Mold growth, assessment, and remediation

Mold assessment and mold remediation are techniques used in occupational health: mold assessment is the process of identifying the location and extent of the mold hazard in a structure, and mold remediation is the process of removal and/or cleanup of mold from an indoor environment.

Contents

Health effects

Molds are ubiquitous in nature, and mold spores are a common component of household and workplace dust. However, when spores are present in large quantities, they are a health hazard to humans, potentially causing allergic reactions and respiratory problems.

Some molds also produce mycotoxins that can pose serious health risks to humans and animals. The term "toxic mold" refers to molds that produce mycotoxins, such as Stachybotrys chartarum, not to all molds.[1] Exposure to high levels of mycotoxins can lead to neurological problems and in some cases death. Prolonged exposure, e.g. daily workplace exposure, can be particularly harmful.

Symptoms of Mold Exposure

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Health effects linking to Asthma

Infants may develop respiratory symptoms as a result of exposure to a specific type of fungal mold, called Penicillium. Infants will begin to show respiratory problems if they have a persistent cough and/or wheeze. The number of days that a child will suffer from respiratory symptoms during their first year of life increases by an average of 20% every time the level of Pencicillium increases. The levels are deemed no mold to low level, from low to intermediate, from intermediate to high. [3]

Mold exposures have a variety of health effects depending on the person, some people are more sensitive to mold than others. Exposure to mold can cause a number of health issues such as; throat irritation, nasal stuffiness, eye irritation, cough and wheezing, as well as skin irritation in some cases. People at higher risk for mold allergies are people with chronic lung illnesses, which will result in more severe reactions when exposed to mold. There has been sufficient evidence that damp indoor environments are correlated with upper respiratory tract symptoms such as; coughing, and wheezing in people with asthma. [4]

Causes & growing conditions

Molds are found everywhere inside and outside, and can grow on almost any substance when moisture is present. Molds reproduce by spores, which can be carried by air currents. When these spores land on a moist surface that is suitable for life, they begin to grow. Mold is normally found indoors at levels that do not affect most healthy individuals.

Because common building materials are capable of sustaining mold growth, and mold spores are ubiquitous, mold growth in an indoor environment is typically related to water or moisture indoors. Mold growth may also be caused by incomplete drying of flooring materials such as concrete.[5] Flooding, leaky roofs, building maintenance problems, or indoor plumbing problems can lead to mold growth inside .

For significant mold growth to occur, there must be a source of water (which could be invisible humidity), a source of food, and a substrate capable of sustaining growth. Common building materials, such as plywood, drywall, furring strips, carpets, and carpet padding are food for molds. In carpet, invisible dust and cellulose are the food sources (see also dust mites). After a single incident of water damage occurs in a building, molds grow inside walls and then become dormant until a subsequent incident of high humidity; this illustrates how mold can appear to be a sudden problem, long after a previous flood or water incident that did not produce such a problem. The right conditions reactivate mold. Studies also show that mycotoxin levels are perceptibly higher in buildings that have once had a water incident (source: CMHC).

Spores need three things to grow into mold:

Mold colonies can grow inside building structures. The main problem with the presence of mold in buildings is the inhalation of mycotoxins. Molds may produce an identifiable smell. Growth is fostered by moisture. After a flood or major leak, mycotoxin levels are higher in the building even after it has dried out (source: CMHC).

Food sources for molds in buildings include cellulose-based materials, such as wood, cardboard, and the paper facing on both sides of drywall, and all other kinds of organic matter, such as soap, fabrics, and dust containing skin cells. If a house has mold, the moisture may be from the basement or crawl space, a leaking roof, or a leak in plumbing pipes behind the walls. People residing in a house also contribute moisture through normal breathing and perspiration. Insufficient ventilation can further enable moisture build-up. Visible mold colonies may form where ventilation is poorest, and on perimeter walls, because they are coolest, thus closest to the dew point.

