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Collection and Extraction of Occupational Air Samples for Analysis of Fungal DNA
Published on: May 2, 2018
Are indoor molds causing a new disease?
1Terr Medical Corporation, San Francisco, CA, USA.
Abstract:
Three mechanisms for disease caused by mold-infection, allergy, and toxicity-are established and well recognized by clinicians. In each case the corresponding diseases are specific to a particular fungus. The mechanisms involved include a recognized inflammatory pathology that leads to objective clinical evidence of disease. Recent widespread litigation has arisen out of an unproved assertion that exposure to indoor molds causes an ill-defined illness. This illness is characterized by the absence of objective evidence of disease and by the lack of a defined pathology. There is usually no specificity for the involved fungus purported to cause the illness. Those publications that claim such an illness are reviewed. They are found to lack scientific validity, often on the basis of faulty methodology and insufficient information. There is no coherent clinical description for the presumed illness. Recommendations are offered for published reports and studies to address this problem.
Insights
Mold exposure can cause illness through infection, allergy, or toxicity, with specific fungi linked to distinct diseases. Current claims of a widespread, ill-defined illness from indoor mold lack scientific validity and objective evidence.
Area of Science:
- Environmental Health
- Mycology
- Clinical Medicine
Background:
- Established mechanisms of mold-related diseases include infection, allergy, and toxicity, each linked to specific fungi and characterized by clear inflammatory pathology and objective clinical evidence.
- Widespread litigation has emerged concerning unproven claims that indoor mold exposure causes a poorly defined illness.
- This alleged illness lacks objective disease evidence, defined pathology, and fungal specificity.
Purpose of the Study:
- To review and assess the scientific validity of publications claiming a link between indoor mold exposure and a specific, ill-defined illness.
- To highlight the lack of scientific rigor, coherent clinical descriptions, and objective evidence in studies supporting this claim.
Main Methods:
- Systematic review of publications asserting that indoor mold exposure causes a distinct, undefined illness.
- Critical analysis of the methodology, data, and conclusions presented in the reviewed literature.
Main Results:
- Reviewed publications claiming an undefined illness from indoor mold exposure were found to lack scientific validity.
- Methodological flaws, insufficient data, and absence of objective evidence characterize the studies reviewed.
- There is no coherent clinical description or defined pathology for the purported mold-induced illness.
Conclusions:
- The assertion that indoor mold exposure causes a specific, ill-defined illness is not supported by scientific evidence.
- Existing literature on this topic often relies on faulty methodology and lacks objective clinical findings.
- Recommendations are provided for improving the quality and validity of future research and published reports on mold and health.
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