Open access peer-reviewed chapter

Fungal Growth and Aerosolization from Various Conditions and Materials

Written By

Jacob Mensah-Attipoe and Oluyemi Toyinbo

Submitted: 23 August 2018 Reviewed: 17 September 2018 Published: 30 April 2019

DOI: 10.5772/intechopen.81565

From the Edited Volume

Fungal Infection

Edited by Érico Silva de Loreto and Juliana Simoni Moraes Tondolo

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Abstract

Microorganisms, especially fungi, from damp indoor environments are known to be one of the main causes of degradation of indoor air quality and can pose serious health hazard to occupants because of the production of airborne particles. Particles produced during microbial growth include both living and non-living particles, which can be submicrometer in size. Individuals are exposed to fungi from various sources and in various conditions. The exposure may occur when the fungi grow in hidden areas and on materials that are in common areas and released under various conditions. The proliferation of fungi detected in a particular area depends on the species of fungi, the growth material and the conditions under which they are grown and released. Fungi aerosolized from any growth material include intact spores, which grow when deposited on favorable material surfaces and other fragments of the growth ranging from a few millimeters to micrometers in size. The types and amounts of intact spores and fragments aerosolized depend on factors such as air velocity blowing over the growth surface, the type of substrate, type of fungi, and relative humidity of the growth and the age of the fungal growth.

Keywords

  • fungi
  • growth
  • aerosolization
  • infections
  • exposure

1. Introduction

Fungal spores and fragments usually in the sub-micrometer size range can be released from contaminated materials into air, and if inhaled, may cause adverse health effects for people and animals [1, 2, 3]. There is increased interest in the role of aerosolized fungal spores and their submicrometer fragments in adverse effects considering the strong association between the numbers of fine particles and adverse health effects [4, 5, 6, 7]. Furthermore, fungal exposures are receiving increasing attention as an occupational and public health problem; this is due to the high prevalence of fungal contamination in buildings. Dampness and moisture-related problems are the main sources of fungal contaminations [8, 9] in homes and other domestic dwellings [10] as well as schools [11].

Fungal spores and fragments are one of the most common classes of airborne biological aerosols in many indoor environments and they form part of the complex community of indoor biological agents [12, 13, 14, 15, 16, 17]. Most of these particles are encountered in indoor environments where we spend about 90% of our time [18]. Because of this, it is important to determine the sources of these fungal spores and their fragments in such environments. Fungi from damp indoor environments are known to be one of the main causes of degradation of indoor air quality and can pose a serious health hazard to occupants [19, 20]. The submicrometer fragments are of utmost importance, because they tend to stay longer in air, and are easily inhaled. The smallest fragments (>0.1 μm) can deposit deep in the respiratory tract having the potential for causing adverse health effects [21, 22, 23]. Furthermore, the large surface area of the fragments relative to their mass may evoke high biological activity [22].

The high number of released fungal fragments in combination with their potential to deliver harmful antigens and mycotoxins to the alveolar region of the lung suggests the need for their characterization. Furthermore, the properties of spores and fragments released from fungal growth are dependent on the type of materials, the species of fungi, the cultivation time as well as the air volume passing over the growth. The characterization of fungal particles is important to help us understand the potential health effects associated with the exposure [21, 24]. Fungal spores are considered the most abundant fraction of these particles; they have an aerodynamic diameter (da) in the size range of 1–10 μm [25].

Indoor air, like outdoor air, has many sources of contaminants that affect health adversely. However, it is not clear which source is associated with the adverse health effects. As earlier explained, because we spend most of our time indoors, it is important to characterize fungal fragments based on their origin since this knowledge can improve our understanding of the potential adverse health effects associated with exposure to these particles.

It has been estimated that dampness and mold growth can be detected in most home as reviewed by Mudarri and Fisk [26] and have been associated with increases of 30–50% in several respiratory and asthma-related health outcomes [27]. Furthermore, approximately 8–18% of cases of acute bronchitis and 9–20% of respiratory infections are estimated to occur in environments contaminated with fungi [28].

The review of Samson et al. [29] claimed that floods, wet seasons, thermal modernization of residential buildings, air-conditioning systems, construction or material faults, and poor and improper ventilation are the major reasons for increase in the relative humidity and dampness of materials in the indoor environment. When moist conditions are prolonged in indoor environments, for example, when building materials stay damp for a long time, then the growth of microbes is promoted and there is an increased risk of microbial contamination [29, 30, 31]. In addition, certain characteristics of the home [32] as well as personal activities of its occupants [33] influence the microbial profile in indoor environments.

Generally, a wide range of fungal species may be encountered in the indoor air. For example, Zyska [34] surveyed the available literature and compiled a list of more than 200 fungal species present in air or growing on structural materials in indoor environments and therefore likely to contribute to the airborne fungal burden. Fungi in indoor environments can be inhaled and exposure via the airways is especially problematic. Furthermore, the presence of fungal particles has been linked to many diseases and symptoms among the occupants of moisture damage buildings [9, 19].

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2. Indoor sources of fungi

There are several sources of fungal particles in the indoor environment. This includes fungal particles exclusively generated from indoor sources and those that infiltrate from the outdoor environment as shown in Figure 1.

Figure 1.

Schematic diagram showing the sources of fungal particles in the indoor environment [3]. Reproduced with permission from Yamamoto et al.

Fungi found indoors may be from different sources. However, the majority (70–80%) of indoor fungal aerosol and fugal allergens (80%) are generated in the indoor environment [3]. In a study by Adams et al. [35], they observed that fungal composition indoor was related to dispersal from the outdoor environment and are passively collected by indoor surfaces, although they rarely grow on the surfaces.

In addition to the above, the basic characteristics and parts of a building can also affect the emergence of fungi. Different researches including Despot and Klarić [36] and Toyinbo et al. [37] have associated buildings with basements with the emergence of indoor mold. This may be due to the high humidity and cold temperature in the building basement. The high humidity and/moisture content may occur from leaky pipes or cracks in the basement walls that allow ground water to penetrate the basement. Another source of moisture in the basement is flooding which makes water to move down to the basement and usually dry at a slow rate due to lack of adequate ventilation. This creates a favorable condition for fungal growth. The kitchen and bathroom sections of a building may also encourage the growth of fungi since these places have a high moisture content and substrates [38].

Outdoor generated indoor fungi enter a building through the ventilation system. This can be a mechanical ventilation system without adequate air filter for pollutants or through a naturally ventilated building with open windows and doors where outdoor to indoor ratio of pollutants can be close to unity. A ventilation system can also be a reservoir for indoor fungi especially when the ducts and filters are dirty with dust that serves as a substrate for fungi growth [39]. A DNA-based analysis of air handling unit filters by Luhung et al. [40] shows diverse genera of fungi, which includes Cladosporium, Aspergillus and Lentinus. Oil residues in ventilation ducts can also trap dusts and serves as a source of nutrients for fungal growth that can be transferred indoor through the ventilation system [39].

