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Air Quality Assessors Blog


Schools Suffering From Mold
Schools Suffering From Mold

When you're in an environment on a day to day basis, you want to make sure it is as healthy as possible. This is true whether you're talking about your own home, your work place, or where you send your children to school.


Mold Growing In Schools

 

Over the past few years, there's been an increase in the number of schools across the country dealing with mold growth, especially during the summer when maintenance isn't as frequent. Mold can easily incubate in the increased humidity of an empty school building in the summer months. This can result in delayed back to school dates and even negative health effects for the students and faculty who are inside the facility daily.

There are many instances of this happening with a variety of schools from elementary all the way to college universities. Take this very recent case of an elementary school in New Jersey that had to delay opening for the fall to complete a thorough mold removal process. Mold is a health concern for all individuals, but especially younger children in elementary who don't have the strong immune system of a developed adult. The dangers of children being exposed to mold and poor indoor air quality risks is that they can develop health issues that will follow them through out their life.


Impacts Of Mold In Schools


When mold problems aren't recognized or taken care of properly by uncaring staff, they have the potential to grow rapidly and become a widespread issue within a district like with this Atlanta school district. For college students, the potential for mold related issues doesn't stop in the classroom, as there are growing concerns of mold in dormitories that first year students are often required to stay in.


Preventing And Solving Mold Growth


So, what is being done to solve the problems of mold concerns in schools across the country? Schools are spending millions of dollars in costly HVAC upgrades, remediation with professional mold remediation companies, remodeling, and subsequent air testing to get a clear and accurate picture of the air quality in their schools. Mold issues in schools can become a costly problem for administration, but as we saw in the New Jersey elementary case, it can also impact school schedules by postponing start dates and elongating the school year.


Ensuring Student's Health


The main measure that schools should take after remediating a mold issue in their facilities is ensuring that it never happens again in the future. They can do this by being responsible and taking preventative measures. While all administrations want to save money, it's simply not worth it to cut back on cleaning measures to cut a budget here or there. Pay attention to warning signs and ensure that proper air quality testing is performed on a regular basis. It is also worth noting that updating an HVAC system will ensure proper humidity levels through all months of the year so mold does not have a chance to grow at all. It's important to keep students healthy all months of the year!

Mold In Your New Home
Mold In Your New Home


Mold can happen anywhere. It's particularly concerning when you notice signs of mold in your new home. Moving into a new home is one of the most exciting life events that happens! It signifies a shift in your life, and is something to be celebrated. However, it can be pretty hard to feel celebratory if you've moved into a new home that has mold or damages. Believe it or not, mold is even a common occurrence in new construction homes due to modern building practices. With the housing market being very competitive these days, things can move fast. We're here to teach you how to avoid these potential problems, and what to do if you encounter them.


Utilize Inspections

 

Scheduling your own private home inspection is so important before buying or even renting a home. It's the only way to know what you're getting into. A professional home inspector ideally has years of experience diagnosing signs of mold and others forms of damage to a home. They will pay attention to signs of water damage, leaks, and mold in both common and hard to reach areas. They can run tests for VOCs, or volatile organic compounds, which is a broad term for a multitude of substances that turn to vapor with normal room temperatures and can be harmful to your health. A professional home inspection is a simple investment that can end up saving you thousands of dollars down the road. They're able to diagnose an issue before it gets to be a costly issue, or save you from buying or renting the home if it's too big of an issue to deal with.


If You Find Damage

 

Have you noticed signs of mold or water damage in the home you've just moved into? If it’s too late to back out, you are probably wondering how to properly take care of mold or damages in a new home. It's not a bad idea to check with your real estate agent to see if there were any warranties promised in the purchase agreement between yourself and the seller. If you're renting, it's important to get in contact with your landlord immediately so that they are aware of the issue at hand. Most local laws protect renters and hold landlords responsible for remediation if the house is inhabitable, but it's important to review your specific renters agreement to be certain. In either case, check to see what your renters or homeowners insurance policy will cover.


Call The Professionals


Whether you're looking for a new home or you're already in your home looking for help, it's vital that you know how to find the best professionals for the job! Check community resources like social media groups to get relevant local recommendations for home inspection services from people who have used them in the last few years. In the case of mold growing in the home, the sooner you find professional mold remediation, the better. You want to choose a reputable company with years of experience diagnosing and eradicating mold, as well as keeping it from growing in the future. The more time mold has to grow, the worse the problem will become, and the more potential there is for your home or health to suffer consequences. Ensure the safety of you and your family by both preventing the problem, and knowing what to do if it arises!

