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Editorials: What’s All The Fuss About
Mould Lately?
Haven’t we always lived with mould?
So why are they suddenly such a major concern?
Authors: Dr. Peter Kemp1 & Dr. Heike Neumeister-Kemp2
1: Mycologia Australia Pty Ltd, 11 Jagoe Crt Marmion, WA 6020,
email: pckemp@smartchat.net.au
2: Murdoch University, South St, Murdoc, WA 6150, email: dr.heike.kemp@smartchat.net.au
Part of our renewed interest in mould is because of the “re-discovery”
that mould can degrade our buildings and cause adverse health effects
along the way. There are references in the Bible to dealing with
mouldy buildings, yet the 1990’s has seen the “discovery”
that mould is dangerous. In essence, mould can affect us by damaging
building materials, making a building unhygienic with foul odours,
and by causing adverse health effects in susceptible individuals.
A confusing fact is that we have apparently little or no adverse
health effects from breathing mould spores outdoors or eating and
drinking them in our bread, cheese, beer and wine (in moderation
of course). The problems with mould start when one or several species
become established indoors, which presents our bodies with an “abnormal”
exposure.
One of our modern dilemmas in dealing with mould is borne mostly
from our modern need to have standardised protocols. The difficulty
lies in a lack of basic scientific information on indoor mould ecology.
To date, it has been very difficult to standardise methods of assessing
risk from indoor mould. The problem is the vast complexity of indoor
mould ecology, which requires that virtually every situation needs
to be dealt with on its own terms. This makes it very difficult
to compare one situation with another. Even so, there are some patterns
of mould growth, exposure and damage that allow us to make some
generalisations.
The lack of clarity in our scientific knowledge about indoor mould
ecology is causing serious difficulties for our medical, legal and
insurance institutions. This has lead to situations where a single
spore of certain species can close a school or building, through
to complete disregard for mould and even medical professionals declaring
that mould does not cause health problems.
The Great Mould Rush of the 1990’s
The "new" awareness of mould in the 1990’s saw
what can only be described as the unfortunate but "Great Mould
Rush". To date, this has mostly occurred overseas. However,
some mould issues have attempted to land on our shores. However,
they have met stiff resistance from the Australian based insurance
industry that has learned from their international partners. If
we are lucky, there will be no Great Mould Rush in Australia. It
looks like we are set-up to ease gently into the age of mould awareness
with the right approach and wisdom born of other’s mistakes.
Some of the unfortunate events occurring overseas lately include
several high profile mould cases that ended with multi-million dollar
payouts. Fortunately for us, we don’t seem to have a legal
system that awards exorbitant punitive damages on mould claims.
Several major home insurance companies overseas have either re-worded
their policies to exclude certain types of mould damage or are no
longer offering home insurance in some areas. In some countries
there is now a mandatory requirement to perform pre-purchase mould
testing on real estate transactions.
The current situation in Australia appears to be that mould damage
by enlarge is not covered as defined event in insurance policies.
To date, mould remediation has only been considered by insurance
companies if mould contamination is the resultant damage of an escape
of water or water intrusion that was covered under the terms of
the policy. Mould resulting from poor building design or rising
damp is generally excluded from cover.
Insurance companies, building consultants & restoration firms
have all benefited from correct mould sampling and analysis. This
has being used both execute duty of care and as a tool to establishing
the perimeters of remediation works by pin pointing the causes and
sources of the originating moisture damage. This allows mould testing
to successfully target key areas. This has minimised both the costs
of remediation to Insurers and the length of time that remediation
inconveniences the occupants / owners. Final clearance testing is
being used by all parties as a safeguard against potential future
litigation.
Dangerous Mould Myths - Stacky and Other Scary
Stuff
Unfortunately, not everyone deals with mould in sensible manner.
There are several areas of mis-information coming out of the Great
Mould Rush overseas that are trying to establish themselves as fact.
One of the myths involves a fungus called Stachybotrys, now nicknamed
“Stacky”. Several of the species of Stachybotrys are
highly toxic and cause severe health effects from exposure. Unfortunately,
this toxic aspect of "Stacky" has been used successfully
in what appears to be a concerted scare campaign. Finding "Toxic
Stacky" has been used as a licence to print money, and surprise-surprise,
it is now found everywhere in some countries overseas.
However, this sudden increase is surprising. Normally this fungus
can be difficult to capture on samples because it has sticky surface
bound spores, and these do not grow well on nutrient agars. It is
considered as difficult fungus to identify even by experienced mycologists.
An unfortunate consequence of the rush to be "mould certified"
has lead to a situation where some overseas mould inspectors believe
they can identify "Stacky" just by looking at the colour
of a mouldy surface. This is generally not possible. After reviewing
the methods used in published scientific and magazine literature
coming out of the Mould Rush, more than half of the "Stacky"
identifications may be false. If a mould inspector in Australia
tells you they can see "Stacky" then you have a right
to be sceptical. Don’t believe the hype, get it analysed using
suitable methods (see below).
