<?xml version="1.0" encoding="UTF-8"?>
<!DOCTYPE article PUBLIC "-//NLM//DTD JATS (Z39.96) Journal Archiving and Interchange DTD v1.1 20151215//EN" "JATS-archivearticle1.dtd">
<article xmlns:ali="http://www.niso.org/schemas/ali/1.0/" xmlns:xsi="http://www.w3.org/2001/XMLSchema-instance" xmlns:mml="http://www.w3.org/1998/Math/MathML" xmlns:xlink="http://www.w3.org/1999/xlink" article-type="research-article" xml:lang="en">
<front>
<journal-meta>
<journal-id journal-id-type="nlm-ta">UCL Open Environ</journal-id>
<journal-id journal-id-type="publisher-id">UCLOE</journal-id>
<journal-title-group>
<journal-title>UCL Open Environment</journal-title>
<abbrev-journal-title>UCL Open Environ</abbrev-journal-title>
</journal-title-group>
<issn pub-type="epub">2632-0886</issn>
<publisher>
<publisher-name>UCL Press</publisher-name>
<publisher-loc>UK</publisher-loc>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.14324/111.444/ucloe.000049</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Research Article</subject>
</subj-group>
</article-categories>
<title-group>
<article-title>Indoor air quality and early detection of mould growth in residential buildings: a case study</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<contrib-id authenticated="false" contrib-id-type="orcid">https://orcid.org/0000-0002-8494-7861</contrib-id>
<name name-style="western">
<surname>Brambilla</surname>
<given-names>Arianna</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
<xref ref-type="corresp" rid="cor1">*</xref>
</contrib>
<contrib contrib-type="author">
<name name-style="western">
<surname>Candido</surname>
<given-names>Christhina</given-names>
</name>
<xref ref-type="aff" rid="aff2">2</xref>
</contrib>
<contrib contrib-type="author">
<name name-style="western">
<surname>Gocer</surname>
<given-names>Ozgur</given-names>
</name>
<xref ref-type="aff" rid="aff1">1</xref>
</contrib>
<aff id="aff1">
<label>1</label>School of Architecture, Design and Planning, The University of Sydney, Sydney, Australia</aff>
<aff id="aff2">
<label>2</label>Faculty of Architecture, Building and Planning, The University of Melbourne, Melbourne, Australia</aff>
</contrib-group>
<author-notes>
<corresp id="cor1">*Corresponding author: E-mail: <email>arianna.brambilla@sydney.edu.au</email>
</corresp>
</author-notes>
<pub-date pub-type="epub" date-type="pub" publication-format="electronic">
<day>15</day>
<month>11</month>
<year>2022</year>
</pub-date>
<pub-date pub-type="epub" date-type="collection" publication-format="electronic">
<year>2022</year>
</pub-date>
<volume>4</volume>
<elocation-id>e049</elocation-id>
<history>
<date date-type="received">
<day>20</day>
<month>03</month>
<year>2022</year>
</date>
<date date-type="accepted">
<day>09</day>
<month>09</month>
<year>2022</year>
</date>
</history>
<permissions>
<copyright-statement>© 2022 The Authors.</copyright-statement>
<copyright-year>2022</copyright-year>
<copyright-holder>The Authors.</copyright-holder>
<license>
<ali:license_ref>https://creativecommons.org/licenses/by/4.0/</ali:license_ref>
<license-p>This is an open access article distributed under the terms of the <ext-link ext-link-type="uri" xlink:href="https://creativecommons.org/licenses/by/4.0/">Creative Commons Attribution Licence (CC BY) 4.0</ext-link>, which permits unrestricted use, distribution and reproduction in any medium, provided the original author and source are credited.</license-p>
</license>
</permissions>











<abstract>
<p>Mould growth affects one in three homes, and it is the biggest cause for complaints and litigations filed to the relevant authorities in Australia, while also significantly affecting the physical and psychological health of the building’s occupants. Indoor mould is caused by excessive dampness, resulting from poor architectural specification, construction and maintenance practices, as well as inappropriate behaviour of the occupants. The consequences range from early biodeterioration of building materials, requiring anticipated renovation works, to deterioration of the indoor environment, posing a serious threat to the building’s occupants. This study investigates indoor air quality (IAQ) and mould growth, providing a snapshot of the current IAQ of Australian residential buildings regarding air pollutants. It uses a case study representative of the typical Australian suburban home to investigate the effects of unnoticed mould growth. The results of the monitoring campaign indicate that buildings with a high concentration of fungal spores are also more likely to present poor IAQ levels, high concentrations of particulate matters (PM<sub>10</sub> and PM<sub>2.5</sub>) and carbon dioxide (CO<sub>2</sub>). This research suggests the need for the development of early detection strategies that could minimise the health hazard to people, thereby preventing the need for any major renovations.</p>
</abstract>
<kwd-group>
<kwd>mould growth</kwd>
<kwd>hygrothermal</kwd>
<kwd>indoor environment</kwd>
<kwd>health</kwd>
<kwd>sustainability</kwd>
<kwd>indoor air quality</kwd>
</kwd-group>
<counts>
<fig-count count="4"/>
<table-count count="4"/>
<ref-count count="29"/>
<page-count count="9"/>
</counts>
</article-meta>
</front>
<body>
<sec id="s1">
<title>Introduction</title>
<p>Considering that humans spend a substantial amount of time indoors, indoor air quality (IAQ) has the potential to significantly impact people’s health and wellbeing [<xref ref-type="bibr" rid="r1">1</xref>,<xref ref-type="bibr" rid="r2">2</xref>]. The IAQ contributing factors can be divided into physical parameters, such as temperature and humidity; chemical parameters, such as concentration of pollutants and substances in the air; and biological parameters, which include the presence of organic compounds and mould [<xref ref-type="bibr" rid="r3">3</xref>–<xref ref-type="bibr" rid="r5">5</xref>]. The prevalence of indoor mould growth is further amplified by inappropriate design strategies [<xref ref-type="bibr" rid="r6">6</xref>], poor construction and maintenance practices [<xref ref-type="bibr" rid="r7">7</xref>,<xref ref-type="bibr" rid="r8">8</xref>] and occupants’ living conditions [<xref ref-type="bibr" rid="r4">4</xref>,<xref ref-type="bibr" rid="r8">8</xref>,<xref ref-type="bibr" rid="r9">9</xref>] that may lead to indoor accumulation of moisture or condensation within the envelope [<xref ref-type="bibr" rid="r10">10</xref>]. Despite its great influence, mould growth is seldom considered nor well specified in building codes [<xref ref-type="bibr" rid="r4">4</xref>], and the lack of a standard makes it difficult to establish its exact prevalence and diffusions.</p>