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3. Health effects of fungi in indoor environment

The health effects associated with fungal exposures may be caused by the fungi themselves, fungal mycotoxins, and fungal cell wall components or metabolically produced volatile compounds. The health effects can be categorized into three groups: (1) infections, which are caused mostly by the viable cells; (2) allergic reactions, which are usually caused by both viable and non-viable cells and components of the cell wall of the fungi if they carry antigens and (3) toxic responses, usually in response to the mycotoxins produced by the fungi.

Exposure to fungal particles has been linked to a range of adverse health effects [41]. For example, exposure to fungi has been associated with the onset of asthma in both infants and adults [42, 43, 44, 45, 46, 47].

There is convincing data in the literature suggesting an association between moisture damage in a building and the incidence of diseases such as new asthma cases, current asthma, respiratory infections, cough, allergic rhinitis, eczema and bronchitis [2, 42, 43, 46, 47, 48, 49]. In contrast, quantitative assessments have not detected any consistent associations between fungal measurements and adverse health effects. Nevertheless, limited or sufficient associations have been documented between the fungal concentration in dust by qPCR, cultured airborne fungi sampled from indoor air as well as several microbial compounds such as ergosterol, endotoxins and beta-glucans in dust and adverse health effects [50, 51, 52, 53]. There is credible scientific evidence to support the association between moisture damage, visible fungal growth measured indoors and adverse health effects. The World Health Organization (WHO) has stated that approximately 25% of residents in social housing stocks are prone to experience elevated health risks associated with their exposure to indoor molds.

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4. Fungi and fungal growth

Fungi are eukaryotic organisms that lack chlorophyll and obtain their nutrients from the growth media by the use of enzymes that they secrete. On the other hand, molds are filamentous fungi that grow with branched multi-cellular filamentous structures called mycelium [54]. In general, fungi are characterized by a visible vegetative body or a colony composed of a network of threadlike filaments which infiltrate the materials on which they feed. Fungi are usually saprophytic in nature; thus, they obtain nutrients from dead organic matter provided there is sufficient moisture. They can live off many of the materials present in the indoor environment such as wood, cellulose, insulations, wallpapers, glue and everyday dust and dirt [55, 56, 57]. Thus, fungi have the remarkable capability to degrade almost all natural and man-made materials [15, 58, 59] especially if they are hygroscopic [10, 60]. Fungi obtain nutrients by releasing extracellular enzymes and acids that break down the materials prior to their absorption. In the process, particles, including microbial degraded materials as well as gases, especially microbial volatile organic compounds (MVOCs), are released into the environment [61].

The MVOCs may form sub-micrometer particles through a process of secondary aerosol formation [61, 62]. These sub-micrometer particles have been shown to be aerosolized into the indoor environment following exposure to the effects of airflows and vibration [62, 63] Figure 2.

Figure 2.

Schematic diagram showing the growth of fungi on a material surface with the subsequent release of particles of the fungal growth [64]. Reproduced with permission from Morse and acker.

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5. Conditions that promote fungal growth indoors

5.1 Material characteristics

Distinct characteristics of the growth material can play an important role in the creation and accumulation of moisture which eventually lead to mold growth on their surfaces [65, 66]. For example, when building are constructed with very good insulations in order to reduce heat loss and improve thermal performance, the several layers of insulation prevent easy movement of air in and through the building materials leading to accumulation of moisture within the building materials as well as the building. Consequently, the building becomes a microbiological reservoir and a contributor to the microbial exposure due to their ability to absorb and accumulate moisture [67].

Due to the heterogeneous nature of new buildings, there are varieties of materials that serve as micro-niches, that is, they have a favorable temperature, water activity (aw) and relative humidity (RH). For example, the surfaces of affected building materials (such as concrete and ceramic tiles in moist walls, ceiling tiles, dust laden wooden furniture) create specific niches suitable for the growth of microorganisms including bacteria and fungi. As expected, the climate within the building varies from one part of the indoor environment to the next. Thus, fungal growth would also be predicted to vary with the microclimate created. Moisture damage and dampness in buildings often affect a variety of structural components of building materials, leading to a deterioration of the indoor air quality.

5.2 Water, nutrients and temperature requirements

Water-damaged building materials, particularly those rich in organic matter, can support microbial growth if they remain wet for a prolonged period of time [55, 59]. Under certain required conditions such as temperature, nutrient and pH conditions, microbial growth can occur within an hour [24]. Nonetheless, the principal limiting factor is the availability of moisture [55, 68]. It has been established that the lowest RH of a material at which fungi can grow is in a range around 75–80%, which corresponds to a water activity (aw) of 0.75–80 [55, 69, 70]. The moisture of the substrate that is available to the fungi for growth is the so-called free water and this amount is influenced by the relative humidity of the surrounding air. This does not include bound water that is a component of the chemistry of the substrate [24]. Moisture sources for fungal growth on materials indoors may be internal or external with moisture movement into and through building cavities by convection, gravity or capillary action.

Pasanen et al. [71] found that relative humidity values of 70–90% are required if there is to be fungal growth on building materials. Furthermore, the relative humidity required for growth depends on the particular material and the fungal species involved. Since most materials are porous in nature, adsorption of water into the materials first occurs via the pores before the material surface and become available to the microbes. Thus, porous materials support fungal growth when their RH is higher than 80% [68]. These conditions influence the extent of colonization and the types of fungi that will be present, since any changes in moisture availability will change also the composition of the microbial species present in that environment. For example, certain species of Penicillium, Erotium and Aspergillus grow in relatively dry environments with RH between 75 and 85% (e.g., in settled house dust on material surfaces with a relatively low RH). As RH increases, different species such as Basidiomycetes and Eratonium begin to grow, requiring continuously wet substrates such as soaked wallboard with RH range of 80–90%, while others like Fusarium, Cladosporium and Stachybotrys only grow at RH exceeding 90% [29, 70, 71, 72, 73].

In addition to humidity and water, fungi need adequate nutrition and temperatures to grow. The availability of nutrients depends on the composition of the building material. Building materials like wood and ceiling tiles are organic in nature; they contain complex polymers like starch, cellulose and lignin. These components are broken down by the extracellular enzymes of the fungi into simple sugars, amino acids and other simple nutrients [74, 75]. As fungi can utilize many complex polymers, a wide range of materials can act as nutrient sources.

Fungi can grow over a wide temperature range (5–39°C), [76]. However, at low temperatures (0–5°C), the fungal metabolic activities necessary for growth are slowed down, rendering the fungi dormant until an optimum temperature is reached [77]. At a higher temperature (34–36°C) the metabolic reaction rates increase and at temperatures above 46°C, the fungi become stressed and die [78]. This is because most of the activities of the fungi are dependent on DNA and enzymes. Due to the above, the concentration of fungi is usually high during the summer season as compared to winter season [79].

