EDITORIAL
Moulds and asthma
Moulds and asthma: time for indoor climate change?
Correspondence to:
Correspondence to:
Dr Ashley Woodcock
University of Manchester, South Manchester University Hospital Foundation Trust, Manchester M23 9LT, UK; ashley.a.woodcock@manchester.ac.uk
Effect of controlling mould in houses on respiratory health
| The first 150 words of the full text of this article appear below. |
The spectre of indoor moulds as a contributor to respiratory disease keeps raising its fruiting body and just won’t go away. Numerous studies support a circumstantial and temporal link between high mould exposure and worse symptoms in susceptible individuals. However, it seems that the majority of respiratory physicians (at least in Europe) are at best non-believers. They are reluctant to consider moulds as important in patients with respiratory symptoms, rarely make specific enquiry, and almost never make attempts to reduce mould exposure. This contrasts with enthusiasm bordering on evangelism from some experts in the USA where huge litigation raises the stakes, with over 10 000 cases pending and multi-million settlements already routine.1 In the past we have been hindered by profound ignorance of the biology of these important environmental contaminants. What do we know about indoor moulds, and how are they implicated in respiratory diseases, and specifically
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