How Mold Affects Children
How Mold Affects Children

The dangerous effects of mold aren't created equal. Mold has the potential to affect everybody in a negative way regardless of age. Children are especially susceptible to the harmful effects. The toxic substances mold emits, mycotoxins, affect children more than adults due to their developing bodies. When mold grows indoors, tiny spores travel everywhere. These spores have the potential to collect and reproduce in places you can't see. This compromises the overall quality of the air inside of your home.

You definitely don't want to neglect mold remediation if you have children in the home. The health and well being of your child is vital, and every parent should have a concern about long-term effects of mold. Children have the potential to be affected by mold more than adults since their immune system and bodies are still developing. In some cases, mycotoxins cause illnesses such as chronic fatigue syndrome, which has the potential to last throughout their life.


Impaired Development

From birth to adolescence, a child's immune system is developing as it is exposed to different substances. When a young immune system encounters harmful substances like mold, development is often affected. Typical reactions to mold might include respiratory irritation and allergic reactions such as coughing and itchy eyes. However, these issues aren't the only harmful effects that mold can trigger. The presence of mycotoxins has been linked to neurotoxicity in some brains of young people. This can have a negative effect on a child's emotions and behavior, even their performance in school.


Long-Term Effects

Another serious condition called chronic hypersensitivity pneumonitis can occur when a child is exposed to mold over a period of time. This is a condition that is similar to pneumonia. Yet, unlike pneumonia, it is not cured with antibiotics. The symptoms of this include muscle aches, night sweats, fever, shortness of breath and cough. Children who already have asthma can easily have an attack triggered by being in the same general area as mold. It is estimated that over 20% of asthma illness in the United States is due to mold exposure or damp conditions in the home. Black mold is especially unsafe for infants and children to be around. The mycotoxins produced by this kind of mold have the ability to impair brain function and cause nervous system disorders. Chronic exposure to black mold increases the risk for hemorrhagic pneumonia in infants, and it is known to be fatal.


Steps to Take

Is your child exhibiting signs of persisting respiratory issues, fatigue, or poor performance in school? Has there been an unexplained rash or skin lesions? You could have mold lurking somewhere in your home, even if the adults in the home aren't exhibiting any unusual symptoms. If you have reason to believe mold is present in your home, mold inspection and remediation is vital to the health of your family. Get in touch with a local mold remediation company to ensure the safety of the children in your home.

Who Do You Call for Mold Inspection?
Who Do You Call for Mold Inspection?

Many people aren’t familiar with what we do at Air Quality Assessors until they find themselves dealing with an issue they’ve never dealt with before. Mold can be a troublesome disturbance to deal with, but luckily there are knowledgeable experts that can solve your problem so you don’t have to. We want you to be informed on how to make an educated decision on who to go to when you find you’re dealing with mold and know the full process, so here are some things to consider when you find yourself faced with a mold problem.

 

There is perhaps no houseguest more unwelcome than mold. Not only is it unsightly; untreated mold can grow out of control and cause an abundance of problems, including structural damage and even severely harm your family’s health. We aren't talking about a little bit of bathroom mold and mildew. We are talking about dangerous embedded growth that you can't get rid of by turning on your vent fan.

 

If you see any of the following signs of mold in your home, you should call the qualified inspectors at Air Quality Assessors right away:

 

·      Unexplained musty odors in any part of your home

·      Finding mysterious dirt or soot

·      Bubbling paint

·      Brown stains on your ceiling

·      Condensation such as fogged windows

·      History of past flooding or water damage

·      Health symptoms such as coughing, sneezing, rashes, congestion or headaches

 

Mold Inspection vs. Mold Treatment

The state of Florida mandates that the same company that tests for mold cannot treat any mold that may be found on your property. This is for the protection of consumer’s health and safety and to make sure you are getting the most accurate and honest service. Air Quality Assessors specializes in the detection, testing, and assessment of mold. Our three-pronged approach to mold evaluation guarantees that your home will be thoroughly vetted. If any mold is found, we will then refer you to one of our trusted mold removal partners who will work with you to make sure your property is completely clear of any damaging fungi.

