SURVEY

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Below the survey, you will find two letters which have been presented to government requesting an investigation into the health trends in areas of the
Fraser Valley, both of which have been ignored by our health authorities and relevant government bodies. One letter is by a federal pathologist, and
from a notorized pathology report, the other from an epidemiologist who has been reviewing submitted health surveys.

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                  Fraser Valley Coalition for Health and Environmental Justice

            
                                                                                          HEALTH SURVEY
Mycotoxins
Agents that may cause disease related to indoor as well as other airborne, dermal (skin), or ingestion (food or water intake)
exposure is the mycotoxins. These agents are fungal metabolites that have toxic effects ranging from short-term irritation to
immunosuppression and cancer.
Virtually all the information related to diseases caused by mycotoxins concerns ingestion of
contaminated food. However, mycotoxins are contained in some kinds of fungus spores, and these can enter the body through
the respiratory tract. At least one case of neurotoxic symptoms possibly related to airborne mycotoxin exposure in a heavily
contaminated environment has been reported.
Skin is another potential route of exposure to mycotoxins. Toxins of several fungi have caused cases of severe dermatosis.
In view of the serious nature of the toxic effects reported for mycotoxins, exposure to mycotoxin-producing agents should be minimized .
Did you know: A known carcinogen, the fungal mycotoxin “aflatoxin” is found in cigarette tobacco, and is believed to have aided
in the cancer caused by smoking.
Mould(s) and mycotoxins, some of which also exude neurotoxins, poison the immune system and cause death of
cells.
It is becoming a well documented, well known fact that these exposures can, and do, (if left untreated) progress
into serious conditions such as: respiratory diseases, organ failure, and cancers.
There are also suspected links between mould, mycotoxins, neurotoxins, and such medical conditions as autism,
ADD, ADHD, MS, Alzheimer’s, Parkinsonism, etc.
Symptoms associated with toxic mould, mycotoxin, neurotoxin exposure:
(some can also apply to toxic algae or pfiesteria exposure, parasite presence, chemical insult)

_X_ Check those which apply to you. If you suspect a symptom, but are uncertain, put a question ? mark.

___ Throat that feels unclear
___ A feeling in your throat of a "cotton ball" existence. ___ Some need to vomit to clear throat
___ Choking sensation
___ Persistent non productive dry cough
___ Respiratory system: ___ respiratory distress, ___ bleeding from lungs, e.g., {trichothecene mycotoxins}
___ Asthma
___ Digestive system: ___diarrhea, ___ vomiting, ___ intestinal hemorrhage, ___ liver effects, i.e.,
___“necrosis(tissue death)”, ___”fibrosis(fibrous tissue increase)" {Aflatoxin}: caustic effects on mucous
        membranes: {T-2 toxin} ___, anorexia; Mastocytosis, vomitoxin.
___ Increase in pain after eating
___ Increased heart rate after eating
___ Back pain: ___lungs, ___liver, ___sections of spine, ___other organs
___ Vascular system: ___increased vascular fragility, ___ hemorrhage into body tissue, or from lung, e.g.,
        {aflatoxin, satratoxin, roridins mycotoxins}.
___ Chronic rhinitis (sinus infection)
___ Bloody nose
___ Short term memory: forgetfulness common (memory loss)
___ Nervous system: ___ tremors, ___ incoordination (clumsy, walk into things, drop things)
___ Weak pronators: e.g. unable to unscrew lids off jars
___ Slurred speech
___ Headache: e.g., tremorgens; {trichothecene mycotoxins}.
___ Night sweats, ___ chills
___ Fungal warts that look like and feel much like spider bites
___ Cutaneous system (skin): ___ rash, ___ burning sensation, ___ sloughing of skin (shedding and/or present in urine)
___Strange rashes ___ Strange or difficult to diagnose ___ sores or___ lesions
___Sores won’t heal
___Sores may burn or tingle, e.g., {trichothecene mycotoxins}
___ Blurred vision (can’t focus)
___ Photosensitization, e.g., {trichothecene mycotoxins} ___Night blindness
___ Bruising easily
___ Chronic fatigue
___ Fibromyalgia
___ Urinary system: “nephrotoxicity, (poisonous to kidneys)” e.g., {ochratoxin, citrinin}
___ "Cream soda" coloured urine
___ Reproductive system: ___infertility ___changes in reproductive cycles, ___miscarriages,
___changes in menstrual cycles, e.g., {T-2 toxin, zearalenone} ___endometriosis
___ Immune system system: changes or suppression: {many mycotoxins}
___ Weight gain or loss
___ Nausea
___ Non viral, non alcoholic Hepatitis ___ (enlarged or irritated liver). This can go away with proper care.
___ Enlarged spleen
___ Hypersensitivity to smells and odors
___ Elevated blood pressure which may ___ keep climbing even with medication
___ Pain in multiple teeth all at once
___ Severe nerve pain in ___ teeth and/or ___ jawbones
___ Gingivitis type sores in mouth
___ Metallic taste in mouth
___ Depression, ____mood swings, ___anxiety type attacks, ___sleep disturbance
___ Dementia
___ Hallucinations
___ Paranoia of mould in buildings (psychological) ___ Weakened immune system (during exposure and healing time, which can often be indefinable)
___ Hypersensitivity to moulds
___ No ear wax
___ Hair loss
___ Sensation of being___ bit or ___cut
___ Sensation of having something crawling under skin
___ Chronic bronchitis which ___ progressively worsens and/or ___ does not respond
        well to treatment ( may progress to asthma)
___ Reoccurring pneumonia type condition which does not respond well to treatment
___ Dead skin cells in urine (white flecks)*could be sloughing of tissue*

