Biohazard Monitoring and Evaluation

When microorganisms `bloom' following an event such as a flood, sewer back up, roof leak or plumbing break, or with the buildup of condensation in building interiors, the microorganisms and their spores may produce health effects ranging from mild allergic reactions and asthma to brain abscesses and death. Rodents, insects, and birds can also present biohazards when they are in proximity to human activities. The following sections present information on microbiological hazards and their health effects.

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Microbiology: A Definition, with a Brief History
Protozoa
Bacteria
Fungi: Molds and Yeasts
Viruses
Managing Biohazards
A Brief Word About Taxonomy
A Short Glossary of Useful Terms

The CERL Solution!

More Information on Biohazards
The Bad Bug Book
Maryland's Communicable Disease Fact Sheet Index


Microbiology: A Definition, with a Brief History

A microbe, or microorganism, is an organism too small to be clearly seen by the unaided human eye. Organisms having a diameter of less than 0.1 mm are effectively invisible, while very little detail can be seen in an organism with a diameter of 1 mm or less. Microbes can thus be generally defined as organisms having a diameter of 1 mm or less. Microbiology is the study of microbes.

The science of microbiology was ushered in by Antony van Leeuwenhoek (1632 - 1723), a Dutch lens-grinder who first observed microbes in 1674. The impact of this discovery was enormous, opening an hitherto unsuspected world of life existing alongside our own. His skill as a microscope maker, coupled with his carefully recorded observations of the microbial world, ensured that this discovery would receive serious attention in the future.

With the optical improvements made to the compound microscope during the 19th century, the science of microbiology had truly arrived. Some significant discoveries made during this period were:

It was also during this period that experiments with anthrax bacteria (Davaine, Koch) established the first proof of a causal relationship between a specific microbe and a specific disease. These experiments provided criteria for this causal relationship, now known as Koch's Postulates:
  1. The microbe must be present in every case of the disease;
  2. The microbe must be isolated from the disease host and grown in a pure culture;
  3. The specific disease must be reproduced when a pure culture of the microbe is inoculated into a healthy, susceptible organism;
  4. The microbe must be recoverable from the experimentally infected host.
Microbes that cause disease are divided into four distinct types: protozoa, bacteria, viruses, and fungi (molds and yeasts). The methods of transmission and exposure vary, although the variance is largely a matter of emphasis.
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Protozoa

Amoeba Image These are single-celled microbes, mostly aquatic, that reproduce by fission. The usual route of infection is through ingestion; specifically, the drinking of contaminated water. Unlike the other microbes discussed on this page, exposure to a single organism is often sufficient to cause infection and disease. Some examples of parasitic protozoa include:

Cryptosporidium parvum
An obligate intracellular parasite. It is currently thought that the form infecting humans is the same species that causes disease in young calves. The organism causes intestinal, tracheal, and pulmonary cryptosporidiosis. The mechanism of the disease is not known, and immune compromised individuals, such as AIDS patients, are particularly at risk.

Entamoeba histolytica
A parasitic amoeba that causes the disease amoebiasis. It forms cysts as a resting state outside of a host. Amoebiasis is transmitted by fecal contamination of drinking water and foods, but also by direct contact with dirty hands or objects as well as by sexual contact. The disease can produce symptoms ranging from simple gastrointestinal distress to dysentery. Infection may result in no symptoms whatsoever. The severity of the disease depends on the condition of the host's immune system.

Giardia lamblia
This is a free-swimming protozoan that moves with the aid of five flagella, and is the most frequent cause of non-bacterial diarrhea in North America. Outside of animals it will form cysts as a resting state. Infection is caused by drinking water that has been contaminated with the cysts.

Plasmodium
P. vivax, P. ovale, P. malariae, and P. falciparum are the four protozoa that cause malaria. The parasites are transmitted through the bite of the mosquito anopheles. Symptoms include fever, chills, sweats, headache, muscle aches, tiredness, and sometimes vomiting, diarrhea, and coughing. Later symptoms can include fluid in the lungs, liver and kidney failure, swelling of the brain, coma, and death. Symptoms can appear 8 months later or longer with some types of malaria. Some types of malaria can recur for years if not treated appropriately.
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Bacteria

Bacteria Image Bacteria are single-celled microbes that lack an organized nucleus. The genetic material is often arranged as a single, circular strand of DNA. Most bacteria are parasites, saprophytes, or symbionts. Bacteria are subdivided into three major groups: the eubacteria, myxobacteria, and the spirochetes. Within these subgroups there are cylindrical, rod-shaped organisms, spherical organisms (the cocci), and spiral-shaped organisms (the spirilla). They are distinguishable from each other by their motility, type of cell wall, and their ability to form resting cells (spores or cysts).

