomyces variotii, Phoma sp., Trichoderma viride and Ulocladium sp. was better indicator for damages than the concentrations of fungal spores.

Key words: fungal spores, actinomycetes, accumulation, ventilation channels, significance

FUNGI AND ENDOTOXIN EXPOSURE IN PAPER AND GLASS RECYCLING PLANTS

H. Würtz1, M.Sc., N.O. Breum1, M.Sc., D.M.Sc., N. Ebbehøj2, M.D., D.M.Sc., O. Jorgensen1, M.Sc., U. Midtgaard1, D.Sc., B.H.N. Nielsen1, D.V.M., Ph.D.

1 National Institute of Occupational Health, Lersoe Parkallé 105, DK-2100 Copenhagen, Denmark.; 2 Department of Occupational and Environmental Medicine, Bispebjerg Hospital, DK-2400 Copenhagen, Denmark., Corresponding author: Helle Würtz, N I O H, Lersoe Parkallé 105, DK-2100 Copenhagen O, Denmark. Phone(+45) 39 16 52 22. Fax (+45) 39 16 52 01. e-mail hw@ami.dk

Abstract:

Personal sampling of microorganisms and total dust was carried out in plants receiving glass or paper for recycling. During manual sorting, the exposure to culturable fungi was significantly increased (p=0.05) at the glass recycling plants (105 cfu/m3) compared to manual sorting of recyclable paper (104 cfu/m3). The latter was at the same time significantly increased compared to sorting mail (103 cfu/m3). Compared to other studies in the waste handling, the exposure to fungi during manual sorting of bottles was high and in general the exposure to endotoxin was at the same level or lower.

Key words: paper, glass, bottles, recycling plant, mail sorting, sorting plant, recovery plant, recyclable materials, bioaerosol, fungi, endotoxin, glass particles.

Air Quality Restoration in a Fungal Contaminated Building; A Case Study

Herman Sabath M.P.H., Ph.D.

International Environmental Diagnostics, Inc., 90 Highland Lane, Irvington on Hudson, New York 10533-1845, phone (914) 591-6651, Fax (914) 591-6779

Abstract:

Attempts to mitigate microbial contamination of a four story office building by use of common standard cleaning procedures proved inefficient by post abatement analytical results.

Toxigenic, allergenic and pathogenic fungi were identified in sampling evaluation as a follow up to microbial abatement. Microorganisms such as Stachybotrys, Aspergillus, Penicillium, Cladosporium and Fusarium were detected in air and surface samples of a four story office building. Review of the chain of events revealed that microbial recolonization, cross-contamination and recontamination had occurred at this facility.

IED, Inc. an environmental company specializing in microbial abatement and air quality restoration in indoor environments was commissioned to the project of biocidal clean-up and air quality restoration. Success of such projects are strictly dependent on applied scientific knowledge and experience. IED, Inc. successfully completed the biocidal and air quality restoration project as proven by post abatement analytical results performed by an independent third party monitoring company and laboratories.

Key words: Stachybotrys, Aspergillus, Penicillium, Cladosporium, Fusarium, Sporicide, Organic Biocide, Chlorine Dioxide, Hypochlorites, Quartenary Ammonium Compounds.

Sampling, Results & Remediation in 300 "Sick Houses"

Jeffrey C. May, M.A.

J. May Home Inspections, Inc., 1522 Cambridge Street, Cambridge, MA 02139. Telephone: 617-354-0749; email: jmhi@cybercom.net

Abstract

Inhabitants in "sick house syndrome" (SHS) homes suffer from allergy, asthma, sinus and other respiratory problems, including hypersensitivity pneumonitis and aspergillosis. Reports from 300 SHS homes were compared to randomly-selected reports from 150 homes inspected as part of pre-purchase agreements in the Boston area. SHS homes were almost twice as likely as other homes to have forced hot air heat, central air conditioning and finished/carpeted basements. Elevated levels of mold were found in 74% of SHS homes. The largest sources of bioaerosol were found to be carpeting; heating, ventilation, and air conditioning (HVAC) equipment; and beds and sofas. Respirable "carpet dander" from damaged wool carpet fibers can be an irritant. Effective SHS remediation may include: carpet removal; thorough coil /duct/blower cleaning along with replacement of contaminated fiberglass lining materials in HVAC equipment, and cleaning fleecy items with dry (super-heated) steam. Mite-barrier mattress and pillow covers are always recommended. SHS may be a cause for increased asthma rates.

Key words: Sick house syndrome (SHS), asthma, allergy, bioaerosol, house dust mite, steam cleaning, carpet, carpet dander, duct cleaning, air conditioning.