Other symptoms of “possible” relevance to this survey:

___ Failure of an organ, e.g. {trichothecene mycotoxins}. List organ(s) _________________________________
___ Swelling lymph nodes, ___ gland trouble, ___thyroid trouble
___ Lumps under skin
___ Unexplained foul odor (blood or infection smell)___ breath, ___sinuses, ___body
___ Cancer (type of cancer) __________________________________________________________________
___ Diabetes: type one___ type two___ On insuline: yes___ no ___
___ Bone pain.
___ Involuntary loss of leg strength (falling)

List other symptoms here: ___________________________________________________________________
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Medical History

___ Abnormalities detected in medical imaging (which defy explanation: e.g.,___ nodules,___ cysts,
___ lesions, in ___lungs, ___liver, ___other)
___ No explanation offered ___ no follow up recommendations made (in regard to abnormalities)
___ Follow up recommendations made, but no further testing arrangements pursued by medical community
___ Symptoms continue to reoccur
___ Symptoms gradually escalate
___ There may be no laboratory findings to explain your symptoms
___ There may be some diagnosis, but treatment: ___is not very effective, ____not effective at all,
___condition continues to deteriorate
___ Test results always come back negative
___ There is no diagnosis

Description and diagnosed previous or current medical condition(s)
Age: ______
Gender: ___M ___F
Ethnic origins/nationality (not place of birth): _________________________________________________________
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Are you a smoker? ___Y ___ N If yes: How long? ____________________ How much? ________________
Quit smoking ___Y ___N. If yes, when _______________________
Diagnosed conditions. Include STDs as well as surgeries and dates if known: ______________________________
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Medication(s) prescribed: _______________________________________________________________________
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Concerns about any diagnosis or the lack thereof you may have: _________________________________________
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Dietary and Shopping

Have you eaten:
1. ___homemade ___ organic bread
If yes: ___often ___rarely ___regular dietary practice for __________(length of time)
___Did eat before, but no longer. For how long?________________ Last time eaten? _____________
2. ___ homemade ___ organic peanut butter
If yes: ___often ___rarely ___regular dietary practice for __________(length of time)
___Did eat before but no longer. For how long?_________________ Last time eaten? _____________
Do you shop in Organic food stores? ___ yes ___ no
If yes, please list which stores you shop at: ________________________________________________________
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Drinking water source: ___Bottled ___Tap. If Tap: ___municipal ___well (filtered ___Y ___N)
Do you use the same water source for all water use activities? ___Y ___ N.
If no, explain:______________________________________________________________________________

Residence-  Geographical locations:____________________________________________________________
Where have you lived for past 20 years? Please list residence addresses for past 20 years:
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If you have left the valley for any length of time: Where to? ________________________. Duration _____________
Did you notice improvement in your health and/or how you felt while away? ___Y ___N.
If yes, how soon did you note improvement? _______________________________________________________
Upon return, did your state of health decline? ___Y ___N. If yes, how soon? _______________________________
If you know of a specific location where you believe your illness to have begun, please list it here:
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Approximately how long ago did symptoms begin? (e.g.: year symptoms begin) ____________________________
How many people are sick in this home? _________________________________________________________
Do you know anyone else with many of these ___ symptoms or same ___ no diagnosis or ___ ineffective treatment
complaints? How many do you know? ___________________________

Animals
Many of these symptoms can apply as well to animals, so if you have animals in your home:

__ Sickness amongst family pet(s) such as: ___ constant runny nose, ___skin condition: may be ___ hair loss
and/or ___ sores that bleed and ___do not respond to treatment, foul odor coming from animal, ___
respiratory illness, ___ lumps on body, ___ cancer, ___other, ___ death?
How many animals are sick? ___;For how long? __________________. How many have died? ___.
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For your further information I have included the following PDFs containing the letters referenced at the top of the survey:

Croft letter PDF

Shane Simpson letter PDF 

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