Home / LEV Testing / Guide
LEV testing - mould and health
Mould isn't just an unsightly, musty problem - it releases spores into the air that can harm the lungs. Breathed in, mould spores can trigger and worsen asthma, cause allergic reactions and (in some cases) hypersensitivity pneumonitis, and aggravate respiratory symptoms - a particular concern in damp workplaces and where organic material is handled. Here is how mould spores affect respiratory health, and why controlling the exposure matters. This is general information, not clinical advice.
The short answer
The musty smell of mould is familiar, but the health side is less appreciated: mould releases spores into the air, and breathing them can harm the lungs. In a damp building or a workplace handling organic material, that's a real respiratory hazard. Here's how mould spores affect respiratory health. This is general information, not clinical advice. What mould spores are, and why they matter. Mould grows on damp organic material and reproduces by releasing tiny spores into the air. These spores are small enough to be breathed in, and they carry allergens (substances that provoke allergic reactions), irritants, and in some cases mycotoxins (toxic substances some moulds produce). So when mould is present and disturbed or growing actively, the air can carry spores that harm the lungs when breathed. This is why mould is a respiratory concern, not just a cosmetic or smell problem. Triggering and worsening asthma. One of the clearest effects is on asthma. In people allergic or sensitive to mould, breathing mould spores can trigger asthma symptoms - wheezing, chest tightness, breathlessness. And beyond triggering attacks in existing asthmatics, there's evidence linking damp and mould exposure to both the development of asthma (in previously unaffected people) and its worsening. So mould is associated with asthma both starting and getting worse - a significant respiratory effect. Allergic reactions. Mould is a common allergen, so its spores can cause allergic respiratory reactions in sensitive people: symptoms like a runny or blocked nose, sneezing, itchy eyes, coughing and wheezing (much like other airborne allergies). For someone allergic to mould, a mouldy environment causes ongoing allergic symptoms. So allergic reactions are a common effect of mould-spore exposure. Hypersensitivity pneumonitis. In some people, breathing mould spores (and similar organic particles) causes hypersensitivity pneumonitis, also called allergic alveolitis - an allergic inflammation of the deep lung (the alveoli). This is a more serious effect: repeated or heavy exposure provokes an inflammatory reaction in the lung tissue that, if it continues, can cause lasting lung damage. It's the same kind of condition seen with other organic-dust and bioaerosol exposures (such as in agriculture and waste work). So for some, mould exposure can cause a serious inflammatory lung disease, not just allergy. Other effects and vulnerable people. Mould spores also aggravate general respiratory symptoms (cough, wheeze, breathing difficulty) and are associated with respiratory infections. And in vulnerable people - those with weakened immune systems, or existing serious lung disease - moulds can cause infections (such as aspergillosis, a lung infection from Aspergillus mould). So the risk isn't uniform: people with existing lung conditions or allergies, the very young and old, and those with weakened immunity are more at risk from mould, and can suffer more serious effects. Where exposure is highest. Mould-spore exposure is highest in two kinds of setting. Damp environments: damp, poorly ventilated buildings where mould grows on walls, ceilings and materials release spores into the indoor air - so a damp workplace (or home) is a source of ongoing exposure. And work handling organic or decaying material: agriculture (mouldy hay, grain, crops), waste and composting (decaying organic waste is mould-laden), and food processing - where mould and spores are abundant and disturbing the material releases them. So these damp and organic-material settings are where mould-spore exposure most needs controlling. Controlling the exposure. Controlling mould-spore exposure works on two fronts. Tackle the source (the damp): mould grows where it's damp, so fixing dampness and improving ventilation stops the mould growing and releasing spores in the first place - the root fix for a damp building. And control the airborne spores where mould-laden material is handled: in workplaces where organic, mould-bearing material is worked (agriculture, waste, composting), the spores are a bioaerosol to control like others - with ventilation, local exhaust ventilation (LEV) to capture the spores at source where they're released, and respiratory protection (RPE) where needed (this connects to the bioaerosol pages). Where LEV controls the spore exposure, it needs testing to confirm it works, as for any health-control LEV. So the exposure is controlled by stopping mould growing (dampness) and capturing the spores where material is handled. The takeaway. So mould spores are a real respiratory hazard: breathed in, they can trigger and worsen asthma, cause allergic reactions, cause hypersensitivity pneumonitis in some, and (in vulnerable people) cause infections - because the spores carry allergens, irritants and sometimes toxins. The exposure is highest in damp buildings and in work handling organic material, and it's controlled by tackling the damp and, where material is handled, capturing the spores (with tested LEV and RPE). This is general information, not clinical advice - a medical professional advises on mould-related health effects. This is general information.