If there are mold problems in a house only during certain times of the year, then it is probably either too air-tight, or too drafty. Mold problems occur in airtight homes more frequently in the warmer months (when humidity reaches high levels 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 into unconditioned space, and condenses). If a house is artificially humidified during the winter, this can create conditions favorable to mold. Moving air may prevent mold from growing since it has the same desiccating effect as lowering humidity. Molds grow best in warm temperatures, 77 to 86 degrees Fahrenheit, though some growth may occur anywhere between 32 and 95 degrees. [6]

Removing one of the three requirements for mold reduces or eliminates the new growth of mold. These three requirements are 1) Moisture, 2) Food source for the mold spores (dust, dander, etc.), and 3) Warmth (mold generally does not grow in cold environments).

HVAC systems can create all three requirements for significant mold growth. The A/C system creates a difference in temperature that allows/causes condensation to occur. The high rate of dusty air movement through an HVAC system may create ample sources of food for the mold. And finally, since the A/C system is not always running - the ability for warm conditions to exist on a regular basis allows for the final component for active mold growth.

Because the HVAC system circulates air contaminated with mold spores and sometimes toxins, it is vital to prevent any three of the environments required for mold growth. A) Highly effective return air filtration systems are available that eliminate up to 99.9% of dust accumulation (as compared to 5% elimination by typical HVAC air filters). These newer filtration systems usually require modification to existing HVAC systems to allow for the larger size of electrostatic 99.9% filters. However, thorough cleaning of the HVAC system is required before usage of high efficiency filtration systems will help. Once mold is established, the mold growth and dust accumulation must be removed. B) Insulation of supply air ducts helps to reduce or eliminate the condensation that ultimately creates the moisture required for mold growth. This insulation should be placed externally on the air ducts, because internal insulation provides a dust capture and breeding ground for mold.

Assessment

The first step in an assessment is to determine if mold is present. This is done by visually examining the premises. If mold is growing and visible this helps determine the level of remediation that is necessary. If mold is actively growing and is visibly confirmed, sampling for specific species of mold is unnecessary.[7]

These methods, considered non-intrusive, only detect visible and odor-causing molds. Sometimes more intrusive methods are needed to assess the level of mold contamination. This would include moving furniture, lifting and/or removing carpets, checking behind wallpaper or paneling, checking in ventilation duct work, opening and exposing wall cavities, etc.

Careful detailed visual inspection and recognition of moldy odors should be used to find problems needing correction. Efforts should focus on areas where there are signs of liquid moisture or water vapor (humidity) or where moisture problems are suspected. The investigation goals should be to locate indoor mold growth to determine how to correct the moisture problem and remove contamination safely and effectively.

Sampling

In general the EPA does not recommend sampling unless an occupant of the space is symptomatic. When sampling is necessary it should be performed by a trained professional who has specific experience in designing mold-sampling protocols, sampling methods, and the interpretation of findings. Sampling should only be conducted to answer a pertinent question: examples "what is the spore concentration in the air", or "is a particular species of fungi present in the building." The additional question should be asked before sampling "what action can or should a person take upon obtaining data."

The sampling and analysis should follow the recommendations of Occupational Safety and Health Administration (OSHA), National Institute for Occupational Safety and Health (NIOSH), Environmental Protection Agency (EPA), and the American Industrial Hygiene Association (AIHA). Most importantly, when a sample is taken the proper chain of custody should be adhered to. The AIHA offers lists of accredited laboratories that submit to required quarterly proficiency testing.

Three types of sampling include but are not limited to:

When sampling is conducted, all three types are recommended by the AIHA, as each sample method alone has specific limitations. For example, air samples will not provide proof a hidden source of mold. Nor would a tape sample provide the level of contamination in the air.[8]

Though it may not be recommended, air sampling following mold remediation is usually the best way to ascertain efficacy of remediation, when conducted by a qualified third party.[9]

Remediation

The first step in solving an indoor mold problem is stopping the source of moisture. Next is to remove the mold growth. Common remedies for small occurrences of mold include:

There are many ways to prevent mold growth; see heating, ventilating, improved insulation and air conditioning, and dry fog. New technology allows some mold remediation companies to fill a room with a dry fog that kills mold and stops its growth. This fog uses a chemical that is EPA approved and does not harm or damage the physical well being of persons or animals. There are also cleaning companies that specialize in fabric restoration - a process by which mold and mold spores are removed from clothing to eliminate odor and prevent further mold growth and damage to the garments.

