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Free Encyclopedia of Building & Environmental Inspection, Testing, Diagnosis, Repair

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mobile guide to mold in buildingsMobile View
ENVIRONMENTAL HAZARDS - INSPECT, TEST, REMEDY

MOLD: A COMPLETE GUIDE to TEST CLEAN PREVENT

ACCEPTABLE MOLD LEVEL
ACCURACY OF VARIOUS MOLD TEST METHODS
ACCURACY vs PRECISION of MEASUREMENTS
ACTION GUIDE - WHAT TO DO ABOUT INDOOR MOLD
ACTIVITY of MOLD in buildings
AGE of MOLD - Old is the Mold?
AIR TEST FOR MOLD: ACCURACY
AIR TEST SAMPLING CASSETTE STUDY
AIRBORNE MOLD COUNT NUMBER GUIDE
AIRBORNE PARTICLE ANALYSIS METHODS
ALLERGEN TESTS for buildings
ARTWORK MOLD CONTAMINATION
ATTORNEYS and EXPERT WITNESSES
ATTIC MOLD

BASEMENT MOLD
BASEMENT MOLD WATER IMPACT
BATHROOM MOLD
BIBLIOGAPHY for ENVIRONMENTAL HEALTH, MOLD, IAQ
BIOLOGICAL POLLUTANTS
BOD WASTEWATER TEST
BLACK MOLD, HARMLESS COSMETIC
BLACK MOLD, TOXIC & ALLERGENIC
BLEACHING MOLD, Advice about
BOOK MOLD, Moldy Book Cleaning
BOOKSTORE - ENVIRONMENTAL
BROWN HAIRY BATHROOM MOLD

CACTUS FUNGI / MOLD
CAR MOLD CONTAMINATION
CARPENTER ANTS
CARPENTER BEES
CARPET DUST IDENTIFICATION
CARPET MOLD CONTAMINATION
CARPET PADDING ASBESTOS, MOLD, ODORS
CARPET FUNGICIDAL SPRAY
CARPET STAIN DIAGNOSIS
CARPET & other STAIN TESTS
CARPET TEST PROCEDURE
CARPETING & INDOOR AIR QUALITY
CHAIN OF CUSTODY - TEST SAMPLE
CLEARANCE INSPECTIONS - MOLD CLEANUP
CRAWL SPACES

DIRECTORY of MOLD / ENVIRONMENTAL EXPERTS
DIRT FLOOR MOLD CONTAMINATION
Disinfectants
Disinfecting Buildings with Bleach
DRYWALL MOLD
DUCT SYSTEM & DUCT DEFECTS
DUST ANALYSIS for FIBERGLASS
DUST, HVAC CONTAMINATION STUDY
DUST SAMPLING PROCEDURE

EFFLORESCENCE, Salts & White / Brown Deposits
EMERGENCY RESPONSE, IAQ, GAS, MOLD

FEAR of MOLD - MYCOPHOBIA
Fiberboard Insulation Sheathing Mold
FIBERGLASS INSULATION MOLD
FIBERGLASS PARTICLE CONTAMINATION TEST
FIELD INVESTIGATION SERVICE
FIND MOLD, ESSENTIAL STEPS
FIND MOLD in BUILDINGS, HOW TO
FIRE DAMAGE vs MOLD DAMAGE
FLOOD DAMAGE ASSESSMENT, SAFETY & CLEANUP
FLOODS IN BUILDINGS-mold
FLOORING MATERIALS, Age, Types
FOXING STAINS on books & papers
FUNGICIDAL SPRAY & SEALANT USE GUIDE

GAS EXPOSURE EFFECTS, TOXIC
GAS DETECTION INSTRUMENTS

HOUSE DUST ANALYSIS
HOUSEWRAP AIR & VAPOR BARRIERS
HIDDEN MOLD, HOW TO FIND
HUMIDITY CONTROL & TARGETS INDOORS

INDOOR AIR HAZARDS TABLE
INDOOR AIR QUALITY & HOUSE TIGHTNESS
INDOOR AIR QUALITY IMPROVEMENT GUIDE
INSULATION INSPECTION & IMPROVEMENT
INSULATION MOLD
ITCHY FABRICS