<p>Excessive dampness and indoor mould are estimated to affect between 10% and 50% of the global building stock, a percentage that is likely to be even higher in less privileged communities making exposure to mould a significant risk factor for individuals and communities [<xref ref-type="bibr" rid="r6">6</xref>]. Indeed, the digesting process of fungi growing within the building envelope reduces the building’s materials and the components’ service life [<xref ref-type="bibr" rid="r11">11</xref>], and the early biodeterioration requires anticipated and extensive renovation works, with the consequent economic loss [<xref ref-type="bibr" rid="r8">8</xref>,<xref ref-type="bibr" rid="r9">9</xref>,<xref ref-type="bibr" rid="r12">12</xref>,<xref ref-type="bibr" rid="r13">13</xref>]. Furthermore, long exposure to indoor mould can have adverse health impacts with different degrees of severity. Generally, asthma appears to be the most diffused symptom of exposure [<xref ref-type="bibr" rid="r14">14</xref>], with an estimate indicating mould as being responsible for 21% of the confirmed asthma cases in the United States [<xref ref-type="bibr" rid="r15">15</xref>], followed by other forms of allergies, such as pneumonitis, alveolitis, allergic rhinitis and sinusitis [<xref ref-type="bibr" rid="r12">12</xref>,<xref ref-type="bibr" rid="r16">16</xref>,<xref ref-type="bibr" rid="r17">17</xref>]. In general, indoor mould affects the psychological wellbeing of the occupants of affected buildings, who can experience a sense of fatigue and reduction of the capacity to concentrate [<xref ref-type="bibr" rid="r18">18</xref>], with cases escalating to cognitive impairment and reduced productivity at work [<xref ref-type="bibr" rid="r18">18</xref>,<xref ref-type="bibr" rid="r19">19</xref>]. These issues are further amplified by the difficulty of detecting mould before it is fully germinated [<xref ref-type="bibr" rid="r20">20</xref>], highlighting the importance of early detection of the presence of indoor mould.</p>
<p>In Australia, one in three homes suffers from mould growth [<xref ref-type="bibr" rid="r20">20</xref>] with evidence indicating that design and construction practices, systematically, do not properly consider moisture and moisture-related issues [<xref ref-type="bibr" rid="r4">4</xref>,<xref ref-type="bibr" rid="r21">21</xref>]. For example, the National Construction Code (NCC) introduced hygrothermal provisions for the envelope design of buildings for the first time in 2019 [<xref ref-type="bibr" rid="r22">22</xref>] and with a specific focus on residential new construction only. These new provisions, coupled with the increasingly stringent thermal and airtight requirements, developed as energy efficiency measures to respond to the international call for action against climate change, contributed significantly to the rapid rise of indoor mould cases in newly built homes [<xref ref-type="bibr" rid="r4">4</xref>,<xref ref-type="bibr" rid="r13">13</xref>]. On the other hand, older buildings are prone to mould growth due to poor thermal insulation and the presence of thermal bridges [<xref ref-type="bibr" rid="r8">8</xref>], making mould an issue that transcends the age of a building’s construction. These inherent issues of the Australian construction industry are further magnified by the repercussions of climate change and the impacts of the global pandemic. On the one hand, increased levels of humidity, warmer summers, more frequent extreme weather events, such as flooding and prolonged rainy periods create favourable conditions for mould to grow. On the other hand, building occupants spending more time at home are both increasing the indoor moisture generation [<xref ref-type="bibr" rid="r23">23</xref>] and their exposure time, posing a serious health threat to themselves. This is even more pronounced within vulnerable communities, rentals and social housing due to a combination of poor building and environmental performance and financial limitations and control over remediation [<xref ref-type="bibr" rid="r4">4</xref>].</p>
<p>This study aims to explore the correlations between air pollutants, IAQ and biological growth in the Australian context. The ultimate goal is to develop a better understanding of possible indicators of mould presence that can be diffusely used for early detection, which, in turn, may prevent serious health implications and significant economic loss.</p>
</sec>
<sec id="s2">
<title>Methods</title>
<p>This scoping study undertakes an empirical investigation of a case study conducted on a residential building, which can be considered as the typical Australian dwelling. The investigation included a site inspection, air testing and surface sampling for mould detection, as well as monitoring a 2-month long IAQ campaign (during winter). This analysis has been prompted by adverse health symptoms observed in one building occupant, which were not followed by clinical reasons.</p>
<sec id="s2a">
<title>Case study</title>
<p>The case study is a two-storey residential building located in Gowrie, a suburb of Canberra, ACT, Australia. The dwelling is a typical reversed brick veneer with a timber frame, and it can be considered a good representation of the average Australian home. More than two thirds of Australians live in similar single family or semi-detached town houses [<xref ref-type="bibr" rid="r24">24</xref>], making this case study highly representative of a bigger cohort of buildings. This building was built before 1988 and, at the time of the investigation, did not undertake any major renovation. The architecture of the building comprises a split level with high raked ceilings and a mezzanine level, four bedrooms and two bathrooms. The bedrooms, bathrooms, laundry and kitchen face south with no direct solar entrance (southern hemisphere), while the lounge and entry face the north, as represented in <xref ref-type="fig" rid="fg001">Fig. 1</xref>. As is commonly found in average Australian homes, no mechanical ventilation, heating or conditioning system was present. However, a closed fireplace is located between the kitchen and the lounge.</p>
<fig fig-type="figure" id="fg001" orientation="portrait" position="float">
<label>Figure 1</label>
<caption>
<p>Diagram of the vertical distribution.</p>
</caption>
<graphic xlink:href="ucloe-04-049-g001.png" orientation="portrait" position="float"/>
</fig>
<p>Canberra, where the building is located, is characterised by an oceanic climate [<xref ref-type="bibr" rid="r25">25</xref>], where the warmest month has a mean maximum temperature of 30.6°C but can register temperatures around 0°C with frequent frost during July (<xref ref-type="table" rid="tb001">Table 1</xref>), when the mean number of days with temperatures below zero is 16.</p>
<table-wrap id="tb001" orientation="portrait" position="float">
<label>Table 1.</label>
<caption>
<p>Monthly mean temperature in Canberra [<xref ref-type="bibr" rid="r25">25</xref>]</p>
</caption>
<table>
<thead>
<tr>
<th align="left" colspan="1" rowspan="1" valign="top"/>
<th align="left" colspan="1" rowspan="1" valign="top">Jan</th>
<th align="left" colspan="1" rowspan="1" valign="top">Feb</th>
<th align="left" colspan="1" rowspan="1" valign="top">Mar</th>
<th align="left" colspan="1" rowspan="1" valign="top">Apr</th>
<th align="left" colspan="1" rowspan="1" valign="top">May</th>
<th align="left" colspan="1" rowspan="1" valign="top">Jun</th>
<th align="left" colspan="1" rowspan="1" valign="top">Jul</th>
<th align="left" colspan="1" rowspan="1" valign="top">Aug</th>
<th align="left" colspan="1" rowspan="1" valign="top">Sept</th>
<th align="left" colspan="1" rowspan="1" valign="top">Oct</th>
<th align="left" colspan="1" rowspan="1" valign="top">Nov</th>
<th align="left" colspan="1" rowspan="1" valign="top">Dec</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">Mean max temp [°C]</td>
<td align="left" colspan="1" rowspan="1" valign="top">30.6</td>
<td align="left" colspan="1" rowspan="1" valign="top">28.1</td>
<td align="left" colspan="1" rowspan="1" valign="top">25.0</td>
<td align="left" colspan="1" rowspan="1" valign="top">21.0</td>
<td align="left" colspan="1" rowspan="1" valign="top">16.6</td>
<td align="left" colspan="1" rowspan="1" valign="top">13.4</td>
