Indoor Molds

Characteristics of molds

Fate and transport of mold into the environment

Methods for monitoring mold in the environment

Methods for measuring human exposure to mold

Strategies for preventing or controlling mold

Harmful effects

Organ toxicity

Stachybotrys and pulmonary hemorrhage/hemosiderosis

Biomarkers and molecular action

Management considerations

Methods for Monitoring Mold in the Environment

Household molds can often be detected by sight or smell. A musty odor generally accompanies mold growth as well as a discoloration (white, green, brown, black, or orange) of the surface that the mold is growing on1. If there is visual confirmation of mold growth, further testing is not usually necessary; instead, immediate steps should be taken to control the problem2.

There are, however, some instances where a sensory assessment is not sufficient: a person contracts a disease that could be a result of exposure to a certain species, so identification of fungal types is necessary; symptoms of mold exposure are exhibited by individuals, but a visual inspection does not detect mold; a ventilation system is suspected of being contaminated and the extent of mold growth needs to be quantified; or comparisons of outdoor and indoor air quality are needed, so the types and quantities of mold present must be obtained2.

Just as there are many types of mold that can contaminate indoor air quality, there are many methods that can be used to detect molds. There is not a single method that can effectively detect the types and amounts of each mold in a building, so often times a combination of detection methods are used to sample indoor air quality3.

Methods

Commonly used methods used to detect the presence of mold in a building include bulk sampling, surface sampling (swab or tape), and air monitoring for bioaerosols.

  • Bulk Sampling

    Bulk sampling involves collection of material samples in a building from areas where mold is apparent or if no mold can be found, where conditions exist for the growth of mold such as water-damaged floors or walls. To prevent mold from one sample getting onto another sample, samples are collected and bagged using sterile equipment4. In the lab, samples are washed to transfer the mold into a solution. A portion of this solution is then stained so that when illuminated with fluorescent light, the mold can be more easily seen under a microscope. By viewing the mold in a microscope, the types of mold that were on the building materials can be determined. Another portion of the solution is put into a dish that contains the nutrients molds need to grow. After being incubated, the organisms in the solution that are alive will form visible colonies in the dish that can be identified and counted (Figure 1). The disadvantage to the bulk sampling method is that parts of building materials need to be removed or damaged in order to obtain a sample5.

    Figure 1.
  • Left: Dish with nutrients prior to incubation Right: Dish with nutrients after incubation, contains mold colonies.

  • Surface Sampling

    Surface sampling allows the identification of molds that are growing on a surface in addition to molds that settle out of the air onto surfaces. The two techniques used for sampling surfaces are swab sampling and tape sampling. Swab sampling involves using a sterile swab to wipe a known area of a surface to collect the mold, and tape sampling involves using a clear piece of adhesive tape to strip a surface suspected of having mold on it2.

    The analysis of the swab method is similar to that used in the bulk sampling method. The mold is transferred into solution and then subsequently one portion is viewed under the microscope and another is grown in a dish with nutrients. This analysis is performed to identify both the types of mold present and the number of viable or live organisms that were in the solution. The adhesive tape is viewed directly under a microscope to identify the types of mold present on the sampled surface6.

    There are disadvantages involved with surface sampling. The smoother the surface sampled, the more effectively the tape or swab can pick up the mold. It is hard to sample surfaces using these methods if they are rough, uneven, or porous. Using swabs to sample limits the identification of mold types because some of the organisms are destroyed during the sampling whereas using tape to sample keeps the structure of the organisms in tact for identification. The downside of using the tape, however, is that the mold cannot be removed from the tape after it is sampled. This means that samples taken using the tape method cannot be cultured to see what portion of the mold organisms are living. Tape sampling also requires that the surface being tested not have a lot of other debris on it. A tape sample that contains a large amount of debris makes it hard to identify the mold6.

    There are also advantages to using surface sampling methods. Because multiple samples can be taken from stationary surfaces, surface sampling can determine either the presence or absence of mold in certain areas, and be used to compare the amount of contamination in one area to another. Furthermore, unlike bulk sampling, both swab sampling and tape sampling are nondestructive methods which do not include the removal or damage of any materials in the building. Surface sampling requires little in the way of costly materials or equipment, it’s relatively easy to perform, and the results of the sampling can be obtained quickly.

  • Air Monitoring

    As with all areas to sampled, there are a number of ways to monitor the air for bioaerosols. A passive method used to determine the types of mold in a given area involves only exposing a dish filled with nutrients, settling dish, to the air. This process requires little effort on the part of the operator, but it does not give a representative view of the number or type of organisms in the air only the ones with enough mass to settle out of the air onto the plate3.

    Active methods collect samples using a pump that draws air across a nutrient dish, through a filter, or over a greased slide (Figure 2). If a dish of nutrients is used it can be incubated directly to identify the types and quantities of mold in the air3. Using a filter or a slide to collect a sample versus a nutrient dish has the advantage of allowing the total amount of mold in air to be accounted for and not just the viable or living portion. After mold is collected on a filter, it is suspended into solution were it either can be viewed under a microscope or incubated in a nutrient dish4. A sample collected on a greased slide sometimes referred to as a spore trap can be viewed directly under a microscope, but this method has the disadvantage of not being able to quantify the viable spores.

    As with other methods, the results of the air sampling methods alone cannot eliminate the possibility that contamination exists2. One reason why data from air sampling methods cannot conclusively prove the absence of mold is that different varieties of mold favor different methods of sampling and analysis. Another reason that an air sample may not represent the molds that are present in a building is that sampling may have been performed during a time when the mold was inactive3.

    Figure 2. Active Air Sampling Equipment: from left to right The Allergenco Air Sampler MK-3, a portable bioaerosol sampler made by Allergenco/Blewstone Press; a single stage impactor made by ThermoAnderson; and a six stage impactor made by ThermoAnderson.


References

1. Hellevang, P.E. Molds in Your Home: Detection of Mold. North Dakota State University Extension Service. Available at http://www.ext.nodak.edu/extpubs/ageng/structu/ae1179w.htm. Updated Sept 1999.
2. Stachybotrys atra in Indoor Environments: Guidelines on Assessment and Remediation of Fungi in Indoor Environments. 7 May 1993. New York City Department of Health & Mental Hygiene and Bureau of Environmental & Occupational Disease Epidemiology. Available at http://www.ext.nodak.edu/extpubs/ageng/structu/ae1179w.htm.. Updated Jan 2002.
3. Building Air Quality: Common IAQ Measurements-A General Guide. Environmental Protection Agency and National Institute of Safety and Health (1991): 117- 118. Available at http://www.epa.gov/iaq/largebldgs/graphics/iaq/pdf. Viewed Sept 22, 2002.
4. Tiffany, John A. and Howard A. Bader. (2000) Detection of Stachybotrys chartarum: The Effectiveness of Culturable-Air Sampling and Other Methods. Journal of Environmental Health 2000; 62(9): 9.
5. Walinder, Robert, et al. (2001): Nasal Lavage Biomarkers: Effects of Water Damage and Microbial Growth in an Office Building. Archives of Environmental Health 2001; 56(1): 30.
6. IAQ Tech Tip: Surface Sampling, Tape Sampling versus Swab Sampling. Aerotech Laboratories, Inc. Available at http://www.aerotechlabs.com/reso/tipdetal.asp?TTip_ID=38. Viewed Sept 22, 2002.