water damage investigations more than sucking air connie a. morbach, m.s., chmm, cie, ascs...
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WATER DAMAGE INVESTIGATIONS
MORE THAN SUCKING AIR
Connie A. Morbach, M.S., CHMM, CIE, ASCS
Sanit-Air, Inc.
1311 North Main/ Clawson, MI 48017
248 435-2088
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IS Mold New?
• Mold is not new, awareness has increased
• Changes in building construction Tighter Porous Materials =Good Nutrients Construction to allow high moisture
Better testing methodologies Physician Awareness
Link previously unexplained illnesses
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Tight Construction• Focus on energy conservation resulted
in tighter buildings with less natural ventilation– 75 years ago, cracks in the building envelope
allowed for 5 - 10 air changes per hour (ACH)– Now building codes permit 0.35 ACH
• Contaminants are not diluted out
• Higher concentration results in greater exposure and opportunity for amplification on building materials
• The solution is to build tight / ventilate right
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New Building Materials Are Good Nutrients
• Materials high in cellulose content that are porous retain moisture and provide good nutrient material for mold amplification– Drywall– Oriented Strand Board (OSB)– Plywood– Ceiling Tiles
• Hasty construction with less detail to preventing water intrusion and providing mechanisms for removal
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MOLD IS NOT NEW
Leviticus 14:33-48This passage describes mold contamination .
Instructs priests to inspect homes and scrape off mold if it is present. After 14 days, the home should be inspected again, if the mold returns, its a “destructive mildew” and the house must be torn down - its stones, timbers and all plaster - and “taken out of town to an unclean place”.
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MOLD FACTS
Mold Spores are Ubiquitous in Nature
Indoors, Mold is not a Problem Until it Amplifies
Mold Requires Water to Amplify (colonize)
During Periods of Growth and Metabolism, Mold Cells Produce Volatile Organic Compounds and Mycotoxins
Under Stress (Drying Out), Mold Produces Spores
Spores Become Airborne When Disturbed by Airflow, Disruptions, Pressure Differentials
Mycotoxins Become Airborne by Attaching to Spores
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ASPECTS OF A MOLD EVALUATION
• Visual Evaluation
• Moisture Measurements
• Environmental Parameters
• Development of Hypothesis
• Development of Sampling Plan
• Sampling
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Visual Evaluations
• Most important aspect of investigation
• Evaluate water stains and visible growth– Ceilings, walls, floors, floor coverings
• Hidden damage is often more severe than damage on the outer surfaces
• Access ports, boroscopes, and other invasive techniques might be necessary
– Ventilation systems• filters, duct lining
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Surface Moisture Measurements
• Non-penetrating– Calibrated for different materials
• Drywall
• Wood
• Concrete
• Probes– Hard to reach areas– Sub-surface with long probes
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Aw: Minimum water activity level at 25°C
ERH: Equilibrium relative humidity
Aw < 0.80, ERH <80%
Aw < 0.80-0.90, ERH <80-90%
Aw >0.90, ERH >90%
water
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Aw: Minimum water activity level at 25°C
Aspergillus versicolor Aw 0.74-0.79
Ulocladium chartarum Aw 0.89
Stachybotrys chartarum
Aw 0.94
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Evaluate Hidden Damage
• Mold that is hidden and visible is equivalent to visible mold and must be evaluated
• US EPA cautions that mold on the backside of walls and behind wallpaper is frequently more severe than mold on the painted side of walls
• Precautions must be taken to prevent cross-contamination during invasive evaluation
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Environmental Parameters
• Temperature
• Relative Humidity
• Carbon Dioxide
• Air flow– Smoke pens
• Pressure relationship
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Carbon Dioxide• Produced by people and combustion
appliances
• OSHA PEL 5000 ppm
• Previous recommendation of 1000 ppm
• Outdoors in MI typically 350 - 450 ppm
• Can provide information on tightness of a building
• Can provide information on ventilation relative to industry guidelines
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When is Testing Indicated• Illnesses associated with biological
contaminants– Aspergillosis– Hypersensitive diseases
• Diagnostic tool to assist in the development of a remediation scope
• Baselines before remediation
• Verify remediation effectiveness
• Litigation support
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Interpretation of Data
• No regulatory limits (PELS, TLV’s)
• Case by case basis
• Build your own database
• Rely on published studies
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Air Sample Interpretation• Indoor vs. Outdoor