5.3 Types of building materials

Fungal growth on building materials is dependent on the chemical composition of the materials [58]. The most susceptible materials to microbial growth and biodegradation are those with a natural organic composition, for example, wood and paper. These materials contain starch, cellulose and hemicellulose, pectin and lignin [74, 80, 81]. Based on these components, a wide variety of materials are potentially suitable for supporting fungal growth [15, 58, 59].

Buildings contain a wide variety of materials that affect the germination and growth rate of fungi [82]. Thus, each material serves as a niche for a specific microorganism, depending on the composition of the material, water activity and nutrient content [58, 83]. These properties of the building materials determine the diversity and extent of growth of the microbes [84, 85].

Wood remains the most extensively used material in buildings [81, 86]. Wood is able to absorb and retain water and moisture from both standing water and the environment [81, 87]. This characteristic in addition to the high nitrogen-bound compounds and low molecular carbohydrates that are transferred to the wood surface during processing mean that wood is very susceptible to fungal growth [87]. For example, a study by Meklin et al. [88] found school constructed with wood to have a higher concentration of fungi (5–950 cfu/m3) than those constructed with concrete (<2–5 to 500 cfu/m3). Although concrete is also hygroscopic, it has a low moisture permeability which reduces its rate of degradation and it contains very little or no nutrient for fungi growth [89]. Fungal species commonly found on moisture-damaged wood include Aspergillus versicolor, Penicillium brevicompactum, [81, 84, 85].

Gypsum board, on the other hand, is mostly used as the inner wall liners in buildings [90]. The paper liners used to reinforce the gypsum core makes gypsum board susceptible to fungal growth. Since the inner core (gypsum) is able to retain water and make it available to the surface paper lining, there can be a prolonged presence of water and moisture required to sustain fungal growth [10]. While the inner core (gypsum) may not be susceptible to fungal growth, the glue and paper serve as good media due to their organic nature [91]. The fungal species routinely found on gypsum board are the cellulolytic Stachybotrys chartarum [70] and Cladosporium cladosporioides [91].

Plastic materials are also becoming a common material used in buildings, as either sheets or pipes. As sheets, they are used as material envelopes, which insulate the building. Though plastics are known to be resistant to microbial attack because microbes do not possess any enzymes capable of degrading synthetic polymers [92], the addition of plasticizers can make the plastics susceptible to microbial growth [93]. These plasticizers are commonly organic acid esters such as dioctylphthalates (DOP) and dioctyladipate (DOA) which are added to the polyvinyl chloride (PVC) to modify the polymer’s physical or mechanical properties [93].

Glass fibers used in insulation materials do not support fungal growth. However, the glue used as binders does contain nutrients that may promote fungal growth [90] since these glues can be synthetic or plant-based. For example, the urea-based derivatives, polyurethanes, which are used as binders, are known to support fungal growth [94]. Plant-based binders are also used in binding certain building materials such as plywood, and ceiling tiles and may contain nutrients suitable to allow fungal growth.

5.4 Contamination or soiling

All materials, both organic and inorganic, are able to sustain fungal life especially when the materials have dust, dirt or other deposits on their surface which represent sources of carbon and nitrogen [56, 57]. Dust is known to contain microorganisms, debris and other animal or insect parts that serve as nutrients for fungal growth [95]. Thus, more growth is observed on materials with dust on their surfaces compared to those without dust [56, 96]. Furthermore, settled dust or soil alters the water absorbing and retentive characteristics of the material surface, making the material surface continually moist, conditions in which fungi thrive [10]. Dust absorbs water from the atmosphere. It has been shown that dust competes with the material surface for moisture, with the dust holding more water due to its more hygroscopic nature. Therefore, dust may promote fungal growth even on materials that naturally would not support microbial growth [56, 57]. It is therefore important for indoor surfaces to be continually cleaned to avoid fungal growth and any health effect associated with it.

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6. Aerosolization of fungal spores and fragments

Forces such as turbulence, temperature, air velocity, vibration and zone of convection are usually associated with the release of fungal spores and hyphae from fungal colonies. In addition, factors such as the maturity of the colony, changes in temperature, relative humidity over the culture surface, light periods, nutritional composition of the substrate and the specific fungal species will determine the frequency and the number of spores that will be liberated and transported into the air at any given time. Furthermore, the dispersal of the fungal particles depends upon their size, shape, roughness, density, electrostatic charge, air movement and activities that influence the circulation of the air [24].

Release of fungal particles usually occurs by two mechanisms; active and passive release [68]. Active release refers to an adaptive type of particle aerosolization, via forces arising inside the fungi attributable to a burst of energy by a mechanism known as osmotic pressure and surface tension discharge [97]. Passive release occurs by energy originating from outside the fungi, such as mechanical disturbances of the fungal colonies by mechanical handling, vibration or air currents. The latter forces can also cause secondary release of settled spores from surfaces. Activities that have been shown to increase fungal spore concentrations in indoor air include daily activities such as vacuuming, sweeping, walking etc. [98, 99, 100, 101, 102, 103].

During fungal growth and sporulation, as well as when the culture is in a dormant phase, spores and bioactive agent containing fragments are released into the indoor environment [21, 61, 104, 105, 106, 107]. As mentioned earlier, hyphal fragments are of high importance since they make up about 6–56% of the total fungal particles based on microscopic sample analysis [108, 109]. Aerosolized fungal particles in chamber studies have shown that fungal fragments are released at levels up to 514 times higher than spores [21, 61, 106, 107, 110]. In other studies, Li and Kendrick [111] used microscopic counting and found that hyphal fragments accounted for only 6.3% of the total number of fungal particles in indoor environments. In addition, by applying a biomass determination, Adhikari et al. [112] detected lower amounts of β-N-acetylhexosaminidase (NAHA) enzyme in fungal fragments <1 μm compared to spores >1.8 μm.

Though both types of particles (spores and fragments) released from the fungal cultures during aerosolization are potentially harmful, the fragments are of greater importance since they tend to suspend longer in air than the spores [61, 62, 106, 107, 113]. They also have a tendency to penetrate deep into alveolar regions of the respiratory tract when inhaled [21, 114]. Cho et al. [21] have used a computer-based model to assess the deposition of spores and fragments of A. versicolor and S. chartarum in the respiratory tract. For both fungi, they found that the vast majority, 65–90%, of inhaled fungal spores deposited in the nasal and extra thoracic regions while only 3–15 and 2–5% of the spores deposited in the alveoli-interstitial and bronchial-bronchiolar regions, respectively. They also demonstrated that about 60% of fungal fragments deposited in the alveoli-interstitial region with 14–15% being trapped in the nasal and extrathoracic regions. It can therefore be deduced from the above modeling analysis that the different deposition efficiencies could have consequences on the potential adverse health effects induced by inhaled fungal particles of different sizes.

