Insulation Behind Water Damage Walls Will Not Dry Out

Insulation is like a sponge and once it gets wet it will take a really long time to fully dry. The wet insulation will cause mold and foul odors even when the exterior wall has dried. Wall drying techniques are generally ineffective at drying insulation. Insulation abutting an exterior wall can absorb excess moisture and then transfer this moisture to the wall causing black mold.

Rubber Baseboards Trap Excess Moisture Causing Black Mold

Rubber baseboards will cause the lower wall to retain excess moisture after a water damage incident or even with routine carpet or hard floor cleaning. Floors at or below ground level are subject to retain excess moisture through a wicking action called capillary action. The impermeable rubber baseboards will retain this moisture causing widespread mold and odors.

Uncapped Sump Pit Will Increase Radon Levels

Open sump pits and other holes in the foundation can increase overall radon levels, especially in the winter when the surrounding ground is frozen. Radon is the 2nd leading cause of lung cancer in the United States and the EPA recommends testing for radon in your home every two years.

Broken Fiberglass Insulation Can Enter Through Loose Recess Lighting

Fiberglass insulation from the attic, air ducts, and above the ceiling can break apart and enter the airspace through cracks and openings within recess lighting, air vents and other fixtures. It is recommended to test your air for fiberglass and seal all fixtures to prevent unwanted glass intrusions. Children and Asthmatics appear most sensitive to elevated fiberglass counts with symptoms ranging from irritated eyes, persistent couging, and runny nose. 

Air Movers Ineffective At Drying Wet Carpeting

Air movers, fans and other drying techniques are generally not effective in drying carpeting. Biological growth will occur within 72 hours. The infrared image above shows wet areas around the air mover after 2 days. Mold and bad odors will result causing adverse health conditions in the home or building.

Ice Dams Lead To Mold

Ice dams occur due to many variables to include roof pitch, insulating properties and the amount of freezing and melting on the roof. The consequences of ice damming will last far beyond the winter season as moisture seeps into the attic sheathing and walls causing black mold.

“The Basement Smell”: Why Basement Air Is Unhealthy

Do you or know somebody who lives in a home with the noxious “Basement Smell”?  Based on thousands of assessments we’ve conducted and the resulting tens of thousands of samples processed as Indoor Air Quality Specialists, I can say with certainty that basement air is the most compromised air in every house.  Even an apparently clean, finished basement often carries ten times the pollution levels as upper floors and, because these pollutants are buoyant and therefore rise, often spoil air in rooms above them. But, why does the air in basements smell unhealthy enough that we’ve coined colloquial phrase after it?

Finished basements with carpeting and gypsum-based wallboard may accentuate the “Basement Smell” and degrade the overall air quality because carpeting absorbs moisture through the foundation in a process called capillary action; this capillary action in turn creates excess humidity, putting more moisture into the air and wetting the insulation. While carpeting manufacturers claim the carpeting is resistant to mold, dusts, dirt and skin cells in the fibers are not. Combined with excess moisture, conditions become ripe for smell molds like Penicllium and Aspergillus. To even further complicate matters, standard gypsum wallboard is a common source for the “Black Toxic Mold” such as Stachybotrys, Chaetomium, and Ulocladium. Typically the insulation behind the wet wall will absorb the moisture from exterior cement walls or a moisture intrusion source like a sponge, making the backside—out-of-sight—moldy first. When you are able to see patches of mold on the front of your wallboard, it is the tip of the ice berg. As a note: even a one-time water damage incident can lead to Black Mold, which can continue to grow and release pathogenic spores even after the wall has dried. It may take months for this insulation to dry. Such environmental circumstances lead to the foul odor we refer to as “The Basement Smell.”

Unfinished basements also create conditions optimal for mold growth because they often contain more organic content (dust, dirt, debris), encouraging fungal growth, than finished basements. Because basements are typically designed with the limited cross flow ventilation, their lack of airflow, combined the humidity from the capillary action described above, insight toxic mold, bacteria and virus growth. It’s not just the toxic properties of these pathogens that make for an unpleasant odor but the irritating and harmful microbial volatile organic compounds (mVOCs) present.  So, when you say it “smells like a basement,” you’re really saying “these mVOCs are out of control. I need fresh air!”

Stored utilities further degrade basement air quality by spitting out ultrafine lung damaging debris referred to as particulate matter. These particles ranging from 0.3-10.0 microns are so tiny you can’t see them, but have the ability to infiltrate the lung tissue in your respiratory tract. The smaller the particle, the more likely these toxins are to enter your blood stream. Just because you have a door separating the finished to unfinished section does not block these particles; you can fit hundreds of thousands of these particles on a pinhead. At IndoorDoctor, we use digital meters to quantify these particles so you can make informed decisions about how to properly service and ventilate your basement.