Eubacteria are the largest and most diverse of the bacteria groups, with wide variability between members and representatives of all three shapes. Some of these move with the aid of flagella, while others are immotile. The group is characterized by thick, rigid cell walls; some create endospores or cysts in their resting stage. Members of this group form chains of individual cells. Notable examples are the rod-shaped bacilli, and the spherical streptococci. Some of rod-shaped bacteria, and one of the cocci, create endospores that are extremely resistant to heat and other treatments lethal to animal and vegetative cells, and can remain dormant for years in some species.

Myxobacteria are rod-shaped and have thin, flexible cell walls. They exhibit a gliding movement, and form microcysts in their resting stage. The two principle subgroups are the fruiting myxobacteria and the cytophagas.

Spirochetes, as their name implies, are spiral-shaped organisms. They possess an axial filament, a thin, flexible cell wall, and do not form cysts or spores. Most of these organisms inhabit mud or water, and appear to be anaerobes. Many of the smaller spirochetes are parasites of man or other vertebrates, and are responsible for several human diseases, including syphilis and yaws (Treponema), relapsing fever (Borrelia), and one type of infectious jaundice (Leptospira).

There are two groups of microbes, the rickettsia and bedsonia, that are bacterial in nature, but which do not fit into any of the major bacterial groups. They are extremely difficult to cultivate outside of a host cell.

The rickettsia are obligate intracellular parasites found in arthropods such as fleas, lice, and ticks. They do not appear to produce disease symptoms in their arthropod hosts. However, when transmitted to a human host through a bite, a severe and often fatal infection may result. Diseases in this class include epidemic typhus, transmitted by lice, Rocky Mountain spotted fever, transmitted by ticks, and scrub typhus, transmitted by mites.

The bedsonia are also obligate intracellular parasites, but are transmitted directly between vertebrate hosts. They are roughly spherical and are slightly smaller than the rickettsia. Diseases in this class include psittacosis and trachoma.
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Fungi: Molds and Yeasts

Penicillium Image Fungi are found virtually everywhere. The main reservoir for these organisms and their spores is the soil. Spores may remain viable for years, and sometimes for centuries. For this reason, these microbes and their spores are present wherever other creatures live. The number of organisms present in a particular location at any time is dependent on such factors as humidity, soil moisture, temperature, and the presence of plants, animals, and organic materials.

Like plant cells, fungi have rigid cell walls. Some fungi grow into remarkably plant-like forms, such as the various mushrooms. However, fungi do not use sunlight as an energy source, and so are not considered to be true members of the plant kingdom.

There are four major classes of fungi: the ascomycetes, the basidiomycetes, the fungi imperfecti, and the phycomycetes.

The ascomycetes and basidiomycetes are differentiated by their reproductive processes. The ascomycetes include yeasts, molds, mildews, truffles, and morels. The basidiomycetes include rusts, smuts, mushrooms, and puffballs.

The phycomycetes are known collectively as water molds, and occur on the surfaces of decaying organic material in ponds and streams. Some are parasitic and attack algae or protozoa.

The fungi imperfecti include the various fungi which have not been studied sufficiently to allow their classification as ascomycetes or basidiomycetes.

Another group of organisms that are not true fungi, but possess some of the characteristics of fungi, are the slime molds. The best known of these are the myxomycetes, commonly found growing on decaying logs and stumps in damp woodlands. Their vegetative structure is a plasmodium (distinct from the genus Plasmodium; see the section on Protozoa), which flows in an amoeboid manner over the surface of the substrate.

Aspergillus Image Fungi exist in two basic forms: molds and yeasts. Molds are the more complicated of the two, forming specialized structures to support their life-cycles, such as hyphae and sporangia. Yeasts, on the other hand, are small single cells, usually ovoid, that multiply by forming buds. Many fungi are beneficial, performing functions necessary to the maintenance of all life on earth. Others, including some of the natural skin flora of humans, plants, and animals, lack any obvious beneficial or harmful effects. A few of these organisms are utilized to process products in everyday use, such as breads, beer, and soy sauce. Still others produce disease in plants and animals; some of these include:

Aspergillus fumigatus, Aspergillus niger
Airborne fungi produced in large amounts in maturing compost and other organic materials. It is an allergen; further, infection can cause hypersensitivity pneumonitis.

