Comparison of work-related symptoms and visual contrast sensitivity between employees at a severely water-damaged school and a school without significant water damage

Am J Ind Med. 2012 Sep;55(9):844-54. doi: 10.1002/ajim.22059. Epub 2012 May 7.

Abstract

Background: The National Institute for Occupational Safety and Health (NIOSH) conducted a health hazard evaluation (HHE) of a water-damaged school in New Orleans (NO), Louisiana. Our aim in this evaluation was to document employee health effects related to exposure to the water-damaged school, and to determine if VCS testing could serve as a biomarker of effect for occupants who experienced adverse health effects in a water-damaged building.

Methods: NIOSH physicians and staff administered a work history and medical questionnaire, conducted visual contrast sensitivity (VCS) testing, and collected sticky-tape, air, and dust samples at the school. Counting, culturing, and/or a DNA-based technology, called mold-specific quantitative PCR (MSQPCR), were also used to quantify the molds. A similar health and environmental evaluation was performed at a comparable school in Cincinnati, Ohio which was not water-damaged.

Results: Extensive mold contamination was documented in the water-damaged school and employees (n = 95) had higher prevalences of work-related rashes and nasal, lower respiratory, and constitutional symptoms than those at the comparison school (n = 110). VCS values across all spatial frequencies were lower among employees at the water-damaged school.

Conclusions: Employees exposed to an extensively water-damaged environment reported adverse health effects, including rashes and nasal, lower respiratory, and constitutional symptoms. VCS values were lower in the employees at the water-damaged school, but we do not recommend using it in evaluation of people exposed to mold. Am. J. Ind. Med. 55:844-854, 2012. This article is a U.S. Government work and is in the public domain in the USA.

Publication types

  • Comparative Study
  • Evaluation Study
  • Research Support, U.S. Gov't, Non-P.H.S.

MeSH terms

  • Adult
  • Air Pollutants, Occupational / adverse effects*
  • Air Pollutants, Occupational / analysis
  • Contrast Sensitivity*
  • Exanthema / diagnosis
  • Exanthema / etiology
  • Female
  • Fungi*
  • Humans
  • Humidity / adverse effects*
  • Male
  • Middle Aged
  • New Orleans
  • Occupational Diseases / diagnosis*
  • Occupational Diseases / etiology
  • Occupational Exposure / adverse effects*
  • Occupational Exposure / analysis
  • Ohio
  • Respiratory Tract Diseases / diagnosis
  • Respiratory Tract Diseases / etiology
  • Schools*
  • Surveys and Questionnaires

Substances

  • Air Pollutants, Occupational