LABORATORY SERVICES
LAB PROCEDURES MICROSCOPE TECHNIQUES

MEDIA BLASTING for MOLD REMOVAL
MICROSCOPE DIGITAL PHOTOGRAPHY
MICROSCOPE SLIDE PREPARATION
MICROSCOPE SLIDE PREP - PERMANENT MOUNTS
MICROSCOPE TECHNIQUES for the LAB
MEDIA BLASTING for MOLD REMOVAL
METHANE GAS SOURCES
MICROSCOPE DIGITAL PHOTOGRAPHY
MILDEW in BUILDINGS ?
MILDEW ERRORS - MOLD PHOTOS
MILDEW REMOVAL & PREVENTION
MOISTURE CONTROL in BUILDINGS
MOLD ACTION GUIDE - WHAT TO DO ABOUT MOLD
MOLD ACTIVITY in buildings
MOLD AGE - Old is the Mold?
MOLD APPEARANCE - WHAT MOLD LOOKS LIKE
MOLD APPEARANCE - STUFF THAT IS NOT MOLD
MOLD ATLAS & PARTICLES INDEX
MOLD by MICROSCOPE
MOLD in the PETRI DISH, PHOTOS
Mold on Books, Book Conservation
MOLD CLASSES, HAZARD LEVELS
MOLD CLEANERS - WHAT TO USE
MOLD CLEANUP COMPANIES
MOLD CLEANUP, DO IT YOURSELF
MOLD CLEANUP GUIDE- HOW TO GET RID OF MOLD
MOLD CLEANUP - BLEACH
MOLD CLEANUP - HEALTH RISKS
MOLD CLEANUP - LIMITATIONS
MOLD CLEANUP - MISTAKES to AVOID
MOLD CLEANUP - MEDIA BLASTING
MOLD CLEANUP - SAFETY WARNINGS
MOLD CLEANUP - WOOD FLOORING
MOLD CLEANUP - WOOD FRAMING & PLYWOOD
MOLD CLEARANCE INSPECTIONS
MOLD CLEARANCE: FOLLOWUP STEPS
MOLD CLINICAL REFERENCE TEXTS
MOLD CONSULTANTS / INSPECTORS
MOLD CONTAMINATION LEVELS
MOLD CULTURE PHOTOS
MOLD CULTURE SAMPLING METHOD
MOLD CULTURE TEST ERRORS
MOLD CULTURE TEST KIT VALIDITY
MOLD DETECTION & INSPECTION GUIDE
MOLD DOCTORS - ENVIRONMENTAL MEDICINE
MOLD or INDOOR AIR EMERGENCY RESPONSE
MOLD EXPERT, WHEN TO HIRE
MOLD EXPOSURE, FOOD HAZARDS
MOLD EXPOSURE RISK LEVELS
MOLD EXPOSURE STANDARDS
MOLD FAQ's
MOLD FREQUENCY in buildings
MOLD GROWTH ON SURFACES, PHOTOS
MOLD GROWTH on SURFACES, TABLE OF
MOLD GROWTH in/on BUILDING INSULATION
MOLD INSPECTORS & MOLD TESTERS
MOLD INSPECTION HOME BUYERS GUIDE
MOLD INSPECTION SERVICE
MOLD INVESTIGATION PROCEDURE TIPS
MOLD INVESTIGATION REPORTS
MOLD KILLING GUIDE
MOLD LAB REPORTS
MOLD LEVEL IN AIR, VALIDITY
MOLD LEVEL REPORTS
MOLD LEVELS IN buildings
MOLD by MICROSCOPE
MOLD ODORS, MUSTY SMELLS
MOLD on or in CARPETS
MOLD ON DIRT FLOORS
MOLD PREVENTION GUIDE
MOLD RELATED ILLNESS GUIDE
MOLD RELATED ILLNESS SYMPTOMS
MOLD RESISTANT CONSTRUCTION
MOLD SAFETY WARNINGS
MOLD SPRAYS, SEALANTS, PAINTS
MOLD STANDARDS
MOLD STANDARDS - GOVERNMENT
MOLD STANDARDS - WORLD WIDE
MOLD TOXICITY VARIATION
MOLD TEST KITS
MOLD TEST PROCEDURES
MOLD TEST REASONS
MOLD TESTING METHOD VALIDITY
MOLD TESTING SERVICES
MSDS Material Safety Data Sheets
MVOCs & MOLDY MUSTY ODORS
MYCOPHOBIA, STAINS MISTAKEN for MOLD
MYCOTOXIN EFFECTS of MOLD EXPOSURE

ODORS GASES SMELLS, DIAGNOSIS & CURE
OZONE for MOLD OR ODORS

PAINTS & COATINGS ODORS IN buildings
RENTERS GUIDE TO MOLD & IAQ
ROBIGUS & Wheat Rust Fungus
ROT RESISTANT LUMBER
ROT, TIMBER FRAME
ROT, TIMBER ASSESSMENT

SLIDE PREPARATION, MICROSCOPE
SMELL PATCH TEST to Track Down Odors
SOUND CONTROL in BUILDINGS
STAIN & BIODETERIORATION AGENT CATALOG
STAINS on & in BUILDINGS, CAUSES & CURES
STAIN DIAGNOSIS on BUILDING EXTERIORS
STAIN DIAGNOSIS on BUILDING INTERIORS
STAINS on INDOOR SURFACES: PHOTO GUIDE
STAINS & Thermal Tracking

TECHNICAL & LAB PROCEDURES
TRAPPED MOLD BETWEEN WOOD SURFACES

Urea Formaldehyde Foam Insulation UFFI
URETHANE FOAM Deterioration, Outgassing
UV LIGHT BLACK LIGHT USES

VAPOR BARRIERS & CONDENSATION in BUILDINGS
VENTILATION in BUILDINGS
VINYL CHLORIDE HEALTH INFO
VINYL SIDING
VINYL Siding or PLASTIC Window ODORS
Volatile Organic Compounds VOCs

WALL CONSTRUCTION BARRIER vs CAVITY
WATER BARRIERS, EXTERIOR BUILDING
WATER ENTRY in buildings
World Trade Center Collapse Dust Photos