<td align="left" colspan="1" rowspan="1" valign="top">12.7</td>
<td align="left" colspan="1" rowspan="1" valign="top">14.1</td>
<td align="left" colspan="1" rowspan="1" valign="top">18.0</td>
<td align="left" colspan="1" rowspan="1" valign="top">21.5</td>
<td align="left" colspan="1" rowspan="1" valign="top">24.9</td>
<td align="left" colspan="1" rowspan="1" valign="top">27.5</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">Mean min temp [°C]</td>
<td align="left" colspan="1" rowspan="1" valign="top">14.2</td>
<td align="left" colspan="1" rowspan="1" valign="top">13.5</td>
<td align="left" colspan="1" rowspan="1" valign="top">11.1</td>
<td align="left" colspan="1" rowspan="1" valign="top">6.8</td>
<td align="left" colspan="1" rowspan="1" valign="top">2.4</td>
<td align="left" colspan="1" rowspan="1" valign="top">1.2</td>
<td align="left" colspan="1" rowspan="1" valign="top">0.1</td>
<td align="left" colspan="1" rowspan="1" valign="top">0.9</td>
<td align="left" colspan="1" rowspan="1" valign="top">3.1</td>
<td align="left" colspan="1" rowspan="1" valign="top">6.2</td>
<td align="left" colspan="1" rowspan="1" valign="top">9.8</td>
<td align="left" colspan="1" rowspan="1" valign="top">12.1</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>This area is also characterised by frequent precipitation. The annual average rainfall is approximately 700 mm, with the highest intensity registered in October (66 mm) and the lowest in June (38.1 mm) [<xref ref-type="bibr" rid="r25">25</xref>]. On average, there are around 100 days of precipitation per year, with July being the wettest month (11 days of precipitation) and April the driest (6 days) [<xref ref-type="bibr" rid="r25">25</xref>].</p>
</sec>
<sec id="s2b">
<title>Monitoring campaign and sampling procedures</title>
<p>The experimental campaign involved inspections, mould detection and IAQ monitoring [<xref ref-type="bibr" rid="r26">26</xref>].</p>
<p>The initial inspection took place in June 2020, and it was aimed at detecting potential risk sources and understanding occupancy habits to inform the monitoring campaign, which started in early July 2020. <xref ref-type="table" rid="tb002">Table 2</xref> shows the parameters monitored during the experimental campaign. It is worth mentioning that occupants were asked to conduct their normal activities during the monitoring phase, in order to gather information representative of their everyday environmental conditions.</p>
<table-wrap id="tb002" orientation="portrait" position="float">
<label>Table 2.</label>
<caption>
<p>IAQ monitoring equipment</p>
</caption>
<table>
<thead>
<tr>
<th align="left" colspan="1" rowspan="1" valign="top">Parameter</th>
<th align="left" colspan="1" rowspan="1" valign="top">Sensor type</th>
<th align="left" colspan="1" rowspan="1" valign="top">Accuracy</th>
<th align="left" colspan="1" rowspan="1" valign="top">Resolution</th>
<th align="left" colspan="1" rowspan="1" valign="top">Range</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">PM<sub>10</sub>; PM<sub>2.5</sub>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">Light scattering (350 nm)</td>
<td align="left" colspan="1" rowspan="1" valign="top">±10% (&lt;30 μg/m<sup>3</sup> ±3 μg/m<sup>3</sup>)</td>
<td align="left" colspan="1" rowspan="1" valign="top">1 μg/m<sup>3</sup>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">1/100030 μg/m<sup>3</sup>
</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">CO<sub>2</sub>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">Non-dispersive infrared</td>
<td align="left" colspan="1" rowspan="1" valign="top">±3% ±50 ppm</td>
<td align="left" colspan="1" rowspan="1" valign="top">1 ppm</td>
<td align="left" colspan="1" rowspan="1" valign="top">400/2000 ppm</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">TVOC</td>
<td align="left" colspan="1" rowspan="1" valign="top">MOS</td>
<td align="left" colspan="1" rowspan="1" valign="top">±15%</td>
<td align="left" colspan="1" rowspan="1" valign="top">1 ppb</td>
<td align="left" colspan="1" rowspan="1" valign="top">N/A</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">Temperature</td>
<td align="left" colspan="1" rowspan="1" valign="top">Digital</td>
<td align="left" colspan="1" rowspan="1" valign="top">±1°C</td>
<td align="left" colspan="1" rowspan="1" valign="top">1°C</td>
<td align="left" colspan="1" rowspan="1" valign="top">−200/100°C</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">Relative humidity</td>
<td align="left" colspan="1" rowspan="1" valign="top">Digital</td>
<td align="left" colspan="1" rowspan="1" valign="top">±5%</td>
<td align="left" colspan="1" rowspan="1" valign="top">1%</td>
<td align="left" colspan="1" rowspan="1" valign="top">0/99%</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>During July, several surfaces and air samples were taken around the house with the scope of identifying potential fungal strains [<xref ref-type="bibr" rid="r26">26</xref>]. For this research, off-the-shelf instruments for mould sampling were used, following the standard protocols described in the device’s instruction manuals, which were compared against the literature [<xref ref-type="bibr" rid="r26">26</xref>] to ensure consistency.</p>
<p>The surface samplings were collected using Zefon adhesive Bio-Tape slides (Zefon International, Ocala, Florida, US), which consist of a plastic slide with a pre-adhesive area of 4 cm<sup>2</sup> that must be gently pressed on the designated surface before returning the slide to its individual protective case. This bio-tape allows determining the presence of microbial, bio-aerosol and inorganic dust, identifying the mould strains and quantifying the degree of contamination [<xref ref-type="bibr" rid="r26">26</xref>]. The sampling locations were selected after the inspection, as per Portnoy et al. [<xref ref-type="bibr" rid="r26">26</xref>] and the manufacturer’s instructions.</p>
<p>Air sampling used Air-O-Cell cassettes (Zefon International, Ocala, Florida, US), which are based on inertial impaction (the cassette is provided with a tapered inlet that directs particulate-laden air towards a slide with the collection media). This cassette falls under the sampler type ‘impaction onto coated surface’ [<xref ref-type="bibr" rid="r26">26</xref>], where the collecting media is a cellulose acetate-coated glass. The sampling location was determined by the site inspection, as, following the standard protocol, it was performed near the centre of each area of the buildings affected by moisture intrusion, water damage, apparent mould growth, musty odours and conditions conducive to mould growth. Following the manufacturer’s instructions, the cassettes were operated with a flow rate of 15 l/m and activated for 10 minutes.</p>
<p>The sampling devices were characterised by a detection limit of 38 FS/m<sup>3</sup> and of 4 FS/m<sup>3</sup>, respectively, for air and surface sampling.</p>
<p>All samples were then analysed by a certified laboratory, following the standard protocols and the manufacturer’s instructions, staining the sample with lactophenol cotton blue and a professional magnifier for microscopic examinations.</p>
</sec>
</sec>
<sec id="s3">
<title>Results and discussion</title>
<sec id="s3a">
<title>Site inspections</title>
