MOLD MEDICINE VERSUS MOLD HYPE. RONALD E. GOTS, M.D., Ph.D INTERNATIONAL CENTER FOR TOXICOLOGY AND MEDICINE
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1 MOLD MEDICINE VERSUS MOLD HYPE RONALD E. GOTS, M.D., Ph.D INTERNATIONAL CENTER FOR TOXICOLOGY AND MEDICINE
2 MOLD MEDICINE VERSUS MOLD HYPE! MEDICINE BEGAN HUNDREDS OF YEARS AGO! ERGOTISM IN THE MIDDLE AGES! HYPE BEGAN WITH 1994 CDC CLEVELAND NEWBORN STUDY! MEDIA FEEDING FRENZY! RETRACTED IN 2000 BY INTERNAL AND EXTERNAL REVIEWS! RETRACTION NEVER DISCUSSED
3 PARALELL TRACTS! HEALTH-MOLD SCIENCE: MAINSTREAM MEDICINE! TEXTBOOKS OF MYCOLOGY! NO STACHYBOTRYS NOTED! COSTLY POPULAR FRENZY:! DRIVEN BY! INDOOR AIR SPECIALISTS! ENGINEERS! REMEDIATORS! MEDIA! ATTORNEYS! FEW ACTIVIST PHYSICIANS
4 THE MOLD MANAGEMENT DILEMMA DENIAL SOME ADJUSTERS SOME PROVIDERS $ 32 MIL. BALLARD PROPER RESPONSE MEDICINE -BASED SCIENT. ADVISORY SENSITIVITY FOCUSED FEAR REDUCTION REDUCED $ MOLD FEAR WORRIED PUBLIC MEDIA HYPE PROVIDERS BUY IN DON T KNOW $ PROFIT EXHORBITANT $
5 WHY CLEAN UP MOLD?! AESTHETICS! STRUCTURAL! HEALTH THE PRIMARY DRIVER! FEW PHYSICIANS INVOLVED! ALMOST NO MEDICAL OVERSIGHT
6 IS MOLD TODAY WORSE OR MORE DANGEROUS?! NEW STUDIES BUT LITTLE EVIDENCE OF GROWING HEALTH PROBLEM RE INDOOR EXPOSURES! MOST DATA IS ANECDOTAL OR IMPRECISE EPIDEMIOLOGY! CROFT! HODGSON! JOHANNING! CDC REPORT NOW RETRACTED
7 ANECDOTES AND CASE SERIES! BREAST IMPLANT CONCERNS AND LITIGATION A RECENT EXAMPLE! 17 WELL-CONTROLLED EPIDEMIOLOGICAL STUDIES ENDED THE ISSUE
8 EPIDEMIOLOGICAL MOLD STUDIES DEPEND ALMOST ENTIRELY ON SYMPTOM REPORTING AN UNRELIABLE ENDPOINT FEW FINDINGS (IE. IMMUNE ALTERATIONS) MINUTE CLINICALLY IRRELEVANT LIKELY UNRELIABLE NO ESTABLISHED CONTROL GROUP
9 CORRECTING MOLD HEALTH MISINFORMATION! MOLD TOXINS INDOORS HAVE NEVER BEEN PROVEN TO CAUSE DISEASE! NO MEASUREMENTS! LIKELY TOO LOW COMPARE WITH OCCUPATIONAL LEVELS! MUCH LOWER THAN EXPERIMENTAL ANIMAL DATA! LOWER THAN MANY OUTDOOR LEVELS OUTDOOR MOLD LEVELS WHICH CAN EXCEED 50,000 SPORES/M3
10 CORRECTING MOLD HEALTH MISINFORMATION! MOLD TOXINS HAVE NEVER BEEN PROVEN TO CAUSE BRAIN DAMAGE! JOHANNING STUDIES DO NOT SHOW THIS! HODGSON STUDIES NEGATIVE! DR. GORDON ADMITS HIS DATA DOES NOT ESTABLISH THIS! EXCLUDED IN HAVNER DECISION IN BALLARD CASE IN TEXAS! TOXINS MADE BY STACHYBOTRYS ARE NOT NEUROTOXIC
11 CORRECTING MOLD HEALTH MISINFORMATION! THE TERM TOXIC MOLD MAKES NO SENSE.! ALMOST ALL MOLDS CAN MAKE MYCOTOXINS! EVEN BENIGN ALTERNARIA MAY MAKE UP TO 80 MYCOTOXINS
12 CORRECTING MOLD HEALTH MISINFORMATION! THERE IS NO SUCH THING AS TOXIC FUNGAL SYNDROME OR FUNGAL SYNDROME OR BIOAEROSAL RELATED ILLNESS! EXPERTS MAKE THIS UP TO EXPLAIN SYMPTOMS.! NO ICD9 CLASSIFCATION.! NOT GENERALLY ACCEPTED! NOT SCIENTIFIC KNOWLEDGE
13 CORRECTING MOLD HEALTH MISINFORMATION! THERE ARE NO CHRONIC DISEASES CHARACTERTERIZED BY SYMPTOMS ALONE DUE TO MOLD! MOLD-RELATED DISEASES ARE SPECIFIC AND DIAGNOSABLE! SYMPTOMS CANNOT BE USED TO ESTABLISH CAUSATION! MOLD DOES NOT CAUSE ADD, CFS OR FIBROMYALGIA! NOT GENERALLY ACCEPTED! NOT SCIENTIFIC KNOWLEDGE
14 CORRECTING MOLD HEALTH MISINFORMATION! MOLD AT SUMMER CAMP OR IN THE WOODS IS VASTLY MORE EXTENSIVE AND THEORETICALLY MORE DANGEROUS THAN INDOOR LEVELS
15 CORRECTING MOLD HEALTH MISINFORMATION! INDOOR LEVELS OF MOLD DO NOT CAUSE CANCER! AFLATOXIN AT HIGH EXPOSURE LEVELS IS A KNOWN HUMAN CARCINOGEN! FDA REGULATES LEVELS IN FOODS! HIGHLY UNLIKELY THAT INDOOR LEVELS COULD EVER POSE CARCINOGENIC RISK
16 MOLD SCIENCE! ALLERGIES! HYPERSENSITIVITY PNEUMONITIS! ORGANIC DUST SYNDROME! INFECTION! POSSIBLE IRRITANT EFFECTS! TOXICITY (WITH VERY HIGH DOSES)! DOSE IS CRITICAL
17 SOLUTIONS TO MOLD CRISIS! SOLID SCIENTIFIC-MEDICAL FOUNDATION! ADVISORY BOARD! INTEGRATION OF HEALTH AND FACILITY MANAGEMENT! SINCE THE DRIVER IS HEALTH HAVE MEDICAL OVERSIGHT
18 MOLD ASSESSMENT & MANAGEMENT: SINGLE-SOURCE SOLUTION Mold Health Evaluation Facility Assessment SINGLE- SOURCE SOLUTION Maintenance & Prevention Remediation
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