More Information

Mold culture plate (C) Daniel FriedmanShould Home Inspectors Perform Mold Inspections and Testing?
InspectAPedia®  -      

  • MOLD TEST by HOME INSPECTORS? - general opinions from several experts - Comments on the reliability, accuracy, ethics, profit, and conflicts of interest if a home inspector also performs tests for mold contamination; Are mold tests reliable? How much visual inspection is needed? The key role of home inspectors in assessing mold risk: reporting on moisture, leaks, ventilation defects, and visible mold are useful services
  • BUYERS GUIDE - home inspections for mold
  • MOLD TESTING SERVICES lists mold testing professionals.
  • Questions & Answers about including mold inspecting and testing as part of a home inspection
  • References

Click to Show or Hide Related Topics

  • MOLD: A COMPLETE GUIDE - home
  • ACCEPTABLE MOLD LEVEL
  • ACCURACY OF VARIOUS MOLD TEST METHODS
  • ACTION GUIDE - WHAT TO DO ABOUT INDOOR MOLD
  • AIR POLLUTANTS, COMMON INDOOR
  • AIR TEST FOR MOLD: ACCURACY
  • ALLERGY TESTS for PEOPLE
  • BLACK MOLD, HARMLESS
  • BLEACHING MOLD, Advice
  • CARPET MOLD CONTAMINATION
  • CRAWLSPACE MOLD ADVICE
  • DISASTERS: BUILDING INSPECTION & REPAIR - home
  • DRYWALL MOLD
  • DUST SAMPLING PROCEDURE
  • EMERGENCY RESPONSE, IAQ, GAS, MOLD
  • FORENSIC & IAQ FIELD IAQ EQUIPMENT SOP - home
  • HIDDEN MOLD, HOW TO FIND
  • INDOOR AIR QUALITY IMPROVEMENT GUIDE
  • INSULATION MOLD
  • MILDEW in BUILDINGS ?
  • MOLD ACTION GUIDE - WHAT TO DO ABOUT MOLD
  • MOLD AGE - Old is the Mold?
  • MOLD APPEARANCE - WHAT MOLD LOOKS LIKE
  • MOLD APPEARANCE on VARIOUS SURFACES
  • MOLD APPEARANCE - STUFF THAT IS NOT MOLD
  • MOLD CLEANERS - WHAT TO USE
  • MOLD CLEANUP, DO IT YOURSELF
  • MOLD CLEANUP GUIDE to GET RID OF MOLD
  • MOLD CLEARANCE INSPECTIONS
  • MOLD DOCTORS - ENVIRONMENTAL MEDICINE
  • MOLD EMERGENCY RESPONSE
  • MOLD EXPERT, WHEN TO HIRE
  • MOLD EXPOSURE RISK LEVELS
  • MOLD EXPOSURE STANDARDS
  • MOLD PRODUCTS, INEFFECTIVE
  • MOLD RELATED ILLNESS SYMPTOMS
  • MOLD SPRAYS, SEALANTS, PAINTS
  • MOLD TEST vs. PROBLEM DIAGNOSIS
  • MOLD TEST KITS
  • MOLD TEST METHOD ACCURACY
  • MOLD TEST REASONS
  • MOLD TESTING METHOD VALIDITY
  • MOLD TESTING SERVICES
  • MVOCs & MOLDY MUSTY ODORS
  • MYCOTOXIN EFFECTS of MOLD EXPOSURE
  • OZONE for MOLD OR ODORS
InspectAPedia tolerates no conflicts of interest. We have no relationship with advertisers, products, or services discussed at this website.

Should home inspectors provide mold testing services? If so what tests are valid & useful? If not, who should be testing fo rmold? Here we present a compendium of several authors' presentation notes on the question of whether or not home inspectors should perform mold testing and inspection. In this article, text shown in indented italics contains comments that we offered in response to an individual who was planning to present a class to home inspectors on the advisability (and profitability) of offering mold test services during home inspections.

Green links show where you are. © Copyright 2013 InspectAPedia.com, All Rights Reserved. Author Daniel Friedman.

Mold Sampling as Part of a Home Inspection

Are "Mold Tests" provided as part of a home inspection a Valuable Service or Fraud?

Carpet vacuum test (C) Daniel FriedmanIs routine mold sampling in buildings ever justifiable?

Testing every house for mold in the course of a home inspection would be ineffective (as a “test” without a thorough and invasive inspection is inconclusive), a waste of money, unreliable, and unethical.

Mold testing is appropriate and useful in a number of circumstances. But as with other Enviro-Scare topics (public fear cycles in response to currently-advertised environmental hazards), in several fields practitioners may simply view added test services as a safe source of extra revenue, while the tests that they offer are unreliable, inaccurate, improperly conducted.

Such practitioners will also disclaim any responsibility for the accuracy or usefulness of the test.

Home buyers or home owners who are concerned about mold and who are considering a mold "test" should read the following articles with care:

When should a home be tested for mold?

We should inspect a building for probable significant visible or hidden mold contamination when there is a good reason – see “why test” that follows, but simple "mold tests" without a thorough expert inspection are quite unreliable. See BUYERS GUIDE - home inspections for mold. And see MOLD EXPERT, WHEN TO HIRE.

