Mold can affect the health of people who are exposed to it. People are mainly exposed to mold by breathing spores or other tiny fragments. People can also be exposed through skin contact with mold contaminants (for example, by touching moldy surfaces) and by swallowing it.

The type and severity of health effects that mold may produce are usually difficult to predict. The risks can vary greatly from one location to another, over time, and from person to person.

There is wide variability in how different people are affected by indoor mold. However, the long term presence of indoor mold growth may eventually become unhealthy for anyone. The following types of people may be affected more severely and sooner than others:

• Infants and children
• Elderly people
• Individuals with respiratory conditions or sensitivities such as allergies and asthma
• Persons having weakened immune systems (for example, people with HIV infection, chemotherapy patients, organ transplant recipients)

Some types of mold can produce chemical compounds (called mycotoxins) although they do not always do so. Molds that are able to produce toxins are common. In some circumstances, the toxins produced by indoor mold may cause health problems. However, all indoor mold growth is potentially harmful and should be removed promptly, no matter what types of mold is present or whether it can produce toxins.

Investigate, don't test. The most practical way to find a mold problem is by using your eyes to look for mold growth and by using your nose to locate the source of a suspicious odor. If you see mold or if there is an earthy or musty smell, you should assume a mold problem exists. Other clues are signs of excess moisture or the worsening of allergy-like symptoms.

• Look for visible mold growth (may appear cottony, velvety, granular, or leathery and have varied colors of white, gray, brown, black, yellow, green). Mold often appears as discoloration, staining, or fuzzy growth on the surface of building materials or furnishings. When mold is visible, testing is not recommended.
• Search areas with noticeable mold odors.
• Look for signs of excess moisture or water damage. Look for water leaks, standing water, water stains, condensation problems. For example, do you see any watermarks or discoloration on walls, ceilings, carpet, woodwork or other building materials?
• Search behind and underneath materials (carpet and pad, wallpaper, vinyl flooring, sink cabinets), furniture, or stored items (especially things placed near outside walls or on cold floors). Sometimes destructive techniques may be needed to inspect and clean enclosed spaces where mold and moisture are hidden; for example, opening up a wall cavity.

We do not recommend testing for mold yourself. Instead, you should simply assume there is a problem whenever you see mold or smell mold odors. Testing should never take the place of visual inspection and it should never use up resources that are needed to correct moisture problems and remove all visible growth.

Sometimes, mold growth is hidden and difficult to locate. In such cases, a combination of air (outdoor and indoor air samples) and bulk (material) samples may help determine the extent of contamination and where cleaning is needed. However, mold testing is rarely useful for trying to answer questions about health concerns.

To clean up and remove indoor mold growth, follow steps 1-6 as they apply to your home.

1. Identify and Fix the Moisture Problem - the most important step in solving a mold problem is to identify and correct the moisture sources that allowed the growth in the first place. Common indoor moisture sources include:
   • Flooding
   • Condensation (caused by indoor humidity that is too high or surfaces that are too cold)
   • Movement through basement walls and slab
   • Roof leaks
   • Plumbing leaks
   • Overflow from tubs, sinks, or toilets
   • Firewood stored indoors
   • Humidifier use
   • Inadequate venting of kitchen and bath humidity
   • Improper venting of combustion appliances
   • Failure to vent clothes dryer exhaust outdoors (including electric dryers)
   • Line drying laundry indoors
   • House plants - watering them can generate large amounts of moisture

   To keep indoor surfaces as dry as possible, try to maintain the home's relative humidity between 20-40 percent in the winter and less than 60 percent the rest of the year. You can purchase devices to measure relative humidity at some home supply stores. Ventilation, air circulation near cold surfaces, dehumidification, and efforts to minimize the production of moisture in the home are all very important in controlling high humidity that frequently causes mold growth in our cold climate.

2. Begin Drying All Wet Materials - as soon as possible, begin drying any materials that are wet. For severe moisture problems, use fans and dehumidifiers and move wet items away from walls and off floors. Check with equipment rental companies or restoration firms to see if you can rent fans and dehumidifiers.
   
   
3. Remove and Dispose of Mold Contaminated Materials - items which have absorbed moisture (porous materials) and which have mold growing on them need to be removed, bagged and thrown out. Such materials may include sheet rock, insulation, plaster, carpet/carpet pad, ceiling tiles, wood products (other than solid wood), and paper products. Likewise, any such porous materials that have contacted sewage should also be bagged and thrown away. Non-porous materials with surface mold growth may be saved if they are cleaned well and kept dry (see step 4).
   • Take Steps to Protect Yourself - the amount of mold particles in air can increase greatly when mold is disturbed. Consider using protective equipment when handling or working around mold contaminated materials. The following equipment can help minimize exposure to mold:
     • Rubber gloves
     • Eye goggles
     • Outer clothing (long sleeves and long pants) that can be easily removed in the work area and laundered or discarded
     • Medium-efficiency or high-efficiency filter dust mask (these can be found at safety equipment suppliers, hardware stores, or some other large stores that sell home repair supplies) -- at a minimum, use an N-95 or equivalent dust mask
   • Take Steps to Protect Others - plan and perform all work to minimize the amount of dust generated. The following actions can help minimize the spread of mold spores:
     • Enclose all moldy materials in plastic (bags or sheets) before carrying through the home
     • Hang plastic sheeting to separate the work area from the rest of the home
     • Remove outer layer of work clothing in the work area and wash separately or bag
     • Damp clean the entire work area to pick up settled contaminants in dust
   
   
4. Clean Surfaces - surface mold growing on non-porous materials such as hard plastic, concrete, glass, metal, and solid wood can usually be cleaned. Cleaning must remove and capture the mold contamination, because dead spores and mold particles still cause health problems if they are left in place.
   • Thoroughly scrub all contaminated surfaces using a stiff brush, hot water and a non-ammonia soap/detergent or commercial cleaner
   • Collect excess cleaning liquid with a wet/dry vacuum, mop or sponge
   • Rinse area with clean water and collect excess rinse water
   
   
5. Disinfect Surfaces (if desired) - after cleaning has removed all visible mold and other soiling from contaminated surfaces, a disinfectant may be used to kill mold missed by the cleaning. In the case of sewage contamination, disinfection must be performed. Contact your home inspector for advice.
   • Mix 1/4 to 1/2 cup bleach per gallon of water and apply to surfaces where mold growth was visible before cleaning. The solution can be applied with a spray bottle, garden sprayer, it can be sponged on, or applied by other methods.
   • Collect any run-off of bleach solution with a wet/ dry vacuum, sponge or mop. However, do not rinse or wipe the bleach solution off the areas being treated -- allow it to dry on the surface.
   
   Always handle bleach with caution. Never mix bleach with ammonia -- toxic chlorine gas may result. Bleach can irritate the eyes, nose, throat, and skin. Provide fresh air (for example, open a window or door). Protect skin and eyes from contact with bleach. Test solution on a small area before treatment, since bleach is very corrosive and may damage some materials.
   
   
6. Remain on Mold Alert - Continue looking for signs of moisture problems or return of mold growth. Be particularly alert to moisture in areas of past growth. If mold returns, repeat cleaning steps and consider using a stronger solution to disinfect the area again. Regrowth may signal that the material should be removed or that moisture is not yet controlled.

Rebuilding and refurnishing must wait until all affected materials have dried completely. Be patient it takes time to dry out wet building materials.