In this era of the widespread use of broad-spectrum antibiotics, corticosteroids, cytotoxic agents and other immunosuppressants, coupled with the increasingly stressful life styles demanded by modern civilization, it is hard to draw a sharp line between pathogenic and non-pathogenic fungi. Most of the moulds and yeasts, whether primary pathogens, or opportunistic, allergenic or toxigenic fungi, occur in nature as soil-dwelling saprobes or plant pathogens from where they are released into the air. Fungal infections observed in susceptible hosts, in the main, are actually acquired from their own surroundings. While substantial attention has been paid to the occurrence of well-recognized agents of classic mycotic diseases, the health implications of common environmental fungi have drawn relatively less attention. The objective of this communication is, therefore, to examine various aspects of environmental mycology in relation to human health. Since fungi of any serious economic importance are seldom at home in water, this communication does not address aquatic fungi. Instead food, which is frequently affected by fungi and in turn profoundly affects human health, has been included.
Relationship of fungi to the sick building syndrome and building related illnessesThe 'sick building syndrome' (SBS) and 'building related illnesses' (BRI) may be characterized as phenomena that gained recognition in North America as a public health problem after this region had experienced several energy crises. The quest to make large buildings more energy efficient resulted in reduced air exchange with the outdoors. As a result, indoor concentrations of tobacco smoke, carbon monoxide, nitrous dioxide, and volatile organic compounds, such as formaldehyde and tetrachloroethylene, either singly or in combination, increased. These chemical factors are probably the most common causes of occupant complaints leading to a SBS designation for a particular structure [64,65]. As yet there are no sets of standards for defining SBS and BRI. In general 'substantial' numbers of complaints of headaches, flu-like symptoms, difficulty in breathing, or of burning eyes by inhabitants are