Candida albicans
A yeast found commonly on human skin, and which can cause vaginal, skin, and cuticle infections. It is also a general allergen, and can cause hypersensitivity pneumonitis.

Coccidioides immitis
Causes the disease coccidioidomycosis, an upper respiratory fungal disease. Mostly mild, but has become acute and fatal in some cases. It is common in the southwest US.

Penicillium chrysogenum
Used to produce penicillin. It is also a general allergen, and can cause hypersensitivity pneumonitis.

Trichophyton rubrum
Causes "ringworm" infections of the hands and feet.
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Viruses

Virus Image Viruses represent a unique class of biological entity, different from cellular organisms. In its extracellular phase, the virion, a virus consists of a single kind of nucleic acid, either DNA or RNA, contained within a complex protein capsid. In addition, it may have one or more enzymes which are instrumental in the initiation of infection, and may assist in the replication of the viral nucleic acid within a host cell. The virion is much smaller than other microbial cells, often by as much as two or three orders of magnitude.

A new cell always arises directly from a pre-existing cell. By contrast, a virus cannot arise directly from a pre-existing virus in its extracellular phase. A virus must invade an existing eukaryotic host cell. The virus then uses the host cell's resources to replicate its genetic material and build new virions. At this point, the new virions either burst through the cell membrane of the host, killing the cell, or "bud off" from the cell membrane without killing the host. In the latter case the host cell will continue its own life processes, while the virus continues to multiply.

It can be seen, therefore, that all viruses are parasites. Perhaps due to their relative simplicity, viruses tend to be much hardier than cells. Treatments that avail against other microbes are often less effective or completely ineffective against viruses. Some viruses that cause disease in humans are:

Group A & B togaviruses
Spread through the bite of infected mosquitos, these viruses cause equine encephalitis and St Louis encephalitis. This is an acute inflammatory disease of short duration, involving parts of the brain, spinal cord and meninges. Severe infections are usually marked by headache, high fever, stupor, disorientation, coma, tremors, and spasticity.

Hanta virus
Normally spread through the ingestion or inhalation of saliva, urine, or feces of infected mice. Causes hemorrhagic nephrosonephritis, an acute infectious disease characterized by an abrupt onset of fever of 3 to 8 days duration, conjunctival injection, prostration, anorexia and vomiting. Hemorrhagic manifestations begin about the third day. Renal or respiratory abnormalities may be mild, or may progress to acute renal or respiratory failure. The fatality rate for this disease is approximately 50%.

Hepatitis B (HBV)
The virus is carried in the blood and other bodily fluids of an infected person. Transmission occurs through sexual contact, and through injection by contaminated objects, such as unsterilized needles. The usual signs and symptoms of HBV may include fever, fatigue, muscle or joint pain, loss of appetite, nausea and vomiting. HBV also is a leading cause of liver cancer.

Rabies virus
Normally spread by the bite of an infected animal. Causes rabies which, if not treated, is nearly always fatal. Onset is marked by apprehension, headache, fever, malaise and indefinite sensory changes. As the disease progresses, symptoms include paralysis, muscle spasms, delirium, and convulsions. Death is often due to respiratory paralysis.
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Managing Biohazards

Of all environmental hazards, biological hazards are the most elusive and difficult. Physical hazards, such as structural problems, poor lighting, obstructions, slippery footing and the like are easy to identify, and can be dealt with in a permanent fashion. Identifying toxic chemicals and wastes is more involved, but the process is relatively straightforward, following which the hazard can be isolated, treated, or removed. The process may be involved and/or costly, but will usually result in a permanent mitigation of the hazard. Biohazards, on the other hand, are often difficult to identify and resolve.

Far and away the most common biohazard problem for building and home owners is extensive growth of fungi. This is often the result of a transient event, such as flooding or a sewer line back-up. Fortunately, this is the easiest problem to identify, as fungi will usually grow in visible colonies. The bad news is that the problem is often not noticed or considered noteworthy until symptoms of exposure begin to develop.

Excessive concentrations of spores will often provoke an allergic reaction of greater or lesser severity in one or more of the building occupants. Once an individual becomes sensitive to a particular fungus, normal or seasonal concentrations of the spore may continue to produce an allergic response. In many such cases, regular medical treatment over a long period of time will be required to alleviate the symptoms. Excessive concentrations of spores may also result in acute infections, requiring medical treatment.

