Guest guest Posted August 24, 2005 Report Share Posted August 24, 2005 Author: R. Haney (---.dsl.scrm01.pacbell.net) Date: 08-23-05 04:48 http://chat.osb.net/read.php?f=25 & i=2351 & t=2351 ALL: About two weeks ago I was invited by Larson, Managing Editor of the Lake County Record-Bee and Clear Lake Observer- American to submit an article in response to the editorial comment condemning environmental mold exposures written by a reader of the Record-Bee, Darrell Watkins. (See: \ " Some Dimwitts Need an Education, If That\'s Possible\ " ; K.C. 08-09-05) Since it has not been accepted as of yet, nor have I heard any response from the editor after speaking with her at length and calling her again yesterday, I prefer not to take the chance that it will not be accepted for print and left unsaid. So below is a copy of the article I submitted for your review. ARTICLE: Guest Editorial, R. Haney CEO, EnviroHealth Research & Consulting, Inc. Rocklin, CA (E-mail: _Haney52@...) " MOLDS—POLITICS—HUMANS: WHY MOLDS HAVE A LICENSE TO KILL! " The American College of Occupational and Environmental Medicine (ACOEM), the National Academy of Sciences, and other health field disciplines continue to harbor the belief that inhalation of indoor molds are in some manner physically different than molds and mycotoxins encountered by the consumption of food products, and therefore inhaled, they are not as dangerous as a " causative effect " in human disease. Some of these nationally recognized entities offer that inhaled mold spores do little more than cause respiratory problems, e.g., asthma and allergic reactions. For instance, in their October 27, 2002 ACOEM evidence-based statement, titled " Adverse Human Health Effects Associated with Molds in the Indoor Environment " , the College (a membership organization, and clearly not an " academic medical institution " ) is quoted as stating, " Current scientific evidence does not support the proposition that human health has been adversely affected by inhaled mycotoxins in the home, school, or office environment. " In fact the primary authors of this " medical report " are not " medical physicians " at all, they are both PhDs. Let's see if what is being said about indoor mold exposures is true? First, we must separate micro fungi (meaning molds and yeasts) from the secondary chemicals that they produce. Harriet Ammann, PhD, D.A.B.T., Senior Toxicologist Air Quality Program Washington State Department of Ecology, perhaps explains this best in her article about cytotoxic micro fungi and their secondary mycotoxins, " Is Indoor Microfungi Contamination a Threat to Health? " (Ammann, 2001) " Mycotoxins… are not essential to maintaining the life of the micro fungi cell in a primary way (at least in a friendly world), such as obtaining energy or synthesizing structural components, informational molecules or enzymes. They are products whose function seems to be to give micro fungi a competitive advantage over other micro fungi species and bacteria. Mycotoxins are nearly all cytotoxic, disrupting various cellular structures such as membranes, and interfering with vital cellular processes such as protein, RNA and DNA synthesis. Of course they are also toxic to the cells of higher plants and animals, including humans. Mycotoxins vary in specificity and potency for their target cells, cell structures or cell processes by species and strain of the micro fungi that produces them. Higher organisms are not specifically targeted by mycotoxins, but seem to be caught in the crossfire of the biochemical warfare among micro fungi species and micro fungi and bacteria vying for the same ecological niche. " Dr. Ammann's article further demonstrates with clarity the difference in roles between weaker, " passive " micro fungi as unattached spore unassociated with a colonized formation and those directly inhaled after breaking loose from a pathogenic colony. Citing specific studies by nationally respected researchers, Jarvis (1990, 1995), Burge, and Yang (1995), Dr. Ammann states: " Toxigenic micro fungi vary in their mycotoxin production depending on the substrate on which they grow (Jarvis, 1990). The spores, with which the toxins are primarily associated, are cast off in blooms that vary with the micro fungi's diurnal, seasonal, and life cycle stage (Harriet Burge, 1990; Yang, 1995). The presence of competitive organisms may play a role, as some micro fungi grown in monoculture in the laboratory lose their toxic potency (Jarvis, 1995). Until relatively recently, micro fungi poisons were regarded with concern primarily as contaminants in foods. More recently, concern has arisen over exposure to multiple mycotoxins from a mixture of micro fungi spores growing in wet indoor environments. " (Ammann, 2001) Molds and yeasts don't always grow in a colony of a particular mold or yeast species, nor are they always unhealthy for humans to breathe in or touch. This is because most species are not pathogenic until they become pathogenic. Pathogenic, or " disease causing " micro fungi are those normally found in a colony, such as growing on a wall, in the heating and air conditioning system, under a sink, on a windowsill, in