Fungal fragments have been shown to contain antigens [61, 62], allergens [5, 115, 116], mycotoxins [23, 117], and (1 → 3)-β-D-glucans [23, 52]. Their size in relation to their numbers and their biological properties all contribute to their potential to evoke adverse health effects. It is known from atmospheric studies investigating the adverse health effects of ultrafine particles that it is the number concentration rather than mass concentration which is important [118, 119].

Different fungal species have characteristic structures and thus behave differently when they become airborne. In addition, the growth substrate providing the nutrients for the fungi may also affect the properties of the spores and fragments and could contribute to fragments released from the biodegradation of the substrate itself during fungal metabolism. The amount of fungal particles released may also depend on the type of substrate and the conditions under which the fungi were grown. It is very important to evaluate spore properties under a variety of conditions in order to gain insights into the contribution these factors have on the adverse health effects produced by these particles.

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7. Aerosolization and characterization of fungal spores and fragments

One of the ways fungal particles are characterized is by their properties when they are released from contaminated materials. The particles released are affected by the growth substrate, fungal species, age of the culture and air velocity to which the cultures had been exposed [120]. The same factors affected the fragment/spore (F/S) ratios [121].

Biological particles are usually distinguished from non-biological particles by their ability to fluoresce when excited with photons at a certain wavelength. The fluorescence property is based on molecules such as tryptophan, tyrosine, or phenylalanine, reduced nicotinamide adenine dinucleotide (NADH), and nicotinamide adenine dinucleotide phosphate (NADPH) as well as riboflavins, flavin adenine dinucleotide (FADH) and flavin mononucleotide (FMN). Depending on the conditions under which the fungi grow, differences in fluorescence properties are observed. For example, spores obtained from cultures on building materials, such as, gypsum board, have been shown to have lower fluorescent properties than spores from agar. This indicates that cultures growing on nutrient poor substrates contain less compounds capable of fluorescence. Studies by Agranovski et al. [121] and Kanaani et al. [122] measuring fungal amounts from agar using fluorescence measuring devices in laboratory settings resulted in good detection efficiency of the instruments. However, the use of fluorescence properties may underestimate the concentration of fungal particles due to influences of nutrient availability on the growth of the fungi.

The type of species also affects the fluorescence properties. For example, lower fluorescent particle fraction (FPF) values have been observed for C. cladosporioides compared to A. versicolor and P. brevicompactum [120, 123]. The structure of the spore plays a major role in allowing devices to measure fluorescence properties. C. cladosporioides has a dark-skinned coating preventing impinging photons from penetrating to reach the exterior pigments to excite fluorescence from internal fluorescence. It can be deduced that C. cladosporioides concentrations may be underestimated in field measurements.

In recent study by Mensah-Attipoe et al. [121] and Afanou et al. [104], they observed that A. versicolor produced a higher F/S-ratio compared to C. cladosporioides and P. brevicompactum. The increased sub-micrometer fragments from A. versicolor can be attributed to the outer-wall spines, which are easily sheared away during sampling.

Studies have shown that the type of material and nutrient affects how much particles are released [120, 121]. For example, the fragment/spore ratio (F/S) for agar was higher compared to wood and gypsum board. Seo et al. [124] observed a higher F/S ratio for A. versicolor cultivated on agar than on gypsum board and ceiling tiles. Generally, higher concentrations of fungal particles are aerosolized from dry surfaces with low moisture contents than wet surfaces with high humidity [62]. Agar may have a different moisture content and moisture dynamics during the fungal growth than wood and gypsum board. During growth, the moisture content becomes reduced [23] and it is possible that agar loses more moisture than wood and gypsum. Therefore, fungal growth on agar undergoes desiccation stress and releases more fragment particles than when it grows on wood and gypsum board.

It has been observed that fragment/spore ratio (F/S) increases with increasing age of the culture. Moisture content of wood and gypsum increases with incubation time. Therefore, before aerosolization can yield enough particles, the material must be dried. With differences in the absorption and retention of moisture by the various materials, fungal biomass is also affected and hence affects the release dynamics of fungal particles from the material surfaces. Seo et al. [124] demonstrated that F/S increased with age. They attributed the increase in particle release from older cultures to changes in fungal biomass and moisture content. Dryness on the surface of the culture increases the aerosolization of fungal particles by reducing the adhesion forces between the fungal structures and making these structures more brittle [124]. Therefore, it has been concluded that with time, fungal growth in buildings may increase the contribution of sub-micrometer-sized fungal fragments to the overall mold exposure [124]. Spores aerosolized from older cultures displayed lower fluorescence than younger cultures. Kanaani et al. [125] reported a decrease in fluorescence emitted by Penicillium and Aspergillus from 2 days to 21 days. They suggested that fluorescent intensity of biomolecules such as nicotinamide-adenine dinucleotide phosphate NAD(P)H and surrogates of metabolic function such as riboflavin found in fungal spores may vary according to the environmental conditions under which the fungal colonies are growing and also on their concentration at a particular point in time. The decrease in fluorescence with age could also be due to changes in the fluorescent compounds as the culture ages.

Concentration of fungal spores and fragments has been shown to increase with increasing air velocity, but the F/S ratios decreased with increase in air velocity. A decrease in fluorescence per spore was observed when the air velocity was increased. It is also possible that as larger particles are carried along with the increased air currents in the sampling lines, they impact on the sides of the walls resulting in the breakage; as posited by Afanou et al. [104, 105].

Fragments have been proposed to be secondary organic aerosols formed from MVOCs released from fungal growths (secondary formation of aerosol particles) [61]. If fragment particles are formed by this mechanism in the presence of ozone, the concentration of fragments should decrease with higher flow rates due to their increased dilution. However, the opposite was observed by Mensah-Attipoe et al. [121], meaning that secondary aerosol formation may not be a relevant process for origin of fungal fragments. Instead, fragments are mainly formed through mechanical processes. It has been shown that fungal fragments are aerosolized at low air velocity [61]. Studies by Mensah-Attipoe et al. [121] show that fragments and spore concentrations increased with greater air velocities, however, the spore concentration increased more than the fragment concentration. This explains the decrease in F/S ratio when the air velocity is increased. A decrease in fluorescence in response to the increase in air velocity has been postulated to be due to a decrease in relative humidity of the culture causing desiccation stress to the fungal spores [125]. In addition, due to the increased air velocity, larger fungal hyphae are aerosolized together with spores due to increased stress and desiccation of the colony. The desiccation stress and decrease in fluorescence induced by increased air velocity has been attributed to a loss of spore viability [125].