Viruses, protozoa, and most bacteria do not produce direct visible evidence of their presence. Evaluation of these hazards must be based on other factors, such as the past and present uses of the site, evidence of potential disease reservoirs and vectors such as mice, rats, mosquitos, stagnant water, etc, and interviews with persons living or working in the area to determine the presence of a common disease (epidemiological investigation).

Any site investigation may involve sampling of ambient conditions, to determine the types and relative concentrations of microbes present. Sampling may include soil, air, surfaces, and water. There are a variety of methods used for the sampling of each medium. The type and method used will depend on the site conditions, and the sampling objectives.

Once the hazards have been identified and assessed, a strategy can be developed to mitigate them. Proper use of disinfectants will reduce the growth of fungi and bacteria, and kill most of the spores. Elimination of harborage for disease vectors will reduce the risk of exposure. Maintaining a clean water supply and food preparation area is also desirable.

Realize foremost that biohazards can be minimized, but never eliminated. Surfaces can be cleaned and disinfected; convenient harborage can be eliminated; stagnant water can be drained. All of these methods, and others as well, can be taken to ensure that ideal conditions for harmful microbial growth are minimized. However, microbes (and their vectors) are living organisms; any condition livable for humans will also be livable for countless other organisms. In most cases, the natural defenses of the body can deal with normal levels of harmful microbes. To prevent conditions for abnormal growth and exposure to these hazards, we must rely on education and good hygienic practices.
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A Brief Word About Taxonomy

In biology, taxonomy is the classification of organisms according to their natural relationships. Classical (or Evolutionary) taxonomy groups all living organisms into one of three kingdoms: plant, animal, or protist; organisms are further classified into subgroups within these kingdoms. Recent genetic research has given rise to a new, phylogenetic taxonomy, that may well supplant classical taxonomy. For the time being, however, the taxonomic terms used on this page are those of classical taxonomy. Anyone interested in phylogenetic taxonomy may wish to investigate the NCBI Taxonomy Homepage.
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A Short Glossary of Useful Terms

Specialized terminology from microbiology is used in the topics discussed on this page. Some of these terms are defined in the following list:

aerobe
An organism that lives only in the presence of oxygen.

anaerobe
An organism that lives only in the absence of oxygen.

bacteria
Prokaryotic, colony-forming microbes, chiefly parasitic or saprophytic.

cell
The structural and functional unit of plants, animals, and protists, consisting of a small, usually microscopic, mass of protoplasm, surrounded by a semi-permeable membrane. Other structures associated with cells, such as organelles, cell walls, and nuclei, are dependent on cell type.

cyst
A resting stage formed by some bacteria and protozoa in which the whole cell is surrounded by a protective layer.

endospore
An asexual spore developed within a cell.

eukaryote
A cell or organism having a unit membrane-bound (true) nucleus and usually other organelles.

facultative
An adjective denoting that an environmental factor is optionally (not necessarily) required for an organism to grow. For example, a facultative anaerobe can normally grow in the presence of oxygen but alternatively, it can also grow without oxygen.

facultative aerobe
An organism which is normally anaerobic but can also grow in the presence or oxygen.

facultative anaerobe
An organism which is normally aerobic but can also grow without oxygen.

flagellum
A whip-like appendage found on some microbes, providing the organism with a means of movement in liquid media.

fungi
Nonphototrophic eukaryotic microbes that contain rigid cell walls; includes molds and yeasts.

host
An organism (such as a human or other animal, including birds and arthropods) that affords subsistence or lodgement to an infectious agent under natural conditions.

obligate
An adjective referring to an environmental factor (for example, oxygen) which is always required for growth. For example, obligate aerobe. Compare with facultative.

parasite
An organism that lives on or within another organism, obtaining food and shelter at the expense of that organism.

prokaryote
A cell or organism lacking a unit membrane-bound (true) nucleus and other organelles, usually having its DNA in a single circular molecule. Includes bacteria and blue-green algae.

protozoa
Unicellular eukaryotic microbes that lack cell walls.

reservoir
Any person, animal, arthropod, plant, soil, or substance (or any combination of these) in which an infectious agent normally lives and multiplies, on which it depends primarily for survival, and where it reproduces itself in such a manner that it can be transmitted to a susceptible host.

saprophyte
An organism that lives on or within dead or decaying organic tissue.

spore
A general term for resistant resting structures formed by many prokaryotes and fungi.

symbiont
An organism that lives on or within another organism, to the advantage of both.

vector
The means by which an infectious agent is transported from a reservoir to a host. The vector is often also the reservoir (qv).
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