Key points
What mould spores are
Mould grows on damp organic material and reproduces by releasing tiny spores into the air. These spores are small enough to be breathed in, and they carry allergens (substances that provoke allergic reactions), irritants, and in some cases mycotoxins (toxic substances that some moulds produce). So the spores aren't inert dust - they're biologically active particles that can harm the lungs when breathed.
This is why mould is a respiratory concern, not just a cosmetic or musty-smell problem. When mould is present and growing or disturbed, the air around it can carry spores, and anyone breathing that air breathes the spores and what they carry. The more mould, and the more it's disturbed, the more spores are released. So mould spores are the mechanism by which mould affects health - the airborne, breathable carriers of allergens, irritants and sometimes toxins. What they then do to the lungs (asthma, allergy, and more) is covered next. So what mould spores are - airborne particles carrying allergens and irritants - is the starting point: mould harms the lungs through the spores it releases. So mould's harm travels on its airborne spores. This is general information, not clinical advice. This is general information.
Asthma and allergic reactions
One of the clearest effects of mould spores is on asthma. In people allergic or sensitive to mould, breathing the spores can trigger asthma symptoms - wheezing, chest tightness, breathlessness. And beyond triggering attacks in existing asthmatics, there's evidence linking damp and mould exposure to both the development of asthma (in previously unaffected people) and its worsening. So mould is associated with asthma both starting and getting worse.
Mould is also a common allergen, so its spores can cause allergic respiratory reactions in sensitive people more broadly: a runny or blocked nose, sneezing, itchy eyes, coughing and wheezing - much like other airborne allergies. For someone allergic to mould, a mouldy environment causes ongoing allergic symptoms whenever they're in it. So asthma and allergic reactions are the common respiratory effects of mould-spore exposure: triggered and worsened asthma, and allergic symptoms in sensitive people. More serious effects (hypersensitivity pneumonitis) affect some, covered next. So asthma and allergic reactions - triggered, worsened, and allergic symptoms - are the common effects: mould spores set off asthma and allergy. So mould spores trigger asthma and allergy. This is general information, not clinical advice. This is general information.
Hypersensitivity pneumonitis
In some people, breathing mould spores (and similar organic particles) causes hypersensitivity pneumonitis, also called allergic alveolitis - an allergic inflammation of the deep lung (the alveoli). This is a more serious effect than allergy or triggered asthma: repeated or heavy exposure provokes an inflammatory reaction in the lung tissue itself, which, if the exposure continues, can cause lasting lung damage.
It's the same kind of condition seen with other organic-dust and bioaerosol exposures - such as in agriculture (historically 'farmer's lung' from mouldy hay) and in waste and composting work. So mould exposure, for some people and at some exposure levels, can cause a genuine inflammatory lung disease, not just allergic symptoms. This is part of why heavier, workplace mould exposure (handling mould-laden material) is taken seriously - it carries this more serious risk, on top of the asthma and allergy effects. So hypersensitivity pneumonitis - a more serious inflammatory lung effect - is the graver end of mould's respiratory harm: an allergic lung inflammation that can cause lasting damage. Other effects and who's most at risk are next. So mould can inflame the deep lung in some people. This is general information, not clinical advice. This is general information.
Other effects and vulnerable people
Mould spores also aggravate general respiratory symptoms (cough, wheeze, breathing difficulty) and are associated with respiratory infections. And in vulnerable people - those with weakened immune systems, or existing serious lung disease - moulds can cause infections, such as aspergillosis (a lung infection from Aspergillus mould). So beyond allergy and inflammation, mould can, in some people, cause or contribute to infection.
The risk isn't uniform across everyone. People at higher risk from mould include: those with existing lung conditions (asthma, COPD) or allergies (who react more, or worse); the very young and the very old; and people with weakened immune systems (who are more prone to mould infections). So the same mould exposure that causes mild symptoms in a healthy adult can cause more serious effects in a vulnerable person. This matters for deciding how seriously to treat mould exposure in a given setting - a workplace or building with vulnerable people, or with heavy exposure, warrants more concern. So other effects and vulnerable people - infections, and who is most at risk - completes the health picture: mould also aggravates symptoms and can infect, and vulnerable people are most at risk. Where the exposure is highest, and controlling it, is next. So mould hits vulnerable people hardest. This is general information, not clinical advice. This is general information.