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8. Conclusions

The type of building material and fungal species affect the amount of growth measured on the contaminated surfaces. In addition, these factors together with air velocity and age of the culture affect the properties of the fungal particles aerosolized from fungal contaminated surfaces. The nutritional value, chemical composition and moisture requirements as well as sources of external nutrients potentially affect fungal growth.

Fluorescence property of the particles which is sometimes attributed to their viability decreases when fungi are grown on poor nutrient substrates, released from older cultures and released in the presence of high air velocities. Since a building has many different materials in its structure and varying airflows passing over different ages of the growths at any point in time, it is concluded that fungal viability and their ability to cause infections may vary under different conditions.

F/S ratios decrease with increasing air velocity while spore concentration increase. This suggests that the conditions under which individuals are exposed to fungal particles may be different. A fraction of the fragments could be derived from building materials due to biodegradation of substrates when they are subjected to fungal metabolism. Fragments aerosolized from building materials could represent a potential health hazard depending on the composition of the material.

References

  1. 1. Chew GL, Rogers C, Burge HA, Muilenberg ML, Gold DR. Dustborne and airborne fungal propagules represent a different spectrum of fungi with differing relations to home characteristics. Allergy. 2003;58(1):13-20
  2. 2. Mendell MJ, Mirer AG, Cheung K, Tong M, Douwes J. Respiratory and allergic health effects of dampness, mold, and dampness-related agents: A review of the epidemiologic evidence. Environmental Health Perspectives. 2011;119(6):748-756
  3. 3. Yamamoto N, Hospodsky D, Dannemiller KC, Nazaroff WW, Peccia J. Indoor emissions as a primary source of airborne allergenic fungal particles in classrooms. Environmental Science & Technology. 2015;49(8):5098-5106
  4. 4. Gold DR et al. Ambient pollution and heart rate variability. Circulation. 2000;101(11):1267-1273
  5. 5. Green BJ, Tovey ER, Sercombe JK, Blachere FM, Beezhold DH, Schmechel D. Airborne fungal fragments and allergenicity. Medical Mycology. 2006;44(sup 1):245-255
  6. 6. Magari SR, Hauser R, Schwartz J, Williams PL, Smith TJ, Christiani DC. Association of heart rate variability with occupational and environmental exposure to particulate air pollution. Circulation. 2001;104(9):986-991
  7. 7. Pekkanen J et al. Particulate air pollution and risk of ST-segment depression during repeated submaximal exercise tests among subjects with coronary heart disease: The exposure and risk assessment for fine and ultrafine particles in ambient air (ULTRA) study. Circulation. 2002;106(8):933-938
  8. 8. Institute of Medicine (IOM). Committee on damp indoor spaces and health. In: Damp Indoor Spaces and Health. Washington, D.C.: National Academies Press; 2004
  9. 9. Heseltine E, Rosen J. WHO Guidelines for Indoor Air Quality: Dampness and Mould. Europe: WHO Regional Office; 2009
  10. 10. Flannigan B, Samson RA, Miller JD, editors. Microorganisms in indoor air. In: Microorganisms in Home and Indoor Work Environments: Diversity, Health Impacts, Investigation and Control. London: Taylor & Francis; 2001. pp. 17-31
  11. 11. Norback D et al. Mould and dampness in dwelling places, and onset of asthma: The population-based cohort ECRHS. Occupational and Environmental Medicine. 2013;70(5):325-331
  12. 12. Bauer H et al. Significant contributions of fungal spores to the organic carbon and to the aerosol mass balance of the urban atmospheric aerosol. Atmospheric Environment. 2008;42(22):5542-5549
  13. 13. Dacarro C, Picco AM, Grisoli P, Rodolfi M. Determination of aerial microbiological contamination in scholastic sports environments. Journal of Applied Microbiology. 2003;95(5):904-912
  14. 14. Elbert W, Taylor PE, Andreae MO, Pöschl U. Contribution of fungi to primary biogenic aerosols in the atmosphere: Wet and dry discharged spores, carbohydrates, and inorganic ions. Atmospheric Chemistry and Physics. 2007;7(17):4569-4588
  15. 15. Nevalainen A, Seuri M. Of microbes and men. Indoor Air. 2005;15(Suppl 9):58-64
  16. 16. Reponen T, Willeke K, Grinshpun S, Nevalainen A. Biological particle sampling. In: Kulkarni P, Baron P, Willeke K, editors. Aerosol Measurement, Principles, Techniques, and Applications. 3rd ed. Hoboken, NJ: John Wiley & Johns, Inc.; 2011. pp. 549-570
  17. 17. Womiloju TO, Miller JD, Mayer PM, Brook JR. Methods to determine the biological composition of particulate matter collected from outdoor air. Atmospheric Environment. 2003;37(31):4335-4344
  18. 18. Esmen NA. The status of indoor air pollution. Environmental Health Perspectives. 1985;62:259
  19. 19. Gutarowska B, Piotrowska M. Methods of mycological analysis in buildings. Building and Environment. 2007;42(4):1843-1850
  20. 20. Madsen AM et al. Generation and characterization of indoor fungal aerosols for inhalation studies. Applied and Environmental Microbiology. 2016;82:2479-2493. AEM-04063
  21. 21. Cho S-H, Seo S-C, Schmechel D, Grinshpun SA, Reponen T. Aerodynamic characteristics and respiratory deposition of fungal fragments. Atmospheric Environment. 2005;39(30):5454-5465
  22. 22. Frankel M, Hansen EW, Madsen AM.Effect of relative humidity on the aerosolization and total inflammatory potential of fungal particles from dust-inoculated gypsum boards. Indoor Air. 2014;24(1):16-28
  23. 23. Seo SC, Reponen T, Levin L, Borchelt T, Grinshpun SA. Aerosolization of particulate (1–>3)-beta-D-glucan from moldy materials. Applied and Environmental Microbiology. 2008;74(3):585-593
  24. 24. McGinnis MR. Indoor mould development and dispersal. Medical Mycology. 2007;45(1):1-9
  25. 25. Glikson M, Rutherford S, Simpson RW, Mitchell CA, Yago A. Microscopic and submicron components of atmospheric particulate matter during high asthma periods in Brisbane, Queensland, Australia. Atmospheric Environment. 1995;29(4):549-562
  26. 26. Mudarri D, Fisk WJ. Public health and economic impact of dampness and mold. Indoor Air. 2007;17(3):226-235
