🌱 Risks of Gardening for ABPA/CPA Patients

High fungal spore exposure: Soil, compost, leaf mould, mulch, and rotting vegetation are rich in Aspergillus fumigatus and other mold spores.
Spores can trigger ABPA flares or worsen CPA progression, especially in immunocompromised or structurally damaged lungs.
Bagged compost is particularly risky—opening bags or mixing damp materials can release a high spore load (documented in outbreaks and case reports).

Mental health: Gardening reduces stress, anxiety, and depression, which are common in chronic lung disease.
Physical activity: Gentle exercise helps preserve lung function and general health.
Quality of life: A fulfilling hobby with strong therapeutic and social value for many.

If the patient chooses to keep gardening:

Avoid compost, mulch, and leaf mould – especially bagged compost.
Use sealed, peat-free, low-dust alternatives if composting is essential.
Wear a well-fitted FFP2 or FFP3 respirator when handling soil or dusty material.
Wet down soil before working to reduce airborne dust.
Garden in open air, not greenhouses or sheds, where spores can concentrate.
Shower and change clothes immediately after gardening.
Consider delegating high-risk tasks (e.g. compost turning) to someone else.

Patient Type	Recommendation
Stable ABPA	Can garden with precautions
CPA, mild/stable	Garden with strong precautions, avoid compost
CPA, moderate-severe or immunosuppressed	Avoid gardening unless cleared by specialist
Recent flare or hospitalization	Avoid until stabilized

Ultimately, this should be a shared decision based on:

Diet Help for Patients with ABPA, Bronchiectasis & Asthma