Where it's highest, and controlling it
Mould-spore exposure is highest in two kinds of setting. Damp environments: damp, poorly ventilated buildings where mould grows on walls, ceilings and materials release spores into the indoor air, so a damp workplace (or home) is a source of ongoing exposure. And work handling organic or decaying material: agriculture (mouldy hay, grain, crops), waste and composting (decaying organic waste is mould-laden), and food processing - where mould and spores are abundant and disturbing the material releases clouds of them.
Controlling the exposure works on two fronts. Tackle the source (the damp): mould grows where it's damp, so fixing dampness and improving ventilation stops the mould growing and releasing spores in the first place - the root fix for a damp building. And control the airborne spores where mould-laden material is handled: in workplaces where organic, mould-bearing material is worked, the spores are a bioaerosol to control like others - with general ventilation, local exhaust ventilation (LEV) to capture the spores at source, and respiratory protection (RPE) where needed (as covered in the bioaerosol pages). Where LEV controls the spore exposure, it needs maintaining and testing to confirm it works, as for any health-control LEV. So where it's highest, and controlling it - damp and organic-material settings, controlled at source - is the practical conclusion: tackle the damp, and capture the spores where material is handled, with tested LEV. So control mould by stopping it growing and capturing its spores. This is general information, not clinical advice. This is general information.
Questions
Mould releases airborne spores carrying allergens, irritants and sometimes toxins; breathed in, they can trigger and worsen asthma, cause allergic reactions, cause hypersensitivity pneumonitis (a lung inflammation) in some people, aggravate respiratory symptoms, and cause infections in vulnerable people. Mould spores affect the lungs because mould releases them into the air, and they carry allergens (which provoke allergic reactions), irritants, and in some cases mycotoxins (mould toxins) - so breathing them harms the lungs. The main effects: they can trigger and worsen asthma (in people allergic or sensitive to mould, breathing the spores sets off asthma, and there's evidence linking damp and mould to asthma developing and worsening); they cause allergic reactions (mould is a common allergen, so the spores cause allergic respiratory symptoms - runny nose, sneezing, coughing, wheezing - in sensitive people); they can cause hypersensitivity pneumonitis (also called allergic alveolitis - an allergic inflammation of the deep lung that can cause lasting damage) in some people; they aggravate general respiratory symptoms; and they can cause infections (like aspergillosis) in vulnerable people (weakened immunity, existing lung disease). So mould spores are a real respiratory hazard, harming through allergy, inflammation and, for some, infection. So they harm the lungs by triggering asthma, allergy, inflammation and infection. So by carrying allergens and irritants into the lungs. This is general information, not clinical advice. This is general information.
Yes - in people allergic or sensitive to mould, breathing the spores can trigger asthma symptoms, and there's evidence linking damp and mould exposure both to asthma developing (in previously unaffected people) and to existing asthma worsening; so mould is associated with asthma both starting and getting worse. Yes - mould can both trigger existing asthma and is linked to asthma developing and worsening. In people who are allergic or sensitive to mould, breathing mould spores can trigger asthma symptoms - wheezing, chest tightness, breathlessness - so a mouldy environment can set off attacks in someone with asthma. Beyond triggering attacks in existing asthmatics, there's epidemiological evidence linking damp and mould exposure to the development of asthma (in previously unaffected people) and to the worsening of existing asthma. So mould is associated with asthma both starting (developing) and getting worse (exacerbation), as well as triggering symptoms in the moment. This makes mould a significant respiratory concern where it's present - a damp building or a mould-laden workplace can affect the asthma of the people in it, and potentially contribute to asthma developing. It's one of the main reasons mould exposure is taken seriously for respiratory health. This is why controlling mould - by tackling dampness and, in workplaces, capturing spores - matters for people's breathing. So yes - it triggers, worsens, and is linked to the development of asthma. So yes; mould affects asthma several ways. This is general information, not clinical advice. This is general information.
It's an allergic inflammation of the deep lung (the alveoli) caused, in some people, by breathing mould spores and similar organic particles - a more serious effect than allergy, which can cause lasting lung damage if exposure continues; it's the same kind of condition seen with other organic-dust exposures. Hypersensitivity pneumonitis from mould (also called allergic alveolitis) is an allergic inflammation of the deep lung - specifically the alveoli, the tiny air sacs - caused in some people by breathing mould spores and similar organic particles. It's a more serious effect than triggered asthma or allergic symptoms: repeated or heavy exposure provokes an inflammatory reaction in the lung tissue itself, and if the exposure continues, this can cause lasting lung damage (scarring and reduced lung function). It's the same kind of condition seen with other organic-dust and bioaerosol exposures - historically 'farmer's lung' from breathing mouldy hay, and it occurs in waste, composting and similar work where mould-laden organic material is handled. So for some people, and at some exposure levels, mould causes a genuine inflammatory lung disease, not just allergic symptoms. This more serious risk is part of why heavier, workplace mould exposure (handling mould-bearing material) is taken seriously and controlled. Not everyone develops it, but for those who do, it's a significant condition. So it's an allergic deep-lung inflammation from mould that can cause lasting damage. So an allergic lung inflammation from breathing mould. This is general information, not clinical advice. This is general information.
