Skip to main content
Log in

Correlation between ERMI Values and Other Moisture and Mold Assessments of Homes in the American Healthy Homes Survey

  • Published:
Journal of Urban Health Aims and scope Submit manuscript

Abstract

The main objective of this study was to evaluate the correlation between the Environmental Relative Moldiness Index (ERMI) values in the Department of Housing and Urban Development American Healthy Homes Survey (AHHS) homes and an alternative analysis frequently used in mold investigations, i.e., the inspector’s “walk-through” assessment of visual or olfactory evidence of mold combined with occupant’s answers to a questionnaire about mold odors and moisture. Homes in the highest ERMI quartile were in agreement with visual inspection and/or occupant assessment 48% of the time but failed to detect the mold in 52% of the fourth quartile homes. In about 7% of lowest ERMI quartile homes, the inspection and occupant assessments overestimated the mold problem. The ERMI analysis of dust from homes may be useful in finding hidden mold problems. An additional objective was to compare the ERMI values in inner city east-Baltimore homes, where childhood asthma is common, to the AHHS randomly selected homes.

This is a preview of subscription content, log in via an institution to check access.

Access this article

Price excludes VAT (USA)
Tax calculation will be finalised during checkout.

Instant access to the full article PDF.

Figure 1

Similar content being viewed by others

Abbreviations

US EPA:

United States Environmental Protection Agency

MSQPCR:

Mold-specific quantitative polymerase chain reaction

ERMI:

Environmental relative moldiness index

HUD:

Department of Housing and Urban Development

AHHS:

American Healthy Homes Survey

References

  1. Institute of Medicine, National Academies of Science. Damp Indoor Spaces and Health. Washington, DC: National Academies Press; 2004.

    Google Scholar 

  2. Fisk WJ, Lei-Gomez Q, Mendell MJ. Meta-analyses of the associations of respiratory health effects with dampness and mold in homes. Indoor Air. 2007; 17: 284-296.

    Article  CAS  PubMed  Google Scholar 

  3. Kercsmar CM, Dearborn DG, Schluchter MD, et al. Reduction in asthma morbidity in children as a result of home remediation aimed at moisture sources. Environ Health Perspec. 2006; 114: 1574-1580.

    Google Scholar 

  4. Burr ML, Matthews IP, Arthur RA, et al. Effects on patients with asthma of eradicating visible indoor mould: a randomized controlled trial. Thorax. 2007; 62: 767-772.

    Article  CAS  PubMed  Google Scholar 

  5. ASTM International, “Practice for Evaluating Residential Indoor Air Quality Concerns” D 7297-06. ASTM International, West Conshohocken, PA. 2007; 11.01: 1–28.

  6. ASTM International, “Readily Observable Mold and Conducive to Mold in Commercial Buildings: Baseline Survey Process” E-2418. ASTM International, West Conshohocken, PA. 2006; 11.05: 1046–1060.

  7. U.S. Environmental Protection Agency, Office of Air and Radiation, Indoor Environments Division (6609 J). “A Brief Guide to Mold, Moisture, and Your Home.” EPA 402-K-02-003, US EPA, Washington, D.C. 2002

  8. Johnson D, Thompson D, Clinkenbeard R, Redus J. Professional judgment and the interpretation of viable mold air sampling data. J Occu Environ Hyg. 2008; 5: 656-663.

    Article  Google Scholar 

  9. Vesper SJ, McKinstry C, Haugland RA, et al. Development of an environmental relative moldiness index for homes in the U.S. J Occup Environ Med. 2007; 49: 829-833.

    Article  PubMed  Google Scholar 

  10. Meklin T, Haugland RA, Reponen T, et al. Quantitative PCR analysis of house dust can reveal abnormal mold conditions. J Environ Monitor. 2004; 6: 615-620.

    Article  CAS  Google Scholar 

  11. Meklin T, Reponen T, McKinstry C, et al. Comparison of mold concentrations in indoor and outdoor air sampled simultaneously and quantified by MSQPCR. Sci Total Environ. 2007; 382: 130-134.

    Article  CAS  PubMed  Google Scholar 

  12. Vesper SJ, McKinstry C, Haugland RA, et al. Relative moldiness index as predictor of childhood respiratory illness. J Exposure Sci Environ Epidemiol. 2007; 17: 88-94.

    Article  Google Scholar 

  13. Vesper SJ, Varma M, Wymer LJ, Dearborn DG, Sobolewski J, Haugland RA. Quantitative PCR analysis of fungi in dust from homes of infants who developed idiopathic pulmonary hemorrhaging. J Occup Environ Med. 2004; 46: 596-601.