a bathtub, and in other indoor areas. Micro fungi become pathogenic when their environment changes to where they become chemically sensitive to their survival. This triggers colonization for strength, nutrient search, and territorial gain in order to continue the survival of their species. The fortunate part of this for animals and humans is that the longer micro fungi are airborne and away from other species the weaker they become, and outside of a home, office, school in the natural environment where ambient air is plentiful, the abundant amount of oxygen involved in airflow, combined with ultraviolet rays of the sun, and other natural resources keep micro fungi in a weakened state enough not to hurt humans as they enter the human body. Even inside the human body there are several biological methods for keeping micro fungi at bay, i.e., a balanced pH level, a responsive immune system, competent homeostasis, among the many defensive biological factors. That's the good news. But over time pathogenic micro fungi can cause serious health problems. The medical field claims that all of this, especially relating to inhaled micro fungi in an indoor environment is new science, and that the mycotoxins that micro fungi excrete are not a health factor. Nothing could be further from the truth! The study of potentially dangerous mycotoxin poisoning in humans is not new to the science community. A.V. Costantini, M.D. (retired), is the former head of the World Health Organization Collaborating Center for Mycotoxins in Food (Department of Clinical Chemistry, School of Medicine, Albert Ludwigs University, Freiburg, Germany), and member of the Clinical Professional Faculty (retired) University of California, School of Medicine, San Francisco. In his Fungalbionic© series of books on microfungi and disease Dr. Costantini states: " In the 1930s and 1940s, as many as 1,000 compounds, classifiable as mycotoxins, were studied by the pharmacology industry as potential antibiotics only to be discarded as being too toxic for higher life forms to be of value in treating bacterial diseases in humans. Little, if any of the discarded data was published. Yet, what these toxicity studies actually documented was the existence of a large number of fungal-derived toxins, which caused serious target organ injury in a variety of animal models. Obviously, in retrospect, what was being seen was the pathology produced by the mycotoxins. In order to understand this toxicity, one only has to look at what some of these mycotoxins used as medications, cause in humans. " One such mycotoxin product known to cause death and severe health problems in humans at high amounts, is referred to as Oxalic acid. In his article, " Decomposition of Oxalate by Microorganisms, " Professor N. Sahin, Mugla University, Turkey (1997) reports: " Accumulation of oxalate by fungi (micro fungi), particularly in Aspergillus, Penicillium and Mucor species is of such an order that these fungi could be used for industrial fermentation for oxalate… At high concentrations, oxalic acid causes death in humans and animals due to its corrosive effects. In smaller amounts, oxalic acid causes a variety of pathological disorders, including hyperoxaluria, pyridoxine deficiency, cardiomyopathy, cardiac conductance disorders, calcium oxalate stones and renal failure. " What is really astonishing is that hospitals recognize pathogenic micro fungi spores in an indoor environment as being deadly with patient inhalation, yet the American College of Occupational and Environmental Medicine tends to downplay the dangers of micro fungi. Micro fungi in a hospital setting are dreaded more than bacteria and viruses because once in the human body they are more aggressive and harder to treat medically than these pathogens. There are more ailing and immune compromised people living external of hospital environments (that are " controlled " environments which can become very deadly with few pathogenic micro fungi spores) than people occupying " uncontrolled " home, office, and school environments. When a person really takes the time to research about micro fungi and mycotoxin release, the hypothesis presented by the ACOEM report does not make a lot of logical sense. According to Professor Wong, Ph.D., at the University of Hawaii, Botany Department, " The successful treatment of fungal diseases is more difficult to treat than those caused by bacteria. Because bacteria are prokaryotes, the makeup of their cells are very different than our own eukaryotic cells and pharmaceutical products, such as antibiotics, can successfully destroy bacteria without harming our cells, tissues, and organs. However, because fungi are eukaryotes, finding a treatment that will kill the fungus and not harm our own cells is more difficult. " According to the land Department of Health & Mental Hygiene, Community Health Administration (1999), " Although invasive aspergillosis may be community acquired, most cases are nosocomial in origin. Major outbreaks of invasive nosocomial Aspergillosis have been reported associated with hospital construction, renovation and maintenance, activities that allow spores to become airborne. " It