Our photo, left, shows a series of carpet vacuum sample tests being arranged to screen a home carpet for mold contamination following a nearby mold remediation project.

How should we test a building for mold?

It is far better to rely on visual inspection – that’s where 90 % of the value lies. We should not ever rely on test methods alone (without inspection) and we should not ever use test methods that are innately unreliable (air, culture, swab)

That does not mean that the inspector is promising anything about the presence or absence of mold. But our OPINION is that it is reasonable and can be safe (if properly put) to offer an opinion about the presence or absence of external, visual evidence that suggests that the topic should be pursued.

What are the consequences of mold testing?

Why Test for toxic or allergenic mold in a building? What mold question are we trying to answer?

Is there an expensive or dangerous problem here that deserves attention? The degree to which we should even ASK the question depends on an initial risk assessment – the home inspection tells us the leak-risk-level including history of leaks not just present ones; the occupants tell us if there are unusual health risks – evaluating these risks and thus deciding if it is appropriate (and ethical) to go further is explained at MOLD EXPERT, WHEN TO HIRE.

How do I find out if there’s mold in a home?

We already know the answer to this question

(Mycologists say All mold is everywhere all the time. The more interesting question is “is there evidence of a large problematic mold reservoir in a building?” The answer starts with looking at the building for visible mold or mold-friendly conditions that might have produced hard to see or hidden mold in large quantity.

Also professionals who examine buildings previously "tested" for mold using unreliable methods hold a dim view of home inspectors or "mold inspectors" who are simply doing a CYA job by reporting “attic mold” and scaring buyers – too often people sample mold on attic plywood – (usually Cladosporium sphaerospermum or Aureobasidium pullulans  - allergens) and think that they are testing “the problem” when what they are testing is “the symptom” where the real problem is either – ABSENT  or  - HIDDEN such as gross Penicillium or Aspergillus growing in the attic insulation and blowing down into a home because the attic is being pressurized by a whole house fan (not the usual circumstance) or sucked into the HVAC air handler in the attic (also not the usual circumstance) – in effect we are directing people in the wrong direction and missing the real problem as well as too often wasting cleanup money on a non-problem while missing a serious problem in a basement or crawl space or living area.

To screen for mold we can’t see?

Screening tests for non-visible mold by air or culture or swab, especially used without an extensive, expert visual inspection combined with a history taking of the building and perhaps even a risk assessment for its occupants are complete junk science. Totally unreliable.

Why? To find out how much mold is in the home? How should we go about this? What is a harmful level of mold in buildings?

It depends – we have actually measured clients having severe reactions to levels of airborne mold that are substantially below commonly printed standards. MOLD STANDARDS has collected standards from around the world.

Basically we should not even ask this question as home inspectors. But we can say whether or not there is evidence that mold needs to be cleaned up professionally – if there is more than 30 sqft of contiguous mold that is not just cosmetic, it needs to be professionally removed. That’s the substantive point.  

What is a safe level of mold indoors?

Lots of subjective opinions abound. See previous comments. See MOLD STANDARDS

How Should We Go About Determining if a Building is Mold-Safe or Mold Dangerous?

Visual inspection. Wait, we already do that!

Air Sampling for mold?

Junk science when used alone as a "screen" for building mold contamination – airborne mold and other indoor particle levels vary by 2 to 4 orders of magnitude from moment to moment, so any LOW  “count” of particles per m3 is unreliable. HIGH counts should be taken to mean “probably there is a problem” but low counts can’t be taken to mean anything. See MOLD TESTING METHOD VALIDITY and  Air samples

Swabs  – to test for mold?

Swabs destroy the identifying structures; only 10 % of the 1.5 million mold species will grow on ANY culture under ANY conditions, so we are 90% wrong when we open the culture package. See Swab sampling.

Mold cultures to screen a building for problem mold?

Junk science. 90% of molds won't grow in culture - so you're 90% "wrong" at the start of a test; furthermore, what grows in a culture is what mold most likes that media - so even if two mold spores settle on the culture plate, and if one of them is from an important indoor mold problem, it's possible that it will be obscured by growth of the other mold. See Cultures to "Test for Mold" for details.

Bulk sampling to screen a building for mold?

Appropriate as part of special handling of problem materials in buildings during a full building survey, never during a home inspection. We use this method to screen building insulation for hidden Aspergillus or Penicillium contamination in areas where fiberglass insulation has been wet or exposed to high moisture. See INSULATION MOLD

Surface samples of mold or dust using clear adhesive tape?

If you mean TAPE Sampling to collect surface mold, surface debris, or a screening sample of settled dust, , this is the best way to collect indoor mold or screening dust samples to do a qualitative analysis for evidence of a problem, BUT

EVERYTHING depends on where you stick the tape – so you had better know where to stick it.

See TEST KITS for DUST, MOLD, PARTICLE TESTS for detailed procedures using the mold tape test method. This method is also suitable for dust screening or for other particle screening in settled building dust, such as the level of allergenic particles, dust mite fecals, insect fragments, fiberglass fragments, and potentially asbestos particles.

