False Negative Mold Test Results & What They Mean

What causes False Negative or ok toxic mold test results - and why are these a Source of Error in Indoor Mold Tests
What are the sources of variation in the mold level that air tests can detect?
References

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Here we define and explain the causes of False Negative or ok toxic mold test results as Sources of Error in Indoor Mold Tests. This document is a brief tutorial which provides information about the accuracy of and sources of errors in tests for the level of allergenic and toxic mold in residential buildings: Are spore counts valid? Are cultures and swab tests valid? These critical questions are discussed in this paper. Readers should also see MOLD LEVEL IN AIR, VALIDITY, and for a more in-depth critique of popular mold testing methods than this tutorial see MOLD TESTING METHOD VALIDITY

High Risk of False Negative Results in Mold Tests

Mold spore counts are questionable in the first place, given the high variability that we discuss in this article. But "low" or "negative" mold spore counts, especially if not accompanied by a thorough visual inspection and collection of the building's leak history and occupant complaint history, are particularly suspect.

Individual samples of particles in air show tremendous variation from minute to minute, making "ok" airborne mold spore test results a thing to view with skepticism.

Examples of factors which can cause an exponential difference in particle levels in indoor residential air over short time intervals include: mechanical disturbance (walking across a carpet or moving a moldy cardboard box), operation of hot air heating system or central air conditioning system, operation of other building fans, particularly ceiling fans and vacuum cleaners, turning lights on and off, and opening or closing windows and doors. In situations of particular risk, additional or periodic testing should be considered.

Below we list these sources of mold test variation and give photos and mold test examples for specific variation sources.

Our experience is that the variation in the level of small (mold spore sized) indoor airborne particles is so significant that any indoor airborne particle count is likely to be an inaccurate guess at the actual occupant exposure level where indoor problematic molds are present. This means that visual inspection, building history, and occupant complaints or occupant health fragility need far more attention than they receive if the "mold investigator" simply performs a cursory visual inspection or worse yet, simply collects a few air samples in a building.

At Conditions that Cause High Variation in Indoor Airborne Particle Levels this article list some of the chief sources in the short term variation in the level of airborne particle levels. Even if we used a long term sampling method, say 24 hours, or interval sampling over days, these same variations will occur, and worse, without careful study of the actual sources of airborne particle level variation in a specific building, and without a documentation of the typical conditions in the building during the time that it is occupied we cannot describe the occupant exposure level with any accuracy whatsoever.

Risk of false negative mold tests: Experienced mold contamination investigators should have little confidence that a one-time low or "ok" "toxic mold test spore count" is an assurance that problematic particles are not present.

The presence of certain spores or fungal particles, even at low levels in air can indicate or confirm an indoor reservoir and amplifier of mold spores in the building, particularly if a careful microscopic examination of the "low level" sample contents shows evidence of nearby active fungal growth such as Aspergillus sp. or Penicillium sp (or certain other genera/species) spore chains. The presence of extensive off-season pollen can also indicate a pollen reservoir in the building - a potential concern for people with pollen allergies or asthma.

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Technical Reviewers & References

Related Topics, found near the top of this page suggest articles closely related to this one.

Thanks to Susan Flappan, Flappan Consulting, moldetect.com, Overland Park KS, 913-402-1131, for contributing comments and some suggested text from ACGIH Bioaerosols: Assessment and Remediation 12/2006.

Books & Articles on Building & Environmental Inspection, Testing, Diagnosis, & Repair

Our recommended books about building & mechanical systems design, inspection, problem diagnosis, and repair, and about indoor environment and IAQ testing, diagnosis, and cleanup are at the InspectAPedia Bookstore. Also see our Book Reviews - InspectAPedia.

The Home Reference Book - the Encyclopedia of Homes, Carson Dunlop & Associates, Toronto, Ontario, 25th Ed., 2012, is a bound volume of more than 450 illustrated pages that assist home inspectors and home owners in the inspection and detection of problems on buildings. The text is intended as a reference guide to help building owners operate and maintain their home effectively. Field inspection worksheets are included at the back of the volume. Special Offer: For a 10% discount on any number of copies of the Home Reference Book purchased as a single order. Enter INSPECTAHRB in the order payment page "Promo/Redemption" space. InspectAPedia.com editor Daniel Friedman is a contributing author.

Or choose the The Home Reference eBook for PCs, Macs, Kindle, iPad, iPhone, or Android Smart Phones. Special Offer: For a 5% discount on any number of copies of the Home Reference eBook purchased as a single order. Enter INSPECTAEHRB in the order payment page "Promo/Redemption" space.

