Fungal Research Group Foundation, Inc.

PULMONARY HEMORRHAGE AND HEMOSIDEROSIS IN INFANTS
 

Dorr G. Dearborn, Ph.D., M.D., Michael D. Infeld, M.D. (Pediatric Pulmonary)
Paul G. Smith, D.O.,  Pediatric Critical Care
Terrence M. Allan, M.P.H., Environmental Hygiene, Cuyahoga County Board of Health


INDOOR MOLD AND CHILDREN'S HEALTH

Asthma and allergy in children is increasing in many countries. This condition can be related to exposure of a variety of environmental agents (allergens, cat dander, air pollution, infections) including microbial products (fungal spores and hyphae. Several studies from around the world have shown a clear relationship between respiratory symptoms and disease with moisture problems/dampness and mold exposure.

The knowledge about health risks due to mold exposure is not widespread and health authorities in some countries may not be aware of the potentially serious reactions mold exposure can provoke in some children. A recent workshop with experts from around the world sponsored by the Vardal Foundation, Swedish Allergy Research fund, the U.S. Environmental Protection Agency, and the Committee of Organic Dust, International Commission on Occupational Health produced several "state of the art" documents and developed consensus recommendation for research and public health intervention.

It was concluded that " exposure to molds may constitute a health threat to children resulting in respiratory symptoms in both the upper and lower airways, an increased risk of infections, and skin problems"..At very high exposure levels to specific molds, nose bleeding, hemoptysis, and pulmonary hemorrage have been documented" .. (Environmental Health Perspective Vol 107, Supplement 3, June 1999)  

"Pediatricians and allergists need to obtain information about mold and dampness in the home environment when examining children with chronic respiratory symptoms, recurrent infections, or persistent fatigue and headache. Measurement techniques are available to determine exposure. Most important, the source of dampness must be eliminated and the indoor environment must be thoroughly cleaned of molds."  -- Environ Health Perspect 107(suppl 3):465-468 (1999).