Generally, sampling for Stachybotrys involves a combination of surface sampling and air sampling. This is matched with a thorough visual inspection to search not only for mold but evidence of water intrusion as well. Many professionals start with bulk or swab samples, progress to cassette air samples, and follow with culture samples where the media has been selected based on the bulk or cassette sample results.
It is important to remember that air samples represent only a short window of time and that Stachybotrys spores do not become airborne as easily as other molds. Therefore the general consensus is that few, if any, such spores should be found in indoor air.
Samples should be collected by, or under the direction, knowledgeable professionals. Improper collection practices can endanger the individual conducting the sampling, spread the contamination, and lead to false results. Stachybotrys in particular is prone to wide variability in measured airborne levels.
Providing general guidelines on interpreting medical tests or sample results is difficult due to the large variety of factors that influence Stachybotrys growth and spread, as well as the variability of symptoms between individuals. Because of its toxic potential most experts recommend that all Stachybotrys exposure be avoided by immuno-compromised individuals. This includes infants, individuals with significant lung disease, people undergoing chemotherapy or other cancer treatment, many of the elderly, and people who are HIV positive.
Whatever the health status or symptom level, exposure to suspected Stachybotrys should be minimized as much as possible. While certain situations do demand building evacuation pro rata corrective activities, oftentimes temporary solutions can be employed. When determining the best course of action in a Stachybotrys case the parties involved should consider the number of people involved, extent of the exposure, description of symptoms, sample results, history of the problem, location of the mold, type of activity in the building or area of contamination, type of air handling system, and public relations. In all situations the best information should be used to develop a plan of action that protects the building occupants without creating unnecessary panic until the mold, an underlying source of moisture is corrected. Interim plans to reduce immediate risk until permanent repairs can be made may involve:
The choice of any actions to deal with Stachybotrys on an interim basis should be made with the ultimate goal of mold cleanup also in mind so that duplicative or counterproductive actions can be avoided.
Currently no single set of regulations rules, or even industry guidelines exist which clearly defines mold remediation procedures. Nevertheless, there is considerable consensus in the healthcare community and restoration industry regarding the:
Despite this general consensus of idea, the specifics of implementation must be determined for each project. Before starting any mold control activity, particularly one that disturbs Stachybotrys, a number of important questions should be addressed:
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