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Biomedical subjects

T Husman

Publications and source records attributed to T Husman.

24 records · Page 2Linked to original sources

Exposure to airborne microbes during the repair of moldy buildings.

Concentrations of airborne microbes, studied during the repair of seven moldy buildings, showed that concentrations of airborne fungi increased during the repair work. This was especially true during the demolition of moldy building materials, even though the total dust levels remained low. Concentrations of viable fungi sampled with a six-stage cascade impactor were 10(3) - > 1.9 x 10(5) cfu/m3, and the total concentrations of fungal propagules, as determined by the Camnea method (i.e., air filtration method with epifluorescence microscopic counting of acridine-stained organisms) showed 10(5)-10(6) counts/m3 during the demolition. Penicillium was the main genus throughout. Concentrations of viable total bacteria also increased, but this change proved less noticeable than that of the fungi. However, rather high concentrations of viable actinomycetes up to 10(4) cfu/m3 were detected during the demolition. Results show that construction workers are exposed to high concentrations of microbes, perhaps causing health problems. Thus, personal protection of both the respiratory system and eyes is strongly recommended for workers as they repair moldy buildings. In addition, the repair room should be isolated from other areas to protect occupants or any other people present.

Air Microbiology↗

Home dampness, moulds and their influence on respiratory infections and symptoms in adults in Finland.

The aim of this study was to analyse the prevalence of mouldy homes and their association with respiratory symptoms and diseases in a subarctic climate. A questionnaire was mailed to a random sample of 2,000 males and females, aged 25-64 yrs, living in the county of Kuopio, Finland. A total of 1,521 (76%) responded and 1,460 were selected for the final analysis. The prevalence of homes with visible mould was 4%; with the odour of mould 5%; with damp spots, visible mould or the odour of mould 15%; and with moisture/ water damage, damp spots, visible mould or the odour of mould 23%. The number of reports of bronchitis, common cold, atopy, allergic rhinitis, rhinitis, fever and chills, hoarseness, fatigue, difficulties in concentration, lumbar backache and stomach ache were strongly associated with living in a damp home. Bronchitis, hoarseness and difficulties in concentration had the strongest associations, with adjusted odds ratios (95% confidence limits) of: 2.04 (1.49-2.78), 2.23 (1.37-3.63) and 2.17 (1.35-3.50), respectively. After controlling for a possible reporting bias by excluding those subjects reporting lumbar backache and recurrent stomach pain, eye irritation and tiredness remained significant. In conclusion, living in a home with mould problems may increase the risk of respiratory infections and symptoms in adults.

Adult↗

Health effects of indoor-air microorganisms.

The review provides a summary and discussion of current data on exposure to indoor-air microorganisms and their health effects, for example, respiratory irritation and nonspecific symptoms, respiratory infections, asthma and allergy, alveolitis and organic dust toxic syndrome, and chronic bronchitis, as well as a summary and discussion of the health effects of mycotoxins.

Air Pollution, Indoor↗

C-reactive protein in population samples.

The significance of C-reactive protein (CRP) was studied in three different sets of specimens. Raised levels (greater than 10 mg/l) were detected in 2.0% of 380 healthy blood donors from whom two blood specimens, taken at an interval of half a year, were tested. Except for two cases, only one of the two specimens was positive. Raised levels were found three times as frequently (in 6.6%) in a random middle-aged population sample consisting of 531 subjects. More than 40% of the raised levels could be connected to acute respiratory infections, and about 20% to smoking. Five of the 35 subjects (14%) in the population sample with elevated CRP had rheumatoid arthritis. The third set of sera comprised pre-illness specimens from 22 subjects who developed rheumatoid arthritis a few months to five years later. Although it had previously been proved that the majority of these sera contained rheumatoid factors, the CRP concentration was increased in one specimen only.

Acute Disease↗

Respiratory morbidity among children following renovation of a water-damaged school.

The authors sought to determine whether exposure to molds, resulting from moisture damage in a school, was associated with increased respiratory symptoms and morbidity among schoolchildren and whether the renovation of this building resulted in a decrease in prevalence of respiratory symptoms and morbidity. The study was a follow-up (1-y interval) of children between the ages of 7 and 12 y from two elementary schools in a Finnish suburb. In addition to a questionnaire completed by the parents, the authors assessed the respiratory health of children by examining the health records of a local health center. In the cross-sectional study, the prevalence of symptoms and infections were higher in the exposed group, as were visits to a physician and use of antibiotics. The school was renovated, after which all prevalence decreased and no significant differences remained, except for visits to a physician (according to questionnaire responses). Therefore, moisture damage and exposure to molds increased the indoor air problems of schools and affected the respiratory health of children.

Child↗

A cluster of inflammatory rheumatic diseases in a moisture-damaged office.

OBJECTIVE: To describe a cluster of inflammatory rheumatic diseases in an office workplace that suggests the presence of an environmental trigger. METHODS: There had been an indoor air problem in the workplace since the early 1990s. Large areas of the outer walls of the building were found to be moisture-damaged and contaminated by microbial growth. Case histories of the personnel were studied, and their working areas were related to the areas with highest microbial contamination. The incidence of inflammatory rheumatic diseases was compared with the statistics of the same geographic area. RESULTS: Ten patients with inflammatory rheumatic diseases (3 rheumatoid arthritis, 4 ankylosing spondylitis, 2 Sjögren's syndrome, and one of psoriatic arthritis) entitled to specially reimbursed medication were diagnosed in 1987-2000 (seven cases in 1995-1998). The incidence density ratio computed for the period 1987-2000 was 6.8 (95% confidence interval 3.6-13.0) for all office personnel and 13.2 (6.0-29.0) for those working close to the wall sustaining the worst damage. CONCLUSION: The accumulation of chronic inflammatory rheumatic diseases in a single workplace suggests that some environmental exposure in this damp office had triggered the diseases.

Adult↗