Re: CDC document--cut and past

[Guest guest]

Hi . Yes we can copy and paste a PDF document. It's quite easy. In

the toolbar there is a " select " button, click that on and use that to copy

and paste. I just had time to read the report (sorry, been swamped lately)

and found some really interesting data in this report that even inhalation

can cause diseases. Here are three cut and pastes from the document that I

found interesting.

Rosie

Fungal Infections

Infection with fungal species that contaminated buildings, building

constituents, and the

environment after Hurricanes Katrina and Rita is an important concern. In

general, individuals

with impaired host defenses (especially if impaired because of cell-mediated

immunity or

neutropenia) suffer the most severe types of fungal infections (Table 3).

However, invasive

fungal infections can also occur in individuals with normal host defenses

and, in certain

situations, can even be life threatening (Table 4).

Individuals at greatest risk for developing invasive fungal infection from

heavy fungal

contamination after Hurricanes Katrina and Rita are those with impaired host

defenses (Table 3).

Any impairment in cell-mediated immunity or neutropenia (e.g., human

immunodeficiency virus

[HIV] infection, leukemia, lymphoma, diabetes mellitus) increases risk for

many types of

invasive fungal infections. Severely immunosuppressed individuals, such as

solid-organ or stemcell

transplant recipients, or those receiving cancer chemotherapy agents,

corticosteroids, or

other agents inhibiting immune function are at much higher risk for these

infections: locally

invasive infections of the lungs, sinuses, or skin; and systemic infections.

Aspergillus species,

zygomycetes, and Fusarium species are particularly important problems. These

serious

infections are often fatal, even with aggressive antifungal therapy.

Preventing Adverse Health Effects From Environmental Fungal

Contamination After Hurricanes Katrina and Rita

People should strive to reduce their exposure to molds as much as possible,

especially people

with underlying or induced immunosuppressed conditions or diseases caused by

immune

sensitization to fungal constituents present in mold growth. If exposure to

heavily moldcontaminated

materials is unavoidable, refer to Chapter 4, " Personal Protective

Equipment " and

Chapter 6, " Public Health Strategies and Recommendations " regarding proper

selection of

administrative, engineering, and personal protection controls. Because an

individual's likelihood

of developing adverse health effects from mold exposure depends on the type

of exposure and on

individual susceptibility, precautionary measures need to be customized. On

the basis of

experience and published study results, a reasonable approach to preventing

these conditions is

proposed in Chapter 6. In large part, these recommendations are based on

professional judgment

rather than on scientific evidence. For example, no research studies have

evaluated the

effectiveness of personal protective equipment in preventing illness from

mold exposure. Total

avoidance is suggested for individuals with specific underlying conditions

such as profound

immunosuppression. Respiratory protection, dermal protection, and occlusive

eye protection

recommendations are customized to various populations and

exposure-associated activities. It is

reasonable to assume that repeated or prolonged exposure poses a greater

health risk than do

28

exposures of a similar intensity, but short duration. Preventive precautions

are therefore

especially important for people who expect to be highly exposed for a long

time.

Health-Outcome Surveillance and Follow Up

State and local public health agencies do not generally collect information

on the conditions

related to mold exposure. Because of the large number of flooded and

mold-contaminated

buildings in New Orleans and the repopulation of those once-flooded areas, a

large number of

people are likely to be exposed to potentially hazardous levels of mold and

other microbial

agents.

Efforts to determine the health effects of these exposures and the

effectiveness of

recommendations to prevent these adverse health effects require a

surveillance strategy.

Developing such a strategy requires that federal and local health agencies

work together to

monitor trends in the incidence or prevalence of mold-related conditions

throughout the recovery

period.

Health outcomes that might be related to mold exposure include those listed

in Chapter 5.

Monitoring trends in these conditions will require substantial human and

financial resources and

will face several challenges. Health outcomes that may be attributed to mold

exposure fall into

several broad categories. Some potential health outcomes are rare, difficult

to diagnose, and

relatively specific for fungal exposure (e.g., blastomycosis). Other health

outcomes are relatively

easy to diagnose, but they have numerous etiologic factors and are difficult

to attribute

specifically to mold exposure (e.g., asthma exacerbations). Tracking

different health outcomes

that may be caused by mold exposure requires different surveillance methods.

In some cases,

follow-up research will be needed to verify that surveillance findings and

health outcomes are

the result of mold exposure. For some conditions, difficulties in

interpreting trends and in

relating the outcome to mold exposure may suggest that surveillance is not

an appropriate public

health approach.

Results of surveillance and follow-up activities will help CDC to refine the

guidelines for

exposure avoidance, personal protection, and cleanup. In addition, these

activities should assist

health departments to identify currently unrecognized hazards.

Surveillance

Public health agencies should consider collecting health outcome information

from health care

facilities to monitor the incidence or prevalence of selected conditions.

State or local agencies

should determine the feasibility of this approach and consider the required

resources available or

attainable to accomplish this goal. Institutions from which data could be

collected include

hospitals, emergency departments, clinics, and (for some outcomes) specific

subspecialty

providers. Surveillance will require the establishment of case definitions

and reporting sources;

From: " ldelp84227 " <ldelp84227@...>

>I have read most of the document. Is there a way to cut and past

> different paragraphs. I don't know how to do that on pdf format. It

> is creepy how it tells the dangers of mold but then it doesn't. It

> tells how dangerous the mold is but then there is no scientific data

> bla bla bla. The bottom line is they still are not telling the truth

> and many people are going to get very sick because they are protecting

> their behinds. If I can cut and paste I could point out different

> places that they go back and forth yes it is dangerous but there is no

> scientific evidence type thing. But it does have alot of good info

> and it is worth reading. Just about everything that is wrong with me is

> in this document but the thing is I was very healthy before I had this

> mold in my home. I got asthma, polyps, sinisititus, (spell), you name

> it in a few months time. That is what they are not telling that mold

> causes all of these illnesses.