Wall Cavity Vacuum Samples to Test a Building for Mold Contamination?

We did a study on these – we wall cavity vacuumed then demolished and inspected the walls in a moldy new Orleans house (with Louis Relle a few yrs ago) the wall vacuums were nearly totally ineffective in finding what was really in the building.

Air Sampling as a Building Mold Test?

What’s an acceptable number of spores in a dry building in a dry climate?

Depends on who you ask

Assume < 500 S/M3

Variation – Will exceed 1000 S/M3 10% of the time

Clean house single sample may exceed 3000 S/M3

-- Caoimhín P. Connell Forensic Industrial Hygienist Indoor Fungal Concentrations

Air Sampling

How valid is our sample?

Typical 1 indoor and 1 outdoor sample

Point in time

Large spatial variations

Large temporal variations

Environmental variations during sampling

Building Conditions

Occupants

Air movement, fans

We have done field studies of this. Found 3 orders of magnitude  in airborne Aspergillus at a moldy basement pool table:

  • #1 On the table top, passive collection of an air test – just got traces of spores
  • #2 On the table top, aggressive collection during air testing by waving my notebook at the table, got a few thousand spores/m3 of air
  • #3 Below the table on the floor (under the moldy underside of the table) using passive collection I got nearly 10x #2 above.
  • #4 Below the table,same location, aggressive collection, I got 100x the table top spore level of Aspergillus.

Temporal Variations in airborne mold levels mean that wildly different mold test results will be obtained in most buildings.
Which Value is Correct?

Valid Results

In order to obtain valid results

Precise

Reproducible, variance characterized

Accurate

How close is our measurement to the true value?

Relevant

Does this answer the question we are asking?

Comparable?

How relevant are indoor to outdoor levels?

Outdoor vs. Indoor

What if there are more spores outdoors than indoors?

Advise clients to stay indoors, going outside must be bad for their health if mold is bad for us. . .

Total count vs. speciation

Time of year

Environmental conditions

Rain

Snow

There are SURGES of certain spore genera/species depending on many different weather changes in temperature, humidity, rainfall, light or dark, wind, even time of year or day of month in some cases. Especially a surge of Basidiomycetes that at the spore level (in air samples) are hard to distinguish from some of the  bad boys indoors (Aspergillus and Penicillium for two) so there are rampant errors in this comparison with indoors and outside.

Furthermore, the underlying premise is wrong. Indoor air changes do NOT mean that we get anywhere near the same particle mix as outdoors, not ever. Indoor air is dominated by fabric fibers, skin cells, and in kitchens and baths we see starch granules, and everywhere we see dust mite fecals and a few typical outdoor spores and some pollen. We need to be looking for either unusual indoor quantities (high Pen/Asp) or unusual structures that even at low counts indicate an indoor problem (Aspergillus spores appearing in chains)

Air Sampling Reliability

Air Sampling Risk

Point in time sampling can give a false assurance that there’s not a problem, when there really is a problem. . .

It can also suggest there is a problem when there isn’t one. . .

How does that affect your liability. . .

I think you can debunk air sampling as well as swabs and cultures very quickly and could spend less time on them than I see herein Mark.

Swab or Bulk Sampling

If we can see mold to swab it, does it matter what type of mold it is?

Swab (Culture) is wrong 90% of the time before you start – Not a valid method for assessing a building

Ok so I see you already knew this.

Wall Cavity Sampling

Mold inside walls does not present an significant exposure issue ???

This is not necessarily right. The truth is, it depends on air movement, openings, individual sensitivity, lots of stuff. Burge at Harvard said we could ignore wall cavity mold, I’ve seen in the field that that is not always so. E.g. at the Watergate in Washington DC you could actually FEEL a WIND of moldy air coming out of some wall cavities. (Condelezza Rice’s ceiling fell down in the dining room)

Advice on Mold Test Result Interpretation

How does your advice to your client differ, now that you know what type of mold they have?

OK, You Have Mold

Lab results come back

Now what do you tell the client?

What amount of mold is safe?

Nah – first off they’re terrified of a usually not airborne “black mold” Stachybotrys chartarum and they are not even being TOLD (because the procedure didn’t find) that there is a greater health risk in the building from a large but not-seen Aspergillus colony (easily airborne etc). See MOLD STANDARDS

What’s an Acceptable Mold Level?

There are no regulations or exposure limits for molds or mycotoxins. See MOLD STANDARDS

What Do Authoritative Sources Say about Mold?

  • CDC
  • EPA
  • Universities
  • Medical Doctors
  • EPA Web Site

In most cases, if visible mold growth is present, sampling is unnecessary.

But You might look at my small list of exceptions on this point e.g. distinguishing black cosmetic Ceratocystis/Ophistoma on framing lumber from Stachybotrys (a water indicator and predictor of Aspergillus or Penicillium or usually both)

Also if we are going to do a costly cleanup, before and after samples from both IN and OUT of the remediation area are absolutely essential to be sure the job is done right.