  27. 27. Fisk WJ, Lei-Gomez Q , Mendell MJ. Meta-analyses of the associations of respiratory health effects with dampness and mold in homes. Indoor Air. 2007;17(4):284-296
  28. 28. Fisk WJ, Eliseeva EA, Mendell MJ. Association of residential dampness and mold with respiratory tract infections and bronchitis: A meta-analysis. Environmental Health: Global Access Sci. Sour. 2010;9:72
  29. 29. Samson RA, Houbraken J, Thrane U, Frisvad JC, Andersen B. Food and Indoor Fungi. CBS laboratory manual series 2. Utrecht: CBS-KNAW Fungal Biodiversity Centre; 2010
  30. 30. Piñar G, Sterflinger K. Microbes and building materials. In: Build. Mater. Prop. Perform. New York: Appl. Nov. Publ; 2009. pp. 163-188
  31. 31. Sterflinger K. Fungi: Their role in deterioration of cultural heritage. Fungal Biology Reviews. 2010;24(1):47-55
  32. 32. Sordillo JE, Alwis UK, Hoffman E, Gold DR, Milton DK. Home characteristics as predictors of bacterial and fungal microbial biomarkers in house dust. Environmental Health Perspectives. 2010;119(2):189-195
  33. 33. Dunn RR, Fierer N, Henley JB, Leff JW, Menninger HL. Home life: Factors structuring the bacterial diversity found within and between homes. PLoS ONE. 2013;8(5):e64133
  34. 34. Zyska B. Fungi in indoor air in European countries. Mikologia Lekarska. 2001;8(3/4):127-140
  35. 35. Adams RI, Miletto M, Taylor JW, Bruns TD. The diversity and distribution of fungi on residential surfaces. PLoS One. 2013;8(11):e78866
  36. 36. Despot DJ, Klarić MŠ. A year-round investigation of indoor airborne fungi in Croatia. Archives of Industrial Hygiene and Toxicology. 2014;65(2):209-218
  37. 37. Toyinbo O, Matilainen M, Turunen M, Putus T, Shaughnessy R, Haverinen-Shaughnessy U. Modeling associations between principals’ reported indoor environmental quality and students’ self-reported respiratory health outcomes using GLMM and ZIP models. International Journal of Environmental Research and Public Health. 2016;13(4):385
  38. 38. Mentese S, Arisoy M, Rad AY, Güllü G. Bacteria and fungi levels in various indoor and outdoor environments in Ankara, Turkey. Clean—Soil, Air, Water. 2009;37(6):487-493
  39. 39. Khan AAH, Karuppayil SM. Fungal pollution of indoor environments and its management. Saudi Journal of Biological Sciences. 2012;19(4):405
  40. 40. Luhung I, Wu Y, Xu S, Yamamoto N, Chang VW-C, Nazaroff WW. DNA accumulation on ventilation system filters in university buildings in Singapore. PLoS One. 2017;12(10):e0186295
  41. 41. Douwes J, Thorne P, Pearce N, Heederik D. Bioaerosol health effects and exposure assessment: Progress and prospects. The Annals of Occupational Hygiene. 2003;47(3):187-200
  42. 42. Bornehag C-G et al. Dampness in buildings and health. Indoor Air. 2001;11(2):72-86
  43. 43. Bornehag C-G et al. Dampness in buildings as a risk factor for health effects, EUROEXPO: A multidisciplinary review of the literature (1998-2000) on dampness and mite exposure in buildings and health effects. Indoor Air. 2004;14(4):243-257
  44. 44. Johanning E. Indoor moisture and mold-related health problems. European Annals of Allergy and Clinical Immunology. 2004;36(5):182-185
  45. 45. Johanning E, Auger P, Morey PR, Yang CS, Olmsted E. Review of health hazards and prevention measures for response and recovery workers and volunteers after natural disasters, flooding, and water damage: Mold and dampness. Environmental Health and Preventive Medicine. 2014;19(2):93-99
  46. 46. Kanchongkittiphon W, Mendell MJ, Gaffin JM, Wang G, Phipatanakul W. Indoor environmental exposures and exacerbation of asthma: An update to the 2000 review by the Institute of Medicine. Environmental Health Perspectives. 2015;123(1):6-20
  47. 47. Tischer C, Chen CM, Heinrich J. Association between domestic mould and mould components, and asthma and allergy in children: A systematic review. The European Respiratory Journal. 2011;38(4):812-824
  48. 48. Jaakkola JJK, Hwang B-F, Jaakkola N. Home dampness and molds, parental atopy, and asthma in childhood: A six-year population-based cohort study. Environmental Health Perspectives. 2004;113.3:357-361
  49. 49. Tischer C et al. Predictors of microbial agents in dust and respiratory health in the Ecrhs. BMC Pulmonary Medicine. 2015;15(1):48
  50. 50. Biagini JM et al. Environmental risk factors of rhinitis in early infancy. Pediatric Allergy and Immunology. 2006;17(4):278-284
  51. 51. Iossifova YY et al. Mold exposure during infancy as a predictor of potential asthma development. Annals of Allergy, Asthma & Immunology. 2009;102(2):131-137
  52. 52. Iossifova YY et al. House dust (1-3)-β-d-glucan and wheezing in infants. Allergy. 2007;62(5):504-513
  53. 53. Reponen T et al. Infant origins of childhood asthma associated with specific molds. The Journal of Allergy and Clinical Immunology. 2012;130(3):639-644.e5
  54. 54. Eduard W. The Nordic Expert Group for Criteria Documentation of Health Risks from Chemicals: 139. Fungal Spores. Arbete Och Halsa; 2006;21:1-145
  55. 55. Adan OCG. On the Fungal Defacement of Interior Finishes. Eindhoven University of Technology; 1994
  56. 56. Foarde KK, Van Osdell DW, Chang JCS. Evaluation of fungal growth on fiberglass duct materials for various moisture, soil, use, and temperature conditions. Indoor Air. 1996;6(2):83-92
  57. 57. Viitanen H, Ojanen T. Improved model to predict mold growth in building materials. In: ASHRAE/Proc., 10th Int. Conf. on Thermal Performance of the Exterior Envelopes of Whole Buildings X. Clearwater Beach, USA; 2-7 December 2007
  58. 58. Hoang CP, Kinney KA, Corsi RL, Szaniszlo PJ. Resistance of green building materials to fungal growth. International Biodeterioration and Biodegradation. 2010;64(2):104-113
  59. 59. Nielsen KF, Holm G, Uttrup LP, Nielsen PA. Mould growth on building materials under low water activities. Influence of humidity and temperature on fungal growth and secondary metabolism. International Biodeterioration and Biodegradation. 2004;54(4):325-336
  60. 60. Klamer M, Morsinga E, Husemoenb T. Fungal growth on different insulation materials exposed to different moisture regimes. International Biodeterioration and Biodegradation. 2004;54(4):277-282
