How to Protect Yourself from Fungal Diseases Flood conditions contribute to the growth and transmission of many kinds of fungi, some of which can cause sickness. Cleanup workers are at increased risk of exposure to airborne fungi and their spores because they often handle moldy compost, decaying vegetable matter, and other fungus-contaminated debris. The fungal material is carried into the respiratory tract when airborne dust particles are inhaled. Fungal Diseases There are many different kinds of fungi, including mildew, molds, rusts, and yeasts. Most of these are harmless, but some can cause skin, respiratory, and other disorders when workers inhale or come into contact with fungi. Inhalation is the route of exposure of most concern to flood cleanup workers. Wet crops and moldy compost encourage the growth of the fungi responsible for most outbreaks of an acute respiratory disease known as hypersensitivity pneumonitis (also called “farmer’s lung”). Compost or hay piles that have a water content of 40 percent or greater and that have warmed to temperatures in the 104º to 140ºF range present ideal growing conditions for the fungi associated with this illness. Venting silos or other areas prior to entry should ensure adequate ventilation. The signs and symptoms of hypersensitivity pneumonitis are the same, regardless of the particular fungus responsible. They include chills; fever as high as 104ºF, shortness of breath, muscle aches, pain behind the breastbone, and other flu like symptoms. The disease begins suddenly, 4 to 6 hours after exposure to dust borne fungal spores, and lasts for 12 to 14 hours. If you should experience any of these symptoms, seek medical attention promptly. Recovery is usually spontaneous, providing that you are not re-exposed to the fungus. Repeated or prolonged contact of the skin with moisture, especially during hot weather, can lead to fungal infections of the skin. These can be minimized or avoided by washing the skin with warm, soapy water and keeping it as dry as possible. If a serious fungus infection develops on your skin, seek medical advice. Certain fungi produce poisons called mycotoxins that can cause death if ingested in sufficient quantity—for example, if moldy grain is used to make bread. Therefore, such grains should not be used for food. What to do if Symptoms Develop If a cleanup worker experiences any of the signs or symptoms listed above, medical advice should be sought. Your health care provider will tell you whether you need to take medication and/or follow any other precautions. Tips to Remember
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