Since no EPA or other federal limits have been set for mold or mold spores, sampling cannot be used to check a building's compliance with federal mold standards.  Surface sampling may be useful to determine if an area has been adequately cleaned or remediated.  Sampling for mold should be conducted by professionals who have specific experience in designing  mold sampling protocols, sampling methods, and interpreting results.  Sample analysis should follow analytical methods recommended by the American Industrial Hygiene Association (AIHA), the American Conference of Governmental Industrial Hygienists (ACGIH), or other professional organizations.

CDC Web Site

If you can see or smell mold, a health risk may be present. You do not need to know the type of mold growing in your home, and CDC does not recommend or perform routine sampling for molds. No matter what type of mold is present, you should remove it. Since the effect of mold on people can vary greatly, either because of the amount or type of mold, you can not rely on sampling and culturing to know your health risk. Also, good sampling for mold can be expensive, and standards for judging what is and what is not an acceptable quantity of mold have not been set. The best practice is to remove the mold and work to prevent future growth.

CDC – Mold Prevention Strategies and Possible Health Effects in the Aftermath of Hurricanes and Major Floods

Sampling for mold is not part of a routine building assessment (9,16,18,19). In most cases, appropriate decisions about remediation and the need for PPE can be made solely on the basis of visual inspection. If visible mold is present, then it should be remediated regardless of what types of microorganisms are present, what species of mold is present, and whether samples are taken.

CDC

Other than in a controlled, limited, research setting, sampling for biologic agents in the environment cannot be meaningfully interpreted and would not substantially affect relevant decisions about remediation, re-occupancy, handling or disposal of waste and debris, worker protection or safety, or public health.

If sampling is being considered, a clear purpose should exist. For example:

To help evaluate a source of mold contamination. For example, testing the types of mold and mold concentrations indoors versus outdoors can be used to identify an indoor source of mold contamination that might not be obvious on visual inspection.

To help guide mold remediation. For example, if mold is being removed and it is unclear how far the colonization extends, then surface or bulk sampling in combination with moisture readings might be useful.

CDC - Mold FAQs

Standards for judging what is an acceptable, tolerable, or normal quantity of mold have not been established.

If you do decide to pay for environmental sampling for molds, before the work starts, you should ask the consultants who will do the work to establish criteria for interpreting the test results.

They should tell you in advance what they will do or what recommendations they will make based on the sampling results.

NYC Dept. of Health

Environmental sampling is not usually necessary to proceed with remediation of visually identified mold growth or water-damaged materials.  Decisions about appropriate remediation strategies can generally be made on the basis of a thorough visual inspection.  Environmental sampling may be helpful in some cases, such as, to confirm the presence of visually identified mold or if the source of perceived indoor mold growth cannot be visually identified.

However consumers should beware of launching a costly mold cleanup operation, especially involving "black mold" found on framing lumber, before testing to determine if that mold is simply a cosmetic artifact dating from original construction. -- See Black cosmetic mold for details.

NYC Dept. of Health

If environmental samples will be collected, a sampling plan should be developed that includes a clear purpose, sampling strategy, and addresses the interpretation of results. 11,12 Many types of sampling can be performed (e.g. air, surface, dust, and bulk materials) on a variety of fungal components and metabolites, using diverse sampling methodologies. 

Sampling methods for fungi are not well standardized, however, and may yield highly variable results that can be difficult to interpret.11-17

Currently, there are no standards, or clear and widely accepted guidelines with which to compare results for health or environmental assessments.

Article: Mold Testing
Nathan Yost, MD
Joseph Lstiburek, Ph.D, P.Eng.
Terry Brennan, MS

Mold testing procedures were not developed to determine whether a home is “safe” or “healthy” or “clean”.

Presently no standards exist to determine “safe”, “healthy” or “clean”.

There are no numerical standards to which tests can be compared making interpretation difficult.

THIS IS NOT CORRECT – there is a plethora of “standards”  in fact it’s worse than that. There are many different numbers, and besides, what is “a mold spore” – spores vary enormously in toxicity, size, mass, airborne or other transmission characters, in fact toxicity of even a known-high-toxic spore may be switched on or off depending on what the mold is growing on – what it is eating – so a real standard would have to be a number for every single genera and SPECIES on all surfaces. – not manageable. See Mold_ Standards for details.

That’s why the guidelines are focused on calling for professional cleanup based on the size of the cleanup area.

Adverse Human Health Effects Associated with Molds in the Indoor Environment
002 American College of Occupational and Environmental Medicine

Most fungi generally are not pathogenic to healthy humans.

THIS can be a tricky and misleading statement. A healthy person may be totally unaffected  by even a fairly high brief exposure – but chronic exposure can make even a healthy and previously non-allergic person have a very severe reaction to molds in the future – this is common among mold workers, investigators, etc. as well as among people who do their own cleanup. Some reactions can be severe and in a few cases (rare) even cause death.

We are aware  from our own cases of an apartment-mold death (of an asthmatic) in Ellenville NY, and two contractors who each lost an eye to a fungal infection, some pet deaths, quite a few hospitalizations. As an example of the development of sensitivity, after clients bought a wet moldy modular home (all of the mold was hidden in wall and ceiling cavities) the mrs. X Developed severe respiratory illness, allergic reactions, possibly Aspergillosis, and was hospitalized for weeks while the source was identified – I had to cut the walls open to find it – all of my work began after this event:

In the hospital, she was “better” and was ready to leave the hospital – her husband went home and took some clean clothes out of a bedroom closet for her. When he brought the clothing into her hospital room she went into anaphylactic shock and nearly died.  This was someone previously healthy with no known mold allergy.

