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Mold
And Health
There seems to be a great deal of evidence that
high levels of molds, its spores and the toxins they produce do indeed
affect people’s health. Several other local remediators as well
as myself, have exhibited mild respiratory symptoms including sore
throat and cough after briefly examining well ventilated contaminated
areas without respiratory protection on.
Potential health effects and symptoms associated with
mold exposures include allergic reactions, asthma, and other respiratory
complaints.
Technically molds
aren’t “toxic,” they are toxigenic, which means that under certain
circumstances, they produce toxins. A lot has to do with the sensitivity
on the part of the person exposed as well. Children under two
years of age, pregnant women, adults over 60, asthmatics and others with
respiratory problems can be much more sensitive and easily harmed by
overexposure to mold.
The terms “black” and “toxic” mold are
overused and often misunderstood by the public. One toxic black mold,
Stachybotrys chartarum, formerly known as Stachybotrys atra, is at the
root of many mold lawsuits.
Stachybotrys is a greenish-black mold that thrives
on water and construction materials, such as wallboard, gypsum board,
and cellulose ceiling panels.
Scientists became aware of the dangers of
ingesting black mold more than 60 years ago after livestock ate large
amounts of contaminated feed and suffered from internal bleeding as a result, according to a report from Harvard Public
Health Now.
It is also a deadly neurotoxin that has been
linked by medical researchers to a host of illnesses including bleeding
lungs, chronic fatigue syndrome, asthma, chronic respiratory ailments.
It also produces toxins that cause severe memory loss, disorientation
and behavioral changes.
Mold & medical symptoms
A wide variety of symptoms have been attributed to the toxic effects of
different molds. The medical problems may be caused by toxic gases
produced by the molds or by reactions to the mold particles themselves.
Many allergies are also attributable to mold and fungi.
Commonly reported symptoms include runny noses,
eye irritation, congestion, aggravation of asthma, headaches, dizziness
and fatigue. More severe symptoms may include reports of profusely
bloody runny noses, the coughing up of blood, severe headaches, fibrous
growth in the lungs and - at least in one reported instance - cognitive
dysfunction and loss of memory.
In the previously described water damage and
mold claim in Texas, a mold expert in the case underestimated the danger
involved. The expert found himself throwing up for hours after spending
just 30 minutes in the house. He has a severe hearing loss in one ear
from his exposure to the mold.
In 1993 and 1994, a doctor from the Cleveland
area attributed 37 cases of pulmonary hemorrhage and hemosiderosis in
young infants to Stachybotrys. Twelve of the infants died. A
recent CDC report questions the scientific validity of the doctor's
conclusions and the causal linkage of the infant deaths to the toxic
effects of Stachybotrys. However, the CDC does recognize that
moldy homes are unhealthy for human occupancy. Other reports claim to
confirm the linkage of Stachybotrys to instances of infant deaths
in other locations.
Some of the most extreme cases of mold-related
health problems, the so-called "yellow rain" attacks in
Southeast Asia during the late 1970s, and the Iraqi attacks on some Kurd
villages in the 1980s and 1990s have been attributed to use of
mycotoxins produced by molds.
The conclusion to be reached from all of these
dramatic cases is that molds are potentially dangerous and cannot be
ignored. All molds should be removed. If the mold is attributable to a
covered loss, it is the responsibility of the adjuster to include
removal of the mold as part of the loss.
But, the term “black” mold is misleading
because there are hundreds of species of molds which appear black, but
not all are a problem.
Further, most substrates on which mold grows,
eventually turn black as decomposition occurs.
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ECONOMIC
IMPACT OF HEALTH CLAIMS |
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In February 2000, a Texas grand jury found
reason to continue a criminal investigation of child endangerment
charges against an insurance company for its handling of a water
damage claim. This investigation was prompted by a criminal
complaint filed by the policyholder and follows the filing of a
$100 million lawsuit in 1999 against the same insurance company
for its handling of the claim. The policyholders say that the
insurance company did not act properly or in a timely manner
following the water damage claim. The allegation is that the house
is now uninhabitable.
The family claims that, following the
water damage, and while they were still living in the house during
repairs, they were coughing up blood. The husband, the family
claims, is now suffering from a cognitive dysfunction, among other
injuries.
The problem? Mold. Stachybotrys
chartarum to be specific. The mold developed following a water
damage loss in 1998. The policyholders allege that neither the
insurance company nor the company's expert informed the family
that the home contained the deadly mold until their health was
irreversibly damaged.
Is the Texas case merely an extreme
example? Or is it a harbinger of things to come?
