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7 essential. (2,9) In case of occupants with more serious pre-existing respiratory conditions, relocation may be appropriate. (25,26) If mold is suspected, but not visibly detected after a thorough inspection, then microbial air sampling conducted in accordance with guidance documents can be useful. (2,3,24) This sampling may reveal evidence of indoor mold amplification or reservoirs, particularly of mold that is considered "hidden" behind walls and other building structures. If mold is being removed and there is a question about how far the colonization extends, then surface or bulk sampling, in combination with moisture measurements from affected building materials, may be useful. Sampling for airborne mold spores can indicate whether the mix of indoor molds is "typical" of the outdoor mix or, conversely, "atypical" or unusual at the time of sampling. Any mold sampling that does occur must be performed by qualified and experienced investigators familiar with current guidelines and, if applicable, local regulations. Samples should not be taken without a clear purpose (i.e., testing a hypothesis) and a sufficient number of samples must be taken to reliably assess the existing conditions. Laboratories vary in experience and proficiency; using an AIHA-LAP, LLC EMLAP- accredited lab or ISO 17025 equivalent is recommended. (3) 4. It is not unusual for buildings to have a number of concurrent problems that affect IEQ or the perception of IEQ. Water and moisture damage can result in the release of gasses from some building materials. (8) Investigations of apparent or suspected mold-related health complaints must consider all possibilities. While mold damage comprises a large percentage of problem situations, studies of occupant complaints find that a high percentage have an outdoor air make up below the American Society for Heating, Refrigeration, and Air-Conditioning Engineers (ASHRAE) standard, inappropriate and inadequate temperature and humidity levels, inadequate control of contaminants from outdoor air (including ozone, traffic pollutants, etc.), contaminants arising from equipment or activities within the building or house (including cooking activities), and poor air distribution. (22,27,28)

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