Other great stuff for mycological giggles coming out of the Mould
Rush are danger headlines that have changed in the last two years
from simply the dangers of "Mould" to "Toxic Mould"
to "Black Mould" to "Black Toxic Mould" and
even "Mould Monsters". A quick search of the internet
will net you some of these wee beasties. Yes there is mould that
can cause adverse health effects, and there is mould that can damage
you house and grow to monstrous size. Similarly, there are real
dangers to people’s health from mould exposure in particular
the very young and the Aged, allergy sufferers and those with compromised
immune systems. Unfortunately, most of this recent scare-hype is
built on unproven myths that need to be dispelled with scientific
evidence.
The Sate of Mould Play in Australia
While we are waiting for the first sighting of Stacky in Australia,
there have been a number of other species that are frequently occurring
on mould jobs. Two fungi in particular that are becoming prevalent
where construction timbers become wet during building are Trichoderma
viride and T. harzianum. This is of great concern
as these fungi affect our health and are destructive. This fungus
can use wood as a nutrient source, which is not what you want on
your structural timbers. Newly constructed houses are developing
widespread problems from Trichoderma sp. This fungus is
known to produce some toxic metabolites including Gliotoxin,
Emodin and Thrichodermin. Some mould damaged houses
have required a high level of personal protective equipment (PPE)
for remediators to avoid the health effects from exposure. This
includes full face masks with high level filtration, two layers
of overalls and boot protectors and two layers of latex gloves.
Even tough, salt encrusted Builders and labourers that didn’t
believe the dangers of exposure to mould have nearly required hospitalisation
after entering mould situations without appropriate PPE. Needless
to say, they are believers now.
A contributing factor to the presence of these fungi seems to be
treated structural timbers that are being wrapped in plastic at
the factory and sweating during storage. Some builders have reported
that every piece of timber appears to be mouldy right out of the
packing. Many believe that "Treated" means anti-fungal
as well. Most do not understand that the chemicals used to treat
the timber (AS1604-1997) are not anti-fungal, even though this is
clearly stated on the product information. These timbers are being
used wet and mouldy. Furthermore, structures built with this material
often experiences rain damage during construction and this is not
being allowed to dry out properly. Not many builders are known to
carry moisture meters with them. Unfortunately "dry to touch"
and "she’ll be right" have become the accepted standard
on-site. However, the core of the materials remains wet. Once this
touch dry timber is enclosed in a building envelop, any moisture
damage indoors can trigger an eruption of hidden mould growth.
Another fungal species is our favourite household mould that occurs
as black spots in virtually every bathroom around Australia (if
not the world). That is, the much maligned Aspergillus niger. Unfortunately,
this fungus is being blamed for an awful lot of health symptoms
in buildings and houses with mould damage. There is no doubt that
this fungus can cause adverse health effects, however, there are
many other fungi that are being overlooked. Some believe that once
you have detected A. niger then you have solved your problem.
In fact, this fungus is found in only a few percent of airborne
samples. Its reputation as a source of fungal exposure does not
appear to be justified.
New Mould Analysis Equipment - Caveat Emptor
Also coming out of the Mould Rush is a never ending array of spectacular
equipment that promises to do all sorts of wonderful things to make
your mould inspection and diagnosis so simple you just need to be
a technician and press the right buttons. Wrong. Much of this equipment
is relatively expensive and largely unproven should not be relied
upon in critical situations.
One of the latest claims is that thermal imaging cameras can be
used to "see" mould growing indoors. Thermal imaging has
been a very useful and proven technology for detecting cold bridges
in cold climates, because that’s where the condensation will
occur to feed mould growth. But unfortunately, this new camera system
is being sold with astonishing "mould detecting" properties.
Current understanding of this technology indicates that these cameras
are not sensitive enough to see the metabolic heat given off from
mould activity. They may not be of much use in detecting Xerophilic
(dry) mould. However, we need to keep and open mind on all new developments.
Old Mould Methods
Unfortunately, the only reliable means to identify mould species
is to perform traditional mycological differentiation on nutrient
agar. This requires years of training and practice to get to a point
where you might start to become comfortable with identifying the
thousands of the environmental mould species that exist. Some mycologists
spend an entire lifetime trying to understand just one genus like
Penicillium. A fortunate thing for Mycologists is that traditional
mould analysis normally costs the same or less than other standard
types of indoor air measurements.
Research at Murdoch University is currently looking into the standardisation
of PCR analysis for species identification for environmental mould
(a type of DNA finger-printing). However, the number of species
in the DNA data base is still limited to date and the whole process
is equipment and labour intensive and thereby relatively expensive.
