(1) Asthma is estimated to affect 300 million people worldwide and may cause up to 250,000 deaths per year. Many studies and meta-analyses have linked exposure to indoor visible mold or water damage and asthma/wheezing incidence in both children and adults.
Estimates as to the number of homes with mold and moisture damage vary greatly-but are as high as 47% in some studies. Water damaged indoor environments contain a wide range of agents that can cause respiratory problems including molds and their allergens and toxins, bacteria and bacterial endotoxins, viruses, and dust mites and their droppings.
A 2012 meta-analysis of 16 studies reported that indoor visible mold, mold odor, and moisture were significantly associated with greater risk of asthma. Residential Moisture (EE=effect estimate 1.33, 95% CI= confidence interval 1.12-1.56 ), visible mold (EE 1.29, 95% CI 1.04-1.60) and mold odor (EE 1.73, 95% CI 1.19-2.50) were all associated with statistically elevated asthma risk. A recent New Zealand study measured the relationships between housing conditions and presence of new onset wheezing in young children- including 150 wheezing children (median age 32 months) and 300 control children (median age 33 months).
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New onset Wheezing was associated with many medical factors including: Presence of atopy in the child (Odds Ratio= OR 3.25 (95% CI= Confidence interval of 2.03 to 5.22) and family history of atopy (OR 6.97, 95% CI of 2.03-5.22).
New onset wheezing was associated with the following housing factors (partial listing- conditions were assayed by researcher, inspector and parents):
The presence of visible mold and mold odor were associated with a significantly increased risk of wheezing in a dose dependent manner, ie. the risk of asthma became significantly greater within the presence of larger degrees of water damage and mold growth. A child living in a bedroom with the highest degree of mold growth and mold odor had a 14.1 times greater risk of developing wheeze than a child living in a bedroom without visible mold/ mold odor. Controlling mold and moisture in buildings is the best way to control mold growth.
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