is interesting to learn what instructions medical students and students destined for future laboratory work are being given prior to working with micro fungi in university laboratory settings. In her text, Introduction to Diagnostic Microbiology (1997), Associate Professor and Director of Medial Laboratory Programs, Dannessa Delost, M.S., M.T. (ASCP) of the Department of Allied Health, College of Health and Human Services, Youngstown State University. Professor Delost administrates the following health and safety policies and procedures: " Conidia and spores may remain dormant in the air or environment or may be transported through the air to other locations. The spores of pathogenic molds can be inhaled and enter the respiratory tract. This is a common rout of infection, and because of this, it is imperative to practice good laboratory safety when working in mycology. All work, including the preparation of slides, plating and transferring cultures, and any biochemical work, must be performed in a biological safety cabinet. Because airborne conidia and spores are readily released from a fungal culture, one should never smell a fungal culture. Screw-cap test tubes should be used in place of test tubes with a cotton, metal, or plastic lid. In addition, Petri plates must be sealed tightly with either an oxygen-impermeable tape or Parafilm. As always, gloves should be worn and any breaks or cuts in the skin covered to prevent the transmission of fungal infection. " The ACOEM report previously referred to states also that " Uncommon allergic syndromes, allergic bronchopulmonary aspergillosis (ABPA), and allergic fungal sinusitis (AFS), are briefly discussed for completeness, although indoor mold has not been suggested as a particular risk factor in the etiology of either. " According to B. A. Cockrill, M.D. and C. A. Hales, M.D., Pulmonary and Critical Care Unit, Partner\'s Asthma Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts, allergic bronchopulmonary aspergillosis seems to have a lot to do with inhalation: " Allergic bronchopulmonary aspergillosis (ABPA) is a syndrome seen in patients with asthma and cystic fibrosis. It is characterized by chronic colonization of the airways with a ubiquitous fungus, Aspergillus fumigatus. The clinical expression of ABPA results from the complex interaction of chronic colonization of the airways with A. fumigatus, host factors allowing this colonization, and the host\'s genetically determined immune response. Clinically the syndrome is characterized by recurrent episodes of wheezing, mucus production, pulmonary infiltrates, and elevated levels of serum IgE. Many patients develop central bronchiectasis, and a subset will go on to end-stage fibrotic lung disease. It is thought that treatment will prevent this progression. The mainstay of therapy remains oral corticosteroids. " So, the ACOEM, given this example would have us believe that all inhalation is conducted externally of a home, office, or school environment. In uncontrolled environments we would all have to stop breathing for the ACOEM hypothesis to be true. Here is a given fact with lots of science to back it up. The only people that are not able to breathe in outside and inside environments are dead people. Emphasis similar to the example given above is exercised for allergic fungal sinusitis (AFS). I believe that M. , M.D., and R. Perfect, M.D., both professors of medicine at the Duke University Medical Center clearly state the current position in medical science quite aptly: " Fungal sinusitis encompasses a wide variety of fungal infections that range from merely irritating to rapidly fatal. The frequent inhalation of fungal spores into the lungs and sinuses creates abundant opportunities to acquire fungal sinusitis. The efficiency of the defense mechanisms of the upper airways prevent fungal sinusitis from becoming more common. Nevertheless, fungal infections of the sinuses appear to be underdiagnosed, partly because of lack of awareness on the part of clinicians. " In a study conducted at the Mayo Clinic in Rochester, Minnesota and publicly released through the journal Mayo Clinic Proceedings on September 9, 1999, the research of Jens Ponikau, M.D., and colleagues found that 96% of the 210 chronic sinusitis patients clinically evaluated were not suffering from bacterial infections as medical experts had been assuming for years, but from a fungal infection in the sinuses. Using new genetic identifying methods the team of medical scientists identified 40 different species in the combined study of patients with an average of 2.7 species per patient. And of course since this research involved new tools of molecular science there as been much controversy over the techniques used in the study. How does specific scientific research equate molds to human diseases? When medical health experts refer to " lay press " they are often inferring that what is reported is " unproven " or " junk science " as opposed to having specific scientific merit. When this relates to indoor micro fungi exposures adversely affecting health, the medical field, insurance providers, and other entities standing to lose money tend