 

At Air Quality Assessors, our mold testing specialists are trained and certified as Florida Licensed Mold Inspectors with the training and experience necessary to find the past and current mold growth. Not only do we check for mold, but if you have a mold problem you most likely have other hidden issues you should get inspected.

 

Our specialties include:

·      Mold assessment

·      Allergen testing

·      Water testing

·      Written protocols for mold remediation

·      Mold inspection

·      Chinese drywall

·      Bedbug DNA testing on mattresses and other surfaces

 

Here are a few things you’ll want to know about mold inspections with Air Quality Assessors:

 

We look for both past and current growth. Past mold indicates a water problem which may return if there is a specific problem like a recurring leak. 

 

We inspect both inside and outside your home. This is to find places where hidden mold can cause structural problems like inside walls and crawlspaces.

 

Some mold growth is normal. The operative word is some. However, we will test all mold found to determine if it is harmful or could be a problem in the future.

 

We look for moisture. Water is mold’s best friend so we check your property for sources of moisture that could contribute to mold growth.

 

So you feel confident is choosing Air Quality Assessors for your mold and indoor air quality needs, here is a little information about us. We have been serving Central Florida since 2010 and have almost 20 years of professional experience in the mold testing and remediation field. We operate in complete confidentiality and partner with trusted Indoor Environmental Professionals to give you unbiased results and the fast, effective solution you need to keep your home healthy and strong. 


 


How Mold Affects Your Pets
How Mold Affects Your Pets

 

Managing a full household can be a challenge from keeping up with cleanliness, to making sure all of the errands get done, to caring for children and pets. It can be overwhelming. What makes things even more difficult, is when a problem that is not so easy to fix, arises. For example, when a window breaks. This issue must be solved in a timely manner because it can endanger children and pets living in the home. So what happens when there is a problem that is not so obvious and just won’t get solved with a band aid?

 

Building damage is frequently overlooked because it occurs on the inside of a building structure. It is basically out of sight, out of mind. But, when you begin to see signs of damage, more destruction than you expected could have already occurred. What exactly are we referring to? Mold. Mold is a hidden danger that can affect the health of everyone living around it especially pets. Pets feel the negative effects of mold exposure more than people because their immune system is smaller and more sensitive than ours.

 

Mold sickness was first discovered in animals in the 1930’s in Russia when farm animals became ill from sleeping on and eating damp hay where mold formed. These days, black mold information is readily available therefore mold is thankfully more controllable. The signs of mold sickness can be difficult to spot, especially because they are very similar to those of a cold. If your pet shows any signs of a cold or similar illness, mold should be considered a cause. Symptoms of mold exposure in pets is very similar to those of people including:

 

  • Sneezing
  • Runny nose
  • Loss of appetite
  • Skin rashes
  • Lethargy
  • Trembling  

 

 

While not an overwhelming amount of stories are in the current media about pets and mold exposure, there have been multiple reports since 2000 of situations where pets have been affected. In this particular story, two cats were living in a home where there was flood and water damage in the direct area where the cats dwelled. Although no one likes hearing sad stories with animals (we don’t like anything short of funny cat videos on the internet) this unfortunate situation helped raise awareness and probably saved many pet lives. If you have an ill pet and have had water damage in your home, it’s best to let your veterinarian know if your home has been exposed to water damage whether it’s from a flood, roof leak, or a common household leak.

 

The best action to take when you find your pet is suffering from any of the above symptoms related to mold is to relocate them. Take them somewhere where they can be comfortable and away from the effected home. Taking them to the vet is always a good precaution to take as well. The veterinarian should run routine tests to make sure the health of your pet is not declining. As petful.com states, “treatment may involve a blood transfusion (if the pet bleeds unduly) and antibiotics to fight secondary infections. Your vet will repeat blood tests to monitor liver function.” As you can see, mold and pets is very serious and for the sake of your little loved ones, should not be taken lightly.

 

What should you do if you find signs of black mold? There are many resources that can lead you in the right direction to solving your mold problem. If you are reading this blog, you probably already completed step #1 which is identifying that you have a mold problem. As indoor environmental professionals, we have multiple blog posts with advice on how to handle your mold issue. If you take away one thing from this blog, remember that mold should not be ignored, and even though you don’t see symptoms now, they can show up later. So keep you and everyone in your home safe including your pets.