– Predominant indoor organisms different than outdoors
• Complaint vs. non-complaint
• Indicator organisms– Stachybotrys, Memnoniella– Penicillium– Aspergillus
• Persistent and consistent presence of organisms
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Source Sample Interpretation
• Do predominant surface contaminants match air contaminants
• Affected vs. non-affected
• Are hyphae present
• Do post cleaning samples improve
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Common Testing Mistakes
1. Too little emphasis on visual evaluation
Essential to establish test sitesMoisture metersStainingDeteriorationVisible growthEvaluation of hidden growth
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Common Testing Mistakes
2. Poor Quality Control• Sterile techniques not implemented
• Inaccurate calibration
• Mislabeling of samples
• Media not subjected to QC
• No temperature control during shipping
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Common Testing Mistakes3. Too Much Emphasis on Total
Concentrations• No PEL’s TLV’s - dose response too
complex to establish
• Interpretation should be based on:– Types and relative concentrations compared to
outdoors or non-complaint/non-affected areas– Identification of “signature organisms” for
water damaged building materials
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Common Testing Mistakes4. Too Little or Too Much Concern
Relative to “Signature” Organisms • Fungi associated with water-damaged building should
incite remediation and/or additional investigation• Examples
• Stachybotrys• Penicillium• Aspergillus• Acremonium• Trichoderma
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Common Testing Mistakes
• Two Common Methods for Air Samples– Spore trap
• Measures Countable spores
• Example: Air-O-Cell cassette
– Culturable• Measures organisms that will grow in a selected
culture media
• Example: Andersen impact sampler
5. Reliance on One Type of Air Sample
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Air SamplesCulturable Fungi
and Bacteria• Enumeration• Identification of genus
and species• Necessary for profile
comparisons• Can underestimate• Selective media• Samples must culture
Countable Spores• Enumeration only• Identify some genera• Cannot differentiate
species• Can identify some
particles and pollen• Can underestimate if
high particulate matter present
• Immediate results
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Example of Inconclusive Testing• Spore trap results
– Inside• 2000 c/m3
Penicillium/Aspergillus
– Outdoors• 2000 c/ m3
Penicillium/Aspergillus • Do not know if Penicillium or
Aspergillus is present
• Could have Penicillium inside and Aspergillus outside, which would indicate an indoor source
• Could be the same indoors, which would suggest outdoors is the source
• Culturable Samples– Inside
• 500 cfu/m3 Aspergillus versicolor
• 1500 cfu/m3 Penicillium chrysogenum
– Outside• 500 cfu/m3 Aspergillus versicolor
• 1500 cfu/m3 Aspergillus fumigatus
• Apparent indoor source of Penicillium chrysogenum
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Common Testing Mistakes6. Failure to Collect Air Samples
Under “Normal” Operating or Living Conditions
• Can produce ‘false negative”
• Documentation of normal conditions could include:
– Quiescent sampling– Semi-aggressive– Aggressive
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Common Testing Mistakes
7. Failure to design a well thought out sampling strategy
• Testing should be conducted to answer a question (hypothesis)
• Sufficient samples must be collected to evaluation the hypothesis
• A poorly designed sampling plan with too few samples can raise more questions than it answers
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Summary• Indoor mold amplification is undesirable
and should be avoided.
• Air sampling for mold is prone to false negatives and should only be conducted if a well designed plan is developed to answer a specific question
• Sampling is only one piece of the puzzle. Visual inspection, building history, and patient history are important to a case.
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CONSENSUS DOCUMENTS• Bioaerosols: Assessment and Control
American Conference of Governmental Industrial Hygienists (ACGIH), 1999
• Guidelines on Assessment and Remediation of Fungi in Indoor Environments
New York City Department of Health, 2,000• IICRC S500, Standard and Reference Guide for
Professional Water Damage RestorationInstitute of Inspection Cleaning and Restoration Certification, 1999
• Mold Remediation in Schools and Commercial BuildingsUS EPA, 2001
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New Testing Methodologies
• VOC (Volatile Organic Compounds
• Mycotoxins
• Endotoxins
• Particle Counters
• PCR
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RESOUNDING CONCLUSIONS
A Poorly Developed Sampling Plan Can Raise More Questions Than It Answers
An Investigator Can Not State That Something Is Not Present Unless Appropriate Testing Is Conducted