Many lawsuits have been filed and are
being filed around the country involving the improper handling of
covered water damage losses that have resulted in mold growth so
extensive and severe as to present potentially serious - and in
too many cases, actual - health hazards, not only to the occupants
of the building involved but possibly to anyone who unwittingly
enters the structure. Furthermore, mold growth can cause damage to
building materials, such as paper and wood products. Mold
contamination and growth may also pose a disclosure issue during a
real estate transaction.
The consensus of opinion from the EPA,
FEMA, the Centers for Disease Control (CDC), mycologists and
microbiologists is that mold may start to grow and spread within
24 to 48 hours in structures damaged by water. Mold can grow
exponentially, given the right conditions of temperature, moisture
and food sources, such as sheetrock.
Know your enemy
Fungi are a group of organisms with nuclei and rigid cell walls,
but without chlorophyll. They may be unicellular or in
multicellular filaments. The filaments are called hyphae. A fungus
may produce a system of branching filaments, called the mycelium.
The filamentous fungi are sometimes called molds. Unicellular
fungi are often called yeasts. Some fungi may produce both yeast
and mycelial mold phases. Mildew, in layperson's terms, describes
the staining, and likely the degradation of the materials, caused
by fungi or molds. Mildew is also used by plant pathologists to
identify plant diseases, such as "powdery mildew,"
caused by fungi.
Mold, mildew and fungi are hardly new
problems. In the book of Leviticus, chapters 13 and 14, there is
reference to a plague, also called mildew in some translations.
The description seems to fit that of a toxic mold. In Leviticus,
the solution was to try cleaning: "Watch the plague and if
the plague spreads, the unclean item or property must be removed
and destroyed."
Stachybotrys chartarum was first identified and described
by a scientist from wallpaper collected in a home in Prague in
1837. The toxic effects of Stachybotrys have been reported
as early as the 1920s.
A 1986 report, by W.A. Croft, said that Stachybotrys
could be commonly found in homes with water damage, could grow
undetected behind walls and could grow profusely on sheetrock.I
A professional restoration consultant
should be contacted when more than a small area of mold
contamination is involved. Even a mid-sized isolated area - say,
10 to 30 square feet - requires special handling. Areas of 30 to
100 square feet require professionals, preferably certified in
mold remediation and trained in handling hazardous materials.
Areas of more than 100 square feet require special containment
procedures and negative pressurization. Such areas may require
asbestos-like remediation procedures; the removed material must be
treated as hazardous waste.
During and after removal or remediation of
the mold, it may be necessary to conduct sampling to determine if
remediation has been successful.
The future of mold claims
Insurance companies have tried to distance themselves from mold
coverage and the heavy losses it has caused for them.
One of the reasons may be the high cost of
mold remediation, which should be done only by trained and
experienced professionals. Some studies have shown that proper
remediation and removal of contaminated building materials is
about 10 times as expensive as regular tear-out and replacement.
In some cases the remediation cost is more than $150 per square
foot.
Insurance companies and adjusters should,
however, be taking note of the dangers of mold contamination . The
insurance industry is being faced with numerous losses and
lawsuits, some of them far more expensive than any remediation
cost. In the last seven years in California, there have been a
number of lawsuits involving mold following water damage. Many
have settlement figures of more than $500,000. In one suit, the
policyholder recovered more than $2.5 million. In another, the
policyholder recovered over $9 million.
The case in Texas was filed demanding $100
million. Hardly a figure to sneeze at.
The examples cited above do not even touch
on the liability, construction defect and "sick building
syndrome" cases. In 1992, for example, a courthouse in
Florida developed mold problems due to construction defects. A
jury recently awarded more than $40 million in personal injury
claims. There were over 200 workers' compensation claims and at
least 180 separate lawsuits. In New York City, more than 300
tenants in an apartment complex with mold problems have filed a
class action lawsuit in excess of $10 billion.
Previously, such lofty figures were seen
only in asbestos or drug-related class actions. Now, we are
starting to hear 11-digit figures mentioned in litigation
concerning the lowly mold fungi.
While mold does not develop in every water
damage loss, the adjuster must be aware of the potential for mold
and its inherent costs. The adjuster must look for mold when the
circumstances warrant and must call in appropriately qualified
experts for guidance as needed. Mold remediation may be expensive,
but failure to remediate a covered damage may be even more
expensive, in terms of health as well as dollars.
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Remediators receive hands on training and continuing education updates
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Prevention
and remediation
The only way to prevent mold growth is to control
moisture. If a moisture problem develops, rapid response is critical,
generally within 24-48 hours. Onsite inspection is
usually the first step.
Some moisture sources
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Rain water intrusion
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Chronic plumbing problems
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Major plumbing leaks, when not properly dried
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Over watered house plants
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Excessive indoor humidity
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Condensation on air conditioner registers
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Ground moisture
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Wet building materials
Removal
If mold is discovered, immediate removal is
necessary. You must be able to get rid of it without spreading it.
