Health effects of damp and mould Jenny Griffiths Health effects of damp and mould • Dampness and mould do have serious potential health impacts … • But not inevitably so – many people escape unscathed • Though always the impact on well-being from discomfort, visual mess • Cold and damp can go together – fuel poverty (when people spend more than 10% of income on heating) 1 Main source – review of evidence • World Health Organisation Europe 2009 • Guidelines for Indoor Air Quality, Dampness and Mould • Supported by UK Department of Health • Comprehensive review of the scientific evidence • Multi-disciplinary group of experts from across Europe Dampness = excess moisture • European studies suggest that about 20% of buildings have some sign of dampness – Water leakage or damage, discoloration – Visible mould growth on walls, floors or ceilings • Some UK studies report up to 50% of houses showing some signs of damp and 25% having mould • Highest in deprived neighbourhoods • Also office buildings, schools etc. • Climate change is increasing the problem because of more extreme weather events, e.g. flooding 2 HOW does dampness cause health damage? • Leads to growth of microbes, such as mould, fungi and bacteria • Emit spores, cells, fragments and volatile organic compounds into the air • Dust mites and fungi especially – flourish in damp and are associated with allergies and asthma • Dampness also initiates chemical or biological degradation of materials, e.g. furnishings, causing indoor air pollution Who is at risk? • People sensitive to allergens are particularly susceptible – but can affect others too • Some people more sensitive – – – – – Babies and children Elderly people Those with allergic skin problems, e.g. eczema Those with respiratory problems, e.g. asthma, COPD Those with a weakened immune system 3 Key health impacts from studies • In houses with visible dampness, mould or mould odour, for both adults and children: – – – – 52% increase in upper respiratory tract symptoms generally 50% increase in cough; 44% increase in wheeze 50% increase in symptoms of current asthma 30% increase in those who develop new asthma, especially children who may be genetically susceptible to asthma development – USA study suggested 20% of cases of asthma there could be attributed to residential dampness and mould Other health effects of mould etc. • Fungal infections – in open wounds, and feet, skin, hair and nails • Some (but less) evidence that exposure increases the risks of rare conditions – – – – Hypersensitivity pneumonitis Allergic alveolitis Chronic rhinosinusitis Allergic fundal sinusitis • Can also affect the immune system 4 Summary • • • • Damp and mould do have serious health impacts In 20 – 50% of houses, also some schools, offices People have allergic reactions to spores, bacteria etc. Main impacts are a worsening of respiratory problems, including asthma, affecting up to 50% of those living in damp and mouldy conditions • Especially in vulnerable groups, including children • May directly cause asthma • Also skin allergies and fungal infections 5
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