| There is widespread ferment over defining
serious health effects from exposure to indoor mold. Absolute medical
evidence remains elusive. Yet the alarm occasioned by reported claims of
"toxic" substances in the air and uninhabitable buildings raises concern
about protection and liability that put the professionals who design and
build buildings, and those who own them, on the defensive.
The statistics behind mold's notoriety both inform and inflame:
- Homeowner insurance claims for mold damage topped $18 billion in
2001 with payouts of $2.5 billion.
- Thirty-five states now allow insurers to exclude mold coverage
from all homeowners' policies.
- Premiums on the few policies left increased 10 to 15 percent this
year.
- About 10,000 mold-related court cases have been filed nationwide
in the last three years.
- Several high-profile cases garnered multimillion-dollar damage
awards, sparking a cottage industry in legal and consumer activism
around mold-related issues.
Eliminating the mistakes that link facility designers and owners to
the presence of harmful indoor mold may start and end with prevention.
However, with the risk and reality of the mold debate at such close
range, it is important to hear from experts outside the industry who can
comment on the "how and why" of managing mold.
Valued Viewpoints
What do building professionals and the industry as a whole need to
know about the impact of mold-related problems on their business
survival? How can they address issues that arise out of sensational
media coverage and a lack of clear guidelines? Insights from
professionals in risk management, medical research and the law provide
some answers.
Noted medical microbiologist Dr. Jon Woods researches the health
impacts of mold exposure. Dr. Stephen Redd serves as chief of the CDC's
Air Pollution and Respiratory Health Branch. David Dybdahl is a
risk-management consultant specializing in environmental insurance
issues. And attorney James Butler is an expert in construction and
environmental law. Each of them assesses the topic of mold exposure from
a unique perspective as they comment on the role and responsibility of
the building industry.
Knowing Mold
Molds are fungi belonging to a large kingdom of organisms that
include mushrooms, mildew, and yeasts. Species of mold grow everywhere
in nature and with alacrity under the right conditions where it is
consistently warm and damp. Identification has been made of more than
1,000 kinds of indoor mold. They spread and reproduce via spores that
easily become airborne.
These organisms have been under the microscope, literally, for the
better part of a century, says Dr. Woods, an associate professor of
medical microbiology and immunology with the University of
Wisconsin–Madison School of Medicine.
Dr. Woods notes that researchers know a great deal about thousands of
mold species. Nonetheless, no definitive evidence exists to support a
casual link between mold and many of the health effects attributed to
it. Most investigators in the field remain skeptical about the "hidden
dangers of mold," he says, and tend to see the debate as more social and
legal than scientific. "Florid fungal growth may be unpleasant, but we
have no proof magic toxins are appearing all of a sudden to make
otherwise healthy people fall ill."
The strongest link so far between a concentration of airborne indoor
mold and illness is as a risk factor for people with asthma or chronic
respiratory disease. Other adverse health effects, such as memory loss
and lethargy, remain unproven.
Dr. Redd, lead CDC scientist on air pollution and respiratory health,
explained as much in testimony before a congressional committee last
July. He reported that mold spores appear to trigger allergic symptoms
much the way dust, pollen, and other allergens do. Figuring out which
ones and at what exposure level is difficult.
"Many different species of mold could be responsible for these
symptoms, so it is a challenge to sort out which to pinpoint," Dr. Redd
says. "It is also tough to identify mold as the main culprit when other
allergens could be affecting symptoms for someone who is susceptible."
Federally-funded research into this area or attempts to set exposure
levels awaits a report from the National Institute of Medicine that
summarizes evidence to date on the health effects of mold. Dr. Redd and
others hope this snapshot of current findings will guide decisions about
research targets, quantify the risks of exposure, and improve the
response of state and local health departments.
Landing in Litigation
Attorney James Butler's leading advice for building industry
professionals worried about losses due to mold claims is to deal with
the problem before it becomes a problem.
He points out that the noise around laying blame for damages suggests
there is no excuse for embarking on a design or breaking ground without
scrutinizing every aspect of the process. "Architects need to design
with an awareness of risks and builders need to document what is done
during construction to guard against water intrusion." Precautions taken
early can pay off in preventing serious outbreaks of mold, but they also
establish the limits of liability in the event of a claim.