Improper methods for cleaning mold include exposure to high heat, dry air, sunlight (particularly UV light), ozone, and application of fungicides. These methods may render the mold non-viable, however, the mold and its by-products can still elicit negative health effects. As noted in following sections, the only proper way to clean mold is to use detergent solutions that physically remove mold. Many commercially available detergents marketed for mold clean-up also include an anti-fungal agent.

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 rather than clean the mold to safe levels.

The goal of remediation is to remove or clean contaminated materials in a way that prevents the emission of fungi and dust contaminated with fungi from leaving a work area and entering an occupied or non-abatement area, while protecting the health of workers performing the abatement.[10]

Cleanup and removal methods

The purpose of the clean-up process is to eliminate the mold and fungal growth and to remove contaminated materials. As a general rule, simply killing the mold with a biocide is not enough. The mold must be removed since the chemicals and proteins, which cause a reaction in humans, are still present even in dead mold.

Evaluating Mold Exposures

Before beginning mold remediation you should make sure you assess the area infected with mold to ensure safety, you clean up the entire moldy area, and properly approach the mold.

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Cleaning Recommendations

· To ensure safety have you HVAC system tested by a qualified professional before you begin using your HVAC system again.

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What to wear when removing Mold

When cleaning up mold it is important to avoid breathing in mold or mold spores, as this can cause health implications. To avoid airborne mold exposure you should wear a respirator, which can be purchased from any hardware store. The type you should try to get is the N-95 respirator, which looks similar to a paper dust mask that has a nozzle in the front and can be made out of rubber of plastic. These respirators also have a removable cartridge that will stop the mold spores from entering your mouth or nose. Be sure to follow the directions carefully, if it does not fit properly or is not put on correctly it may be ineffective. Next be sure to wear gloves that go at least to the middle of the forearm to ensure protection from mold. You should wear gloves made of rubber, nitrile, polyurethane, or neoprene so that no mold or disinfectant materials get through to your skin. When working with water and mild disinfectant rubber gloves that may also be used for other household duties can be used. To protect your eyes and the rest of your face from mold exposure you should wear goggles. Make sure that the goggles do not have ventilation holes so that no mold will make contact with your eyes at any given point in time. [13]

Dry ice blasting

Recently, some companies have begun using dry ice blasting to remove mold from suitable surfaces, such as wood and cement.

Vacuum

Wet vacuum cleaners are designed to remove water from floors, carpets and other hard surfaces where water has accumulated. Wet vacuuming should only be used on wet materials, as spores may be exhausted into the indoor environment if insufficient liquid is present. After use this equipment must be thoroughly cleaned and dried as spores can adhere to the inner surfaces of the tank, hoses, and other attachments.

Damp wipe

Damp wipe is the removal of mold from non-porous surfaces by wiping or scrubbing with water and a detergent. Care must be exercised to make sure the material is allowed to quickly dry to discourage any further mold growth. With surfaces such as metal, glass, hardwood, plastics, and concrete, mold should be scraped off as much as possible. Then, scrub the surface with a moldicide or fungicide cleaner.

HEPA vacuum

High Efficiency Particulate Air filtered vacuum cleaners are used in the final cleanup of remediation areas after materials have been thoroughly dried and all contaminated materials have been removed. HEPA vacuum cleaners are recommended for the cleanup of the outside areas surrounding the remediation area. During this process the workers wear proper personal protective equipment (PPE) to prevent exposure to mold and other contaminants. The collected debris and dust should be stored in impervious bags or containers in a manner to prevent any release of debris.

Disposal of debris and damaged materials

Building materials and furnishings contaminated with mold should be placed into impervious bags or closed containers while in the remediation area. These materials can usually be discarded as regular construction waste.

Equipment

Several types of equipment may be used in the remediation process and may include:

Protection levels

During the remediation process, the level of contamination dictates the level of protection for the remediation workers. The levels of contamination are described as Levels I, II, and III. Each has specific requirements for worker safety. The levels are as follows:

Level I

Small Isolated Areas ( 10 sq ft (0.93 m2) or less) for example, ceiling tiles, small areas on walls.

Level II

Mid-sized Isolated Areas (10-30 sq ft) – for example, individual wallboard panels.