 

Resources: Petful.com

     Cat Channel

                     Center for Disease Control and Prevention

                     Black Mold

                     


Black Mold - Is it a Threat?
Black Mold - Is it a Threat?

 

When people think about mold, the picture that comes to mind is black and green fuzzy stuff on sliced bread and fruit. Here we are going to have a closer look into this common fungus. Black mold is one of the most common types of mold that forms in homes. Other names for common black mold is stachybotrys chartarum, and toxic black mold. Black mold comes in many different species and classifications. It might be hard for some to believe, but not all types of black mold are toxic.

 

There are thousands of different kinds of back molds, but only some will affect health in humans and pets. Although it is difficult to determine which species are dangerous and which ones are not on your own, we want to inform you as much as possible so you are prepared to make the right decisions and keep your family safe.

 

 

         

 

 

What does black mold look like? Black mold isn’t just black; it can be gray, green and sometimes look dark blue. It forms in clusters and can sometimes look slimy, fluffy growing outward, and spotty. It can come in the form on small dots or large round patches that are staggered along a wall. You may also notice that around the areas where black mold has formed, there are signs of moisture. Bubbling and cracking paint, brown spots on the ceiling, and areas of condensation are all signs of moisture damage and possible mold formation. Floods and leaks are two main causes of excess moisture that cause mold. Moisture is one of the sources needed for mold to grow. Other sources include organic materials (wood, drywall) and temperature between 70-100 degrees.

 

It is no secret that black mold can cause health problems. From watery eyes to fatigue and eventually brain damage, the symptoms range from common and temporary symptoms to serious life threatening sicknesses. One common sickness caused by mold is Toxic Mold Syndrome. Many people have suffered from this and if you have never heard of TMS before, read our previous blog post “The Dangers of Toxic Mold Syndrome”. In a report conducted by CBS, a family’s story is exposed when they ran into a major mold problem.

 

 


If you have found that you are living in the presence of black mold the BEST way to resolve the problem is to get the effected materials removed by a mold professional. Sprays, tapes, and wiping surfaces can only temporarily fix the issue and possibly spread the mold more. Proper mold remediation and testing are the only ways to solve the problem and prove that it is gone 100%. If you are sick and think that black mold may be the cause, mention to your doctor that you think you may have a mold problem. 

 


Mold in Rental Properties: Suggestive Steps to Take
Mold in Rental Properties: Suggestive Steps to Take


Living in an apartment community can prove to be a great housing decision. Landscaping, roofing issues, or maintaining your pool is never a worry. It is a relief when you can give up some responsibilities to a property management team. But what happens when there is a problem, like mold, flooding, or leaks, that is directly affecting your living space and possibly your health? Many apartment complex managers take the right actions by solving building damage issues that can affect tenants’ health immediately, but there are situations where funds are not available to solve the issue, and the tenant is left with dealing with it on their own.


A lot of times, mold that forms in apartments could be considered surface mold. It can be quite alarming, especially when tenants aren’t familiar with it. Surface mold is caused by minor issues; for example, not running the fan when showering. The relative humidity levels rise and moisture in the air is not circulated, which causes mold to form. This should not be confused with roof leaks. Roof leaks happen when there is water from the outside penetrating through roofing materials, into wall cavities, and eventually through your ceiling into your apartment. This can cause major issues if not resolved as soon as possible. When moisture comes in contact with organic materials, including wood, drywall, and other building materials, it causes mold to form and spread rapidly. Health effects from mold exposure can be severe especially when exposure is prolonged.

 

What should one do when faced with this issue? Here are our suggestions for the proper steps to take.

 

1. Tell the apartment office staff. Communicating your concerns to the proper management personnel should be the first step you take. It is in your best interest that you do this in a timely manner so the issue doesn’t worsen.

 

2. Document your building damage concerns. When you document your efforts to resolve the maintenance issues in your apartment, your management team is sure to be effective in resolving the problem.

 

3. Check up on the severity of the repairs. If the repairs are of a certain scale, you may need to vacate your apartment while they are being resolved. Every state has different guidelines regarding this, so ask if this is a possibility. If you have a baby, live with an elderly person, or with someone that has a weakened immune system, this should also be brought to your apartment management’s attention.

