PubMed · 16688131
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2006-05-11. Let the data flow.. https://doi.org/10.1038/441128a
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Extensive water damage after major hurricanes and floods increases the likelihood of mold contamination in buildings. This report provides information on how to limit exposure to mold and how to identify and prevent mold-related health effects. Where uncertainties in scientific knowledge exist, practical applications designed to be protective of a person's health are presented. Evidence is included about assessing exposure, clean-up and prevention, personal protective equipment, health effects, and public health strategies and recommendations. The recommendations assume that, in the aftermath of major hurricanes or floods, buildings wet for <48 hours will generally support visible and extensive mold growth and should be remediated, and excessive exposure to mold-contaminated materials can cause adverse health effects in susceptible persons regardless of the type of mold or the extent of contamination. For the majority of persons, undisturbed mold is not a substantial health hazard. Mold is a greater hazard for persons with conditions such as impaired host defenses or mold allergies. To prevent exposure that could result in adverse health effects from disturbed mold, persons should 1) avoid areas where mold contamination is obvious; 2) use environmental controls; 3) use personal protective equipment; and 4) keep hands, skin, and clothing clean and free from mold-contaminated dust. Clinical evaluation of suspected mold-related illness should follow conventional clinical guidelines. In addition, in the aftermath of extensive flooding, health-care providers should be watchful for unusual mold-related diseases. The development of a public health surveillance strategy among persons repopulating areas after extensive flooding is recommended to assess potential health effects and the effectiveness of prevention efforts. Such a surveillance program will help CDC and state and local public health officials refine the guidelines for exposure avoidance, personal protection, and clean-up and assist health departments to identify unrecognized hazards.
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A study was conducted in November 1999 to assess sediment quality and condition of benthic fauna in the Neuse River Estuary (NRE), North Carolina, USA, following the passage of three Atlantic hurricanes during the two months prior. Samples for analysis of macroinfauna (>0.5 mm sieve size), chemical contamination of sediments, and other abiotic environmental variables (salinity, dissolved oxygen, pH, depth, sediment granulometry) were collected at 20 sites from the mouth of the Neuse River at Pamlico Sound to approximately 90 km upstream. Results were compared to those obtained from the same area in July 1998 using similar protocols. Depressed salinity, caused by extreme rainfall and associated high freshwater flow, persisted throughout much of the estuary, which had experienced periods of water-column stratification and hypoxia of underlying waters. Fifteen of the 20 sites, representing 299 km2 (76% of the survey area), also showed signs of benthic stress based on a multi-metric benthic index of biotic integrity (B-IBI). Benthic impacts included reductions in the abundance, diversity, and numbers of species and shifts in taxonomic composition, with a notable increase in dominance of the opportunistic polychaete Mediomastus ambiseta as other former dominant species declined. There was no significant increase in the extent of chemical contamination compared to pre-hurricane conditions. Storm-related reductions in dissolved oxygen and salinity were the more likely causes of the observed benthic impacts, though it was not possible, based on these results, to separate storm effects from seasonal changes in the benthos and annual episodes of summer anoxia and hypoxia.