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Mould
(Mold)
Common
Species of Mould
Aspergillus
Stachybotrys
Cladosporium
Fusarium
Penicillium
Mycotoxins
Different mould species (sometimes referred to as Mold in depending on
country) can have varying health effects, but it is important to remember
that any excessive Mould growth needs to be taken care of, regardless
of the species. excessive Mould growth can lead to increased allergies,
toxicity, and house/building structural problems.
Aspergillus spp
Aspergillus is the most common genus of fungi in our environment with
more than 160 different species of Mould. Sixteen of these species have
been listed as causing human disease. Aspergillosis is now the 2nd most
common fungal infection requiring hospitalization in the United States
.
Aspergillus fumigatus. The most common species causing infection. It can
be found in decomposing organic material, such as self-heating compost
piles, since it readily grows at temperatures up to 55 C. People who handle
contaminated material often develop hypersensitivity to the spores of
Aspergillus and may suffer severe allergic reactions upon exposure.
Aspergillus flavus is the 2nd most encountered fungi, in cases of Aspergillus
infection. It is also known to produce the mycotoxin aflatoxin, one of
the most potent carcinogens known to man. In the 1960s, 100,000 turkey's
in Great Britain died from ingesting contaminated feed. Most countries
have established levels for aflatoxin in food. However, the risks associated
with airborne exposure are not adequately studied and no exposure standards
exist.
Aspergillus niger is the 3rd most common Aspergillus fungi associated
with disease, and the most common of any Aspergillus species in nature
due to it’s ability to grow on a wide variety of environments. This
species may cause a “fungal ball”, which is a condition where
the fungus actively proliferates in the human lung, forming a ball. It
does so without invading the lung tissue.
Stachybotrys chartarum (atra)
This group of moulds can thrive on water damaged, cellulose-rich material
in buildings such as plasterboard, paper, ceiling tiles, insulation backing,
wallpaper, etc. In the majority of cases where Stachybotrys is found indoors,
water damage has gone unnoticed or ignored since it requires extended
periods of time with increased levels of moisture for growth to occur.
Stachybotrys is usually black and slimy in appearance. Flooding and wet
areas that are quckly dealt with tend to support the growth of more xerophilic
fungi such as Pencillium and Aspergillus.
Stachybotrys is another fungi that has the ability to produce mycotoxins,
ones that are extremely toxic, suspected carcinogens, and immunosuppressive.
Exposure to these mycotoxins can result through inhalation, ingestion,
and skin exposure. Symptoms of exposure include dermatitis, cough, rhinitis,
nose bleeds, cold and flu-like symptoms, headache, general malaise, and
fever.
Cladosporium spp.
These genera of Mould are pigmented dark green to black to the front,
and black on the rear with a velvet like or powdery texture. One of the
most commonly isolated moulds from indoor and outdoor air, Cladosporium
spp. are found on decaying plants, woody plants, food, straw, soil, paint,
textiles, and the surface of fiberglass duct liner in the interior of
supply ducts.
There are over 30 species in the Cladosporium genus. The most common are
C. elatum, C. herbarum, C. sphaerospermum, and C. cladosporioides. These
fungi can cause skin lesions, keratitis, nail fungus, sinusitis, asthma,
and pulmonary infections. Acute symptoms of exposure to Cladosporium are
edema and bronchiospasms, and chronic exposure may lead to pulmonary emphysema.
Fusarium spp.
A common soil fungus and found on a variety of plants, this fungi is often
found in humidifiers and has been isolated from water-damaged carpets
and a variety of other building materials. Human exposure may occur through
ingestion of contaminated grains and possibly through breathing in of
spores. Fusarium spp. are often involved with eye, skin, and nail infections.
More severely it can cause nausea, vomiting, diarrhea, dermatitis, and
extensive internal bleeding (referred to as alimentary toxic aleukis in
humans).
Several species can produce the trichothecene toxins which target the
circulatory, alimentary, skin, and nervous systems. Vomitoxin is one such
tricothecene mycotoxin that has been associated with outbreaks of acute
gastrointestinal illness in humans. Zearalenone is another mycotoxin produced
by Fusarium. It is similar in structure to the female sex hormone estrogen
and targets the reproductive organs.Penicillium
spp.
These fungi are commonly found in soil, food, cellulose, grains, paint,
carpet, wallpaper, interior fiberglass duct insulation, and decaying vegetation.
Penicillium may cause hypersensitivity pneumonitis, asthma, and allergic
alveolitis in susceptible individuals.
The genus Penicillium has several species. The most common ones include
Penicillium chrysogenum, Penicillium citrinum, Penicillium janthinellum,
Penicillium
marneffei, and Penicillium purpurogenum.