Level III

Large Isolated Areas (30-100 sq ft) – e.g., several wallboard panels

Level IV

Extensive Contamination (greater than 100 contiguous sq. ft in an area).

In conclusion, after the moisture source has been eliminated and the mold growth removed, the premises should be revisited and then re-evaluated to ensure the mold growth and the remediation process was successful. The premises should be free of any moldy smells or visible growth.

Mold Prevention and Control

In order to avoid mold from growing in your home you should do the following:

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Hidden Mold

Hidden Mold After a major storm or flood you should look out for any signs of hidden mold growth. You can detect mold by the smell and any sign of water damage on the walls or ceiling. Mold can grow in many places that are not visible to the human eye in the indoor environment. Mold is often found behind wallpaper or paneling, the topside of ceiling tiles, back side of dry wall, or the underside of carpets or carpet padding. Piping inside the walls may also be a source of mold growth since pipes often leak and cause moisture and condensation. Also be sure to check in roof materials above ceiling tiles since roofs often leak and water collects inside the walls and insulation. If you are suspicious about mold growth you should investigate with caution so that you are not exposed to mold.

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See also

Notes

  1. ^ Indoor Environmental Quality Dampness and Mold in Buildings. National Institute for Occupational Safety and Health. August 1, 2008.
  2. ^ Minnesota Department of Health. "Mold and Moisture in Homes". Minnesota North Star. http://www.health.state.mn.us/divs/eh/indoorair/mold/. Retrieved 22 November 2011. 
  3. ^ Gent, Janneane. "Levels of Household Mold Associated with Respiratory Symptoms in the First Year of Life in a Cohort at Risk for Asthma". Department of Epidemiology and Public Health, Yale University. http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1241132/pdf/ehp0110-a00781.pdf. Retrieved 18 November 2011. 
  4. ^ Cohen, Aaron. "WHO Guidelines for Indoor Air Quality: Dampness and Mould". World Health Organization. http://www.euro.who.int/__data/assets/pdf_file/0017/43325/E92645.pdf. Retrieved 18 November 2011. 
  5. ^ Wagner Moisture Meters - Problems With Moisture
  6. ^ http://www.engext.ksu.edu/moisture/mf2141.pdf
  7. ^ U.S. EPA. 2002. A Brief Guide to Mold, Moisture, and Your Home. EPA 402-K-02-003. Washington, D.C.: U.S. Environmental Protection Agency.
  8. ^ Niemeier, R. Todd, Sivasubramani, Satheesh K., Reponen, Tiina and Grinshpun, Sergey A., (2006) "Assessment of Fungal Contamination in Moldy Homes: Comparison of Different Methods", Journal of Occupational and Environmental Hygiene, 3:5, 262-273 [1]
  9. ^ IICRC(ANSI) S520 Standard
  10. ^ New York City department of Health, “Guideline on Assessment and Remediation of Fungi in Indoor Environments.” Bureau of Environmental & Occupational Disease Epidemiology, November 2000.[1]
  11. ^ "A Brief Guide to Mold, Moisture, and Your Home". United States Environmental Protection Agency. http://www.epa.gov/mold/whattowear.html. Retrieved 22 November 2011. 
  12. ^ NIOSH. "Recommendations for the cleaning and remediation of flood-contaminated hvac system: A guide for building ovwners and managers". Center For Disease Control. http://www.cdc.gov/niosh/topics/emres/Cleaning-Flood-HVAC.html. Retrieved 18 November 2011. 
  13. ^ "A Brief Guide to Mold, Moisture, and Your Home". United States Environmental Protection Agency. http://www.epa.gov/mold/whattowear.html. Retrieved 22 November 2011. 
  14. ^ Wagner Moisture Meters - Electromagnetic Wave Technology
  15. ^ "A Brief Guide to Mold, Moisture, and Your Home". United States Environmental Protection Agency. http://www.epa.gov/mold/preventionandcontrol.html. Retrieved 18 November 2011. 
  16. ^ "A Brief Guide to Mold, Moisture, and Your Home". United States Environmental Protection Agency. http://www.epa.gov/mold/whattowear.html. Retrieved 22 November 2011. 
8. "The Complete Guide to External Wall Insulation" by C J Pearson