So this next statement about pathogenic hazards might be misleading- there are other hazards besides pathogenic.

Only individuals with the most severe forms of immunocompromise need be concerned about the potential for opportunistic fungal infections. These individuals should be advised to avoid recognizable fungal reservoirs including, but not limited, to indoor environments where there is uncontrolled mold growth.

Outdoor areas contaminated by specific materials such as pigeon droppings should be avoided as well as nearby indoor locations where those sources may contaminate the intake air.

• Individuals with M. canis and T. mentagrophytes infections should have their pets checked by a veterinarian.

No other recommendations are warranted relative to home, school, or office exposures in patients with superficial fungal infections.

< Adverse Human Health Effects Associated with Molds in the Indoor Environment
< 2002 American College of Occupational and Environmental Medicine

Except for persons with severely impaired immune systems, indoor mold is not a source of fungal infections. Current scientific evidence does not support the proposition that human health has been adversely affected by inhaled mycotoxins in home, school, or office environments.

Position Paper

The medical effects of mold exposure

American Academy of Allergy Asthma & Immunology

Journal of Clinical Immunology Feb 2006

Paper looks at what is and is not supported by scientific evidence

THE RELATIONSHIP OF MOLDS TO
ALLERGY AND ASTHMA

Atopic patients (those with allergic asthma, allergic

rhinitis, and atopic dermatitis) commonly have IgE

antibodies to molds as part of polysensitization.

 Allergic responses to inhaled mold antigens are a recognized factor in lower airway disease (ie, asthma).

Currently available studies do not conclusively prove

that exposure to outdoor airborne molds plays a role

in allergic rhinitis, and studies on the contribution of

indoor molds to upper airway allergy are even less

compelling.

Current studies do not conclusively demonstrate a causal relationship of airborne mold exposure and clinical manifestations of allergic rhinitis

Toxic Effects of Mold

The occurrence of mold-related toxicity (mycotoxicosis) from exposure to inhaled mycotoxins in non occupational settings is not supported by the current data, and its occurrence is improbable.

Irritant Effects of Mold Exposure

The occurrence of mold-related irritant reactions from exposure to fungal irritants in non occupational settings are theoretically possible, although unlikely to occur in the general population given exposure and dose considerations.

Further information about thresholds for irritant reactions in at-risk populations is needed to better define the role of molds, mold product

Immune Dysfunction and Mold Exposure

Exposure to molds and their products does not induce a state of immune dysregulation (e.g., immunodeficiency or auto immunity).

The practice of performing large numbers of nonspecific immune-based tests as an indication of mold exposure or mold-related illness is not evidence based and is to be discouraged.

Measurement of Mold

Air sampling is a snapshot of limited value

Total fungi spores that are greater in concentration in indoor than outdoor air might be potential evidence of increased fungal presence indoors. However, in normal indoor environments xerophillic fungi, such as Aspergillus and Penicillium species, might be found indoors at levels above those measured outdoors on a given day.

Even when the fungal levels are greater indoors than those outdoors, health risks would be limited in most cases, except to the subject specifically allergic to the mold in question.

Measurement of mold

Bulk, surface, and within-wall cavity measurements of fungi, although sometimes indicating the presence of fungi, do not provide a measure of exposure.

ABOVE is quite right. EXPOSURE LEVEL is so difficult to measure that it’s virtually not worth the bother.

But for sure I’ve seen exposures lead to serious problems for some clients – usually I’d divide this into two groups:

  1. sudden, new, acute onset is  during very high exposure such as demolition of moldy drywall

  2. chronic exposure to lower levels

this is not addressing specifically mycotoxins – often we don’t know just what effects are at work, and often there are multiple effects and they are thus confounding the research –

  1. respiratory – very common

  2. neurological – apparently or possibly occurring, hard to prove, less common

  3. allergic – skin rashes, lesions, very common

  4. fungal infections and aspergillosis are indeed rare in my experience

Fungi found in these places require a route of exposure through air (aerosolization and entry into the patient’s respirable air) that involves many factors not included in these measurements. Such testing should not be used to assess exposure.

Exposure by skin contact, especially eye contact, can be serious.

Sampling of both indoor and outdoor air for mold spores provides a measure of potential exposures and can be useful in certain clinical conditions, but it has

many shortcomings.

Bulk, surface, and within-wall cavity measurement or molds or mycotoxins, although having potential relevance for other purposes, cannot be used to assess exposure.

Testing for airborne mycotoxins in nonagricultural environments cannot be used to diagnose mold exposure.

But testing for ANY single problem such as Mycotoxins is likely to give false results as we don’t know which of several possible problems are present – looking for one of them and concluding anything about overall problem or risk is unreliable.

