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Wiesmuller G.A.,Gesundheitsamt der Stadt Cologne | Wiesmuller G.A.,RWTH Aachen | Heinzow B.,Landesamt fur Soziale Dienste LAsD Schleswig Holstein | Heinzow B.,The University of Notre Dame Australia | And 2 more authors.
Umweltmedizin in Forschung und Praxis | Year: 2013

Mood disorders are defined as "deterioration of mental, physical and social well-being as well as feeling of subjective performance. As an emotional experience content, mood disorders have to be delimited from annoyance reactions that involve a cognitive evaluation of specific environmental stimuli" (Bullinger 1992, 2002). Mood disorders play a significant role in environment associated health disorders in general (Bullinger 1992, 2002) and in indoor-related health disorders in particular (Bullinger 1992, 1994, 2002). Environment associated mood disorders can be explained by the pollutant model, the attribution model and the stress model (Bullinger 1992, 2002). They can become manifest in environmental medical syndromes (group of similar symptoms (similar phenotype), a) whose cause/s are unknown to date or generally, b) they due to various causes, c) they are not or cannot be reliably discriminated from others, or d) they are extremely rare; to a disease belongs additionally to a syndrome a clear and unambiguous determination of the cause (Lipkin 1969, Gross und Löffler 1997)). Environment associated mood disorders that do not manifest themselves in environmental medical syndromes are diverse and are often purchased by those concerned with indoor air. For environmental medical syndromes, like Sick Building Syndrome (SBS), Multiple Chemical Sensitivity (MCS), and Chronic Fatigue Syndrome (CFS), an etiologic relationship with fungi is not still verified. Elicitation of environment associated health disorders by mold is principally possible, e.g., by odor annoyances. Environment-related anxieties and environmental attributions predispose to environment associated mood disorders. See also publication of the RKI-Commission "Methods and Quality Assurance in Environmental Medicine" (2007, 2008; German: RKI-Kommission "Methoden und Qualitätssicherung in der Umweltmedizin") about indoor mold exposure indoors. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg. Source

Hurrass J.,Gesundheitsamt der Stadt Cologne | Wiesmuller G.A.,RWTH Aachen | Herr C.,Bayerisches Landesamt fur Gesundheit und Lebensmittelsicherheit | Raulf M.,Ruhr University Bochum
Umweltmedizin in Forschung und Praxis | Year: 2015

Objectives and significance of methods to identify indoor mold exposure show different intentions as regards interior diagnostics and medical diagnostics. For a better understanding of approaches and tasks of other disciplines, the various mycological methods to identify and quantify fungi in the interior spaces, their strengths and weaknesses are being described. Attention is not only being paid to the morphological methods hitherto generally used in the standard procedures, but also to the current molecular biological and instrumental analytical methods, which are mainly applied in research. This comprehensive presentation of mycological methods provides information both for physicians and for interior diagnostician as regards the approach, tasks, goals, possibilities and limitations of each other's field of work. A correct assessment, both factually and professionally, of an indoor damage caused by dampness and mold mandatorily requires an interdisciplinary collaboration. While mycologist specialized in environmental mycology, indoor air specialists, craftsmen, architects and building experts, are responsible for securing evidence and deciding, whether remediation is required and/or a restoration has been carried out successfully, it is incumbent upon the physician to assess the individual medical risk, which is primarily due to the individual disposition. © ecomed Medizin, eine Marke der ecomed-Storck GmbH, Landsberg. Source

Okpara-Hofmann J.,Gesundheitsamt der Stadt Cologne
Hygiene + Medizin | Year: 2012

According to section 36 (since 28th July 2011 now section 23) of the Act on the Prevention and Control of Infectious Diseases in Humans (Protection against Infection Act) institutions for outpatient surgery are subject to inspections by the public health services. The underlying principle is that an operation performed in an outpatient surgery should not be associated with a greater risk of infection than an operation linked with a hospital stay. Ten years have passed since the enactment of the Protection against Infection Act. However, during the inspections by the Public Health Service in institutions for outpatient surgery, certain important deficits with respect to infection control are still found. The inspections show, for example, that the information provided by the Federal Medical Council or the respective state medical associations is either not noted or not implemented by some of the institutions for outpatient surgery. There still is the need for the Public Health Service to advise institutions for outpatient surgery with respect to organisational structure, the process and outcome quality based on the recommendations of the commission for hospital Hygiene and Infection Prevention and to monitor the implementation of infection control measures. The operators of such institutions must recognize their own responsibility and deficits in infection control and learn to initiate corrective measures on their own. The article shows a brief overview of the relevant statutory provisions and the technical bases. Then the infection control inspection performed by the department of public health in the city of Cologne in institutions of outpatient surgery is described and common examples for critical aspects in infection control are illustrated. Source

Wiesmuller G.A.,Gesundheitsamt der Stadt Cologne | Wiesmuller G.A.,RWTH Aachen | Szewzyk R.,Umweltbundesamt | Baschien C.,Umweltbundesamt | And 6 more authors.
Indoor Air 2014 - 13th International Conference on Indoor Air Quality and Climate | Year: 2014

Mould exposure and its impact on human health are of interest to affected persons, public health departments, consumer advice centres, institutes for hygiene, specialists in environmental medicine and physicians of other medical specialties dealing with inner room problems. Hitherto, scientifically based assessment of possible health risks of mould exposure are impossible in individual cases and often leads to more questions and uncertainties than to valid answers and solutions. Focussing on this subject, a workshop was carried out at the 5th annual conference of the German Society of Hygiene, Environmental Medicine and Preventive Medicine held in Munich, Germany in 2011 dealing with possible risk of toxic reactions to mould exposure. At this workshop frequently asked questions were discussed and answered according to the actual scientific knowledge. The present results of this workshop provide important information for affected people as well as experts for their daily work. Source

Wiesmuller G.A.,Gesundheitsamt der Stadt Cologne | Wiesmuller G.A.,RWTH Aachen | Szewzyk R.,Umweltbundesamt | Baschien C.,Umweltbundesamt | And 20 more authors.
Umweltmedizin in Forschung und Praxis | Year: 2013

Scientifically based assessment of possible health risks of mold exposure is very difficult in individual cases and may lead to further questions and uncertainties rather than to valid answers and solutions. To deal with this problem, a series of four workshops was held at the Annual Conferences of the German Society of Hygiene, Environmental Medicine and Preventive Medicine, Germany in 2009, 2010, 2011 and 2012. Frequently asked questions were discussed and answered based on current scientific knowledge. These questions related to possible symptoms, specific symptoms, diseases, diagnostic procedures, therapies, reasonable exposure avoidance, prevention, potential predispositions as well as medical education. Experts and interested parties with different background knowledge worked together to find answers to these questions at the workshops. The results are presented here in detail. © ecomed Medizin, Verlagsgruppe Hüthig Jehle Rehm GmbH, Landsberg. Source

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