  61. 61. Górny RL et al. Fungal fragments as indoor air biocontaminants. Applied and Environmental Microbiology. 2002;68(7):3522-3531
  62. 62. Górny RL, Reponen T, Willeke K, Robine E, Boissier M, Grinshpun SA. Release of fungal fragments from moldy surfaces. Applied and Environmental Microbiology. 2002;68:3522-3531
  63. 63. Madsen AM, Kruse P, Schneider T. Characterization of microbial particle release from biomass and building material surfaces for inhalation exposure risk assessment. The Annals of Occupational Hygiene. 2006;50(2):175-187
  64. 64. Morse R, Acker D. Indoor air quality and mold prevention of the building envelope. National Institute of Building Sciences. 2009;1:2009
  65. 65. Odom JD, DuBose G. Commissioning Buildings in Hot, Humid Climates: Design and Construction Guidelines. West Palm Beach, FL: Morse Zehnter Associates, The Fairmont Press, Inc.; 2000
  66. 66. Warscheid T. Mold remediation in West-European buildings. Fundamentals of Mold Growth in Indoor Environments and Strategies for Healthy Living. Wageningen, Utrecht, The Netherlands: Wageningen Academic Publishers; 2011. pp. 413-433
  67. 67. Kemp PC, Neumeister-Kemp HG, Esposito B, Lysek G, Murray F. Changes in airborne fungi from the outdoors to indoor air; large HVAC systems in nonproblem buildings in two different climates. AIHA Journal. 2003;64(2):269-275
  68. 68. Adan OCG. The Fungal Resistance of Interior Finishing Materials. Wageningen, Utrecht, The Netherlands: Wageningen Academic Publishers; 2011. pp. 335-352
  69. 69. Rowan NJ, Johnstone CM, McLean RC, Anderson JG, Clarke JA. Prediction of toxigenic fungal growth in buildings by using a novel modelling system. Applied and Environmental Microbiology. 1999;65(11):4814-4821
  70. 70. Grant C, Hunter CA, Flannigan B, Bravery AF. The moisture requirements of moulds isolated from domestic dwellings. International Biodeterioration. 1989;25(4):259-284
  71. 71. Pasanen AL, Rautiala S, Kasanen JE, Raunio P, Rantamaki J, Kalliokosk P. The relationship between measured moisture conditions and fungal concentrations in water-damaged building materials. Indoor Air. 2000;10(2):111-120
  72. 72. Dillon HK, Heinsohn PA, Miller JD. Field Guide for the Determination of Biological Contaminants in Environmental Samples. Fairfax, VA, USA: AIHA; 2005
  73. 73. Miller JD. Mycological investigations of indoor environments. In: Microorganisms in Home and Indoor Work Environments: Diversity, Health Impacts, Investigation and Control. Vol. 2. 2011
  74. 74. D’Souza TM, Merritt CS, Reddy CA. Lignin-modifying enzymes of the white rot basidiomycete Ganoderma lucidum. Applied and Environmental Microbiology. 1999;65(12):5307-5313
  75. 75. Sedlbauer K. Prediction of mould fungus formation on the surface of and inside building components. [Thesis]. Stuttgart: Fraunhofer Institute for Building Physics; 2001
  76. 76. Zak JC, Wildman HG. Fungi in stressful environments. In: Biodiversity of Fungi. Inventory and Monitoring Methods. London: Elsevier/Academic; 2004. pp. 303-315
  77. 77. Kubicek CP, Esser K, Druzhinina IS. Environmental and Microbial Relationships. Vol. 4. Heidelberg, Germany: Springer Science & Business Media; 2007
  78. 78. Nofal M, Kumaran MK. Durability assessments of wood-frame construction using the concept of damage-functions. In: Lacasse M, Vainer D, editors. Proceedings of the 8th International Conference Durability of Building Materials and Components. Vancouver, Canada; 1999. pp. 766-799
  79. 79. Shelton BG, Kirkland KH, Flanders WD, Morris GK. Profiles of airborne fungi in buildings and outdoor environments in the United States. Applied and Environmental Microbiology. 2002;68(4):1743-1753
  80. 80. Rantamaki J et al. Mould in Buildings and Building Materials. Finnish. Vol. 2000. Espoo, Finland: VTT Tied; 2000. p. 40
  81. 81. Viitanen H et al. Moisture and bio-deterioration risk of building materials and structures. Journal of Building Physics. 2010;33(3):201-224
  82. 82. Anagnost SE. Wood in the built environment: Conditions for mold and decay. In: Yang CS, Heinsohn PA, editors. Sampling and Analysis of Indoor Microorganisms. New York: John Wiley & Sons; 2007. pp. 155-178
  83. 83. Pasanen A-L et al. Fungal growth and survival in building materials under fluctuating moisture and temperature conditions. International Biodeterioration and Biodegradation. 2000;46(2):117-127
  84. 84. Andersen B, Frisvad JC, Søndergaard I, Rasmussen IS, Larsen LS. Associations between fungal species and water-damaged building materials. Applied and Environmental Microbiology. 2011;77(12):4180-4188
  85. 85. Hyvärinen A, Meklin T, Vepsäläinena A, Nevalainena A. Fungi and actinobacteria in moisture-damaged building materials - concentrations and diversity. International Biodeterioration and Biodegradation. 2002;49(1):27-37
  86. 86. Hukka A. A mathematical model of mould growth on wooden material. Wood Science and Technology. 2000;33:475-485
  87. 87. Viitanen HA. Factors Affecting Mould Growth on Kiln Dried Wood. In: 3rd Workshop on Softwood Drying to Specific End Uses, Cost Action E 15, Advances in the Drying of Wood. Helsinki: VTT, Otawood; Vol. 4, 11-13 June 2001. pp. 1-8
  88. 88. Meklin T et al. Quantitative PCR analysis of house dust can reveal abnormal mold conditions. Journal of Environmental Monitoring. 2004;6(7):615-620
  89. 89. Crawford JA, Rosenbaum PF, Anagnost SE, Hunt A, Abraham JL. Indicators of airborne fungal concentrations in urban homes: Understanding the conditions that affect indoor fungal exposures. Science of the Total Environment. 2015;517:113-124
  90. 90. Payne C, Woodward S, Petty JA. The softwood staining fungus Ophiostoma piceae: Influence of relative humidity, temperature and timber drying method on mycelial growth and coremiophore production in vitro and on wood. Journal of the Institute of Wood Science. 2000;15(4):165-172
  91. 91. Murtoniemi T, Nevalainen A, Hirvonen M-R. Effect of plasterboard composition on stachybotrys chartarum growth and biological activity of spores. Applied and Environmental Microbiology. 2003;69(7):3751-3757
  92. 92. Mueller A et al. Individual and combined effects of mycotoxins from typical indoor moulds. Toxicology in Vitro. 2013;27(6):1970-1978
