Skip to main content
Occupational and Environmental Medicine logoLink to Occupational and Environmental Medicine
. 1998 Sep;55(9):579–584. doi: 10.1136/oem.55.9.579

Correlation between the prevalence of certain fungi and sick building syndrome

J D Cooley, W C Wong, C A Jumper, D C Straus
PMCID: PMC1757636  PMID: 9861178

Abstract

OBJECTIVE: To examine the role of fungi in the production of sick building syndrome. METHODS: A 22 month study in the United States of 48 schools (in which there had been concerns about health and indoor air quality (IAQ). Building indoor air and surface samples, as well as outdoor air samples were taken at all sites to look for the presence of fungi or their viable propagules. RESULTS: Five fungal genera were consistently found in the outdoor air and comprised over 95% of the outdoor fungi. These genera were Cladosporium (81.5%), Penicillium (5.2%), Chrysosporium (4.9%), Alternaria (2.8%), and Aspergillus (1.1%). At 20 schools, there were significantly more colony forming units per cubic metre (CFU/m3) (p < 0.0001) of propagules of Penicillium species in the air samples from complaint areas when compared with the outdoor air samples and the indoor air samples from noncomplaint areas. At five schools, there were more, although not significant (p = 0.10), Penicillium propagules in the air samples from complaint areas when compared with the outdoor air samples and the indoor air samples from noncomplaint areas. In 11 schools, the indoor air (complaint areas) fungal ratios were similar to that in the outdoor air. In these 11 schools Stachybotrys atra was isolated from swab samples of visible growth under wetted carpets, on wetted walls, or behind vinyl wall coverings. In the remaining 11 schools, the fungal ratios and CFU/m3 of air were not significantly different in different areas. Many of the schools took remedial action that resulted in an indoor air fungal profile that was similar to that outdoors. CONCLUSIONS: Propagules of Penicillium and Stachybotrys species may be associated with sick building syndrome.

 

Full Text

The Full Text of this article is available as a PDF (126.2 KB).

Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Ahearn D. G., Simmons R. B., Switzer K. F., Ajello L., Pierson D. L. Colonization by Cladosporium spp. of painted metal surfaces associated with heating and air conditioning systems. J Ind Microbiol. 1991 Nov;8(4):277–280. doi: 10.1007/BF01576067. [DOI] [PubMed] [Google Scholar]
  2. Bernstein R. S., Sorenson W. G., Garabrant D., Reaux C., Treitman R. D. Exposures to respirable, airborne Penicillium from a contaminated ventilation system: clinical, environmental and epidemiological aspects. Am Ind Hyg Assoc J. 1983 Mar;44(3):161–169. doi: 10.1080/15298668391404581. [DOI] [PubMed] [Google Scholar]
  3. Burge H. Bioaerosols: prevalence and health effects in the indoor environment. J Allergy Clin Immunol. 1990 Nov;86(5):687–701. doi: 10.1016/s0091-6749(05)80170-8. [DOI] [PubMed] [Google Scholar]
  4. Burrell R. Microbiological agents as health risks in indoor air. Environ Health Perspect. 1991 Nov;95:29–34. doi: 10.1289/ehp.919529. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Dales R. E., Burnett R., Zwanenburg H. Adverse health effects among adults exposed to home dampness and molds. Am Rev Respir Dis. 1991 Mar;143(3):505–509. doi: 10.1164/ajrccm/143.3.505. [DOI] [PubMed] [Google Scholar]
  6. Finnegan M. J., Pickering C. A., Burge P. S. The sick building syndrome: prevalence studies. Br Med J (Clin Res Ed) 1984 Dec 8;289(6458):1573–1575. doi: 10.1136/bmj.289.6458.1573. [DOI] [PMC free article] [PubMed] [Google Scholar]
  7. Gravesen S. Fungi as a cause of allergic disease. Allergy. 1979 Jun;34(3):135–154. doi: 10.1111/j.1398-9995.1979.tb01562.x. [DOI] [PubMed] [Google Scholar]
  8. Hodgson M. Field studies on the sick building syndrome. Ann N Y Acad Sci. 1992 Apr 30;641:21–36. doi: 10.1111/j.1749-6632.1992.tb16529.x. [DOI] [PubMed] [Google Scholar]
  9. Huuskonen M. S., Husman K., Järvisalo J., Korhonen O., Kotimaa M., Kuusela T., Nordman H., Zitting A., Mäntyjärvi R. Extrinsic allergic alveolitis in the tobacco industry. Br J Ind Med. 1984 Feb;41(1):77–83. doi: 10.1136/oem.41.1.77. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Johanning E., Biagini R., Hull D., Morey P., Jarvis B., Landsbergis P. Health and immunology study following exposure to toxigenic fungi (Stachybotrys chartarum) in a water-damaged office environment. Int Arch Occup Environ Health. 1996;68(4):207–218. doi: 10.1007/BF00381430. [DOI] [PubMed] [Google Scholar]
  11. Lehrer S. B., Aukrust L., Salvaggio J. E. Respiratory allergy induced by fungi. Clin Chest Med. 1983 Jan;4(1):23–41. [PubMed] [Google Scholar]
  12. Licorish K., Novey H. S., Kozak P., Fairshter R. D., Wilson A. F. Role of Alternaria and Penicillium spores in the pathogenesis of asthma. J Allergy Clin Immunol. 1985 Dec;76(6):819–825. doi: 10.1016/0091-6749(85)90755-9. [DOI] [PubMed] [Google Scholar]
  13. Mishra S. K., Ajello L., Ahearn D. G., Burge H. A., Kurup V. P., Pierson D. L., Price D. L., Samson R. A., Sandhu R. S., Shelton B. Environmental mycology and its importance to public health. J Med Vet Mycol. 1992;30 (Suppl 1):287–305. doi: 10.1080/02681219280000981. [DOI] [PubMed] [Google Scholar]
  14. Roby R. R., Sneller M. R. Incidence of fungal spores at the homes of allergic patients in an agricultural community. II. Correlations of skin tests with mold frequency. Ann Allergy. 1979 Nov;43(5):286–288. [PubMed] [Google Scholar]
  15. Salvaggio J., Aukrust L. Postgraduate course presentations. Mold-induced asthma. J Allergy Clin Immunol. 1981 Nov;68(5):327–346. doi: 10.1016/0091-6749(81)90131-7. [DOI] [PubMed] [Google Scholar]
  16. Samet J. M. A historical and epidemiologic perspective on respiratory symptoms questionnaires. Am J Epidemiol. 1978 Dec;108(6):435–446. doi: 10.1093/oxfordjournals.aje.a112642. [DOI] [PubMed] [Google Scholar]
  17. Solomon W. R. Assessing fungus prevalence in domestic interiors. J Allergy Clin Immunol. 1975 Sep;56(3):235–242. doi: 10.1016/0091-6749(75)90095-0. [DOI] [PubMed] [Google Scholar]
  18. Solomon W. R. Fungus aerosols arising from cold-mist vaporizers. J Allergy Clin Immunol. 1974 Oct;54(4):222–228. doi: 10.1016/0091-6749(74)90064-5. [DOI] [PubMed] [Google Scholar]
  19. Spengler J. D., Sexton K. Indoor air pollution: a public health perspective. Science. 1983 Jul 1;221(4605):9–17. doi: 10.1126/science.6857273. [DOI] [PubMed] [Google Scholar]

Articles from Occupational and Environmental Medicine are provided here courtesy of BMJ Publishing Group

RESOURCES