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World Health Organization, 2009 <br /> '4.4 (Synthesis of available evidence on health effects <br /> In this chapter.we have presented several types of evidence-epidemiological. <br /> clinical and toxicological-relevant to answering the question of whether damp- <br /> ness or dampness-related exposures cause adverse human health effects.This <br /> summary is based initially on the epidemiological and clinical evidence fur causal <br /> relations between dampness-related factors and specific human health outcomes. <br /> Then.the available toxicological evidence Is considered as either supporting or <br /> not supporting the biological plausibility of any potentially causal association. <br /> The epidemiological evidence is based on qualitative assessments of dampness- <br />' related factors,such as visible dampness,mould,water damage or mould odour. <br /> as the epidemiological findings based on quantitative measurements of specific <br /> microbial agents were ten inconsistent and,fur specific nmconm,too few far ,h)persensithity pneumonitis,alkrg,r nbeolitisand mould infections in suaep• <br /> dear conduspans' tilde individuals,and humidifier fever and inhalation levers.This is the only con- <br /> The epidemiological evidence's not snifietem to conclude masa'relationships elusion that is based primarily on clinical evidence and also the only conclusion <br /> between indoor dampness or mould and any specific human health effect,al- that refers explicitly to microbial agents.as opposed to dampness-related factors. <br /> though the findings alone strong epidemiological intervention sandy,in con Limited or suggestive epidemiological evidence elan association between in- <br /> junction with the other mailable studies,suggest that dampness or mould exne• <br /> rebates asthma in children. door dampness or mould and allergic rhinitis and bronchitis is available. <br /> Their is su1TTNent epidemiological evidence of associationsbetween damp- The evidence for effects on lung function.allergy or atopy and'asthma,ever <br /> is inadequate <br /> mess or mould and asthma development,asthma exacerbation,current asthma, or insufficient.The evidence does not suggest that any specific <br /> replratory•infections(except otitis media),upper respiratory tract symptoms, measure of microorganisms rgantsms or microns <br /> suhstmwes„salts in a dtn onstmhly <br /> 'cough.wfirrrr and dlxpnnea.,Tiiere is'suffident clinical evidence of associm more specific or sensitive assessment of a particular dampness-related exposure <br /> ,tions between mould and other dampness-aso dated microbiological agents and ret t to hyallb effects.\s t theirs,although specpfie Causal agent,haw eat <br /> been identified conclusively,microbial exposure is often ssggested to play a role. <br /> Further studies with valid,quantitative exposure assessment methods are re- <br /> quired in eluckiate the role of fungi and other microorganisms to damp.induced <br /> health conditions.The available epidemiological and clinical evidence suggests <br /> that both atopic and a matopk people are suseeptible to adverse health effects <br /> front exposure to dampness and mould.even if sonic outcomes are commoner <br /> in maple people.Therefore,both allergic and non-allergic mechanisms may be <br /> involved in the biological re.sonsr. <br /> gb• A' 20 <br />