Other environmental concerns contribute to an overall the unhealthy basement environments that produce the “Basement Smell.” Some are listed below:

• Fiberglass: Often ignored, fiberglass insulation is another pollutant that very common in basements; it can be found within walls, on ceilings, stored in crawlspaces, and lining duct work. Unfortunately, despite being a known carcinogen and terribly irritating to breathe, little effort is made to reduce breathing in the tiny jagged glass particles.  It is not uncommon to see exercise equipment below or near exposed insulation even though the vibrations from this equipment can jar thousands of lung-damaging glass particles into the air.
• Crawlspaces: Crawlspaces are often so dank and inaccessible that most homeowners don’t bother trying to make improvements because redoing a foundation, tearing out walls, installing vapor barriers becomes cost prohibitive. These crawlspaces , which are often nesting areas for vermin, account for the majority of odors, With our advanced equipment, IndoorDoctor can help you make sound practical decisions to reduce the harmful toxins generated in crawlspaces.  
• Radon: Radon is the 2^nd leading cause of lung cancer in the United States and New England is a hot spot for for the gas due to the ledge and granite rock formations. Radon, which comes up through the basement foundation, is colorless and odorless, making it almost impossible to detect without the testing that the EPA suggests every two years.  Beware of uncapped sump pits, too, which allow for greater passage of radon gas into your airspace.
• Traditional Volatile Organic Compounds (VOCs): Traditional Volatile Organic Compounds (VOCs), which are found in the paint cans and fertilizer bags we tend to store in our basements because we cannot take them to the dump, can also emit odors and have serious health effects.

So, what can you do about the “Basement Smell” when you can’t get rid of your basement? The first step is to get it tested. An Indoor Air Quality Specialist from IndoorDoctor can help you quantify the molds, pathogens and other environmental factors that are either emitting a foul odor or, sometimes even worse, are dormant below your main living area. The information from these tests will help you develop a cost-effective plan to reverse the conditions and improve your indoor air quality. As I mentioned at the beginning of this article, basement environments account for a large percentage of the Indoor Air Quality Assessments I conduct, and I am confident that proper testing and follow-up will prevent you from having to talk about your “Basement Smell.” Contact IndoorDoctor today to see how we can make your home healthier. 

Is Your Firewood Contaminated with Poison Ivy?

So you’ve just cut down some firewood from the back yard or gathering some sticks for the stove. Did you check to see if there were any harmful plants nearby like Poison Ivy? It’s not just touching the plant when cutting the wood that can cause you harm. Burning wood exposed to Poison ivy, poison oak, and poison sumac release an oil, urushiol, that when burned will release into the air. Because it's an oil, it sticks to just about everything it touches.
 When the oil gets on the skin an allergic reaction, referred to as contact dermatitis, occurs in most exposed people as an itchy red rash with bumps or blisters. When exposed to 50 micrograms of urushiol, an amount that is less than one grain of table salt, 80 to 90 percent of adults will develop a rash. The rash, depending upon where it occurs and how broadly it is spread, may significantly impede or prevent a person from working. Although over-the-counter topical medications may relieve symptoms for most people, immediate medical attention may be required for severe reactions, particularly when exposed to the smoke from burning these poisonous plants. Burning these poisonous plants can be very dangerous because the allergens can be inhaled, causing lung irritation.

IndoorDoctor recommends that wood exposed to urushiol should not be burned.  Even in winter you may contract poison ivy from touching wood you use to burn in the fireplace. The wood may be long dead but the urushiol remains active for up to several years. What's more, burning the wood may actually carry the allergen to your skin or you may even inhale it with the smoke and ash. It has been known to cause respiratory distress. If this happens, see a physician immediately. The smoke and gaseous by-products of burning urushiol may end up on your skin and in your lungs if you burn it in an inadequately ventilated stove or fireplace, resulting in severe medical distress.  The oil from poison ivy is extremely stable and will stay potent - essentially forever.  For example, you can get a rash from clothing or tools that have the oil from last summer, or even from many years back. Removal of the bark from the wood can help but that process has its own set of problems.
 You can reduce your risk of exposure to firewood that has been covered with poison ivy, poison oak or sumac by careful examination of the source area for the wood for suspicious vines or by purchasing wood fuels from a knowledgeable professional.