to separate pathogenic molds-- found in " immune compromised " individuals --from people with " healthy immune systems " who become ill from such exposures. Many times scientific literature is non-specific in how it defines physical illness due to micro fungi exposures. For instance, most journal articles will indicate that a person who is adversely affected by mold exposures " often has an underlying immune deficiency such as… " or " rarely affecting a person who is immune sufficient… " In these instances the words " often " and " rarely " are meaningful words indeed. What these words clearly signify is that " no one " in science knows for certain what triggers major illnesses from mere exposures to pathogenic micro fungi, or when such exposures start to chemically and/or genetically influence the manifestation of the disease process. To provide an example of this, a Journal of Aerosol Science, " Bioaerosols and Occupational Lung Disease " (Lacey, J, J. Dutkiewicz, March 1994) states: " Infection may be aided by immunodeficiency caused by underlying disease or therapeutic treatments or, perhaps, by mycotoxins. " However, pathogenic micro fungi are molds and yeasts that are actively excreting mycotoxins due to the fact that they are actively attempting to decompose an area of the human body that has given them chemical messages that it is weakening or dying. At least research at the Department of Cell and Molecular Biology, Tulane University, comes closer to this reality as a Clinical Microbiology Reviews article titled " Mycotoxins " states: " Primary pathogens affect otherwise healthy individuals with normal immune systems. Opportunistic pathogens produce illness by taking advantage of debilitated or immunocompromised hosts. The majority of human mycoses are caused by opportunistic fungi. The mechanisms of pathogenesis of both primary and opportunistic fungi are complex, and medical mycologists have devoted considerable research energy trying to identify the factors that distinguish fungal pathogens from saprophytic and commensal species. Some infections remain localized, while others progress to systemic infection. For many mycoses, the ordinary portal of entry is through the pulmonary tract, but direct inoculation through skin contact is not uncommon. (, J., Klich, M., July 2003) Micro fungi like many other forms of life in cellular evolution were mutated from bacterial and other similar life forms, and as with human cellular physiology eukaryotic cells of micro fungi are stronger than their prokaryotic counterparts. Human cells are stronger than bacteria, micro fungi, viruses, because cellular development is based upon evolutional changes. The oldest species is the weakest species due to the mutational changes that take place over eons that allow species to survive and strengthen. We know this in molecular and medical science simply because the Penicillin mycotoxin extracted from the fungal species Penicillium notatum (and later, P. Chrysogenum) is used to kill pathogenic (disease causing) bacteria in animals and humans. As famed biologists Lynn Margulis and Dorian Sagan aptly state in their work, " Microbial Microcosm " : Far from leaving microorganisms behind on an evolutionary ladder, we more complex creatures are both surrounded by them and composed of them. New knowledge of biology alters our view of evolution as a chronic, bloody competition among individuals and species. Life did not take over the globe by combat, but by networking. Life forms multiplied and grew more complex by co-opting others, not just by killing them … In the first two billion years of life on Earth, bacteria - the only inhabitants - continuously transformed the planet\'s surface and atmosphere and invented all life\'s essential, miniaturized chemical systems. Their ancient biotechnology led to fermentation, photosynthesis, oxygen breathing, and the fixation of atmospheric nitrogen into proteins. It also led to worldwide crises of bacterial population expansion, starvation, and pollution - long before the dawn of larger forms of life… Those who speak only for the special interests of human beings fail to see how interdependent life on Earth really is. Without the microbial life forms, we would sink in feces and choke on the carbon dioxide we exhale. We cannot view evolutionary history in a balanced manner if we think of it only as a four-billion-year preparation for " higher " organisms, like humans. Most of life\'s history has been microbial. We are recombinations of the metabolic processes of bacteria that appeared before, during, and after the accumulation of atmospheric oxygen some 2,000 million years ago... The ancient, vast, and fundamental nature of our interdependence with other forms of life may be humbling, but it provides a basis for facing the future free of crippling delusions. Despite all our conceits, we are as much exploited as exploiters, as much consumed as consumers. The lesson of evolutionary history is that it will be through conservation, interaction, and networking, not domination, that we avert a premature end to our species. We are not entering the 21st century of medical science; we are living