<p>During the initial inspection of the building, several risk factors for mould growth and poor IAQ were noticed. The lower level was characterised by poor lighting, with very low daylight levels. This space was designed to be lit by the windows in the bedrooms, which were, however, always kept closed and equipped with sunblock curtains, as they were not occupied. Furthermore, this contributed to reducing minimum natural cross ventilation throughout the lower level, where wet and humid rooms, such as bathrooms and the laundry, are also located and, consequently, preventing moisture laden air being correctly exhausted by those rooms. This situation was aggravated by a leaky wall cavity from the shower, indicated by the damp odour originating from the bathroom, visible water staining on the adjacent walls and damp-stained furniture laid against the wet wall. All these details indicated that indoor mould was likely to be found in this area of the dwelling. Based on the inspection, the surface samples were taken from the visible stains (bedroom wall and hallway cupboard), as well as from the kitchen bench as a control sample for an area not visibly affected.</p>
<p>The mould sampling results reveal that indoor mould was highly diffused in the building, as indicated in <xref ref-type="table" rid="tb003">Table 3</xref>.</p>
<table-wrap id="tb003" orientation="portrait" position="float">
<label>Table 3.</label>
<caption>
<p>Results of the mould sampling (expressed in FS/m<sup>3</sup>)</p>
</caption>
<table>
<thead>
<tr>
<th align="left" colspan="2" rowspan="1" valign="top">Sample</th>
<th align="left" colspan="1" rowspan="1" valign="top">Total fungal structures</th>
<th align="left" colspan="2" rowspan="1" valign="top">Mould genera</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" colspan="1" rowspan="16" valign="top">Air sample</td>
<td align="left" colspan="1" rowspan="4" valign="top">Kitchen</td>
<td align="left" colspan="1" rowspan="4" valign="top">3994</td>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Aspergillus/Penicillium</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">2765</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Basidiospores</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">499</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Cladosporium</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">77</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Smut/Myxomyces/Periconia</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">269</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="6" valign="top">Hallway</td>
<td align="left" colspan="1" rowspan="6" valign="top">5760</td>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Alternaria</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">38</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Aspergillus/Penicillium</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">2918</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Basidiospores</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">998</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Cladosporium</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">154</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Curvularia</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">38</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Spegazzinia</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">154</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="6" valign="top">Bedroom (occupied)</td>
<td align="left" colspan="1" rowspan="6" valign="top">9638</td>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Aspergillus/Penicillium</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">7680</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Basidiospores</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">806</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Bipolaris/Drechslera</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">38</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Cladosporium</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">154</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Oidium/Peronospora</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">38</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Smut/Myxomyces/Periconia</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">192</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="5" valign="top">Surface swab</td>
<td align="left" colspan="1" rowspan="2" valign="top">Kitchen bench</td>
<td align="left" colspan="1" rowspan="2" valign="top">83</td>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Ascospores</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">8</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Aspergillus/Penicillium</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">75</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">Hallway cupboard</td>
<td align="left" colspan="1" rowspan="1" valign="top">17</td>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Aspergillus/Penicillium</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">17</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="2" valign="top">Bedroom wall (occupied)</td>
<td align="left" colspan="1" rowspan="2" valign="top">46</td>
<td align="left" colspan="1" rowspan="1" valign="top">
<italic>Aspergillus/Penicillium</italic>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">38</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">Basidiospores</td>
<td align="left" colspan="1" rowspan="1" valign="top">8</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>Results identify Aspergillus spp. as the predominant mould genera, which confirms the literature [<xref ref-type="bibr" rid="r4">4</xref>]. This fungal strain is among the most common, yet one of the most critical for human health [<xref ref-type="bibr" rid="r12">12</xref>], being responsible for various insidious infections and correlated to sick building syndrome [<xref ref-type="bibr" rid="r27">27</xref>]. <italic>Cladosporium</italic> is more commonly found on exterior facades [<xref ref-type="bibr" rid="r4">4</xref>] and its detection indoors suggests a potential exchange of spores from the outside. Nonetheless, at least 24 different fungal strains were detected, of which 50% are usually regarded as a source of respiratory infections, 21% are able to produce mycotoxins, which constitutes a second health hazard, and 25% are usually considered a proxy for condensation issues. As expected, the bedrooms and the hallway presented a higher concentration of spores, due to the high humidity accumulated indoors by poor ventilation practices and water leakages in the envelopes. Unexpectedly, the kitchen also showed elevated spore concentrations, albeit lower than the other rooms. The concentration found in the kitchen may be originated from other organic sources, such as food remnants developing mould, however, during the sampling, no such condition was observed and the occupants, when asked about this possibility, confirmed the low probability of this option. These results indicate that the effects and implications of indoor mould may affect a much larger area than the affected surface, mainly due to the volatile nature of spores and mycotoxins combined with a higher cleaning frequency of surfaces with antibacterial products. In this case, mould was expected in the unoccupied rooms, but effectively found across the whole dwelling, determining a high risk for the occupants.</p>
</sec>
<sec id="s3b">
<title>Indoor air quality <italic>monitoring and sampling</italic>
</title>