American Academy of Environmental Medicine
Molds and Mycotoxins (Toxic Molds) in Human Health

It is commonly recognized that a large body of medical literature and extensive clinical experience indicates that sufficiently high exposures to indoor airborne mold can lead to disease in otherwise healthy individuals.

We agree but suggest reminding people that it can be either due to chronic or due to single but very high exposure

And that it seems to be unpredictable, probably related to a genetic predisposition that is present in some but not all people.  It is a common source of fierce arguments within the families of my clients – often one member is sick and the other members are just fine and they think the sick one is crazy.

Exposure to significant levels of indoor mold can cause acute or chronic dysfunction or injury to all organ systems including the respiratory, neurological, cardiovascular, genitourinary, astrointestinal, musculoskeletal, immune (through both immediate and non-IgE mechanisms) and hematological systems. In addition to the resulting more commonly considered respiratory conditions such as asthma and rhinosinusitis, exposure to mold proteins and mycotoxins has been associated with fatigue, reduced concentration, imbalance, poor memory and hemorrhagic disorders.

Industrial Hygienists as Mold Investigators?

It depends on the individual hygienist's particular expertise. A hygienist who is also familiar with building science, building leak and moisture issues, mycology and mold growth conditions, as well as good test procedures could be well qualified to assess a building for mold risk. Others, not.

At EVERY conference we have attended since 1986 that was run by mycologists, aerobiologists, or forensic microscopists like me, there has been vigorous expression of the view that MOST IH are the least capable to be doing  RESIDENTIAL IAQ work – it is a procedure totally foreign to the traditional INDUSTRIAL hygienists work in which the IH professional goes into an industrial environment, looks for a very specific contaminant known to be present due to the industrial process, uses a cookbook procedure that has been standardized, and develops a number (like PEL) that is set by legislation.

Such folks have no idea how houses work, how air moves, what are valid investigative approaches where the hazards are unknown.

Recent media coverage of indoor moulds has placed the mould issue into the realm of science fiction. As a result, a plethora of self-certified mould experts and certified mould inspectors. have entered the newly recognized market providing wildly inaccurate and entirely unscientific consultations regarding mould, its occurrence, assessment, significance of human exposures, and remediation protocols.

AN INDUSTRIAL HYGIENE CRITICAL REVIEW OF FUNGAL SAMPLING At: The Cascade Village Apartments Durango, Colorado Forensic Applications Consulting Technologies, Inc. Mr. Caoimhín P. Connell, Forensic Industrial Hygienist

AN INDUSTRIAL HYGIENE CRITICAL REVIEW OF FUNGAL SAMPLING At: The Cascade Village Apartments Durango, Colorado Forensic Applications Consulting Technologies, Inc. Mr. Caoimhín P. Connell, Forensic Industrial Hygienist

Many mould inspectors rely on the CSI effect wherein there is a misplaced belief by the American consumer that a laboratory report somehow magically represents unchallenged scientific truth. In fact, laboratory reports have no intrinsic value outside of the context of the expertise of the sample collector and the sample collector’s a priori data quality objectives (DQOs). Most mould inspectors seem to be oblivious to decades of established sampling theory and sampling protocols, in lieu of popular, but invalid, practices

Mold, Housing and Wood
Coreen Robbins, Ph.D., CIH Senior Industrial Hygienist  Veritox, Inc.
Jeff Morrell, Ph.D. Mycologist Oregon State University

A visual inspection is usually the most effective method for distinguishing clean and moldy environments. In the absence of visible mold growth, sometimes the air is sampled to estimate the number of airborne mold spores. [Inaccurate and unreliable when used alone]

Air sampling can be expensive and results are difficult to interpret in terms of what is a “normal” environment and what is the potential for health effects. Air sample results only tell what the airborne levels are at the sampling time, providing only a “snapshot in time” of airborne spores. Results are highly variable, due to the natural variability of the environment and the sampling and analysis methods (Baxter et al., 2005).

In general, normal indoor environments are expected to have mold spore levels similar to or less than outdoors. This is because the outdoor air normally is the dominant source of spores in the indoor air.

The most important limitation of air sampling is that there are no health-based standards for mold exposure levels in indoor air, so there is nothing with which to compare the air sample results; and therefore, no way to determine the potential risk of effects from the amount of airborne mold spores found (Terr, 2004).

ASTM WK3792 – New Guide for Assessment of Fungal Growth in buildings (Under development)

This standard will state “air sampling (even properly conducted air sampling) and bulk sampling is discouraged and is considered by the cognizant community as superfluous and misleading.”

When is Sampling Justified?

Individuals with compromised immune system

St. Joseph’s Hospital

Do you really want that liability?

Doctor has advised testing

Do you really want that liability?

Suspected large concealed colony

Verify that expensive remediation is needed

Thorough Inspection

Prerequisite to any sampling

History

Water leakage

Interview occupants

Develop rationale for sampling

Meet rational standards that will produce meaningful results

(Expensive)

My Client Wants a Mold Test

Why shouldn’t I sell them one?

Credibility

Improper sampling taints the rest of your work

Lowers the perception of the profession

It’s just plain wrong

Liability

How would you defend your sampling results?

What if your client backs out of a sale because of a mold screening and the seller sues you?

What if your mold screening misses a problem that does exist?


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