 

4. Keep an eye on time. Make sure there is consistent progress in repairing your building damage problem (especially leaks and mold). If you haven’t physically seen or heard from your apartment’s maintenance or management regarding a schedule, a quick phone call should suffice.

 

5. When there has been no progress. There are a few things you could do if you haven’t had any success with steps 1-4. Contact the higher-ups in property management. Find out who manages the property you live in and call or email them. They should take your call and get something done for you in the matter of a few days. Make sure you inform them you have possible health concerns and ask that they assist you in resolving the issue. Another step you can take is by consulting with a professional. Call your local building damage experts and have a conversation. They will be able to come out to your apartment and test your areas of concerns, prove that there is damage to be concerned about, and you can use those documents to bring the problem to the apartment staff.

 

Typically, properties take building damage issues seriously and do their best to resolve these issues immediately. You should never have to live in an establishment that has issues that could cause negative effects on your health. Be sure to take action immediately and follow the proper steps, and your building damage should be resolved in no time!

 

 


The Assignment of Benefits: The Fight Continues
The Assignment of Benefits: The Fight Continues

The Assignment of benefits has been in use for over 100 years. In recent efforts, insurance companies have been trying to eliminate the use of the Assignment of Benefits to alleged “abuse” and “misuse” of the AOB (Assignment of Benefits). We agree that the abuse needs to stop. There are a select few companies and individuals that use the AOB to their benefit and not for the best interest of the clients. We believe the AOB should only be used to benefit homeowners and create a fair playing field for all trusting contractors in our industry.

 

The use of the Assignment of Benefits ensures that homeowners are able to keep their rights in choosing who their contractors are when dealing with emergency situations (flood, fire, mold). With the elimination of the Assignment of benefits, the insurance companies would be in full control of what company works on a home, how much money is spent, and the time it takes to complete a job. Representatives, lobbyists, and company owners including Richie Kidwell of Air Quality Assessors are working tirelessly to ensure that only just laws are passed and that homeowners and their rights are protected.

 

In this featured article, Todd Copeland from the Sun Sentinel explains the most recent happenings with the Assignment of Benefits.

Click HERE to view the article.


Senate bill 596
Senate bill 596

 

If you use an Assignment of Benefits contract in residential property losses and are a contractor in the state of Florida, this blog is a great informational resource for you! Currently, there are two industry related bills that are being considered by the Senate to pass right now, both of which could restrict the use of the Assignment of Benefits and could devastate small business owners. In a nutshell, the Assignment of Benefits serves as the same document doctors’ offices use to in order to communicate and invoice your insurance carrier directly. It is also the same document you sign when replacing your windshield. In Florida, it is usually no cost to the policyholder to replace the windshield. They invoice your carrier directly and get paid by the carrier directly. Banning or restricting the use of the Assignment of Benefits contract will have lasting negative effects for the homeowner when faced with an emergency. Right now, the assignment allows a contractor to begin work immediately in order to stop future damages and preserve their property without the headache of paying out of pocket for the whole loss.

 

There will be a vote on the Hukill bill, regarding 2 things:

 

1: The Senator Hukill's Bill 

2:  Senator Simmons Amendment

 

Senator Simmons Amendment serves the following 3 main components:

 

1. Essentially limits the use of AOB to only "emergency circumstances".

 

2. Prohibits directly or indirectly receiving compensation (referral fees).

 

3. Allows property insurers to change their policies to limit post loss assignability.

 

Some would argue that Senate Bill 596 is going to limit homeowners' rights and put insurance companies in complete control over who repairs damages in their home, and how much is spent doing so. Yes, every industry needs some sort of regulation to make sure businesses are being held to high standards in work, honesty, and quality. This can sometimes be a touchy subject because no matter where you go, people are subject to getting approached by dishonest sales people, contractors, and companies. Limiting small businesses by giving larger companies control over who their clients use as a service provider is never the right thing to do and will not solve the issue at hand.

 

Creating a balanced playing field for the larger companies, insurance providers, and small business owners is the fair thing to do. Putting restrictions on the documents small business owners use to relieve the pressure on homeowners can be seen by the public as partial.  As a company in the service industry, we want to make sure everyone is able to receive the highest quality of service they desire from whomever they choose. There are no flaws in giving people the choice to do what they feel most comfortable with.