Visualize the Invisible Ultrafine Particulate Matter

Ultrafine particulates are lung damaging and enter the blood stream easier than larger particles. The IQair Purifier is one of the few purifiers out there that can filter these tiny particles.
Click Here To See Tiny Lung Damaging Particles Captured by IQair

5 Ways to Instantly Reduce Dangerous Indoor Airborne Particulate Matter

“Hear no evil, see no evil,” the saying goes, but your body feels the damaging effects of tiny particles that penetrate deep into your lungs.  Ultrafine particulate matter are comprised of tiny microscopic airborne particles containing biological and inorganic matter such as pollen, dander, mold, and minerals. These particles are so pervasive that they can enter] the blood stream and cause a wide variety of illnesses.  As a rule, If you can see the dust particle in the air, there is a good chance your lungs can filter it. For a point of reference the width of a human hair is about 100 microns; damaging particles are significantly smaller: 5.0 and 10.0 . It is these invisible particles that contribute to persistent coughing, watery eyes, and chronic illness such as asthma. In order to prevent this, there are simple steps you can take to reduce the amount of ultrafine particulate you breathe:

Step 1: Replace any carpeting with hard wood floors. Your carpeting traps ultrafine particulates.  The same principle goes for area rugs. Infants and toddlers are most prone to the ill effects of these lung-damaging particles, as the crib or bed is often much lower to the floor. The particulate levels at carpet level can be up to 100 times higher than at regular breathing height. If you cannot afford to replace the carpeting, schedule professional carpet cleaning using an experienced technician.

Step 2: Invest in a quality vacuum. Most vacuums show a HEPA (High Efficiency Particulate Air) label and actually perform as advertised on the box. The problem becomes when the HEPA filter fails in a few months or year as it gets coated and clogged. The motor still runs, forcing the ultrafine particulates through loose vacuum seals into the air. Let’s put the “P” back into HEPA by maintaining your HEPA filter with regular cleaning or replacing. Look for a true HEPA filter that passes higher standards of emission certification.

Step 3: Encourage Air Flow. How? Simple. Open the windows. If it’s cold or hot outside and you are running a heating or cooling system, add a heat or energy recovery ventilator system (HRV/ERV) to bring fresh conditioned, filtered air year round into your home. It’s like leaving the windows open without the energy loss! Instead of recirculating the same stale air you are now creating true air exchanges into the home and reducing overall particulate levels.

Step 4: Run A Quality Air Purifier. But which ones? There are  hundreds of air purifiers out there that all claim to do about the same thing. We started evaluating these various purifiers during the course of our daily air quality assessments using a laser particle scanner to measure the ultrafine particulate emission. Our studies found lower particulate levels in the homes where people were regularly running an IQair (www.iqiar.com) and Austin Air (www.austinair.com) brand purifier. 

Step 5: Maintain and Clean Your Systems. Your furnace, air ducts, and even chimney can backfire with exponential ultrafine particulates. Yearly attention to these critical systems will ensure proper exhaust and filtration. We recommend hiring an independent licensed technician who is experienced with your particular system. Your technician should advise you without bias about whether a MERV 16 filter is too much filtration and will cause your system to be clogged and should show you why your furnace is not exhausting the harmful particles and fumes. 

Why Your Front Loading Washing Machine Can Make You Sick from Toxic Mold

Instead of keeping you clean, many front-loading washing machines can make you green with toxic mold and harmful bacteria’s. Water accumulates behind the seals. You may not notice visual signs of mold but every time you open and close the washer door you could be releasing tens of thousands of toxic mold spores, usually of the Cladosporium type.  In addition to inhaling this pathogenic spore cloud you could exposure yourself to dermal issues by touching mold on the surfaces of the door followed by ingesting the mold by not washing your hands.  Manufacturers of front loading washing machines are snarled in Class Action Suits (see links below). 

http://www.theindychannel.com/news/call-6-investigators/lawsuits-many-front-load-washing-machines-contain-hidden-mold

http://classactionsnews.com/consumer/front-loading-washing-machines-class-action-lawsuit

http://wreg.com/2013/08/09/washer-stink-may-bring-new-class-action/

http://www.topclassactions.com/lawsuit-settlements/lawsuit-news/5144-frigidaire-front-load-washer-class-action-lawsuit-gets-certified

Surprisingly, the manufactures of such defective washing machines continue to downplay the issue by contending mold formation and the foul odor is a normal part of use.  The foul odor is actually a chemical release from biological growth known as a microbial volatile organic compound (mVOC) which contain similar attributes to traditional VOCs like paints, aerosols and petroleum based products.  The ill effects from the mVOCs is significantly worsened with the introduction of toxic spores. Some people may not be affected by short term mold exposure, however, many people suffer immediately from mold exposure and others from chronic exposure. To minimize your mold risk when using a front loading washing machine we recommend:

1)      Leaving the door open after washing.