There are molds that can grow on wood, paper,
carpet, and foods. When excessive moisture or water accumulates indoors,
mold growth will often occur or reoccur, particularly if the moisture
problem remains undiscovered or un-addressed. There is no practical way
to eliminate all mold and mold spores in the indoor environment;
the way to control indoor mold growth is to control moisture.
For significant mold growth, professional remediation
is recommended. However, cleaning and maintenance professionals may be
able to remove small areas of mold. The Minnesota Department of Health
recommended the following procedures for mold removal:
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Locate moisture source and correct the problem
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Remove mold by cleaning disposing— porous
materials should be removed, bagged and discarded. Non-porous
material can be cleaned with non-ammonia detergent and scrubbed
using a quarter to a half cup of bleach per gallon of water.
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Personal protection — Goggles, rubber gloves,
respiratory protection (N-95 or TC-21C dust mask), washable or
disposable clothing, ventilate area when using bleach
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Dry thoroughly
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Establish containment around the work area for
large or heavily contaminated areas to minimize the spread of
spores.
Immediate response required
While all claims should be responded to and handled promptly,
timeliness on covered water damage claims is especially critical.
A prompt response and an immediate commencement of cleanup and
drying is essential in reducing or eliminating further damage,
particularly by mold. The sooner the water is removed and the
property properly dried out, the less property damage there will
be and any related claim will also be correspondingly minimized.
Water damage that is not addressed within 24 to 72 hours may
result in the growth and spreading of mold which could be
toxic.
A visual inspection is the most important
step in identifying possible mold contamination. The inspection
should include any areas damaged by water, e.g., behind cabinets,
in attics, under carpets, inside wall cavities and any area with
porous material or soft goods exposed to high humidity (over 60
per cent) or water for a period in excess of 72 hours.
The general rule of thumb is very simple:
If you can see mold or smell mold, you have to remove it. Once you
find and start removing the mold-damaged or contaminated
materials, such as sheetrock, you should keep on removing the
material until you find no more mold, either on the face of the
sheetrock or on the back side of the sheetrock next to the studs.
If the studs have mold contamination, you must consider the edge
of the stud on which the other or exterior wall is attached.
Since the N.Y.C. Department of Health's
panel of experts concluded that it was not possible to determine
safe or unsafe levels of exposure for people with varying degrees
of susceptibility, the guidelines essentially call for the removal
of all visible mold.
The New York City guidelines state that in
looking for mold following water damage, bulk sampling or air
monitoring is not required. Remediation of all visibly identified
mold contamination should proceed without further evaluation.
However, if mold is not visible but is suspected because of
circumstances such as water damage and unexplained illness, it may
become necessary to test in order to rule out mold or to verify
its presence. Porous materials, such as ceiling tiles, insulation
and wallboards, with more than a small area of mold contamination
should be removed and discarded. A small isolated area is defined
as 10 square feet or less. A small area may be cleaned safely if
done properly, without problems, and a check reveals no more mold.
Removal of the mold-contaminated material
is only the first step. A certified mold remediation specialist
should then remediate or decontaminate the structure and personal
property involved.
Depending on such variables as the length
of time from the initial water damage, the amount of water in the
structure, the cleanliness of the water and the type of property
involved, it may be necessary to remove carpets, pads and any
other wet items (especially clothing and other soft goods) from
the premises for proper drying, cleaning and treatment. Damp or
wet carpets, pads or other items may provide a medium for
potentially dangerous mold growth.
Flooding of property, pipe breaks in
ceilings or walls, or standing water necessitates removing
sheetrock that has been water-damaged, up to at least a foot or
more above the high-water mark. Removal of at least some sheetrock
may also be necessary to allow the wall cavities to drain and dry
properly. Wet insulation, in the ceiling or walls, must be removed
and replaced. Wet or damp insulation, especially in dark places
like wall cavities is a breeding ground for mold. The insulation
value is also reduced.
Prompt response and appropriate action is
necessary to minimize damage in a water loss. A quick response
will also allow the adjuster to determine if the mold is
pre-existing or a result of the water damage. If the adjuster can
inspect the loss within 24 or 48 hours of the initial damage, it
is likely that any visible or detected mold may be the result of a
pre-existing water problem, possibly a long-term leak. However, if
the loss is not inspected or properly dried within 72 to 96 hours,
it may be more difficult to determine if the mold was a
pre-existing problem or a result of the covered loss, and thus
also covered. The longer the delay in inspecting the loss, the
more difficult it becomes to prove the mold was caused by
the covered loss.
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