This fungi has been found in patients with keratitis, ear infections,
pneumonia, endocarditis, peritonitis, and urinary tract infections. Penicillium
infections are most commonly found in immunosuppressed individuals. For
example, P. marneffei is a fungus abundant in Southeast Asia that typically
infects patients with AIDS in this area. Infection with P.marneffei is
acquired via inhalation and initially results in a pulmonary infection
and then spreads to other areas of the body (lymphatic system, liver,
spleen, and bones), and is often fatal. An indication of infection is
the appearance of papules that resemble acne on the face, trunk, and extremities.
Penicillim spp. do have the ability to produce mycotoxins. The mycotoxin
known as Ochratoxin A, which is nephrotoxic and carcinogenic, may be produced
by Penicillium verrucosum. Verrucosidin is another mycotoxin produced
by this fungus that exhibits neurotoxity. Penicillic acid is another mycotoxin
that is nephrotoxic (causes kidney and liver damage).
Mycotoxins
During the digestion of substrates, fungi secrete enzymes into nutrients
in order to break down complex compounds into simpler compounds that can
be taken up by the fungi and used as nutrition. These digested nutrients
produce secondary metabolic byproducts called mycotoxins that are released
to give the fungi a competitive edge over other microorganisms and fungi.
Mycotoxins can also be incredibly toxic to humans causing a variety of
responses including cold/flu-like symptoms, sore throats, headaches, nose
bleeds, fatigue, diarrhea, dermatitis, and immune suppression. Some mycotoxins
may also be carcinogenic and teratogenic. Molds that have been known to
potentially produce these toxins are Acremonium, Alternaria, Aspergillus,
Chaetomium, Cladosporium, Fusarium, Penicillium, and Stachybotrys.
Even though these moulds may potentially produce mycotoxins, they will
not do so unless specific environmental conditions exist.
Types
of Mycotoxins
Aflatoxin. This mycotoxin is primarily produced by Aspergillus species.
It is one of the most potent carcinogens known to man and has been linked
to a wide array of human health problems. The FDA has established a maximum
allowable level of total aflatoxin in food commodities of 20 parts per
billion (ppb) and the maximum level for aflatoxin in milk products is
0.5 ppb.
Ochratoxin. This mycotoxin is primarily produced by species of Penicillium
and Aspergillus. It can be damaging to the kidneys / liver, and it is
a suspected carcinogen. There is also evidence that it can impair immune
system function.
Tricothecene. The toxin is produced by Stachybotrys spp. and Fusarium
spp and has even been indicated as a potential agent for use as a biological
weapon. One of the more deadly mycotoxins, if it is ingested in large
amounts it can severely damage the entire digestive tract and cause rapid
death due to internal hemorrhaging. It has also been implicated in human
disease such as infant pulmonary hemosiderosis.
Health
Risks from "Toxic" Mold
________________________________________
According to a 1999 Mayo Clinic Study,
nearly all chronic sinus infections are a result of moulds.
according to a published Cover Story, A 300% increase in the asthma
rate over the past 20 years has been linked to moulds.
________________________________________
Moulds (sometimes referred to as black molds, even though mold can come
in a variety of colors) can cause a wide array of adverse responses
in humans depending on the type and quantity present. However, these
are not the lone factors when considering the health affects to mold
exposure. Since dose and human response can be highly individualistic,
the sensitivity of the person exposed is also an important consideration.
For example, infants and young children, the immune-compromised, and
the elderly are at an increased risk of experiencing adverse health
effects related to mold exposure.
There are many routes of exposure to molds including dermal contact,
ingestion, and inhalation. The health risks associated with mold exposure
include, but are not limited to: allergic reactions, irritation associated
with volatile organic compounds (VOCs), invasive disease, mycotoxicosis.
Allergy
Allergic reactions are elicited when a substance such as mold that is
not harmful in itself causes an immune response in susceptible individuals.
The most common symptoms of an allergic response to increased levels
of mould range from runny noses, itchy-watery eyes, coughing, sneezing,
and throat irritation to more severe symptoms caused by chronic conditions
such as sinusitis and asthma.
Irritation
Fungi produce Volatile Organic Compounds during the process of degrading
substances to obtain nutrition. The VOCs are the cause of the typical
“mouldy/musty” smell commonly associated with fungal contamination
indoors. Exposure to high levels of VOCs may irritate the mucous membranes
and the central nervous system leading to symptoms of headaches, decreased
attention span, difficulty in concentration, and dizziness.
Invasive Disease
This type of disease is uncommon. It is an opportunistic infection caused
by exposure to microorganisms that don’t normally produce disease
in healthy individuals, but affects those persons with abnormally functioning
immune systems. For example, those with HIV/AIDS or those receiving
immunosuppressive drugs such as transplant or chemotherapy patients.
Some common fungi that have been associated with invasive disease are
Aspergillus, Cladosporium, Mucor, and Rhizopus.
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