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Page 14 <br /> Cladosporium, Cryptococcus, Penicillium, Exophiala, Candida, and Fusarium. The study <br /> also found many of the indoor fungi on the various surfaces in the homes were largely <br /> dominated by fungi common in outdoor air.3 <br /> The most significant source of mold spores indoors is the outdoor air.4 It is therefore <br /> certain that mold spores present inside an indoor environment were also present in outside air. <br /> The question is then whether or not there is an increased risk of adverse health effects due to <br /> mold levels inside the indoor environment as opposed to the levels of mold outdoors. Shelton <br /> et al. (2002)found that across the U.S.,median indoor fungal spore concentration was <br /> approximately 80 CFU/m3 with a range from zero to 10,000 CFU/m3. Indoor concentrations <br /> were highest in the Southwest, Far West, and Southeast, and lowest in the Northeast. Median <br /> outdoor fungal spore concentrations were highest in the fall and summer and lowest in the <br /> spring and winter. Indoor fungal spore concentrations varied in a similar manner.5 The <br /> ubiquitous presence of mold in air means that individuals are exposed to molds from outdoor <br /> air and mold spores in any buildings they occupy. <br /> Though mold spores are everywhere, the critical requirements for mold growth to occur <br /> include the presence of mold spores, a food source, and liquid moisture. If any of these <br /> requirements are absent, mold will not grow. Mold requires water to grow.Even if a mold <br /> spore lands on a wet spot and germinates,there would be no continued growth or <br /> development in the absence of a food source for energy and continued moisture. <br /> B. There are three principal,generally-recognized potential human health effects of <br /> mold: allergy,infection, and toxicity. <br /> There are three principal, generally-recognized potential human health effects of mold: (a) <br /> allergy,(b)infection, and (c)toxicity. One or more of these effects can contribute to a <br /> sensation of irritation,which some scientists classify as an additional effect. The Occupational <br /> Health and Safety Administration(OSHA)defines an irritant as a material causing"a <br /> reversible inflammatory effect on living tissue by chemical action at the site of contact.s6 <br /> Irritant effects are dose related,and the effects are transient, disappearing when the exposure <br /> has decreased or ceased. There are additional rare diseases caused by mold. <br /> To establish that mold growth in an indoor environment caused any claimed health effect <br /> in a particular person requires the following questions(criteria) be answered in the <br /> affirmative: (1) Were mold spores or mycotoxins present?(2)Are mold spores or mycotoxins <br /> in the indoor environment capable of causing the claimed adverse health effect? (3) Could the <br /> building occupants have been exposed to a sufficient dose of mycotoxin to cause the claimed <br /> 3 Adams,R.I.et al.(2013).The diversity and distribution of fungi on residential surfaces.PLoS One.8(11): <br /> e78866. <br /> 4 Solomon,W.R.(1975).Assessing fungal prevalence in domestic interiors.J Allergy Clin Immunol.56(3):235- <br /> 242. <br /> s Shelton,B.G.et al. (2002).Profiles of airborne fungi in buildings and outdoor environments in the United <br /> States.Appl Environ Microbiol.68(4): 1743-1753. <br /> 6 OSHA.(2015).Health Hazard Definitions(Mandatory). 1917.28 App A.Marine Terminal Operations.Subpart <br /> B.Marine Terminals.Accessed on:6/3/2015. <br /> 7 Bush,R.K.et al. (2006).The medical effects of mold exposure.Position paper of the American Academy of <br /> Allergy,Asthma and Immunology.J Allergy Clin Immunol. 117(2):326-333. <br /> 56 <br />