On this week's livestream I'm going to cover the topic of microbial contamination in carpet. In Australia, with over 17% of insurance claims being water-related, the probability of your carpet being water-damaged and mould-affected is high. However, carpet offers slip resistance, makes floors quiet to walk on and is an interior design feature in many homes and work places. A recent paper in the March 2020 edition of the journal: Building and Environment revealed some interesting highlights. Did you know that:
Now, consider the context that asthma costs the community billions of dollars every year and that approx. 35% of asthma cases are caused by mould and dampness (tune in for these references!).
You should be aware that there are 3 main types of carpets: nylon, wool and polypropylene. Which one is better or worse for your respiratory health? What does dust do to the ability of your carpet to induce asthma? What does the amount of humidity do? These are some of the key questions we're going to answer in today's livestream.
Once you know which carpet, which humidity and what other factors impact on your carpet cleanliness, I'm then going to discuss which cleaning methods are best for removing these microbial contaminants.
As part of the weekly 'Breaking News' segment, there a fascinating new paper that's come out that explains how mould damages the lung. This paper provides fundamental evidence in support of the reasons that even low levels of mould can cause harm top people. We're also going to review 2 papers that have come out about the COVID-19 pandemic. The first is a review of what we know of the medical journey for some of the first virus-infected patients in China. This information showed that severe pulmonary disease is the #1 reason for admission to the intensive care unit (ICU). Viral infections (and before COVID-19) became the central worry on all our minds, the risk from severe influenza pneumonia resulting in acute respiratory distress syndrome (ARDS) may in fact be made worse by Aspergillus infections. The relationship of co-infections with other pathogens like bacteria and fungi cannot be underestimated with COVID-19.
Dannemiller K, Weschler C, Peccia J. Fungal and bacterial growth in floor dust at elevated relative humidity levels. Indoor Air. 2016;27(2):354-363. doi:10.1111/ina.12313. https://onlinelibrary.wiley.com/doi/full/10.1111/ina.12313
Nastasi N, Haines S, Xu L et al. Morphology and quantification of fungal growth in residential dust and carpets. Build Environ. 2020;174:106774. doi:10.1016/j.buildenv.2020.106774
Wiesner D, Merkhofer R, Ober C et al. Club Cell TRPV4 Serves as a Damage Sensor Driving Lung Allergic Inflammation. Cell Host Microbe. 2020. doi:10.1016/j.chom.2020.02.006
Moriello K. Decontamination of carpet exposed to Microsporum canis hairs and spores. J Feline Med Surg. 2016;19(4):435-439. doi:10.1177/1098612x16634390
Tursynbek Nurmagambetov, Robin Kuwahara, Paul Garbe. The Economic Burden of Asthma in the United States, 2008 - 2013. Annals of the American Thoracic Society, 2018; DOI: 10.1513/AnnalsATS.201703-259OC
The National Asthma Council Australia. Nationalasthma.org.au. https://www.nationalasthma.org.au/living-with-asthma/resources/health-professionals/reports-and-statistics/the-hidden-cost-of-asthma-2015. Published 2020. Accessed March 18, 2020.
Klepeis, N., Nelson, W., Ott, W., Robinson, J., Tsang, A., Switzer, P., et al. (2001). The National Human Activity Pattern Survey (NHAPS): A resource for assessing exposure to environmental pollutants. Journal of Exposure Analysis and Environmental Epidemiology, 11(3). LBNL Report #: LBNL-47713. Retrieved from https://escholarship.org/uc/item/1zg3q68x
Bruce P. Lanphear, Robert S. Kahn, Omer Berger, Peggy Auinger, Steven M. Bortnick and Ramzi W. Nahhas. Contribution of Residential Exposures to Asthma in US Children and Adolescents. Pediatrics June 2001, 107 (6) e98; DOI: https://doi.org/10.1542/peds.107.6.e98
Mudarri D. Valuing the Economic Costs of Allergic Rhinitis, Acute Bronchitis, and Asthma from Exposure to Indoor Dampness and Mold in the US. J Environ Public Health. 2016;2016:1-12. doi:10.1155/2016/2386596
Rodriguez-Morales AJ, Cardona-Ospina JA, Gutiérrez-Ocampo Estefaní, Villamizar-Peña R, Holguin-Rivera Y, Escalera-Antezana JP, Alvarado-Arnez LE, Bonilla-Aldana DK, Franco-Paredes C, Henao-Martinez AndréF, Paniz-Mondolfi A, Lagos-Grisales GJ, Ramírez-Vallejo E, Suárez JA, Zambrano LI, Villamil-Gómez WE, Balbin-Ramon GJ, Rabaan AA, Harapan H, Dhama K, Nishiura H, Kataoka H, Ahmad T, Sah R, On behalf of the Latin American Network of Coronavirus Disease 2019-COVID-19 Research (LANCOVID-19), Clinical, laboratory and imaging features of COVID-19: A systematic review and meta-analysis, Travel Medicine and Infectious Disease (2020), doi: https://doi.org/10.1016/j.tmaid.2020.101623.
Every week, I do live streams on public health topics. Join me on Facebook.
Dr. Cameron Jones