<p>The indoor environmental parameters were monitored between 28 June and 9 September 2020. Acceptability thresholds for indoor pollutant concentrations have been considered as shown in <xref ref-type="table" rid="tb004">Table 4</xref>.</p>
<table-wrap id="tb004" orientation="portrait" position="float">
<label>Table 4.</label>
<caption>
<p>Measured PM<sub>10</sub>, PM<sub>2.5</sub>, CO<sub>2</sub> and TVOC values and Indoor Air Quality thresholds [<xref ref-type="bibr" rid="r28">28</xref>]</p>
</caption>
<table>
<thead>
<tr>
<th align="left" colspan="1" rowspan="1" valign="top">Parameter monitored</th>
<th align="left" colspan="1" rowspan="1" valign="top">Acceptable threshold</th>
<th align="left" colspan="1" rowspan="1" valign="top">Note</th>
</tr>
</thead>
<tbody>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">PM<sub>10</sub>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">50 μg/m<sup>3</sup>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">Averaged on 1 h</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">PM<sub>2.5</sub>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">25 μg/m<sup>3</sup>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">Exceptional event rule: an exceptional event is a fire or dust occurrence that adversely affects air quality at a particular location; causes an exceedance of one 1-day average standards in excess of normal historical fluctuations and background levels, and is directly related to bushfire, jurisdiction-authorised hazard – reduction burning or continental-scale windblown dust</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">CO<sub>2</sub>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">850 ppm</td>
<td align="left" colspan="1" rowspan="1" valign="top">Averaged on 8 hours. NCC IAQ Verification Method<break/>This level is based on an increment of 450 ppm above the background CO<sub>2</sub> concentration, representing an adequately ventilated building</td>
</tr>
<tr>
<td align="left" colspan="1" rowspan="1" valign="top">TVOC</td>
<td align="left" colspan="1" rowspan="1" valign="top">500 μg/m<sup>3</sup>
</td>
<td align="left" colspan="1" rowspan="1" valign="top">Averaged on 1 h</td>
</tr>
</tbody>
</table>
</table-wrap>
<p>
<xref ref-type="fig" rid="fg002">Figure 2</xref> shows the results obtained from monitoring of indoor particulate matter (PM<sub>10</sub>, PM<sub>2.5</sub>) and total volatile organic compound (TVOC) values. Based on the defined acceptability limits (<xref ref-type="table" rid="tb004">Table 4</xref>), the IAQ analysis shows that concentrations of pollutants have been consistently higher than the expected thresholds, especially during the periods of 13/07, 17/07/, 29/07, 01/08–04/08, 09/08 and 29/08. A similar general pattern is exhibited for both PM<sub>2.5</sub> and PM<sub>10</sub> values. The differences between the defined threshold and measured PM values were approximately 225 μg/m<sup>3</sup> and 280 μg/m<sup>3</sup> for PM<sub>2.5</sub> and PM<sub>10</sub> values, respectively. The peak values observed in the measurements overlap with the rainy days recorded during those periods [<xref ref-type="bibr" rid="r25">25</xref>, weather data from the closest weather station Tuggeranong AWS]. Days with high rainfall over 10 mm were 13, 26–27 July and 8–9 August. However, no rainfall was registered during 29/08, hence the peak indoor measurements are due only to indoor pollutants.</p>
<fig fig-type="figure" id="fg002" orientation="portrait" position="float">
<label>Figure 2</label>
<caption>
<p>Monitored values of PM<sub>10</sub>, PM<sub>2.5</sub> and TVOC.</p>
</caption>
<graphic xlink:href="ucloe-04-049-g002.png" orientation="portrait" position="float"/>
</fig>
<p>The TVOC level was always lower than the defined threshold (500 μg/m<sup>3</sup>) [<xref ref-type="bibr" rid="r29">29</xref>] for the whole duration of the monitoring campaign, ranging between 150 and 250. The peak was registered on 29/08, showing a similar trend observed for PM<sub>2.5</sub> and PM<sub>10</sub>.</p>
<p>
<xref ref-type="fig" rid="fg003">Figure 3</xref> displays the monitored values of carbon dioxide (CO<sub>2</sub>) (28 June and 9 September 2020). Except for the first week of monitoring (between 28/06 and 06/07), the CO<sub>2</sub> values most likely ranged between 500 and 600 ppm which is below the defined threshold for residential buildings [<xref ref-type="bibr" rid="r29">29</xref>]. However, some peak measurements that reached the level of 700 ppm were also observed. Considering that the four-bedroom house was occupied by only two residents, excluding the risk of overcrowding, and the observation made during the inspection, this might suggest that the space was significantly under-ventilated and that these parameters may be considered good indicators for early detection of high moisture-related risk probability.</p>
<fig fig-type="figure" id="fg003" orientation="portrait" position="float">
<label>Figure 3</label>
<caption>
<p>Monitored values of CO<sub>2</sub> (from 29/08 to 31/08 sensors not working).</p>
</caption>
<graphic xlink:href="ucloe-04-049-g003.png" orientation="portrait" position="float"/>
</fig>
<p>
<xref ref-type="fig" rid="fg004">Figure 4</xref> displays the monitored temperature and relative humidity on a psychrometric chart. The intensity of the colour in each band represents the frequency of that value, meaning that the darker the block is, the more often that combination of relative humidity and temperature was measured.</p>
<fig fig-type="figure" id="fg004" orientation="portrait" position="float">
<label>Figure 4</label>
<caption>
<p>Psychrometric chart with indication of the frequency of values monitored.</p>
</caption>
<graphic xlink:href="ucloe-04-049-g004.png" orientation="portrait" position="float"/>
</fig>
<p>
<xref ref-type="fig" rid="fg004">Figure 4</xref> reveals that the indoor temperature was consistently below 18°C (80% of the time), with peaks lower than 14°C (42% of the time). Despite that for 81% of the time the indoor relative humidity was in the optimal range of 40–70%, the low temperatures, coupled with cyclical humidity variations and water availability on the surface, favoured mould germination and growth.</p>
</sec>
</sec>
<sec id="s4">
<title>Conclusions</title>
<p>The investigation shows that the extensive mould infestations may easily go undetected for far too long, which in turn requires significant renovations to completely remove this significant health hazard from damaged premises. This case study suggests that high concentrations of fungal spores are correlated to poor IAQ, high concentrations of particulate matter (PM<sub>10</sub> and PM<italic>
<sub>2.5</sub>
</italic>), as well as a high levels of CO<sub>2</sub>. It also indicates that underventilation, poor access to daylight and consistently low indoor temperatures, when combined with pre-existing water leakages, may lead to an extensive biological spread that, in turn, increases the biological contamination of the indoor spaces.</p>
<p>Dwellers are seldom involved in the conversation about how to properly manage indoor environments and how to assess and evaluate the risks associated with occupancy practices (e.g., ventilation of unoccupied spaces or laundry drying in small and unventilated spaces), despite being strategic and easy-to-change aspects that determine mould growth. This case study also illustrates that when a poor building envelope design overlaps with high relative humidity and temperature, mould growth in interior spaces becomes difficult to suppress for the climate in question. Furthermore, this case study underlines the necessity of developing early detection strategies that could minimise the risk for occupants, as well as reduce the cost of repairs. Finally, the findings, even though limited to a case study, further add to the call for a change in Australian regulations and construction practice to address mould at the design stage by establishing a prevention-based approach, rather than remediation.</p>