The standard methods for sampling mould are to use an impact sampler
for viable airborne spores (e.g. Andersen N6), a spore trap for
total spores (e.g. STVS trap, Murdoch University), RODAC agar plates
for smooth surfaces, and swabs and adhesive tape lift-off samples
on all other surfaces. Material samples can also be taken and plated
onto agar plates. Similarly, vacuum cleaners can also be used to
collect dust samples from carpets and other textiles.
The standard agar accepted by mycologist world wide is a 2-4% Malt
Extract Agar (MAE). This medium is preferred as it supports the
widest range of fungal species on one agar and it is the standard
identification media. Using this standard agar is important as part
of the identification process relies on the colour and speed of
the colonies growing on the agar as well as spore formation. Other
agars being widely used affect the appearance of colonies and include
DG18 and Rose Bengal. These have poisons added to the agar to slow
down fast growing fungi. It is important to note that DG18 is often
misquoted as being a xerophilic agar; however, its strength is in
preventing fast growing fungi such as Rhizopus from over-running
slower growing fungi such as Alternaria. Xerophilic agars such as
MAE+40% sucrose are the standard for detecting xerophilic (dry loving)
fungi. It is also common to add an antibiotic to most agars such
as Chloramphenicol to limit bacterial growth on the plates.
The challenge for new comers to the mould industry is to wade their
way through all the equipment and methods that are available off
the shelf. Many claim to be able to bypass the use of a mycologist
and can identify mould species by simply "sniffing" chemical
markers or by "tasting" key species. While these techniques
may become useful one day, the science behind this technology is
in its infancy and should not be applied to critical situations
yet.
If you need to take mould samples, the most sensible solution is
to use a properly trained technician or laboratory, or to get yourself
trained. If you decide to undergo training, then this should include
learning about indoor mould ecology as well the use of sampling
equipment and methods. This combination is critical in being able
to take effective samples.
Too often there are situation where un-trained persons are taking
samples using methods made-up on the spot or are taking samples
from inappropriate locations. Their samples are usually completely
unusable from a mycological standpoint. Unfortunately, ad-hoc sampling
methods can still produce results that appear to be completely valid
and meaningful. This is especially the case if samples have been
analysed by a Microbiology Lab. Most of these labs when questioned
have acknowledged they have limited ability with identifying mould,
but still thought they were providing a quality service to their
clients.
The only lab that should be used will have a qualified Mycologist
on-board. They should also have a minimum 2 years experience with
mould sampling and analysis ans regularly participate in a recognised
certification process.
Mould Remediators
We all know how to get rid of mould in our house, right? Just
pour some bleach on it and it goes away, until the next time that
you need to pour bleach on it again. Unfortunately, this simple
chemicals approach to dealing with mould is a prevalent attitude
in the local mould remediation industry. This is unfortunate, because
most chemicals have been proven to be ineffective against mould
in the long run. The widespread use of chemicals fails to correct
the original reason why the mould grew there in the first place.
It also introduces additional air pollution into the indoor air.
The only proven way to deal with mould is to find the source of
the moisture feeding it, fix it, dry it out, physically remove the
mould and then apply chemicals, but only in the right dilutions
or they won’t work. The most effective chemical solution that
we have against mould so far is our favourite salad dressing - vinegar.
This is claimed it to be the most effective because it actually
kills mould, but doesn’t introduce a new chemical pollutant
into the indoor air. Vinegar is even used by some European hospitals
as one of their main disinfectants. A point of note is that only
white fermented vinegar seems to work, as synthetic acetic acid
does not appear to be effective. Diluted alcohol comes a close second,
but there are a number of issues concerning its acquisition, storage,
handling and OHS, PPE, duty of care and its effects on some surfaces
that make it difficult to recommend.
The Australian Mould Solution
While there are a number of good teachers and course being offered
overseas, there are a number of substantial differences in building
construction, legal issues, mould species, climate, insurance coverage,
and standards and guidelines that create a gulf of differences between
Australia and other countries.
To bust the "mould myths" and to address the problems
being generated by the Great Mould Rush overseas, Mycologia Australia
has developed an Australian Mould course tailored to our Australian
Conditions.
The information presented in this mould course is based on hard
scientific evidence and 25 combined years of experience. The trainers
are both experience adult educators and have formal qualifications
in the field of environmental mycology with Ph.D.s in the area of
Environmental Mycology and Mould in Indoor Air. Their experience
and knowledge has been successfully trialled in research and industry
at many levels and they will be passing on their hands-on knowledge
to the course participants.
Further details and registration forms for this course are available
by contacting the authors and on the internet at: www.mould.net.au.
This mould course is an export quality Australian Made and Owned
product and is setting the standards for mould remediation in Australia.
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