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Published on: June 27, 2014
Mold hysteria: origin of the hoax
Christopher Chang1, M Eric Gershwin
1Division of Rheumatology, Allergy and Clinical Immunology, University of California at Davis School of Medicine, 451 E. Health Sciences Drive, Suite 6510, Davis, CA 95616, USA.
Abstract:
The topic of building related illness came into the public's eye as a major health issue in the mid 1970s, when several cases of pneumonia were found to be associated with an infectious agent in Philadelphia. This agent was subsequently found to be a gram-positive bacterium known as Legionella pneumoniae. During the ensuing 30 years, a myriad of symptom constellations, disorders, clinical syndromes and illnesses have been attributed to indoor living or working environments. Over time, there appeared to be no limit to claims of building related illness, and it was "reported" that almost any kind of clinical symptom, real or imaginary, could be blamed on indoor environments. As society became more and more litigious, many of these disorders were erroneously played out in courtrooms rather than medical offices, creating a circus atmosphere surrounding this class of disorders. With the advent of the internet, as well as other advances in telecommunications, these issues eventually became part of a media frenzy, and all truths could be thrown out the window as issues became more and more decided upon by emotions and unfounded beliefs, rather than scientific data and logical thinking.
Insights
Building-related illnesses, like Legionnaires' disease, emerged in the 1970s. Over time, unsubstantiated claims about indoor environments caused a media frenzy, overshadowing scientific evidence.
Area of Science:
- Environmental Health
- Occupational Medicine
- Public Health
Background:
- Building-related illness (BRI) gained public attention in the 1970s following outbreaks of Legionnaires' disease in Philadelphia.
- Legionella pneumoniae, a gram-positive bacterium, was identified as the causative agent of this infectious pneumonia.
Observation:
- Over three decades, numerous symptoms and syndromes were attributed to indoor environments.
- Claims of BRI expanded broadly, with almost any symptom being linked to indoor air quality.
- Litigation and media attention amplified concerns, often prioritizing emotional responses over scientific data.
Findings:
- The initial identification of Legionella provided a concrete example of BRI.
- The subsequent expansion of BRI claims became increasingly diffuse and less evidence-based.
- The discourse surrounding BRI became highly emotional and influenced by media and litigation.
Implications:
- Distinguishing scientifically validated building-related health issues from unsubstantiated claims is crucial.
- Promoting evidence-based approaches is essential for managing indoor environmental health concerns.
- Clear communication and scientific rigor are needed to counter misinformation in public health discussions.
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