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Arch Pediatr Adolesc Med. 1999;153:205.

	Since this article does not have an abstract, we have provided the first 150 words of the full text and any section headings.

The article by Etzel et al¹ presents results of an investigation that has generated much attention from the public health community. The authors conclude that exposure to toxigenic strains of Stachybotrys atra was associated with the development of acute pulmonary hemorrhage among infants occupying water-damaged building environments. These conclusions have important implications, and further analysis of the data to support them yields observations that warrant additional discussion.

Consistent with earlier reports that investigated this cluster of cases,² exposure to environmental tobacco smoke (ETS) was found to have a much stronger association with the development of pulmonary hemorrhage than did the presence of S atra in the study environment. In the "Comment" section of the article, reference is made to a secondary role that exposure to ETS may play in triggering pulmonary hemorrhage. Given the body of evidence that neonates and infants are at higher risk for developing pulmonary disease from . . . [Full Text of this Article]

THIS ARTICLE HAS BEEN CITED BY OTHER ARTICLES

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Kuhn and Ghannoum
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