</sec>
</body>
<back>
<ack>
<title>Acknowledgement</title>
<p>The authors thank Alex Ellerman and AETMOS for sharing the data analysed in this paper.</p>
</ack>
<sec>
<title>Authorship Contribution</title>
<p>Conceptualisation, AB, CC; methodology, AB; investigation, AB, CC and OG; resources, AB and CC; data curation, AB and OG; writing—original draft preparation, AB; writing—review and editing, AB, CC and OG; visualisation, AB.</p>
</sec>
<sec sec-type="data-availability">
<title>Open data and materials availability statement</title>
<p>The datasets generated during and/or analysed during the current study are available from the corresponding author on reasonable request.</p>
</sec>
<sec>
<title>Declarations and conflicts of interest</title>
<sec>
<title>Research ethics statement</title>
<p>Not applicable to this article.</p>
</sec>
<sec>
<title>Consent for publication statement</title>
<p>The author declares that research participants’ informed consent to publication of findings – including photos, videos and any personal or identifiable information – was secured prior to publication.</p>
</sec>
<sec sec-type="conflict">
<title>Conflicts of interest statement</title>
<p>The author declares no conflict of interest with this work.</p>
</sec>
</sec>
<ref-list>
<title>References</title>
<ref id="r1">
<label>[1]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Guyot</surname>
<given-names>G</given-names>
</name>
<name name-style="western">
<surname>Sherman</surname>
<given-names>MH</given-names>
</name>
<name name-style="western">
<surname>Walker</surname>
<given-names>IS</given-names>
</name>
</person-group>
<article-title>Smart ventilation energy and indoor air quality performance in residential buildings: a review</article-title>
<source>Energy Build</source>
<year>2018</year>
<volume>165</volume>
<fpage>416</fpage>
<lpage>30</lpage>
<pub-id pub-id-type="doi">10.1016/j.enbuild.2017.12.051</pub-id>
</element-citation>
</ref>
<ref id="r2">
<label>[2]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Klepeis</surname>
<given-names>NE</given-names>
</name>
<name name-style="western">
<surname>Nelson</surname>
<given-names>WC</given-names>
</name>
<name name-style="western">
<surname>Ott</surname>
<given-names>WR</given-names>
</name>
<name name-style="western">
<surname>Robinson</surname>
<given-names>JP</given-names>
</name>
<name name-style="western">
<surname>Tsang</surname>
<given-names>AM</given-names>
</name>
<name name-style="western">
<surname>Switzer</surname>
<given-names>P</given-names>
</name>
<etal/>
</person-group>
<article-title>The National Human Activity Pattern Survey (NHAPS): a resource for assessing exposure to environmental pollutants</article-title>
<source>J Expo Sci Environ Epidemiol</source>
<year>2001</year>
<volume>11</volume>
<issue>2001</issue>
<fpage>231</fpage>
<pub-id pub-id-type="doi">10.1038/sj.jea.7500165</pub-id>
</element-citation>
</ref>
<ref id="r3">
<label>[3]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Lu</surname>
<given-names>C</given-names>
</name>
<name name-style="western">
<surname>Deng</surname>
<given-names>Q</given-names>
</name>
<name name-style="western">
<surname>Li</surname>
<given-names>Y</given-names>
</name>
<name name-style="western">
<surname>Sundell</surname>
<given-names>J</given-names>
</name>
<name name-style="western">
<surname>Norbäck</surname>
<given-names>D</given-names>
</name>
</person-group>
<article-title>Outdoor air pollution, meteorological conditions and indoor factors in dwellings in relation to sick building syndrome (SBS) among adults in China</article-title>
<source>Sci Total Environ</source>
<year>2016</year>
<volume>560</volume>
<fpage>186</fpage>
<lpage>96</lpage>
<pub-id pub-id-type="doi">10.1016/j.scitotenv.2016.04.033</pub-id>
</element-citation>
</ref>
<ref id="r4">
<label>[4]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Brambilla</surname>
<given-names>A</given-names>
</name>
<name name-style="western">
<surname>Sangiorgio</surname>
<given-names>A</given-names>
</name>
</person-group>
<article-title>Mould growth in energy efficient buildings: causes, health implications and strategies to mitigate the risk</article-title>
<source>Renew Sust Ener Rev</source>
<year>2020</year>
<volume>132</volume>
<elocation-id>110093</elocation-id>
<pub-id pub-id-type="doi">10.1016/j.rser.2020.110093</pub-id>
</element-citation>
</ref>
<ref id="r5">
<label>[5]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Norhidayah</surname>
<given-names>A</given-names>
</name>
<name name-style="western">
<surname>Chia-Kuang</surname>
<given-names>L</given-names>
</name>
<name name-style="western">
<surname>Azhar</surname>
<given-names>MK</given-names>
</name>
<name name-style="western">
<surname>Nurulwahida</surname>
<given-names>S</given-names>
</name>
</person-group>
<article-title>Indoor air quality and sick building syndrome in three selected buildings</article-title>
<source>Proc Eng</source>
<year>2013</year>
<volume>53</volume>
<fpage>93</fpage>
<lpage>8</lpage>
<pub-id pub-id-type="doi">10.1016/j.proeng.2013.02.014</pub-id>
</element-citation>
</ref>
<ref id="r6">
<label>[6]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Du</surname>
<given-names>C</given-names>
</name>
<name name-style="western">
<surname>Li</surname>
<given-names>B</given-names>
</name>
<name name-style="western">
<surname>Yu</surname>
<given-names>W</given-names>
</name>
</person-group>
<article-title>Indoor mould exposure: Characteristics, influences and corresponding associations with built environment—a review</article-title>
<source>J Build Eng</source>
<year>2021</year>
<volume>35</volume>
<elocation-id>101983</elocation-id>
<pub-id pub-id-type="doi">10.1016/j.jobe.2020.101983</pub-id>
</element-citation>
</ref>
<ref id="r7">
<label>[7]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Calle</surname>
<given-names>K</given-names>
</name>
<name name-style="western">
<surname>Coupillie</surname>
<given-names>C</given-names>
</name>
<name name-style="western">
<surname>Janssens</surname>
<given-names>A</given-names>
</name>
<name name-style="western">
<surname>van Den Bossche</surname>
<given-names>N</given-names>
</name>
</person-group>
<article-title>Implementation of rainwater infiltration measurements in hygrothermal modelling of non-insulated brick cavity walls</article-title>
<source>J Build Phys</source>
<year>2020</year>
<volume>43</volume>
<issue>6</issue>
<fpage>477</fpage>
<lpage>502</lpage>
<pub-id pub-id-type="doi">10.1177/1744259119883909</pub-id>
</element-citation>
</ref>
<ref id="r8">
<label>[8]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Hanafi</surname>
<given-names>M</given-names>
</name>
<name name-style="western">
<surname>Umar</surname>
<given-names>M</given-names>
</name>
<name name-style="western">
<surname>Razak</surname>
<given-names>A</given-names>
</name>
<name name-style="western">
<surname>Rashid</surname>
<given-names>Z</given-names>
</name>
<name name-style="western">
<surname>Noriman</surname>