  93. 93. Webb JS, Nixon M, Eastwood IM, Greenhalgh M, Robson GD, Handley PS. Fungal colonization and biodeterioration of plasticized polyvinyl chloride. Applied and Environmental Microbiology. 2000;66(8):3194-3200
  94. 94. Chang JCS. Growth evaluation of Fungi (Penicillium and Aspergillus spp.) on ceiling tiles. Atmospheric Environment. 1995;29(17):2331
  95. 95. Rintala H, Pitkaranta M, Taubel M. Microbial communities associated with house dust. Advances in Applied Microbiology. 2012;78:75-120
  96. 96. Kowalski WJ, Bahnfleth WP, Whittam TS. Filtration of airborne microorganisms: Modeling and prediction. ASHRAE Transactions. 1999;105:4-17
  97. 97. Bridge P, Spooner B. Soil fungi: Diversity and detection. Plant and Soil. 2001;232(1-2):147-154
  98. 98. Corsi RL, Siegel JA, Chiang C. Particle resuspension during the use of vacuum cleaners on residential carpet. Journal of Occupational and Environmental Hygiene. 2008;5(4):232-238
  99. 99. Gomes C, Freihaut J, Bahnfleth W. Resuspension of allergen-containing particles under mechanical and aerodynamic disturbances from human walking. Atmospheric Environment. 2007;41(25):5257-5270
  100. 100. Knibbs LD, He C, Duchaine C, Morawska L. Vacuum cleaner emissions as a source of indoor exposure to airborne particles and bacteria. Environmental Science & Technology. 2011;46(1):534-542
  101. 101. Qian J, Peccia J, Ferro AR. Walking-induced particle resuspension in indoor environments. Atmospheric Environment. 2014;89:464-481
  102. 102. Rosati JA, Thornburg J, Rodes C. Resuspension of particulate matter from carpet due to human activity. Aerosol Science and Technology. 2008;42(6):472-482
  103. 103. Veillette M et al. Microbial contents of vacuum cleaner bag dust and emitted bioaerosols and their implications for human exposure indoors. Applied and Environmental Microbiology. 2013;79(20):6331-6336
  104. 104. Afanou KA et al. Submicronic fungal bioaerosols: High-resolution microscopic characterization and quantification. Applied and Environmental Microbiology. 2014;80(22):7122-7130
  105. 105. Afanou, Komlavi Anani, et al. Profile and morphology of fungal aerosols characterized by field emission scanning electron microscopy (FESEM). Aerosol Science and Technology. 2015;496:423-435
  106. 106. Madsen AM, Wilkins CK, Poulsen OM. Micro-particles from fungi. In: Bioaerosols Fungi Bact. Mycotoxins Hum. Heal. Pathophysiol. Clin. Eff. Expo. Assess. Prev. Control Indoor Environ. NY: Boyd Print. Co.; 2005. pp. 276-291
  107. 107. Reponen T, Seo S-C, Grimsley F, Lee T, Crawford C, Grinshpun SA. Fungal fragments in moldy houses: A field study in homes in New Orleans and Southern Ohio. Atmospheric Environment. 2007;41(37):8140-8149
  108. 108. Foto M, Vrijmoed LLP, Miller JD, Ruest K, Lawton M, Dales RE. A comparison of airborne ergosterol, glucan and Air-O-Cell data in relation to physical assessments of mold damage and some other parameters. Indoor Air. 2005;15(4):257-266
  109. 109. Green BJ, Schmechel D, Tovey ER. Detection of aerosolized Alternaria alternata conidia, hyphae, and fragments by using a novel double-immunostaining technique. Clinical and Diagnostic Laboratory Immunology. 2005;12(9):1114-1116
  110. 110. Kildesø J et al. Determination of fungal spore release from wet building materials. Indoor Air. 2003;13(2):148-155
  111. 111. Li D-W, Kendrick B. A year-round comparison of fungal spores in indoor and outdoor air. Mycologia. 1995;87:190-195
  112. 112. Adhikari A, Reponen T, Rylander R. Airborne fungal cell fragments in homes in relation to total fungal biomass. Indoor Air. 2013;23(2):142-147
  113. 113. Kanaani H, Hargreaves M, Smith J, Ristovski Z, Agranovski V, Morawska L. Performance of UVAPS with respect to detection of airborne fungi. Journal of Aerosol Science. 2008;39(2):175-189
  114. 114. Miller JD, Rand TG, Jarvis BB. Stachybotrys chartarum: Cause of human disease or media darling? Medical Mycology. 2003;41(4):271-291
  115. 115. Green BJ et al. Surveillance of fungal allergic sensitization using the fluorescent halogen immunoassay. Journal De Mycologie Medicale/Journal of Medical Mycology. 2009;19(4):253-261
  116. 116. Green BJ, Sercombe JK, Tovey ER. Fungal fragments and undocumented conidia function as new aeroallergen sources. The Journal of Allergy and Clinical Immunology. 2005;115(5):1043-1048
  117. 117. Brasel TL, Douglas DR, Wilson SC, Straus DC. Detection of airborne Stachybotrys chartarum macrocyclic trichothecene mycotoxins on particulates smaller than conidia. Applied and Environmental Microbiology. 2005;71(1):114-122
  118. 118. Penttinen P, Timonen KL, Tiittanen P, Mirme A, Ruuskanen J, Pekkanen J. Ultrafine particles in urban air and respiratory health among adult asthmatics. The European Respiratory Journal. 2001;17(3):428-435
  119. 119. von Klot S et al. Increased asthma medication use in association with ambient fine and ultrafine particles. The European Respiratory Journal. 2002;20(3):691-702
  120. 120. Saari S et al. Effects of fungal species, cultivation time, growth substrate, and air exposure velocity on the fluorescence properties of airborne fungal spores. Indoor Air. 2015;25(6):653-661
  121. 121. Mensah-Attipoe J et al. Release and characteristics of fungal fragments in various conditions. Science of the Total Environment. 2016;547:234-243
  122. 122. Agranovski V, Ristovski Z, Blackall PJ, Morawska L. Size-selective assessment of airborne particles in swine confinement building with the UVAPS. Atmospheric Environment. 2004;38(23):3893-3901
  123. 123. Healy DA, Huffman JA, O’Connor DJ, Pöhlker C, Pöschl U, Sodeau JR. Ambient measurements of biological aerosol particles near Killarney, Ireland: A comparison between real-time fluorescence and microscopy techniques. Atmospheric Chemistry and Physics. 2014;14(15):8055-8069
  124. 124. Seo S-C, Reponen T, Levin L, Grinshpun SA. Size-fractionated (1 → 3)-β-D-glucan concentrations aerosolized from different moldy building materials. Science of the Total Environment. 2009;407(2):806-814
  125. 125. Kanaani H, Hargreaves M, Ristovski Z, Morawska L. Performance assessment of UVAPS: Influence of fungal spore age and air exposure. Journal of Aerosol Science. 2007;38(1):83-96

Written By

Jacob Mensah-Attipoe and Oluyemi Toyinbo

Submitted: 23 August 2018 Reviewed: 17 September 2018 Published: 30 April 2019