According to an US Environmental Protection Agency (EPA) spokesman, indoor air pollution causes 50% of illnesses globally. This statistic should catch the attention of every physician, every lawmaker and every layperson reading this paper. That’s more than all the cancers and all the heart disease combined. It is time we started to pay more attention to the indoor air we breathe. It is staggering to comprehend the enormous impact on our global society as literally millions of individuals and families are harmed by contaminants inside our homes, schools and workplaces.
Changes over the years in building philosophy, construction materials, pesticides, usage patterns, etc., along with new awareness and improved testing capabilities, have brought us to the understanding that some buildings are sick and can make their occupants sick. Shoddy construction practices and environmental disasters also contribute. Americans spend, on average, 22 hours a day indoors. As such, it is a disconcerting thought that the structures we live in, work at and where we educate our children might lead to significant and even deadly health problems.
Radon, asbestos, products of combustion (such as  carbon monoxide and cigarette smoke), volatile organic compounds (such  as formaldehyde, benzene, pesticides and some personal care products),  particulate matter, lead and a number of known and emerging  disease-causing microbiological agents are discussed in this paper.  However, the most space is reserved for the discussion regarding the  secondary metabolic products of molds and bacteria released into the air of water-damaged buildings as these potentially may harm the most  people and because of the disinformation war currently being waged  suggesting that human disease from these toxins cannot exist.
Naysayer articles spend valuable print space suggesting that disease from mold  can only occur after ingestion, or can only occur in the presence of  large amounts of aerosolized toxin, or can only occur in an acute  exposure. In light of the overwhelming peer-reviewed and  journal-published evidence to the contrary, it is unimaginable that such papers are still being inked, are still being used in courts as “evidence” and are still considered relevant in any way. It’s the “Big  Lie” all over again – say something long enough and loud enough and many will believe the lie.
“Big Business” has been shown repeatedly to use this tactic regarding the dangers of their products, and the histories of such substances as radium, asbestos and coal are evidence of the same. Workers in these industries, and other industries, were exposed to dangerous materials for decades while those making the profits knew the potential harmful health effects.
Mould illness,  mold-related illness and biotoxin – related illness are euphemisms which are collectively referred to as Multi-system Exposure Related Illness  (MERI) in this paper. MERI is a multi-symptom, multi-system disease  occurring in many people due usually to long-term exposure to the  interior of water-damaged buildings. While a massive acute exposure can  lead to MERI, the most common mechanism is chronic exposure to low level toxins leading to an inflammatory response in the body. Written by  treating physicians and researchers in the field, this paper is a  collaborative effort which provides detailed information on the  pathophysiology and diagnosis of MERI, as well as details regarding the  treatment protocols used by some of the leading physicians.
 
It is time to move beyond the focus of “establishing the fact of mold  disease,” because it has already been established in numerous research  papers and in the treatment of thousands of patients. It is time for our national and world leaders to develop a comprehensive public health  response to this devastating epidemic that has the potential to cripple  our individual and collective futures. The paper provides specific  recommendations in the Call to Action. The Global Indoor Health Network  looks forward to collaborating with government agencies and  organizations in the public and private sector in this search for better health and safer living and working conditions.
Authors: Scott  W. McMahon, MD; Janette Hope, MD; Alan R. Vinitsky, MD; Jack Dwayne  Thrasher, PhD; William J. Rea, MD; and Michael R. Gray, MD.
The paper can be found, in its entirety, at: 
 The Global Indoor Health Network (GIHN) is a 501(c)(3) nonprofit  organization that is uniting experts and laypersons from the world.  GIHN’s vision is a global community of individuals and organizations  working together to ensure that comprehensive information and guidance  concerning medical treatment, investigative techniques and solutions are available to address the effects of contaminants in the indoor  environment of homes, schools and businesses. Visit our website at: www.globalindoorhealthnetwork.com.
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