2)      Sanitize the door seals, gaskets and glass after laundering.

3)      Dehumidify or condition the laundry room if the relative humidity remains above 60%.  

4)      Run a hot water wash with no clothes and use bleach or white vinegar instead of detergent.

5)      Remove Clothes Promptly

6)      Use High-Efficiency Detergent

7)      Add a manufacturer recommended fan kit to your washing machine to accelerate the drying process after use.

8)      Run the cleaning cycle at least as often as the manufacturer suggests 

Microbial Volatile Organic Compounds (MVOCs) and Health Consequences

Clients often tell us that they smell mold and it's causing adverse health symptoms. However, they are confused when an air sample sent to the laboratory shows little to know spore activity in the areas of concern. Does this mean there is no mold and not to worry? No, what they are actually smelling is decay off-gassing from biological growth which includes molds, bacteria and biofilm. These odors contain microbial volatile organic compound (MVOC). People may compare this odor to a dank locker room, old cheese, dirty socks, or wet dog.

Microbial Volatile Organic Compound Overview:
The dank musty odor signifies the presence of microbial volatile organic compounds (MVOCs). Traditional volatile organic compounds (VOCs) are mainly industrial made chemicals with low molecular weights, high vapor pressure and low water solubility. MVOCs are released from metabolic processes of decay agents like fungi, bacteria and biofilm. The off gassing of MVOCs include a wide range of alcohols, ketones, aldehyde, esters, carboxylic acids, lactones, terpenes, aromatic hydrocarbons, sulfur and nitrogen compounds.

MVOCs produced during primary fungal metabolism include: Ethanol, 1-octen-3-ol, 2-octen-1-ol, and benzyl cyanide. MVOCs produced during secondary metabolism include 2-methyl-isoborneol, geosmin (1-10-dimethyl-trans-9-decalol) and terpenes.

Significance:
The perception of MVOC's is an indication that microbial growth is occurring. In the indoor environment, exposure to MVOC's has been blamed for headaches, nasal irritation, dizziness, fatigue, and nausea. Information on MVOCs produced in indoor settings and health effects is limited. The specific toxic properties and concentrations of MVOC's needed to produce symptoms are still unknown.

Recommendations:
Prudent and preventative measures should be taken to eliminate or reduce musty odors and associated MVOCs. These measures include but are not limited to:

• Professional HVAC system and air duct cleaning
• Disengage any built in humidification devices within the HVAC system
• Control humidity below 45% year round 
• Replace carpeting with a more synthetic floor system 
• Remove water damaged building materials 
• Improve airflow in the home or building by encouraging fresh air with windows open or with an air recovery system (HRV/ERV)

No Solution for Toxic Spray Foam Removal

The application of spray foam is easy, but the removal is nearly impossible. The volatile organic compounds (VOCs) and mal-odors resulting from spray foam can absorb into nearby building materials and furnishings, allowing odors to permeate for years. Residual foam will remain embedded within the wood structures.


People concerned about the toxic off-gassing of spray foam have resorted to various methods of removal: dry ice blasting, soda blasting, physical cutting and even replacing the structure.The catastrophic financial loss from incorrectly-applied spray foam insulation only compounds the long-term health impacts from the toxic fumes. Further studies and protocol are required for the safe removal of toxic spray foam.

We recommend first having your home and areas impacted by spray foam tested for Formaldehyde, Methylene Diphenyl Diisocyanate (MDI), Toluene Diisocyante (TDI), Carbon Dioxide and total volatile organic compounds (VOC) to establish initial baseline levels in order to measure the effect of any remedial efforts.

Fox News Report on Toxic Spray Foam

Health Effects Toxic Spray Foam

Toxic spray foam off-gasses or releases harmful chemicals in the air, some of which you can smell and some of which you cannot. Many of these chemicals cause immediate or acute reactions and can cause long-lasting and permanent damage to your body. 

Isocyanates, specifically methylene diphenyl diisocyanate (MDI) and toluene diisocyanate (TDI) are the leading cause of work-related asthma.  MDI and TDI are linked with toxic spray foam.  According to the Environmental Protection Agency (EPA), additional health effects of MDI and TDI include:

• Dermatitis
• Eczema
• Skin and Eye Irritation 
• Dyspnea
• Nasal and Lung Lesions
• Neurological Disorders

 Formaldehyde may be used to produce MDI in spray foam. This cancer-causing chemical is characterized by a peculiar, sweet odor. Typical reactions to formaldehyde include:

• Watery Eyes
• Mucus Membrane Irritation 
• Headaches
• Burning Sensation in the Throat
• Difficulty Breathing
• Aggravated Asthma Symptoms 

 People react differently to indoor air pollution and report a variety of symptoms. Some people, especially children, are much more sensitive to chemical exposure, even at levels below the Occupational Safety and Health Association (OSHA) guidelines. People with multiple chemical sensitivity (MCS) or  have been exposed to isocyanates in the past are much more susceptible to adverse health effects at low levels.