Building inspection education & report writing systems from Carson, Dunlop & Associates Ltd

Carson Dunlop, Associates, Toronto, have provided us with (and we recommend) Carson Dunlop Weldon & Associates' Technical Reference Guide to manufacturer's model and serial number information for heating and cooling equipment
Special Offer: Carson Dunlop Associates offers InspectAPedia readers in the U.S.A. a 5% discount on any number of copies of the Technical Reference Guide purchased as a single order. Just enter INSPECTATRG in the order payment page "Promo/Redemption" space.
Environmental Health & Investigation Bibliography - our technical library on indoor air quality inspection, testing, laboratory procedures, forensic microscopy, etc.
Adkins and Adkins Dictionary of Roman Religion discusses Robigus, the Roman god of crop protection and the legendary progenitor of wheat rust fungus.
Kansas State University, department of plant pathology, extension plant pathology web page on wheat rust fungus: see http://www.oznet.ksu.edu/path-ext/factSheets/Wheat/Wheat%20Leaf%20Rust.asp
"A Brief Guide to Mold, Moisture, and Your Home", U.S. Environmental Protection Agency US EPA - includes basic advice for building owners, occupants, and mold cleanup operations. See http://www.epa.gov/mold/moldguide.htm
US EPA - Mold Remediation in Schools and Commercial Building [Copy on file at /sickhouse/EPA_Mold_Remediation_in_Schools.pdf ] - US EPA
US EPA - Una Breva Guia a Moho - Hongo [Copy on file as /sickhouse/EPA_Moho_Guia_sp.pdf - en Espanol

Mold Contamination Testing, Cleanup, Prevention: references & products

The Mold Information Center: What to Do About Mold in Buildings, When and How to Inspect for Mold, Clean Up Mold, or Avoid Mold Problems
Aerobiology, Building Science, Microscopy, & Laboratory References, an extensive technical bibliography
Allergens: what they look like in buildings
Associations: Sick House, Sick Building, SBS - Air Quality, Government, Private Associations and Information Resources
Atlas of Clinical Fungi, 2nd Ed., GS deHoog, J Guarro, J Gene, & MJ Figueras, Centraalbureau voor Schimmelcultures, Universitat Rovira I Virgili, 2000, ISBN 90-70351-43-9 (you can buy this book at Amazon) - The Atlas of Clinical Fungi is also available on CD ROM
Atlas of Mold Related Illness: Index of Symptoms and health, physical, neurological, psychological, and other complaint which people suspect may be mold or building-related.
Atlas of Indoor Mold, Online Clinical Mold Atlas, Toxins, Pathogens, Allergens and Other Indoor Particles - Medical Health Effects of Mold (separate online document)
Black Mold that is Harmless Photos of recognizable, usually harmless black mold on wood, bluestain, ceratocystis, ophistoma
Building Floods: quick steps after a building flood or plumbing leak can prevent costly mold contamination
Classes of Mold: what types of cosmetic, allergenic, or toxic mold are a problem? Can mold be cleaned-up successfully?
Clinical Mold References - Detailed bibliography of mold reference texts
"A Brief Guide to Mold, Moisture, and Your Home", U.S. Environmental Protection Agency US EPA - includes basic advice for building owners, occupants, and mold cleanup operations. See http://www.epa.gov/mold/moldguide.htm
"Disease Prevention Program for Certain Vegetable Crops," David B. Langston, Jr., Extension Plant Pathologist - Vegetables, University of Georgia (PDF document) original source: www.reeis.usda.gov/web/crisprojectpages/209797.html
"Disease Prevention in Home Vegetable Gardens," Patricia Donald, Department of Plant Microbiology and Pathology, Lewis Jett
Department of Horticulture, University of Missouri Extension - extension.missouri.edu/publications/DisplayPub.aspx?P=G6202
"Management of Powdery Mildew, Leveillula taurica, in Greenhouse Peppers," Ministry of Agriculture and Lands, British Columbia - Original source: www.agf.gov.bc.ca/cropprot/peppermildew.htm
Environmental Health & Investigation Bibliography - our own technical library on indoor air quality inspection, testing, laboratory procedures, forensic microscopy, etc.
Fiberglass: Mold in Fiberglass Insulation© 2005 comments about a field study in process, & more about health hazards from fiberglass insulation - DJF
Fifth Kingdom, Bryce Kendrick, ISBN13: 9781585100224, is available from the InspectAPedia online bookstore - we recommend the CD-ROM version of this book. This 3rd/edition is a compact but comprehensive encyclopedia of all things mycological. Every aspect of the fungi, from aflatoxin to zppspores, with an accessible blend of verve and wit. The 24 chapters are filled with up-to-date information of classification, yeast, lichens, spore dispersal, allergies, ecology, genetics, plant pathology, predatory fungi, biological control, mutualistic symbioses with animals and plants, fungi as food, food spoilage and mycotoxins.
Fungi, Identifying Filamentous, A Clinical Laboratory Handbook, Guy St-Germain, Richard Summerbell, Star Publishing, 1996, ISBN 0-89863-177-7 (English) (buy at Amazon)
Looking for Mold Procedure: what mold is often found where in buildings - simple technical presentation
Meruliporia: the house eating fungus or "poria"
Mold Action Guide: Step-by-Step Instructions, What to do about mold, mildew, and other indoor allergens
MOLD APPEARANCE - WHAT MOLD LOOKS LIKE Photos of what mold looks like in buildings
MOLD APPEARANCE - STUFF THAT IS NOT MOLD Photos of NOT-mold material that is sometimes mistaken for mold
MOLD ATLAS & PARTICLES INDEX, Pathogens, Allergens and Other Indoor Particles - Medical Health Effects of Mold (separate online document)
MOLD BY MICROSCOPE Mold under the microscope - photo identification of the most common indoor molds found in buildings
Mold FAQs Answers to Most Questions about Indoor Mold, Mold Related Illness, Mold Cleanup, Mold Prevention
US EPA: Mold Remediation in Schools and Commercial Building [Copy on file at /sickhouse/EPA_Mold_Remediation_in_Schools.pdf ] - US EPA
Mold spores in the Home - a Photo ID Library for detection and identification of mold allergens
Mold Test Kits - How to Collect and Send Your Own Mold Sample to our mold testing lab or to any mold lab you wish
Most Common Indoor Molds Found in Buildings, A Table of
Mycology, Fundamentals of Diagnostic, Fran Fisher, Norma B. Cook, W.B. Saunders Co. 1998, ISBN 0-7216-5006-6 (buy this book at Amazon)
Ozone Warnings - Use of Ozone as a "mold" remedy is ineffective and may be dangerous.
Rot concerns in buildings-some building mold such as Meruliporia incrassata "Poria" risks serious rot and hidden structural damage
US EPA: Una Breva Guia a Moho - Hongo [Copy on file as /sickhouse/EPA_Moho_Guia_sp.pdf - en Espanol