<given-names>N</given-names>
</name>
<name name-style="western">
<surname>Dahham</surname>
<given-names>OS</given-names>
</name>
</person-group>
<article-title>An introduction to thermal bridge assessment and mould risk at dampness surface for heritage building</article-title>
<source>Mater Sci Eng</source>
<year>2018</year>
<volume>454</volume>
<elocation-id>012185</elocation-id>
<pub-id pub-id-type="doi">10.1088/1757-899X/454/1/012185</pub-id>
</element-citation>
</ref>
<ref id="r9">
<label>[9]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Adams</surname>
<given-names>RI</given-names>
</name>
<name name-style="western">
<surname>Bhangar</surname>
<given-names>S</given-names>
</name>
<name name-style="western">
<surname>Dannemiller</surname>
<given-names>KC</given-names>
</name>
<name name-style="western">
<surname>Eisen</surname>
<given-names>JA</given-names>
</name>
<name name-style="western">
<surname>Fierer</surname>
<given-names>N</given-names>
</name>
<name name-style="western">
<surname>Gilbert</surname>
<given-names>JA</given-names>
</name>
<etal/>
</person-group>
<article-title>Ten questions concerning the microbiomes of buildings</article-title>
<source>Build Environ</source>
<year>2016</year>
<volume>109</volume>
<fpage>224</fpage>
<lpage>34</lpage>
<pub-id pub-id-type="doi">10.1016/j.buildenv.2016.09.001</pub-id>
</element-citation>
</ref>
<ref id="r10">
<label>[10]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Gradeci</surname>
<given-names>K</given-names>
</name>
<name name-style="western">
<surname>Labonnote</surname>
<given-names>N</given-names>
</name>
<name name-style="western">
<surname>Time</surname>
<given-names>B</given-names>
</name>
<name name-style="western">
<surname>Köhler</surname>
<given-names>J</given-names>
</name>
</person-group>
<article-title>Mould growth criteria and design avoidance approaches in wood-based materials – a systematic review</article-title>
<source>Construct Build Mater</source>
<year>2017</year>
<volume>150</volume>
<fpage>77</fpage>
<lpage>88</lpage>
<pub-id pub-id-type="doi">10.1016/j.conbuildmat.2017.05.204</pub-id>
</element-citation>
</ref>
<ref id="r11">
<label>[11]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Verdier</surname>
<given-names>T</given-names>
</name>
<name name-style="western">
<surname>Coutand</surname>
<given-names>M</given-names>
</name>
<name name-style="western">
<surname>Bertron</surname>
<given-names>A</given-names>
</name>
<name name-style="western">
<surname>Roques</surname>
<given-names>C</given-names>
</name>
</person-group>
<article-title>A review of indoor microbial growth across building materials and sampling and analysis methods</article-title>
<source>Build Environ</source>
<year>2014</year>
<volume>80</volume>
<fpage>136</fpage>
<lpage>49</lpage>
<pub-id pub-id-type="doi">10.1016/j.buildenv.2014.05.030</pub-id>
</element-citation>
</ref>
<ref id="r12">
<label>[12]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Gutarowska</surname>
<given-names>B</given-names>
</name>
<name name-style="western">
<surname>Piotrowska</surname>
<given-names>M</given-names>
</name>
</person-group>
<article-title>Methods of mycological analysis in buildings</article-title>
<source>Build Environ</source>
<year>2007</year>
<volume>42</volume>
<issue>4</issue>
<fpage>1843</fpage>
<lpage>1850</lpage>
<pub-id pub-id-type="doi">10.1016/j.buildenv.2006.02.015</pub-id>
</element-citation>
</ref>
<ref id="r13">
<label>[13]</label>
<element-citation publication-type="book">
<person-group person-group-type="author">
<name name-style="western">
<surname>Law</surname>
<given-names>T</given-names>
</name>
<name name-style="western">
<surname>Dewsbury</surname>
<given-names>M</given-names>
</name>
</person-group>
<chapter-title>The unintended consequence of building sustainably in Australia</chapter-title>
<source>Sustainable Development Research in the Asia-Pacific Region</source>
<publisher-loc>Cham</publisher-loc>
<publisher-name>Springer</publisher-name>
<year>2018</year>
<fpage>525</fpage>
<lpage>47</lpage>
</element-citation>
</ref>
<ref id="r14">
<label>[14]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Fisk</surname>
<given-names>WJ</given-names>
</name>
<name name-style="western">
<surname>Lei-Gomez</surname>
<given-names>Q</given-names>
</name>
<name name-style="western">
<surname>Mendell</surname>
<given-names>MJ</given-names>
</name>
</person-group>
<article-title>Meta-analyses of the associations of respiratory health effects with dampness and mold in homes</article-title>
<source>Indoor Air</source>
<year>2007</year>
<volume>17</volume>
<issue>4</issue>
<fpage>284</fpage>
<lpage>96</lpage>
<pub-id pub-id-type="doi">10.1111/j.1600-0668.2007.00475.x</pub-id>
</element-citation>
</ref>
<ref id="r15">
<label>[15]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Mudarri</surname>
<given-names>DH</given-names>
</name>
</person-group>
<article-title>Valuing the economic costs of allergic rhinitis, acute bronchitis, and asthma from exposure to indoor dampness and mold in the US</article-title>
<source>J Environ Public Health</source>
<year>2016</year>
<volume>2016</volume>
<elocation-id>2386596</elocation-id>
<pub-id pub-id-type="doi">10.1155/2016/2386596</pub-id>
</element-citation>
</ref>
<ref id="r16">
<label>[16]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Franks</surname>
<given-names>J</given-names>
</name>
<name name-style="western">
<surname>Galvin</surname>
<given-names>JR</given-names>
</name>
</person-group>
<article-title>Hypersensitivity pneumonitis: essential radiologic and pathologic findings</article-title>
<source>Surg Pathol Clin</source>
<year>2010</year>
<volume>3</volume>
<issue>1</issue>
<fpage>187</fpage>
<lpage>98</lpage>
<pub-id pub-id-type="doi">10.1016/j.path.2010.03.005</pub-id>
</element-citation>
</ref>
<ref id="r17">
<label>[17]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Biagini</surname>
<given-names>JM</given-names>
</name>
<name name-style="western">
<surname>LeMasters</surname>
<given-names>GK</given-names>
</name>
<name name-style="western">
<surname>Ryan</surname>
<given-names>PH</given-names>
</name>
<name name-style="western">
<surname>Levin</surname>
<given-names>L</given-names>
</name>
<name name-style="western">
<surname>Reponen</surname>
<given-names>T</given-names>
</name>
<name name-style="western">
<surname>Bernstein</surname>
<given-names>DI</given-names>
</name>
<etal/>
</person-group>
<article-title>Environmental risk factors of rhinitis in early infancy</article-title>
<source>Pediatr Allergy Immunol</source>
<year>2006</year>
<volume>17</volume>
<issue>4</issue>
<fpage>278</fpage>
<lpage>84</lpage>
<pub-id pub-id-type="doi">10.1111/j.1399-3038.2006.00386.x</pub-id>
</element-citation>
</ref>
<ref id="r18">
<label>[18]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Gordon</surname>
<given-names>WA</given-names>
</name>
<name name-style="western">
<surname>Cantor</surname>
<given-names>JB</given-names>
</name>
<name name-style="western">
<surname>Johanning</surname>
<given-names>E</given-names>
</name>
<name name-style="western">
<surname>Charatz</surname>
<given-names>HJ</given-names>
</name>
<name name-style="western">
<surname>Ashman</surname>
<given-names>TA</given-names>
</name>
<name name-style="western">
<surname>Breeze</surname>
<given-names>JL</given-names>
</name>
<etal/>
</person-group>
<article-title>Cognitive impairment associated with toxigenic fungal exposure: a replication and extension of previous findings</article-title>