Symptoms may not occur immediately. Several IndoorDoctor clients have reported adverse health effects months or even years after moving into a home or working in a building with toxic spray foam insulation.

We encourage anyone living or working in a building with toxic spray foam not to ignore their symptoms and to see their physician immediately. Make sure to follow-up by scheduling independent testing to document the presence of poisonous off-gassing. 

Toxic Spray Foam Insulation Overview

In an effort to reduce home energy costs, more and more homeowners are retrofitting their homes by installing spray foam insulation. While this material is effective at reducing heat loss, it can also emit airborne, cancer-causing agents. At IndoorDoctor, we’ve seen an increased number of indoor air quality concerns from clients who have recently installed spray foam; they report prolonged foul odors throughout the home and experience adverse health symptoms.  

 
Spray foam manufactures and installers claim the product to be safe for home residents and for the environment by advertising the material as “non-toxic,” “volatile organic compound (VOC) free,’ “formaldehyde free,” and “green.” Some installers even suggest the spray foam will improve your air quality by preventing outside air pollution from entering the home. The Environmental Protection Agency (EPA), however, points to the harmful chemicals IndoorDoctor clients report; “Spray polyurethane foam (SPF) is an effective insulation and air sealant material; however, exposures to its key ingredient, isocyanates such as methylene diphenyl diisocyanate (MDI) and other SPF chemicals that may be found in vapors, aerosols, dust or on surfaces during and for a period of time after installation may cause adverse health effects such as asthma.”

How do the key ingredients mentioned by the EPA become harmful? Spray foam consists of two compounds—an isocyanate and a mixture of polyols, additives, and catalysts—that are mixed together at the job site to form the hardened insulation. When these compounds become unbalanced or the chemicals are not heated to the correct temperature before being sprayed, harmful chemicals can be released into the air. One such chemical is phenol-formaldehyde, which replaced urea formaldehyde (UFFI) when it was banned by the U.S. Consumer Product Safety Commission in 1982. Current spray foam mixtures containing formaldehyde can produce the airborne MDI against which the EPA warns. Such chemicals can cause cancer and contribute to unsafe air quality. The symptoms of these chemicals will be addressed in another blog post.

While mixing toxic chemicals in a controlled setting such as a laboratory can be challenging, conducting this practice in the confines of a hot attic or restricted crawlspace poses even greater challenges. Other variables that can increase the risk of dangerous off-gassing include temperature and humidity, thickness of spray foam application, and the cleanliness and functionality of equipment. Lastly, the air flow in confined spaces increase the number of chemicals and VOCs released into the air; often installers fail to properly ventilate the airspace to make up for the air flow loss resulting from the spray foam application.

How do you know if your spray foam is off-gassing these cancer-causing chemicals? IndoorDoctor recommends conducting independent testing for formaldehyde and VOCs in addition to a civil-engineered assessment of current ventilation within your home.

Indoor Carbon Dioxide Levels and Your Health

Last week we discussed the significance of testing for carbon monoxide (CO). This week I wanted to shed some light on its cousin, carbon dioxide (CO2).  Our state of the art air quality meters test for both carbon dioxide and carbon monoxide in parts per million (ppm) as part of every indoor air quality inspection. Elevated levels of carbon dioxide indicate that an insufficient amount of fresh, outdoor air is being delivered to the occupied areas of the building. This also indicates that other pollutants in the building may exist at elevated levels since there is not enough fresh air to dilute them.

Carbon dioxide (CO₂) is a colorless, odorless gas formed by metabolic activity (humans and other animals exhale carbon dioxide when they breathe), combustion activities, and motor vehicles in garages. In solid form, it is called dry ice. Though carbon dioxide is not toxic itself, the amount found in the indoor environment is used as an indicator for human comfort. Since carbon dioxide is an unavoidable, predictable, and easily measured product of human occupancy, it is used as a marker for whether pollutants introduced from humans or other sources in the building are likely to become a nuisance or a hazard. Carbon dioxide is mostly a threat to health when the concentration is high enough to displace the oxygen, which can lead to suffocation in a confined space.