OTHER IAQ ISSUES: How To Find and Address Other Indoor Air or Indoor Environment Contaminants Besides Mold

Mold or allergens may not be the only or even the main indoor environmental contaminant. Don't let media attention to mold cause so much enviro-scare fear that other, possibly more urgent hazards go un-addressed.

Fiberglass building insulation and HVAC duct work insulation hazards
Sewage and Septic backup contamination in buildings: inspection, testing, remediation, & references to expert sources
Other environmental risks: Asbestos, carbon monoxide, electromagnetic fields, environmental illness, fiberglass, MCS - multiple chemical sensitivity, toxic gases, etc
Indoor Gas Sampling Plan for Residential Buildings lists a number of toxic indoor gases which we test for, depending on the building complaint and building conditions
Ozone Warnings - Use of Ozone as a "mold" remedy is ineffective and may be dangerous.
Pet control - if you can't say goodbye to your bird, cat, dog, guinea pig, hamster, tropical fish, then limit the areas they occupy and limit the airflow from that area to sleeping or other areas of the building, use allergenic bedding, eliminate wall-to-wall carpeting, improve housecleaning including use of a HEPA-rated vacuum cleaner. For more details see our article Dog, Cat, and Other Animal Dander - Information for Asthmatics and Indoor Air Quality
Rodents, Mice, Squirrel Control - I find high levels of mouse and rodent dander, fecal dust, and urine-contaminated dust in some buildings, and high levels of these materials in building insulation in those locations. If you have a mouse problem, particularly if mice and their waste (fecals or urine) are contaminating the building HVAC or building insulation, may need both steps to clean up or remove infected materials and steps to stop an ongoing rodent problem. If squirrels are a problem, the cleanup needs to include closing off entry openings into the building. Get some help from a licensed pest control expert.
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