Mold Removal in Homes, Offices Could Cut Respiratory Illness

Release Date: September 8, 2011 | By Glenda Fauntleroy, Contributing Writer
Research Source: The Cochrane Library


  • Ridding homes and office buildings of mold can reduce the incidence of respiratory illness and decrease asthma-related symptoms, a new Cochrane review finds.
  • While removing mold from offices and homes can reduce coughing and wheezing, the best method for mold removal remains to be determined.
  • Mold can be costly to remove from buildings, which can be re-infected even after cleaning and fungicide treatments.
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A new evidence review finds that ridding homes and offices of mold and dampness can help reduce respiratory infections and troubling symptoms for asthma sufferers across the globe; however, the best way to eliminate the mold remains unclear.

Mold is one of the most important environmental triggers of symptoms such as coughing and wheezing, according to National Institute of Environmental Health Sciences.

“Mold is found in many homes with basements, in apartments and walkouts that are partially or fully below ground, and in buildings that have been flooded or have poor humidity control,” said Peter Thorne, head of the occupational and environmental health department at the University of Iowa. “Homes and office buildings alike have problems.”

But does “remediating” or relieving homes, offices and schools of dampness and mold make a big difference? Lead reviewer Riitta Sauni at the Finnish Institute of Occupational Health in Tampere, Finland, said that results are mixed.

“We were happy to find evidence that remediation of mold-damaged houses decreased the severity and amount of symptoms in patients with asthma and respiratory infections,” Sauni said. “Unfortunately, we did not find evidence that remeditation could prevent these diseases.”

The review appears in the September issue of The Cochrane Library, a publication of The Cochrane Collaboration, an international organization that evaluates research in all aspects of health care. Systematic reviews draw evidence-based conclusions about medical practice after considering both the content and quality of existing trials on a topic.

Remediation of mold and dampness requires total or partial renovation of a building, or cleaning with a fungicide or bleach solution. Sauni and her team looked at eight studies with 6,538 participants who had their homes, schools or workplaces remediated by a mixture of these methods. The reviewers say that because the available studies did not offer high-quality evidence and sample sizes were small, “drawing hard conclusions was difficult.”

Nonetheless, the review found that when compared to doing nothing at all, repairing houses decreased asthma-related symptoms as well as the amount of respiratory infections in adults. Remediation also decreased the number of acute care visits in children and students’ visits to physicians for common colds.

In one South Wales study, for instance, 115 members of the group who had their homes remediated with the complete removal of visible mold, a fungicide treatment and installation of a fan, were more likely to see improvement in their respiratory symptoms for six and 12 months afterwards, compared to those in the control group whose homes were not cleaned.

The reviewers, however, could not determine which method of remediation was superior to significantly improving asthma symptoms.

“The studies have shown that after cleaning and fungicide treatment, a large number of the buildings were soon re-infected with molds, and also a partially remediated office building had to be repaired more thoroughly,” Sauni said, adding that mold removal can be costly.

“Sometimes, if the structures are damaged widely, the easiest and most cost-effective possibility is to pull down the damp building and build a new one,” she said.

The reviewers concluded that better research is necessary to give evidence of improved outcomes.

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The Cochrane Collaboration is an international nonprofit, independent organization that produces and disseminates systematic reviews of health care interventions and promotes the search for evidence in the form of clinical trials and other studies of interventions.  Visit for more information.

Sauni R, et al. Remediating buildings damaged by dampness and mould for preventing or reducing respiratory tract symptoms, infections and asthma. Cochrane Database of Systematic Reviews 2011, Issue 9.

Tags for this article:
Environment and Health   Asthma  

Comments on this article
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Bryan says
October 29, 2011 at 2:28 AM

I was saddened to read the first sentence of this article: "the best way to eliminate the mold remains unclear." Obviously, whoever wrote this article is not aware of the benefits of treating surfaces using photocatalytic oxidation (PCO). The website contains more information about that, but recently my wife and daughter were very sick. I contacted a company called BioSweep Southeast to come and eradicate the mold in my home. They took air samples before and after treating my home and the results were incredible. Now we are all healthy thanks to them and we have been healthy for over a year. The treatment was effective and affordable. I did my research online before I even tried anything. Many other companies claim to have a solution using other methods, but this was truly the best.

Joseph Piodos says
January 22, 2014 at 3:02 PM

Molds are multi-cellular (consist of more than one cell) filamentous fungi usually having a fuzzy or cottony soft appearance when they grow in areas in your homes. They may be white, dark or in any color. They produce spores usually asexually and in large numbers which means they arise and inherit from a single parent. Asexual reproduction is the primary form of reproduction for single-celled organisms such as bacteria and fungi. They are light, resistant to drying and can easily spread through the air and contaminate any areas.
More often, a moldy smell might be the only clue that there is a hidden mold growth away from your house. Never ignore mold odors if you can't see any mold or else this might be the main reason of illnesses within your family. You should thoroughly inspect your home before any mold problems get worse. You can find out how to inspect your house for mold at certified mold inspection