    Article  PubMed  Google Scholar 

  14. Vesper S, McKinstry C, Haugland R, et al. Higher environmental relative moldiness index (ERMIsm) values measured in Detroit homes of severely asthmatic children. Sci Total Environ. 2008; 94: 192-196.

    Google Scholar 

  15. Haugland RA, Brinkman NE, Vesper SJ. Evaluation of rapid DNA extraction methods for the quantitative detection of fungal cells using real time PCR analysis. J Microbiol Methods. 2002; 50: 319-323.

    Article  CAS  PubMed  Google Scholar 

  16. Brinkman NE, Haugland RA, Wymer LJ, Byappanahalli M, Whitman RL, Vesper SJ. Evaluation of a rapid, quantitative real-time PCR method for cellular enumeration of pathogenic Candida species in water. Appl Environ Microbiol. 2003; 69: 1775-1782.

    Article  CAS  PubMed  Google Scholar 

  17. Haugland RA, Varma M, Wymer LJ, Vesper SJ. Quantitative PCR of selected Aspergillus, Penicillium and Paecilomyces species. Syst Appl Microbiol. 2004; 27: 198-210.

    Article  CAS  PubMed  Google Scholar 

  18. Helsel DR. Nondetects and Data Analysis, Statistics for Censored Environmental Data. Hoboken: Wiley; 2005.

    Google Scholar 

  19. Diette GB, Hansel NN, Buckley TJ, et al. Home indoor pollutant exposures among inner-city children with and without asthma. Environ Health Perspect. 2007; 115: 1665-1669.

    PubMed  Google Scholar 

  20. Jaakkola JJ, Hwang BF, Jaakkola N. Home dampness and molds, parental atopy, and asthma in childhood: a six-year population-based cohort study. Environ Health Perspect. 2005; 113: 357-361.

    Article  PubMed  Google Scholar 

  21. Gruchalla RS, Pongracic J, Plaut M, et al. Inner City Asthma Study: relationships among sensitivity, allergen exposure, and asthma morbidity. J Allergy Clin Immunol. 2005; 115: 478-485.

    Article  PubMed  Google Scholar 

  22. Bonner S, Matte TD, Fagan J, Andreopoulos E, Evans D. Self-reported moisture or mildew in the homes of Head Start children with asthma is associated with greater asthma morbidity. J Urban Health. 2006; 83: 129-137.

    Article  PubMed  Google Scholar 

  23. Turyk M, Curtis L, Scheff P, et al. Environmental allergens and asthma morbidity in low-income children. J Asthma. 2006; 43: 453-457.

    Article  PubMed  Google Scholar 

  24. Rabito FA, Iqbal S, Holt E, Grimsley LF, Islam TM, Scott SK. Prevalence of indoor allergen exposures among New Orleans Children with Asthma. J Urban Health. 2007; 84: 782-792.

    Article  PubMed  Google Scholar 

  25. Simons E, Curtin-Brosnan J, Buckley T, Breysse P, Eggleston PA. Indoor environmental differences between inner city and suburban homes of children with asthma. J Urban Health. 2007; 84: 577-590.

    Article  PubMed  Google Scholar 

  26. Matsui EC, Hansel NN, McCormack MC, Rusher R, Breysse PN, Diette GB. Asthma in the inner city and the indoor environment. Immunol Allergy Clin North Am. 2008; 28: 665-686.

    Article  PubMed  Google Scholar 

Download references

Acknowledgements

This research was partially supported by funding from the U.S. EPA Asthma Initiative.

Notice

The U.S. EPA through its Office of Research and Development, funded and collaborated in the research described here. It has been subjected to the Agency’s peer review and has been approved as an EPA publication. Mention of trade names or commercial products, including those that embody EPA patented technology, does not constitute endorsement or recommendation by the EPA for use.

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Stephen Vesper.

Rights and permissions

Reprints and permissions

About this article

Cite this article

Vesper, S., McKinstry, C., Cox, D. et al. Correlation between ERMI Values and Other Moisture and Mold Assessments of Homes in the American Healthy Homes Survey. J Urban Health 86, 850–860 (2009). https://doi.org/10.1007/s11524-009-9384-1

Download citation

  • Received:

  • Accepted:

  • Published:

  • Issue Date:

  • DOI: https://doi.org/10.1007/s11524-009-9384-1

Keywords

Navigation