Occupants may experience health effects in buildings where CO₂ is elevated, but the symptoms are usually due to the other contaminants in the air that also build up as a result of insufficient ventilation. At high levels, the carbon dioxide itself can cause headache, dizziness, nausea and other symptoms. This could occur when exposed to levels above 5,000 ppm for many hours. At even higher levels of CO₂ can cause asphyxiation as it replaces oxygen in the blood-exposure to concentrations around 40,000 ppm is immediately dangerous to life and health. CO₂ poisoning, however, is very rare.

The levels of CO2 in the air and potential health problems are:

• 250 - 350 ppm + background (normal) outdoor air level

• 350- 1,000 ppm - typical level found in occupied spaces with good air exchange.

• 1,000 – 2,000 ppm - level associated with complaints of drowsiness and poor

air.

• 2,000 – 5,000 ppm – level associated with headaches, sleepiness, and

stagnant, stale, stuffy air. Poor concentration, loss of attention, increased heart

rate and slight nausea may also be present.

• >5,000 ppm – Exposure may lead to serious oxygen deprivation symptoms

Keeping levels less than 700 ppm above the outdoor air concentration is an indication that sufficient outdoor air is being brought into the environment and will help control other pollutants at acceptable levels. IAQ research has shown that building occupant complaints will be observed as the indoor concentration of carbon dioxide increases about 700 ppm to 800 ppm above the outside level; the carbon dioxide level is a surrogate indicator that other pollutants from indoor sources may exist at irritating and observable levels.

Dust Mites

Often overlooked by our clients is their sensitivity to dust mites. Typically people sensitive to other indoor pollutants and allergens like molds are very susceptible to the allergic affects of dust mites. Generally people assume that “dust mites are everywhere” and “there’s not much you can do about them.”  What we have found through thousands of indoor air quality investigations is that only through sampling can you confirm the presence of dust mite allergens. In a lot of situations people thought their mattress or carpeting contained high dust mite counts when in fact no significant concentrations were detected. Conversely, people who thought their bedding was dust mite proof or their carpeting was clean learned that they did in fact have high dust mite concentrations in their home.

There are many substances in household dust which can cause allergies in humans.  The most common allergenic components of house dust, however, are from house dust mites. House dust mites are tiny creatures related to ticks, chiggers, and spiders, that live in close association with humans. Their primary food is dander (skin scales) shed from human and pet activity. Most homes in the United States probably have detectable levels of house dust mites and their allergy-producing fragments.

House dust mites are not parasitic nor are they capable of biting or stinging humans. Their significance as pests is due to the powerful allergens contained in the mites, their cast skins, fecal material and secretions. Symptoms of a house dust mite allergy include stuffy or runny nose, sneezing, coughing or watery eyes. Inhalation of dust mite allergens by hypersensitive individuals can result in acute attacks of bronchial asthma, accompanied by wheezing, and shortness of breath. Diagnostic tests and clinical studies by allergists have shown house dust mite to be the most common allergy in asthmatics, and an important "root cause" for the development of asthma in young children. Recent studies suggest that at least 45 percent of young people with asthma are allergic to house dust mites. Unlike "seasonal" allergies caused by molds and pollen, people who are allergic to dust mites often will have symptoms year round.

House dust mites are tiny adults are about 0.5 mm long and the immatures are even smaller. Consequently, they generally are visible only with the aid of a microscope. The mites are globular in shape, clear to creamy white in color, with hairs on their legs and body. There are two common species in the United States, the North American house dust mite, Dermatophagoides farina (Der f), and the European house dust mite, D. pteronyssinus (Der p).

Der f1 is a thiol protease that hydrolyzes proteins, with a preference for Phe or basic residues. Der f1 is a C1 peptidase family member. Der F1 has extensive endopeptidase specificity. Der f1 causes an allergic reaction in humans. Common symptoms of mite allergy are bronchial asthma, allergic rhinitis and conjunctivitis.

Der p1 is considered a major allergen because of the large number of people sensitive to it, or ‘specifically’ allergic to its harmful content. Der p1 is an active digestive enzyme that can cause cell death in the lungs by ‘melting’ the glue like substance that binds cells together. The cell’s death in turn gives Der p1 access to the body and blood stream. This invasion is how traces of the mite’s major allergen have been found in the amniotic fluid surrounding unborn children. Der p1 is a glycoprotein with sequence homology and thiol protease function similar to the enzymes papain, actinidin, bromelain and cathepsins B and H.

At IndoorDoctor, we use the quantitative Enzyme-Linked ImmunoSorbent Assay (ELISA) analysis for a combination of Dust Mite (Der p1, Der f1) and collect the specimins with a Sterile vacuum dust cassette.

