Mould Allergy in Schoolchildren in Relation to Airborne Fungi and Residential Characteristics in Homes and Schools in Northern Norway

Abstract During winter, airborne microfungi were collected from the homes and schools of 19 children sensitized to house dust mites (HDM) and 19 non-atopic control children in the community of Sør-Varanger, northern Norway. The samples were cultivated and microfungal growth was identified microscopically. Indoor humidity, temperature, carbon dioxide (CO₂), allergic symptoms and sensitization were registered. Symptom data and information concerning sociodemographic and housing conditions were obtained using a questionnaire. Penicillium was the most common microfungus in both homes and schools, followed by different yeasts, Aspergillus, Cladosporium and Mucor. The number of infected homes was equal in the HDM-sensitized and in the control group, but the mean aerospore counts were higher in the HDM-sensitized than in the control group. The lowest aerospore counts were found in the schools. High airborne spore counts appeared to be related to high indoor humidity. Only four children were sensitized to fungi, and these children were also sensitized to other allergens, such as animal dander and pollen, and suffered from asthma, allergic rhinoconjuncitivits (AR) and atopic dermatitis (AD). Three of these four children also had high counts of aerospores in their homes. However, no consistent association between mould growth and sensitization to moulds could be observed. The health implications of indoor fungal exposure may be multifactorial.