A partner in the Atlanta-based firm of Smith, Currie and Hancock,
Butler says since he serves as counsel for both sides on this issue, he
cannot comment on the merits of any single case. All the same, he warns
building designers and owners that the legal industry is out ahead in
testing the limits of belief about the health effects of exposure to
mold. Personal injury claims have not been proven so far, but claimant
stories attract heavy media attention. Property damage claims have been
settled, however, and for substantial amounts.
Industry response, he notes, has been to reallocate risks, change
contracts and insurance coverage, or reorganize as a limited liability
company. "Long-term, the strategy has to be changing the industry's
approach to their work and a renewed commitment to working smarter."
Would industry standards make a difference? "I don't think so,"
responds Butler. "Anything established is bound to be inadequate, and
when someone does not meet the standards, it creates a new opening for
liability." Like what HVAC contractors faced over standards for indoor
air quality, he terms such an idea a "no-win" situation.
Insuring Against Loss
Running risks is part of operating any business. Insuring against
losses should the risks outrun the business is standard practice. It is
possible for facility designers, builders, and building owners to take
out liability coverage related to indoor, airborne mold, says David
Dybdahl, senior consultant with American Risk Management Resources
Network. But things have become a lot more complicated.
One reason is a fractious climate of claims alleging infestations of
mold caused byshortcomings in building design, construction, or
maintenance. Dybdahl, who has advised on insurance programs for some of
the toughest global environmental risks, reports that even without
verifiable health effects, in a few short years mold problems have
created more claims than Superfund and asbestos combined. "The insurance
industry saw this coming and has little exposure now thanks to the mold
exclusions they have added to policies for the past year," he says. That
means homeowners and building residents must look elsewhere to seek
restitution for a real or perceived loss.
Thus, facility owners, architects, engineers, and builders find
themselves vulnerable to liability claims for mold-related damages. And
without specialized environmental insurance, observes Dybdahl, they will
find themselves uninsured when it comes to these mold claims.
The fact that the vast majority of risk advisors are not experts on
environmental coverages is another reason for industry professionals to
feel insecure. "New products covering mold damage are under development
all the time," Dybdahl explains. "The challenge is finding an insurance
agent who understands what's out there and can plan a program that does
not exclude environmentalliabilities, including policies that cover the
past."
After property and homeowners policies deny mold claims, he foresees
the second wave of claims will hit professionals targeted as a
responsible party. Already there are instances where a builder or
architect assumed they were covered but were not. Such a miscalculation
puts everyone, including the agent, in the line of fire. Premiums may
have tripled, and there may be confusion over language, but effective
coverage exists. Dybdahl's firm hosts a website for the nonprofit
Environmental Risk Resources Association (www.erraonline.org) where
insurance consumers can find information on insurance products that
cover mold damage and links to underwriters.
Avoiding the Risk
No surprise, Dybdahl recommends prevention as the best insurance.
"Managing mold is relatively simple from a risk management standpoint,"
he says. "Avoid design defects and construction defects. Use compatible
materials and eliminate variations on job sites. Since water intrusion
is the enemy, build it dry from the start, making sure circumstances
that breed the problem do not occur."
Butler concurs and adds he sees the mold issue prompting development
of new and better building materials, along with a willingness to test
protocols and verify that materials and methods used in construction
actually forestall the growth of mold.
On the subject of standards, Dr. Woods says an excess of unsound
assertions about the impact of mold makes the marketplace rife for
exploitation. "Plenty of people may claim to read exposure levels that
haven't yet been set and offer surefire remediation services that are
suspect at best." He concludes it is safer to be serious about setting
high standards of construction and maintenance.
Public and media reaction to presumed health effects of airborne mold
caught everyone off guard. Ill-prepared to respond to a problem that is
hard to define or measure, facility designers and owners find it is not
business as usual. Many inside and outside the industry feel it is time
to regain lost ground.
David Dybdahl, Jon Woods, and James Butler are among the
distinguished speakers who contribute their expertise to a course on
preventing and managing mold problems. Offered by the Department of
Engineering Professional Development at the University of
WisconsinĐMadison, the next session takes place June 12-13, 2003.
Learn more and sign up by going to
http://epdweb.engr.wisc.edu/webE898
or calling 800-462-0876.
Additional Sources: Center for
Disease Control Web site, The Wall Street Journal, The New York Times.
Written by Mary Maher
This article is based upon work supported by the
University of Wisconsin–Madison Department of Engineering Professional
Development. It is for general information and distribution. It is not
intended to provide specific solutions or advice for specific
circumstances, which should be sought from appropriate professionals.
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