Health risks from bats are often exaggerated. Nevertheless, large populations of roosting bts may present the risk of disease to people nearby. The most serious health risks arise from disease organisms that can grow in the nutrient-rich accumulations of bat droppings and debris under a roost — particularly if roosts have been active for years. External parasites also may become a problem when infested bats leave roosts or nests. The parasites then can invade buildings and bite people.

Histoplasmosis

Histoplasmosis is caused by a fungus (Histoplasma capsulatum) found primarily in the areas drained by the Mississippi and Ohio rivers. Both humans and animals can be affected. The disease is transmitted to humans by airborne fungus spores from soil contaminated by pigeon and starling droppings (as well as from the droppings of bats). The soil under a roost usually has to have been enriched by droppings for two years or more for the disease organism to reach significant levels. Although almost always associated with soil, the fungus has been found in droppings (particularly from bats) alone, such as in an attic. Infection occurs when spores, carried by the air are inhaled — especially after a roost has been disturbed. Most infections are mild and produce either no symptoms or a minor influenza- like illness. On occasion, the disease can cause high fever, blood abnormalities, pneumonia and even death. In some areas, including portions of Illinois, up to 80 percent of the population show evidence of previous infection. Outbreaks of histoplasmosis have occurred in Central Illinois. The National Institutes of Health (NIH) has reported a potentially blinding eye condition — presumed ocular histoplasmosis syndrome (OHS) — that probably results from the fungus. NIH estimates that 4 percent of those exposed to the disease are at risk of developing OHS.