Identifying and preventing fungal contamination problems in new home construction

Päivi Salo, M.Sc.

University of North Carolina at Chapel Hill, School of Public Health, Department of Environmental Sciences & Engineering, 106 Rosenau Hall, CB #7400, Chapel Hill, NC 27599-7400, Phone: (919) 303-4405, Fax: (919) 303-6128, E-mail:psalo@mindspring.com

Abstract

The objectives of this study were to identify construction materials and practices prone to introduce fungal contamination into new single family homes, and to identify preventive maintenance procedures which limit fungal colonization and amplification.

This study was performed over a two year period in North Carolina. Eight construction sites were observed during construction and during the first year of occupancy.

Building materials were improperly stored and exposed to rain and/or high humidity. Inadequate drainage caused many crawl spaces to remain damp. Many HVAC systems were inadequately sealed, enabling rainwater and construction debris to enter the systems, and thereby providing suitable fungal substrates. Negative pressure within the building envelopes caused air infiltration from the crawlspaces.

Many of the observed problems found could be avoided by educating builders and homeowners. Early identification and prevention of potential fungal reservoirs and amplification sites is preferable to costly analysis and repairs afterwards.

Key words: Fungal contamination, preventing fungal contamination, indoor air pollution, moisture control.

A toxic mold cleanup guide

Jim H. White, B.A.Sc., P.E.O.

CMHC National Office, 700 Montreal Road, Ottawa, ON K1A 0P7, Canada, Tel: 1 613 748-2309 Fax: 1 613 748-2402

Abstract

Many houses and small buildings are moldy, and some have extensive growth of toxigenic molds that can cause health problems at lower exposures than the phyloplane molds that are more common outdoors. Canada Mortgage and Housing Corporation, the Canadian federal housing agency, has performed a great deal of research into moldy houses and has created a number of publications on mold avoidance and cleanup. This document is one of a new series that addresses toxic mold cleanup as well as solving moisture problems and avoiding mold growth in the first place.

Key words: Mold, cleanup, houses, health effects, worker protection

DEVELOPMENT OF A PUBLIC HEALTH INTERVENTION PROGRAM IN FINLAND

Husman1 T M.D., Ph.D., Nevalainen A Ph.D.

National Public Health Institute, Division of Environmental Health, POB 95, 70701 KUOPIO Finland; 1 Corresponding author: Tuula Husman, tel. +358 17 201 325, fax. +358 17 201 265., E-mail: Tuula.Husman@KTL.FI, National Public Health Institute, Unit of Epidemiology, Division of Environmental Health, P.O.Box 95, FIN-70701 KUOPIO, FINLAND

Abstract

This paper presents the development and current stage of the national research program on moisture damaged and moldy buildings and related indoor air quality problems in Finland. The role of local, regional and national authorities as well as the current status of legislation and indoor air quality guidelines are described. Some needs for future research and the Environmental Health Research Program of the Academy of Finland are introduced.

Key words: mold exposure, health effects, housing conditions, legislation, guidelines, research program, intervention study

An assessment of mold contamination problems in Atlantic Canada schools: mold burdens, amplifying sites and benefits of proactive school inspection policies.

Thomas G. Rand, Ph.D.

Department of Biology, Saint Mary's University, Halifax, Nova Scotia, Canada, B3H 3C3.

ABSTRACT

It is abundantly clear that many schools support unacceptable mold burdens. However, what is less clear from the literature on school biocontamination problems is whether all schools support the same types of molds and where the most common mold amplifying sites are likely found. Since 1992, I have been involved in the study of 631-school environments for mold contaminants and analyzed some 5000 air and substrate samples from schools throughout the Atlantic Provinces. Objectives of this presentation are threefold. The first is to compare mold burdens and dominant species assemblages in “normal” and “contaminated” school environments. The second is to show that mold species assemblages vary widely with the school construction type and amplifying sites and; the third is to evaluate the effect of ongoing inspections in schools for mold contaminants. In normal school environments, like in other buildings in temperate zones, airborne mold burdens follow clear seasonality patterns that are quantitatively and qualitatively similar to that found outdoors. Schools suffering from mold contamination problems most frequently support high focal and sometimes widespread spore loads and growth of a variety of species including the indicator species Acremonium spp., Aspergillus fumigatus, A. niger, A. ustus, A. versicolor, Chaetomium spp., Paecilomyces variotii. Penicillium brevicompactum, P. aurantiogriseum complex, P. variabile, Phoma spp., Stachybotrys chartarum, Trichoderma harzianum and T. viride. However, indicator species assemblages recovered from contaminated school sites vary considerably reflecting school age and construction, and the composition and water activity of the amplifying substrate material. The most common contamination sites in descending order of occurrence are classrooms and administration sites, especially peripheral-wall cavities and ceiling plenum, libraries, gymnasiums, basements/crawl spaces, ventilation systems, janitor/mechanical rooms and portable classrooms. The most commonly encountered contaminated substrates in schools are drywall, dust, ceiling tiles, structural wood, insulation, carpets, concrete wall surfaces, and, amongst others, that have been exposed to chronic water infiltration, condensation and/or wicking problems. School inspections for mold contamination, which have been ongoing since 1993, have resulted in a reduction in the number of schools suffering from widespread contamination problems. However, the number of schools suffering from focal problems, especially in inapparent sites, has remained approximately the same. Prompt abatement action to remove amplifiers once they have been detected, and better communication outlining potential exposure risks, have helped to allay heightened occupant and parent anxiety.