 

Finding companies who tend to tell homeowners “white lies” to get them to pay for unnecessary services would be the PROPER way to regulate an industry. Sometimes people tend to group a whole service trade by those who do wrong by the freedoms given. Committing fraud to receive a payment is wrong and those are the people who should be penalized, not those who genuinely have the client’s best interest in mind. When we are called on to do a job, we believe taking care of the homeowner’s concerns no matter how big the job may be, and that is the right thing to do.

 

There have also been claims made in saying that homeowners are being negatively affected by contractors using Assignment of Benefits. It has been proven that there is no evidence of this. The Office of Insurance Regulation's own data has shown only 3 complaints from homeowners over the past three years regarding to the Assignment of Benefits. That is only a tiny fraction of the jobs that actually have existed.

 

We like to take all sides into consideration when informing the public of what is happening in our industry regarding regulations and new laws. We also want to make sure that every business in our industry is completely taken care of and treated fairly across the board.

 

Information regarding next week’s events in Tallahassee:

 

·         Banking & Insurance Committee: SB 1248 by Diaz de la Portilla (DLP) is on the agenda to be heard Feb 16th from 1:30 p.m. to 3:30 p.m.

 

·         Judiciary Committee: SB 596 by Senator Hukill is on the agenda to be heard on Feb 16th from 4:00 p.m. to 6:00 p.m.

 

We will be hosting a committee meeting at 12:00 p.m. on Tuesday February 16 near the capital building. Please feel free to join us. We look forward to informing all of our readers on any and all updates we receive on Senate Bill 596.

 

 


The Dangers of Toxic Mold Syndrome
The Dangers of Toxic Mold Syndrome

 

Toxic Mold Syndrome, also known as mold illness, is an illness that effects many people. When people get sick, they typically assume the causes are allergies, a cold, or a bad reaction to medications. When you notice a dramatic decline in your health, you have to wonder, what is the cause? Very commonly, people blame their poor health on  outdoor environments when in reality, they should be considering their indoor environments as the main culprit. Most people spend an average of 90% of their time indoors including time at work, school and at home. This fact alone should initiate further research into your indoor environments.


You may experience symptoms that are similar to colds and common allergies when dealing with Toxic Mold Syndrome including:


·         Coughing

·         Wheezing

·         Sore throat

·         Runny nose

·         Itchy eyes

·         And more…

 

There are more serious health problems related to toxic mold syndrome. In many cases, the above symptoms are just the beginning. Not only does toxic mold syndrome affect your respiratory health, but also your nervous system, circulatory system, skin, vision and mental health. As you can see, mold and any of the symptoms related to mold are all something that should not be taken lightly. It can lead to very serious health issues and even death.


In order to avoid long term health problems related to mold exposure, one would ask what is the real cause of mold growth? The simplest reason mold forms is because of moisture. There are many different forms of moisture that cause mold formation including leaks, condensation, humidity, and flooding. When moisture comes in contact with any and all kinds of organic materials (wood, carpet, clothing, etc.…) mold begins to form. There are many great mold prevention tips listed in our “How to Avoid Indoor Allergens" blog post that are easy and affordable to implement. Doing yearly inspections and taking care of your home overall will help lessen the chance of experiencing health issues related to mold.

 

There have been many case studies conducted to prove the effects of mold exposure symptoms. In this presented case study individuals that were tested ranged from 1.5 years to 52 years of age. The conclusion was conditional, however those who were involved experienced similar symptoms and reactions. Along with case studies, there are many personal stories, testimonials, and articles that present personal experiences people have had with toxic mold syndrome and mold related sicknesses. There is one story that stands out among all the rest about a woman who is now doing well, but at one point did not know what happened to her or where to turn. Kimberlyn is someone who one day, completely lost her motivation and began to become very confused as to why her personality and normal demeanor completely changed. With multiple doctor visits over 6 months, she started to find out what may be the cause of her sudden life altering ailment. If you are worried that you may be dealing with mold, her story is very relatable and could save you many unnecessary steps.


Ideally, we would like to say that mold will never be an issue in our lives, but that is not the case. Mold is everywhere. It really all depends on how quickly you handle a situation and how serious it is. Our best advice: be mindful of your surroundings and educate yourself on the signs and the steps to take to resolve your mold problem.



Recommended Links: Black Mold

                                       AMEN clinics

       US National Library of Medicine National Institute of Health

                                       Centers for Disease Control and Prevention