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MOULD HEALTH GUIDE
TABLE OF CONTENTS
Chapter
1. FACTS ABOUT MOLDS
* What
are molds?
Forms and Appearance
Habitat
Dispersal
Indoor Mould
Outdoor Mould
High Outdoor
Humidity
Road Dust as Source
of Airborne Allergens
Mould and Moisture
Impacts of Molds
at Home
*
Mould Exposure
Pathways of
Exposure
Exposure during
Clean-up
Mould Exposure
Mechanisms
*
Mould Cases and Litigations
Mould Litigation
Mould Cases
The IBM
Case
The
Ballard Case
Denver
International Airport
Nicholson v. Metro Property Management, Inc.
Mould Claims
Mould Health
Claims
Mould Insurance
Personal Injury
and Property Damages
Proactive Steps
*
Mould-Related Illnesses and Disorders
Risk Individuals
Health Conditions
Common Signs and
Symptoms
Hazardous Mould
Species
Aspergillus and Aspergilliosis
Aspergilliosis
Stachybotrys chartarum
* Antifungal Agents
Amphotericin B,
nystatin
Precautions
Side
Effects
Fluconazole,
itraconazole, ketoconazole
Precautions
Side
Effects
Naftifine,
terbinafine
Precautions
Side
Effects
Flucytosine
Precautions
Miscellaneous Antifungals
Chapter
2. MOST-COMMON MOULD-RELATED ILLNESSES
*
Allergy
Allergy Signs and
Symptoms
More Allergy
Symptoms
Allergy Causes
Allergy Treatment
and Management
Allergy
Desensitization (Immunotherapy)
Allergic Rhinitis
Risk Factors
Comorbidities of
Allergic Rhinitis
Causes
Rhinitis Allergens
Cockroach allergen
Molds or Fungi
Signs and Symptoms
Patterns of Symptom
Production
Seasonal Allergic Rhinitis
Perennial Allergic Rhinitis
Diseases Confused with
Allergic Rhinitis
Nonallergic Rhinitis
Polyps
Vasomotor Rhinitis
Infectious Rhinitis
Occupational
Rhinitis
Foreign Body
Rhinitis
Hormonal Rhinitis
Drug-induced
Rhinitis
Rhinitis
Medicamentosa
Food-Related
Rhinitis
Other Rhinitis-like Conditions
Chronic Infectious
Rhinosinusitis
Sinusitis
Treatment and Management of
Allergic Rhinitis
Avoidance
Antihistamines
Intranasal Antihistamines
Decongestants
Cromolyn
sodium
Intranasal corticosteroids
Oral
corticosteroids
Saline
(salt water) nose drops
Immunotherapy
Environmental Control
* Asthma
Mould and Asthma
*
Hypersensitivity Pneumonitis (HP)
Differential
Diagnosis
HP Symptoms
Acute HP
Chronic
HP
Forms of
Hypersensitivity Pneumonitis
Immediate
Hypersensitivity
Generalized Mould
Hypersensitivity State
HP Management and Treatment
Medications
*
Infections
Difference between Infection
and Disease
Types of Infections
Diagnosing Infections
Infections or Mycoses
* Mould
Infection Therapies
*
Irritation
*
Mycotoxins
Superficial
Mycoses
Cutaneous Mycoses
(Skin Infections)
Subcutaneous
Mycoses
Systemic Mycoses
Opportunistic
Mycoses
* Allergic Fungal Sinusitis (AFS)
Fungal Sinusitis
Symptoms
Types of Fungal
Sinusitis
Medical History
and Diagnosis
Allergic Mucin
Chapter
3. BACTERIA and FUNGI INDOOR and OUTDOOR
* Outdoor Bacteria and Fungi
* Indoor
Bacteria and Fungi
*
Bacteria and Fungi Common on Building Materials
*
Microbial Volatile Organic Compounds
*
Bacteria and Fungi Metabolites
* Toxic
Effects of Bacteria and Fungi
Carcinogenesis
Dermal Toxicity
Immunotoxicity
Mucous Membrane Irritation
and Inflammation
Neurotoxic Effects
Sensory Irritation
Respiratory Effects
Lower Respiratory
Tract Effects
Upper Respiratory
Tract Effects
Respiratory Infections
Immune-Compromised
Persons
Pulmonary Hemorrhage or
Hemosiderosis
*
Respiratory Tract Disorders
Airflow
Obstruction
Alveolar
macrophages
Asthma
Chronic
Obstructive Pulmonary Disease (COPD)
Hypersensitivity
Pneumonitis (HP)
Inhalation Fever
Mucus Membrane
Irritation Syndrome (MMI)
Sinusitis
* Other
Health Related Complaints and Disorders
Rheumatologic and Other Immune
Diseases
* Fungal
Diseases Treatment
Chapter
4. FUNGALBIONICS
*
Medical Applications
* Food
Processing Applications
* Fungal
Metabolites
*
Mycotoxins
Chapter
5. MOULD CLEANUP AND INSPECTION
* Mould
Cleanup
Wet Vacuum
Damp Wipe
HEPA Vacuum
Disposal of
Damaged Materials
Bleach
Biocides
* Mould
Inspection
*
Efflorescence
* Hidden
Mould
* What
to Look Out for
* Where
to Look
* With
or Without Water Damage
*
Effects of Cleaning and Ventilation
* Mould
Control
Chapter
6. MOULD MEASURING AND SAMPLING
*
Sampling for Mould
Types of Samples
Air
Samples
Bulk
Sample
Surface
Sample
Non-Viable Sampling
Viable
Mould Sampling
When to Test
Mould Sampling
Areas
Clearance
Sampling
Diagnostic Aid
Pending/Anticipating
Litigation
Assessing Microorganisms
Signs and Measurements of
Dampness, Moisture or Mould
Chapter
7. MOULD PREVENTION and REMEDIATION
* Mould
Prevention
* Mould
Remediation
Skin and Eye
Protection
Respiratory
Protection
Protective
Clothing
Personal
Protective Equipment (PPE)
Remediation
Equipment
Relocating
Occupants
Finished
Remediation/Clean Up?
* Tasks
Involved In Remediation
Take Emergency
Actions to Stop Water Intrusion If Needed
Identify the
Vulnerable Populations
Collect Histories
of Building and Occupants
Determine Extent
and Location of Fungal Contamination
Identify Moisture
Dynamic
Plan Remediation
Activities
Establish Appropriate Containment and Worker and Occupant
Protection
Eliminate or Limit Moisture Sources and Dry the Materials
Decontaminate or Remove Damaged Materials as Appropriate
Evaluate
Whether the Space Has Been Successfully Remediated
Reassemble the Space and Controlling Sources of Moisture and
Nutrients
*
References
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