it! It is time to move our " intellectual society " of educated PhDs, MDs, and all other humans who have challenged and surpassed atomic age, space age, and computer age, and claimed to have entered the age of Aquarius, to intellectually understand the world of microbes and how we are as balanced with the earth as they are. It is so incredibly ironic and perhaps even humbling in the last thirty years since the inception of the field of Molecular Science, that we as humans have the most integrated neural system in the universe and are able to send men and women into space with its capacity to construct logic from practically nothing, and yet tiny microbes that have been waging ecological battles for billions of years with no brain function whatsoever can fake out our biological system enough to demoralize our intellect and destroy our lives. And, because we have not quite figured out that human lives are more important than our economic status, we can't quite grasp the meaning of our own purpose within our own existence. References: 1. Merck Manual, The. 17th Ed. (1999) " Systemic Fungal Diseases " (Systemic Mycoses). Chapter 158, Page 1210. 2. , J. W., Klich M. (July 2003). Mycotoxins. Clinical Microbiology Reviews, Vol. 16. No. 30893-8512/03. American Society for Microbiology (p. 497-516) Retrieved October 26, 2004 at http://www.cmr.asm.org/cgi/content/full/16/3/497 3. Webster's Ninth Collegiate Dictionary (1988). Page 783. 4. land Department of Health & Mental Hygiene, Community Health Administration (1999). Guidelines for Prevention and Control of Nosocomial Pulmonary Aspergillosis. Retrieved August 9, 2005 at http://edcp.org/guidelines/aspers2.html 5. Delost, D. M. (1997). Introduction to Medical Mycology. Introduction to Diagnostic Microbiology: A Text and Workbook. Mosby, St. Louis, MO. 358 6. Ammann, H.M. (February 2001, Updated September 2003). Is Indoor- Mold a Threat to Human Health. Washington State Department of Health, Office of Environmental Assessments. Retrieved March 14, 2004 from http://www.allergyconsumerreview.com/mold-and-mildew- allergy.html 7. National Academy of Sciences (May 25, 2004). News Release: " Indoor Mold, Building Dampness Linked to Respiratory Problems and Require Better Prevention; Evidence Does Not Support Links to Wider Array of Illnesses " . Retrieved on August 10, 2005, from http://www4.nationalacademies.org/news.nsf/isbn/0309091934? OpenDocument 8. Moran, M. (July 26, 2000). Environmental Health Watch: Healthy House. WebMD Medical News. Retrieved on April 16, 2003 from http://www.ehw.org/Healthy_House/HH_Toxic_Mold.htm 9. ACOEM (October 27, 2002). Adverse Human Health Effects Associated with Molds in the Indoor Environment. ACOEM Evidence-based Statement. American College of Occupational and Environmental Medicine. Retrieved on August 10, 2005, from http://www.acoem.org/guidelines/article.asp?ID=52 10. Cockrill, B. A., Hales, C. A. (February 1999). Allergic Bronchopulmonary Aspergillosis. Annual Review of Medicine, Vol. 50: 303-316 (Volume publication date February 1999) (doi:10.1146/annurev.med.50.1.303), Pulmonary and Critical Care Unit, Partner\'s Asthma Center, Massachusetts General Hospital and Harvard Medical School, Boston, Massachusetts 02114. Retrieved on August 10, 2005 from http://arjournals.annualreviews.org/doi/abs/10.1146/annurev.med.50.1. 303?journalCode=med 11. , G.M., Perfect, J.R. (October 31, 2003). Fungal Sinusitis. Uptodate Patient Information. Retrieved on August 10, 2005, from http://patients.uptodate.com/topic.asp?file=fung_inf/5646 12. Lacey, J., Dutkiewicz J., (March 1994). Bioaerosols and Occupational Lung Disease. Institute of Arable Crops Research, Rothamsted Experimental Station. Journal of Aerosol Science, Vol. 25. No. 8, Page 1371 13. Jarvis, B. (1995). Mycotoxins in the Air: Keep Your Buildings Dry or the Bogeyman Will Get You. International Conference: Fungi and Bacteria in Indoor Environments, Health Effects, Detection and Remediation. Eckardt Johanning, Chin S. Yang, editors. Saratoga Springs, NY 14. Ecohealth Environmental Change and Our Society: Glossary. Retrieved July 28, 2005 at http://www.ecohealth101.org/glossary.html 15. The American Heritage® Dictionary of the English Language, Fourth Edition Copyright © 2000 Published by Houghton Mifflin Company. 16. Retrieved on July 28, 2005 at http://www.emc.maricopa.edu/faculty/farabee/BIOBK/BiobookglossE. html 17. Retrieved on July 28, 2005 at http://www.emc.maricopa.edu/faculty/farabee/BIOBK/BiobookglossPQ. html 18. Retrieved on July 28, 2005 at http://www.enchantedlearning.com/subjects/butterfly/glossary/indexed. shtml 19. Margulis, L., Sagan, D. (1996). Microbial Microcosm. Retrieved July 28, 2005 at http://www.context.org/ICLIB/IC34/Margulis.htm 20. Fox S.W. (May 12, 1997). My Scientific Discussion of Evolution for the Pope and His Scientists. Retrieved July 28, 2005 at file://C:\\DOCUME~1\\DOUGLA~1\\LOCALS~1\\Temp\\9BY8TCYV.htm NOTE: Your comments concerning this article are most welcome. R. Haney EnviroHealth Research & Consulting, Inc. E-mail: _Haney52@... Quote Link to comment Share on other sites More sharing options...
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