Molds as an environmental factor in infant leukemia?

Casteleyn L, Van Damme K, Van den Berghe H.

Center for Human Gentics, University of Leuven, Leuven, Belgium

Objective

The possible influence of occupational, environmental and lifestyle exposures of parents on the occurrence of infant leukemia is studied. Infant leukemia diagnosed within the first 6 months of life occurs at a frequency of around 1 case in 50.000 live births and shows a consistent genomic defect involving the 11q23 band (the MLL gene). These rearrangements are considered to offer circumstantial evidence for an environmental factor being involved and compelling evidence exists that the particular mutation is acquired in utero.

MICROBIAL CONTAMINATION LITIGATION: EXPERT WITNESSES AND SCIENTIFIC EVIDENCE

Edward H. Cross, Esq.

Law Offices of Edward H. Cross & Associates, 1666 North Main Street, Second Floor, Santa Ana, CA 92701-7417, Telephone: (714) 541-2767, Facsimile: (714) 541-1326, e-mail: edcross@edcross.com, web site: www.edcross.com,

Key words: expert witness testimony; consultants; attorney-client privilege; scientific evidence; admissibility; microbial contamination litigation; Frye; Daubert; Centex.

Experts perform a crucial function in our justice system: to educate the jury and the court Introduction

about the nuances and gray areas of a case. Expert witnesses benefit a party to a lawsuit by educating the party’s attorney, helping to evaluate the case, and assisting in the determination of which elements of the case require proof by other expert witnesses.

Lawsuits regarding microbial contamination revolve around the expert witnesses. These cases are often little more than “battles of the experts,” and can be won or lost on the effectiveness of the experts. Effectiveness requires preparation. A prepared but under-qualified expert may prevail over the more qualified but under-prepared expert.

This article addresses the role of an expert witness in the litigation process, especially in microbial contamination cases. It is written from the perspective of California law, and is not intended to be legal advice.

Field report: INITIAL MICROBIOLOGICAL ASSESSMENT IN FOUR NEW CONDOMINIUMS

Michael MCGuinness, C.I.H., Patrick D. McGuinness, M.S.M.E., P.E.

R.K. Occupational and Environmental Analysis, Inc., 401 St. James Avenue, Phillipsburg, NJ 08865, Phone: 908-454-6316, Fax: 908-454-4818, email: mguinni@nni.com

Abstract

A risk assessment was performed at the request of the owners of four new condominiums in a condo complex in central New Jersey. The owners had a history of complaints starting immediately upon occupancy and believed that these health effects could be due to exposure to airborne fungi. To assess airborne, viable fungal exposure levels and the resulting potential for adverse health effects, an initial assessment was performed.

After interviewing occupants, and conducting a cursory visual inspection, air, surface wipe and bulk samples were collected and analyzed. The HVAC systems of the units were briefly inspected, and very preliminary analyses of moisture sources and pollutant transport were completed. Occupants also completed “a” questionnaire to evaluate reported health effects.

Inspection procedures, test results, and evaluation of health effects questionnaires indicated strong correlation between observed conditions and occupant health problems.

It was concluded that uncontrolled moisture has resulted in significant microbial amplification which led to the decision to recommend evacuation of the units. Litigation is proceeding. All sources of moisture need to be identified before any appropriate remedial strategy can be offered. These units may have to be rebuilt.

Keywords: Actinomycetes, Aspergillus, Penicillium, Bioaerosols, Moisture Intrusions, NIOSH Questionnaire, toxigenic fungi, Gram negative bacteria