Food is seldom a problem for house dust mites. Their primary food is skin scales (dander) contained in house dust. People and pets regularly shed small flakes of skin from their bodies as the skin continually renews itself. Since the greatest fallout occurs in areas of human and pet activity, the mites tend to be most numerous in beds, overstuffed sofas and chairs, and adjacent carpeted areas. Relative humidity also tends to be higher in these areas, because people perspire and exhale water vapor where they sleep and lounge. Mattresses, sofas, carpet, and other soft furnishings trap and accumulate dust, dander, and moisture, making them ideal microhabitats for mite development

There are two basic approaches to managing dust mite allergy: 1) treatment of the patient, and 2) modification of the patients' environment to minimize exposure to the mites. An allergist may prescribe quick-relief medications and/or allergy vaccinations (immunotherapy). Immunotherapy involves injecting gradually-increasing concentrations of mite extracts over time in order to desensitize the affected individual.

The second approach often done in conjunction with patient therapy is to minimize exposure to the mites and their allergenic materials inside the home. This is not a simple process and usually requires significant effort and expense. Dust mite abatement has become a huge industry, with companies offering many products and services to allergy sufferers seeking relief from their symptoms. While some abatement measures are helpful, others are relatively ineffective or as yet unproven. Of the treatment measures discussed below, numbers 1-3 are generally considered most essential and effective, whereas the others may provide some secondary benefit.

To reduce the dust mite concentration in the home:

1) Remove or modify furnishings that accumulate dust and provide habitat for dust mites. Carpeting, upholstered furniture, drapes, curtains, stuffed toys, and other fabric-covered furnishings should be replaced with easy-to-clean items. This is especially important in bedrooms and other areas where allergy sufferers spend most of their time. Carpet is a perfect breeding ground for dust mites. If carpeting must be used, select low pile varieties. Area rugs are easier to clean than wall-to-wall carpeting. Hardwood, tile or linoleum floors are much easier to keep clean and dust-free. The same is true of wooden, leather or plastic-covered sofas and chairs. Do not allow children with dust allergies to sleep or play with stuffed, furry toys.

2) Encase mattress, box springs, and pillows in allergen-impermeable covers. Bedding is an extremely important source for dust mite development. Plastic or vinyl covers that zip around mattresses, box springs and pillows seal in allergenic materials so that they are not inhaled while sleeping. They are also easier to keep clean than cotton-based materials. Various styles of dust-proof bedding protectors are available through mattress and allergy supply stores. Many are equipped with an outer layer of material, such as nylon, to enhance comfort. Ideally, it's best to install dust-proof protectors on new bedding items rather than those that are already laden with allergens.

3) Using "non-allergenic" pillows is not a substitute for covering them with allergy-proof encasements; non-allergenic simply means that the materials are synthetic. Moreover, the evidence is contradictory as to whether foam pillows are any less prone to dust mite allergens than are feather pillows. Use only washable bed spreads, sheets and blankets, and launder bedding weekly in hot water.

4) Attempt to lower relative humidity inside the home. House dust mites have a difficult time surviving when the relative humidity is below 50 percent. Improving ventilation and installing a dehumidifier can often help to reduce populations indoors. Since fabric-covered surfaces retain air and body moisture better than less porous materials (e.g., wood, vinyl, linoleum), removal or modification of carpets, bedding, overstuffed furniture, etc. will further help to reduce humidity and favorable habitat for dust mite development.

5) Maintain good levels of sanitation and housecleaning. Vacuuming and cleaning activities have not shown much benefit in reducing mite populations, or removing their allergenic materials (feces, cast skins, carcasses). Routine, thorough vacuuming can, however, help to remove dust, dander, and a small percentage of mites. When vacuuming is performed, it's important to use a vacuum cleaner equipped with a HEPA (High Efficiency Particulate Arrestor) filtration system, so that the microscopic allergens are retained within the vacuum bag. Vacuum cleaners lacking this level of filtration will simply re-circulate the tiny allergenic particles back into the air, often causing even greater allergy symptoms. Emphasis should be on bedrooms, mattresses, and other locations where dust mites are likely to be living. Ideally, allergic individuals should not be the ones doing the vacuuming, nor should they be around when vacuuming is being performed. If this is not possible, they should wear a filtered breathing mask. Dusting of surfaces should be done with a damp or oiled cloth.

6) Consider the use of allergen-trapping air filters. Microscopic dust mite particles (especially feces) can remain suspended in the air for hours and be inhaled. To help remove these allergens, HEPA-grade filters can be installed in the central air conditioning and heating system of the home. HEPA filters can also be used within portable air cleaners, placed in bedrooms and other critical areas of the house. 

