title: Home Assessment and Remediation.
abstract: Awareness of the relationship of fungi to asthma in indoor air is very old and well documented. There is substantial evidence that mold and dampness exacerbate asthma in sensitized individuals. Many governmental and nongovernmental organizations around the world have issued guidelines to the effect that the elimination of moisture intrusion and the removal of moldy items from living space can improve respiratory health. The process of home assessment for moisture and mold presence is discussed along with factors that can be used to guide fungal exposure reduction efforts. An approach to the assessment process itself is outlined, and common causes of moisture and mold damage are described. Points that should be included in a report resulting from a home assessment and rudimentary elements of report interpretation are discussed. Emphasis is that interpretation of sampling for moisture and fungal presence should be provided by the person performing the assessment. We conclude that multifaceted remediation contributes to fungal allergen avoidance. The use of an indoor environmental professional to generate evaluation reports and remediation activities can be a valuable contribution to an overall allergen avoidance strategy.
authors.affiliation: Division of Allergy/Immunology, Children's Mercy Hospital, Kansas City, Mo. Electronic address: cbarnes@cmh.edu.
authors.forename: Charles S
authors.initials: CS
authors.lastname: Barnes
authors.affiliation: UL Environment, Marietta, Ga.
authors.forename: W Elliott
authors.initials: WE
authors.lastname: Horner
authors.affiliation: Division of Allergy/Immunology, Children's Mercy Hospital, Kansas City, Mo.
authors.forename: Kevin
authors.initials: K
authors.lastname: Kennedy
authors.affiliation: Healthy Habitats LLC, Denver, Colo.
authors.forename: Carl
authors.initials: C
authors.lastname: Grimes
authors.affiliation: Carleton University, Ottawa, Ontario, Canada.
authors.forename: J David
authors.initials: JD
authors.lastname: Miller
mesh_terms: D016902:Air Pollution, Indoor / Q000032:analysis*; D004781:Environmental Exposure / Q000032:analysis*; D052918:Environmental Restoration and Remediation; D005658:Fungi; D006798:Housing; D006801:Humans
keywords: Building dampness; Fungal allergens; Moisture damage; Mold growth; Non-IgE mediated respiratory inflammation