This chapter assesses the outbreak of idiopathic pulmonary hemorrhage (IPH) among infants in Cleveland who lived in flooded homes. With no immediate cause for the multiple cases of this rare illness in the northeastern part of the city, investigators conducted a case-controlled study to identify possible contributing factors. They concluded that infants who suffered lung bleeding tended to live in flooded homes that were heavily contaminated by the black mold, Stachybotrys chartarum. There were, however, flaws in this research. After review in 2000 of their earlier work in Cleveland, the Centers for Disease Control concluded that the association between IPH and the mold was unproven. Since then, no other cause for the lung bleeding cases has emerged. A number of unanswered questions are discussed in this chapter.
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