MOLD HEALTH GUIDE TABLE OF CONTENTS

Chapter 1. FACTS ABOUT MOLDS

* What are molds?

            Forms and Appearance

            Habitat

            Dispersal

            Indoor Mold

            Outdoor Mold

            High Outdoor Humidity

                        Road Dust as Source of Airborne Allergens

            Mold and Moisture

            Impacts of Molds at Home

 * Mold Exposure

            Pathways of Exposure

            Exposure during Clean-up

            Mold Exposure Mechanisms

 * Mold Cases and Litigations

            Mold Litigation

            Mold Cases

                        The IBM Case

                        The Ballard Case

                        Denver International Airport

                        Nicholson v. Metro Property Management, Inc.

            Mold Claims

            Mold Health Claims

            Mold Insurance

            Personal Injury and Property Damages

            Proactive Steps

* Mold-Related Illnesses and Disorders

            Risk Individuals

            Health Conditions

            Common Signs and Symptoms

            Hazardous Mold 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 MOLD-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

            Mold and Asthma

 * Hypersensitivity Pneumonitis (HP)

            Differential Diagnosis

            HP Symptoms

                        Acute HP

                        Chronic HP

            Forms of Hypersensitivity Pneumonitis

            Immediate Hypersensitivity

            Generalized Mold Hypersensitivity State

HP Management and Treatment

            Medications

* Infections

Difference between Infection and Disease

Types of Infections

Diagnosing Infections

Infections or Mycoses

* Mold 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. MOLD CLEANUP AND INSPECTION

* Mold Cleanup

            Wet Vacuum

            Damp Wipe

            HEPA Vacuum

            Disposal of Damaged Materials

            Bleach

            Biocides

* Mold Inspection

* Efflorescence

* Hidden Mold

* What to Look Out for

* Where to Look

* With or Without Water Damage

* Effects of Cleaning and Ventilation

* Mold Control

 Chapter 6. MOLD MEASURING AND SAMPLING

* Sampling for Mold

            Types of Samples

                        Air Samples

                        Bulk Sample

                        Surface Sample

                        Non-Viable Sampling

                        Viable Mold Sampling

            When to Test

            Mold Sampling Areas

            Clearance Sampling

Diagnostic Aid

Pending/Anticipating Litigation

Assessing Microorganisms

Signs and Measurements of Dampness, Moisture or Mold

 Chapter 7. MOLD PREVENTION and REMEDIATION

* Mold Prevention

* Mold 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