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Published on: May 2, 2018
Epidemics of mold poisoning past and present
1Division of Toxicology, Department of Emergency Medicine, Brody School of Medicine, East Carolina University, Greenville, NC 27858, USA. meggsw@ecu.edu
Abstract:
Molds are ubiquitous throughout the biosphere of planet earth and cause infectious, allergic, and toxic diseases. Toxic diseases arise from exposure to mycotoxins produced by molds. Throughout history, there have been a number of toxic epidemics associated with exposure to mycotoxins. Acute epidemics of ergotism are caused by consumption of grain infested by fungi of the genus Claviceps, which produce the bioactive amine ergotamine that mimics the neurotransmitters norepinephrine, serotonin, and dopamine. Acute aflatoxin outbreaks have occurred from ingestion of corn stored in damp conditions that potentiate growth of the molds of the species Aspergillus. Contemporary construction methods that use cellulose substrates such as fiber board and indoor moisture have caused an outbreak of contaminated buildings with Stachybotrys chartarum, with the extent of health effects still a subject of debate and ongoing research. This article reviews several of the more prominent epidemics and discusses the nature of the toxins. Two diseases that were leading causes of childhood mortality in England in the 1970s and vanished with changing dietary habits, putrid malignant fever, and slow nervous fever were most likely toxic mold epidemics.
Insights
Toxic mold exposure can cause serious health issues, including historical epidemics like ergotism and aflatoxin outbreaks. Modern buildings may also harbor toxic molds, potentially causing widespread health effects.
Area of Science:
- Environmental Science
- Mycology
- Toxicology
Background:
- Molds are widespread and cause infectious, allergic, and toxic diseases.
- Mycotoxins produced by molds are responsible for toxic diseases and historical epidemics.
- Contemporary construction and indoor moisture contribute to mold contamination in buildings.
Purpose of the Study:
- To review prominent historical mycotoxin-associated epidemics.
- To discuss the nature of mycotoxins and their effects.
- To explore the potential link between toxic mold exposure and historical diseases.
Main Methods:
- Literature review of historical epidemics and mycotoxin-related illnesses.
- Analysis of the mechanisms of action of mycotoxins.
- Examination of case studies including ergotism, aflatoxin outbreaks, and Stachybotrys chartarum contamination.
Main Results:
- Historical epidemics of ergotism (Claviceps) and aflatoxin outbreaks (Aspergillus) are linked to mycotoxin consumption.
- Indoor mold contamination, such as Stachybotrys chartarum, presents ongoing health concerns.
- Two historical childhood diseases in England may have been toxic mold epidemics.
Conclusions:
- Mycotoxin exposure has historically caused significant toxic epidemics.
- Understanding mold-related toxins is crucial for public health.
- Further research is needed to fully ascertain the health impacts of indoor mold exposure.
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Fungal Group Zygomycota
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Fungal Phylum Ascomycota