People with existing lung conditions (asthma, COPD) or allergies, the very young and old, and those with weakened immune systems - who can suffer more serious effects, including mould infections like aspergillosis; the same exposure that mildly affects a healthy adult can seriously affect a vulnerable person. The people most at risk from mould exposure are those who are more vulnerable to its effects: people with existing lung conditions (such as asthma or COPD), who react more and can be worse affected; people with allergies (who are more likely to react to mould as an allergen); the very young and the very old; and people with weakened immune systems, who are more prone to mould infections. For these vulnerable groups, the same mould exposure that causes only mild symptoms in a healthy adult can cause more serious effects. In particular, people with weakened immunity or serious existing lung disease can develop mould infections such as aspergillosis (a lung infection from Aspergillus mould), which healthy people generally don't. So mould risk isn't uniform - it's higher, and the potential effects more serious, for these vulnerable people. This matters for how seriously mould exposure is treated in a given setting: a building or workplace with vulnerable people, or with heavy exposure, warrants more concern and control. So it's a reason to take mould seriously wherever vulnerable people are exposed. So the vulnerable - existing lung disease, the young/old, weak immunity. So those with lung disease, allergies, or weak immunity. This is general information, not clinical advice. This is general information.
In damp, poorly ventilated buildings where mould grows and releases spores, and in work handling organic or decaying material - agriculture (mouldy hay, grain), waste and composting (mould-laden decaying waste), and food processing - where mould is abundant and disturbing the material releases spores. Mould-spore exposure is a workplace problem in two kinds of setting. Damp environments: damp, poorly ventilated buildings where mould grows on walls, ceilings and materials release spores into the indoor air - so a damp workplace (or home) is a source of ongoing exposure for the people in it. And work handling organic or decaying material: agriculture (mouldy hay, grain and crops - the classic 'farmer's lung' exposure), waste and composting (decaying organic waste is mould-laden, and processing it releases spores), and food processing - where mould and spores are abundant and disturbing the material releases clouds of them. So the exposure is highest either where mould grows (damp buildings) or where mould-bearing material is handled and disturbed (agriculture, waste, composting, food work). These settings are where mould-spore exposure most needs controlling - a damp building by fixing the damp and improving ventilation, and a material-handling workplace by capturing the spores at source (with LEV) and using RPE. So it's a problem in damp buildings and in organic-material work. So damp buildings and organic-material handling. This is general information. This is general information.
On two fronts: tackle the source (fix dampness and improve ventilation so mould doesn't grow and release spores - the root fix for a damp building); and, where mould-laden material is handled, control the airborne spores as a bioaerosol with ventilation, LEV to capture them at source, and RPE - with the LEV kept tested. Mould-spore exposure is controlled on two fronts. First, tackle the source - the damp: mould grows where it's damp, so fixing dampness (repairing leaks, addressing condensation, drying out) and improving ventilation stops the mould growing and releasing spores in the first place. This is the root fix for a damp building - remove the conditions mould needs, and it doesn't grow. Second, control the airborne spores where mould-laden material is handled: in workplaces where organic, mould-bearing material is worked (agriculture, waste, composting, food processing), the spores are a bioaerosol to control like other bioaerosols - with general ventilation (to keep the background level down), local exhaust ventilation (LEV) to capture the spores at source where the material is disturbed, and respiratory protection (RPE) where the other controls don't fully protect. Where LEV controls the spore exposure, it needs maintaining and thoroughly examining and testing regularly to confirm it still captures them, as for any health-control LEV. So the two fronts are: stop mould growing (dampness) and capture the spores where material is handled (LEV and RPE). So control it by fixing damp and capturing spores at source. So tackle the damp, and capture spores with tested LEV. This is general information. This is general information.
Where mould-laden material is handled - waste, composting, agriculture, food processing - the spores are a bioaerosol controlled by LEV that has to keep working; we thoroughly examine and test that LEV, confirming it still captures the spores and dust, protecting workers from a real respiratory hazard, as COSHH requires. Ask us to test your LEV. This is general information.