<source>Appl Neuropsychol</source>
<year>2004</year>
<volume>11</volume>
<issue>2</issue>
<fpage>65</fpage>
<lpage>74</lpage>
<pub-id pub-id-type="doi">10.1207/s15324826an1102_1</pub-id>
</element-citation>
</ref>
<ref id="r19">
<label>[19]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Liddell</surname>
<given-names>C</given-names>
</name>
<name name-style="western">
<surname>Guiney</surname>
<given-names>C</given-names>
</name>
</person-group>
<article-title>Living in a cold and damp home: frameworks for understanding impacts on mental well-being</article-title>
<source>Publ Health</source>
<year>2015</year>
<volume>129</volume>
<issue>3</issue>
<fpage>191</fpage>
<lpage>9</lpage>
<pub-id pub-id-type="doi">10.1016/j.puhe.2014.11.007</pub-id>
</element-citation>
</ref>
<ref id="r20">
<label>[20]</label>
<element-citation publication-type="webpage">
<collab>Australian Standing Committee on Health</collab>
<article-title>Report on the Inquiry into Biotoxin-related Illnesses in Australia. [online]</article-title>
<year>2020</year>
<date-in-citation content-type="access-date">Accessed 10 February 2022</date-in-citation>
<comment>Available from: <ext-link ext-link-type="uri" xlink:href="https://www.aph.gov.au/Parliamentary_Business/Committees/House/Health_Aged_Care_and_Sport/BiotoxinIllnesses/Report/section?id=committees%2Freportrep%2F024194%2F26281%23footnote59ref">https://www.aph.gov.au/Parliamentary_Business/Committees/House/Health_Aged_Care_and_Sport/BiotoxinIllnesses/Report/section?id=committees%2Freportrep%2F024194%2F26281#footnote59ref</ext-link>
</comment>
</element-citation>
</ref>
<ref id="r21">
<label>[21]</label>
<element-citation publication-type="book">
<person-group person-group-type="author">
<name name-style="western">
<surname>Brambilla</surname>
<given-names>A</given-names>
</name>
<name name-style="western">
<surname>Sangiorgio</surname>
<given-names>A</given-names>
</name>
</person-group>
<source>Moisture and Buildings</source>
<publisher-loc>Sawston, UK</publisher-loc>
<publisher-name>Woodhead Publishing</publisher-name>
<year>2021</year>
</element-citation>
</ref>
<ref id="r22">
<label>[22]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Brambilla</surname>
<given-names>A</given-names>
</name>
<name name-style="western">
<surname>Gasparri</surname>
<given-names>E</given-names>
</name>
</person-group>
<article-title>Hygrothermal behaviour of emerging timber-based envelope technologies in Australia: a preliminary investigation on condensation and mould growth risk</article-title>
<source>J Clean Prod</source>
<year>2020</year>
<volume>276</volume>
<elocation-id>124129</elocation-id>
<pub-id pub-id-type="doi">10.1016/j.jclepro.2020.124129</pub-id>
</element-citation>
</ref>
<ref id="r23">
<label>[23]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Brambilla</surname>
<given-names>A</given-names>
</name>
<name name-style="western">
<surname>Sangiorgio</surname>
<given-names>A</given-names>
</name>
</person-group>
<article-title>The impacts of COVID-19 pandemic on the hygrothermal environment of our homes</article-title>
<source>J Phys: Conf Ser</source>
<year>2021</year>
<volume>2069</volume>
<issue>1</issue>
<elocation-id>012248</elocation-id>
<pub-id pub-id-type="doi">10.1088/1742-6596/2069/1/012248</pub-id>
</element-citation>
</ref>
<ref id="r24">
<label>[24]</label>
<element-citation publication-type="webpage">
<collab>Australian Bureau of Statistics</collab>
<source>Census of Population and Housing, 1971 to 2016 [online]</source>
<publisher-name>ABS</publisher-name>
<publisher-loc>Canberra</publisher-loc>
<year>2017</year>
<date-in-citation content-type="access-date">Accessed 10 February 2022</date-in-citation>
<comment>Available from: <ext-link ext-link-type="uri" xlink:href="https://www.abs.gov.au">https://www.abs.gov.au</ext-link>
</comment>
</element-citation>
</ref>
<ref id="r25">
<label>[25]</label>
<element-citation publication-type="book">
<collab>Australian Bureau of Meteorology</collab>
<source>Climate data online [online]</source>
<publisher-name>BOM</publisher-name>
<publisher-loc>Australia</publisher-loc>
<date-in-citation content-type="access-date">Accessed 10 February 2022</date-in-citation>
<comment>Available from: <ext-link ext-link-type="uri" xlink:href="http://www.bom.gov.au/climate/data/">http://www.bom.gov.au/climate/data/</ext-link>
</comment>
</element-citation>
</ref>
<ref id="r26">
<label>[26]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Portnoy</surname>
<given-names>JM</given-names>
</name>
<name name-style="western">
<surname>Barnes</surname>
<given-names>CS</given-names>
</name>
<name name-style="western">
<surname>Kennedy</surname>
<given-names>K</given-names>
</name>
</person-group>
<article-title>Sampling for indoor fungi</article-title>
<source>J Allergy Clin Immunol</source>
<year>2004</year>
<volume>13</volume>
<issue>2</issue>
<fpage>189</fpage>
<lpage>98</lpage>
<pub-id pub-id-type="doi">10.1016/j.jaci.2003.11.021</pub-id>
</element-citation>
</ref>
<ref id="r27">
<label>[27]</label>
<element-citation publication-type="journal">
<person-group person-group-type="author">
<name name-style="western">
<surname>Takigawa</surname>
<given-names>T</given-names>
</name>
<name name-style="western">
<surname>Wang</surname>
<given-names>BL</given-names>
</name>
<name name-style="western">
<surname>Sakano</surname>
<given-names>N</given-names>
</name>
<name name-style="western">
<surname>Wang</surname>
<given-names>DH</given-names>
</name>
<name name-style="western">
<surname>Ogino</surname>
<given-names>K</given-names>
</name>
<name name-style="western">
<surname>Kishi</surname>
<given-names>R</given-names>
</name>
</person-group>
<article-title>A longitudinal study of environmental risk factors for subjective symptoms associated with sick building syndrome in new dwellings</article-title>
<source>Sci Total Environ</source>
<year>2009</year>
<volume>407</volume>
<issue>19</issue>
<fpage>5223</fpage>
<lpage>8</lpage>
<pub-id pub-id-type="doi">10.1016/j.scitotenv.2009.06.023</pub-id>
</element-citation>
</ref>
<ref id="r28">
<label>[28]</label>
<element-citation publication-type="book">
<collab>Australian Building Code Board</collab>
<source>Indoor air quality handbook [online]</source>
<publisher-name>ABCB</publisher-name>
<year>2018</year>
<date-in-citation content-type="access-date">Accessed 10 February 2022</date-in-citation>
<comment>Available from: Australian Building Code Boar. Indoor air quality handbook. Available from: <ext-link ext-link-type="uri" xlink:href="https://www.abcb.gov.au/sites/default/files/resources/2022/Handbook-indoor-air-quality.pdf">https://www.abcb.gov.au/sites/default/files/resources/2022/Handbook-indoor-air-quality.pdf</ext-link>
</comment>
</element-citation>
</ref>
<ref id="r29">
<label>[29]</label>
<element-citation publication-type="webpage">
<collab>Australia Department of Environment and Energy</collab>
<source>National air quality standards [online]</source>
<publisher-name>ADEE</publisher-name>
<year>2016</year>
<date-in-citation content-type="access-date">Accessed 10 February 2022</date-in-citation>
<comment>Available from: <ext-link ext-link-type="uri" xlink:href="https://soe.environment.gov.au/theme/ambient-air-quality/topic/2016/national-air-quality-standards">https://soe.environment.gov.au/theme/ambient-air-quality/topic/2016/national-air-quality-standards</ext-link>
</comment>
</element-citation>
</ref>
</ref-list>
</back>
</article>