Low Grade Carbon Monoxide Poisoning

Often we receive indoor air quality concerns that family members or employees have headaches, fatigue, dizziness, nausea and even memory loss. The first thing that I want to rule out is low grade carbon monoxide poisoning. Typically the carbon monoxide meter on your wall at home or in your business has a limit of detection or the amount of carbon monoxide needed to sound the alarm set at 10 parts per million (ppm). Our meters are calibrated to detect trace levels of carbon monoxide down to 1ppm. We see a serious problem when carbon monoxide is present in the home or business but is below the limit of detection for the alarm to sound. Low levels of carbon monoxide at 2 or even 3 parts per million may cause the aforementioned symptoms. My theory is that if the limit of detection on carbon monoxide alarms were lowered then the fire department would be overwhelmed with responding to the alarms.

What exactly is carbon monoxide (CO)?

Carbon monoxide is a colorless, odorless, toxic gas that is a product of incomplete combustion. Pollution results when combustion gases are not properly exhausted or are reintroduced into the building

Why is carbon monoxide dangerous?

The great danger of carbon monoxide is its attraction to hemoglobin in the bloodstream. When breathed in, carbon monoxide replaces the oxygen which cells need to function. When CO is present in the air, it rapidly accumulates in the blood, causing symptoms similar to the flu, such as headaches, fatigue, nausea, dizzy spells, confusion, and irritability. As levels increase, vomiting, loss of consciousness, and eventually brain damage or death can result.

Where does carbon monoxide come from?

Carbon monoxide is a by-product of combustion, present whenever fuel is burned. It is produced by common home appliances, such as gas or oil furnaces, gas refrigerators, gas clothes dryers, gas ranges, gas water heaters or space heaters, fireplaces, charcoal grills, and wood burning stoves. Fumes from automobiles and gas-powered lawn mowers also contain carbon monoxide and can enter a home through walls or doorways if an engine is left running in an attached garage.

All of these sources can contribute to a CO problem in the home. If a home is vented properly and is free from appliance malfunctions, air pressure fluctuations or airway blockages, carbon monoxide will most likely be safely vented to the outside. But in today's "energy efficient" homes this is frequently not the case. Tightly constructed/sealed homes can trap CO-polluted air in a home year-round. Furnace heat exchangers can crack, vents can become blocked, inadequate air supply for combustion appliances can cause conditions known as backdrafting or reverse stacking, which force contaminated air back into the home. Exhaust fans on range hoods, clothes dryers and bathroom fans can also pull combustion products into the home.

What level is safe?

We contend that appliances and home that are functioning properly should not have any carbon monoxide. In most buildings, levels will be below 5 ppm. Carbon monoxide levels above 5 ppm usually indicate the presence of combustion products. Whenever measurements detect the presence of these contaminants, it is important to ensure that the contaminants are exhausted at the source. The American Society of Heating, Refrigeration and Air- Conditioning Engineers recommend a maximum eight-hour average exposure limit of 9 ppm.

Blizzard Will Cause Widespread Mold Damage for Hundreds of Thousands of New Englanders

As New Englanders dig out from last week’s historic blizzard, a silent threat is creeping into their homes: mold. The snow accumulation on roofs and the high drifts against homes will soon start to melt as temperatures increase. While temperatures are expected to rise above the freezing point during the day, however, they are predicted to retreat below 32 degrees during the night, creating ideal conditions for ice damming and moisture penetration. Such conditions are breeding grounds for mold growth. 

Progressed Black Mold Attic Sheathing

IndoorDoctor is bracing for a surge in mold-related claims due to the storm. We recommend that homeowners inspect their attics, basements and other moisture-prone areas for signs of damage and to call one of his specially-trained and accredited mold inspectors to detected hidden deficiencies.  To eliminate any doubt about the safety of your air quality or home environment, IndoorDoctor’s engineers use specialized detection equipment such as digital moisture meters and infrared cameras to identify areas susceptible to mold growth. If mold is present, IndoorDoctor will have additional diagnostic testing equipment on hand to identify and quantify the type of fungal activity. Bradley urges homeowners to hire a properly-equipped, independent environmental engineering company such as IndoorDoctor to detect these hidden deficiencies and storm damage before family members start to get sick or areas of the home cannot be salvaged. He also reminds concerned parties to check their homeowner’s insurance policy regarding storm damage and to specifically inquire about any mold coverage they have. This coverage, Bradley says, may include the proper testing and inspecting along with any remedial actions that have the power to thwart mold-related illnesses.