Moulds at home & its impact on health
There’s a lot of information on many websites regarding severe mould problems in homes and the ill-health effects associated with it. But we need to be careful because the ill-health effects reported are not necessarily caused by the mould spores themselves but by the underlying conditions in which they grow. What we can say with confidence is that you are more likely to have respiratory problems(infections, allergies or asthma) as a result of living continuously in damp, poorly ventilated conditions and these conditions are almost always signalled by the presence of mould.
In order to better understand the potential health effects, we can consider two completely separate potential health impacts; allergic responses and respiratory diseases.
All mould spores have the potential to cause some degree of irritation to building occupants but it isn’t always possible to differentiate between this and other general indoor air quality issues. That is to say, the symptoms are very general and could easily be attributed to other irritants like normal household dust (especially house dust mites) or diesel fumes or even high carbon monoxide gas levels [Link to Paula article?]. This is not to say the allergic potential of mould spores should be ignored, especially for occupants who may be somewhat asthmatic, and it may be that for certain mould species and susceptible individuals the symptoms can be acute (rarely, throat lesions).
There are no documented respiratory diseases in humans related to mould per se. That is, moulds are not pathogenic in the same way as infections such as TB (bacteria) or Covid-19 (virus). Nevertheless, one of the main causes of mould in buildings, namely chronically high humidity, is known to make exposure to and infection by such agents of disease more likely. This means that it’s extremely unlikely that mould spores themselves can explain or be the cause of an infectious disease which may require e.g. anti-biotics but, as explained, the presence of mould is always a sign of excess humidity in buildings which is itself a stimulus to other infectious agents.