TIP OF THE WEEK

October 7, 2011

Did you know...?

1,500 Americans die each year from accidental exposure to carbon monoxide (CO), and there are more than 10,000 injuries each year

According to the Journal of the American Medical Association, 1500 Americans die each year from accidental exposure to CO, and there are more than 10,000 injuries each year. Carbon monoxide is an odorless, colorless and toxic gas. Because it is impossible to see, taste or smell the toxic fumes, CO can kill you before you are aware it is in your home. At lower levels of exposure, CO causes mild effects that are often mistaken for the flu. These symptoms include headaches, dizziness, disorientation, nausea and fatigue. The effects of CO exposure can vary greatly from person to person depending on age, overall health and the concentration and length of exposure.

Sources of Carbon Monoxide

Unvented kerosene and gas space heaters; leaking chimneys and furnaces; back-drafting from furnaces, gas water heaters, wood stoves, and fireplaces; gas stoves; generators and other gasoline powered equipment; automobile exhaust from attached garages; and tobacco smoke. Incomplete oxidation during combustion in gas ranges and unvented gas or kerosene heaters may cause high concentrations of CO in indoor air. Worn or poorly adjusted and maintained combustion devices (e.g., boilers, furnaces) can be significant sources, or if the flue is improperly sized, blocked, disconnected, or is leaking. Auto, truck, or bus exhaust from attached garages, nearby roads, or parking areas can also be a source.

Why is it harmful?

When CO is breathed, it is absorbed into the bloodstream and displaces oxygen necessary to vital organs. At low concentrations, fatigue in healthy people and chest pain in people with heart disease. At higher concentrations, impaired vision and coordination; headaches; dizziness; confusion; nausea. Can cause flu-like symptoms that clear up after leaving home. Acute effects are due to the formation of carboxyhemoglobin in the blood, which inhibits oxygen intake. At moderate concentrations, angina, impaired vision, and reduced brain function may result. At higher concentrations, CO exposure can be fatal.

Who is at risk from CO poisoning?

All people and animals are at risk for CO poisoning. Certain groups — unborn babies, infants, and people with chronic heart disease, anemia, or respiratory problems — are more susceptible to its effects. Fatality is highest among Americans 65 and older.

Levels in Homes

Average levels in homes without gas stoves vary from 0.5 to 5 parts per million (ppm). Levels near properly adjusted gas stoves are often 5 to 15 ppm and those near poorly adjusted stoves may be 30 ppm or higher.

Steps to Reduce Exposure to Carbon Monoxide

It is most important to be sure combustion equipment is maintained and properly adjusted. Vehicular use should be carefully managed adjacent to buildings and in vocational programs. Additional ventilation can be used as a temporary measure when high levels of CO are expected for short periods of time.

Keep gas appliances properly adjusted.
Consider purchasing a vented space heater when replacing an unvented one.
Use proper fuel in kerosene space heaters.
Install and use an exhaust fan vented to outdoors over gas stoves.
Open flues when fireplaces are in use.
Choose properly sized wood stoves that are certified to meet EPA emission standards. Make certain that doors on all wood stoves fit tightly.
Have a trained professional inspect, clean, and tune-up central heating system (furnaces, flues, and chimneys) annually. Repair any leaks promptly.
Do not idle the car inside garage.

Measurement Methods

Some relatively high-cost infrared radiation adsorption and electrochemical instruments do exist. Moderately priced real-time measuring devices are also available. A passive monitor is currently under development.

Exposure Limits

Occupational Safety and Health Guideline for Carbon Monoxide, see www.osha.gov/SLTC/healthguidelines/carbonmonoxide/recognition.html.

Additional Resources

To report a dangerous product or a product-related injury, call the Consumer Product Safety Commission's (CPSC) hotline at (800) 638-2772 or CPSC teletypewriter at (800) 638-8270. Consumer can obtain recall information at CPSC's website - www.cpsc.gov Consumers can report product hazards to info@cpsc.gov

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FLU SHOTS –OHS-COMPCARE is offering seasonal flu shots to clients again in 2011. To be scheduled for an on-site or to learn more please contact client services at 816-561-2105 (option 1) or by email at clientservices@ohscompcare.com.

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On-line appointments – did you know you can make an appointment on-line to have an employee seen at OHS-COMPCARE? To learn more please contact client services at 816-561-2105 (option 1) or by email at clientservices@ohscompcare.com or simply follow this link to make an appointment: http://www.ohscompcare.com/findAClinic/makeAnApt.asp.

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***We are open Saturdays at our Independence location from 9am – 1pm to serve your occupational medicine and urgent care needs. Our Independence location is open 5pm – 9pm Monday – Friday to serve your after hour needs as well***

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Why choose us? Because OHS-COMPCARE has a physician on call 24/7/365 days a year to respond to our client's needs.

Adult Quick Care is now on Facebook (www.facebook.com/aqcUrgentCare).

OHS-COMPCARE now featuring Adult Quick Care (Urgent Care Services) has seven (7) area clinical facilities:

Independence Clinical Facility	Johnson County Clinical Facility	St. Joseph Clinical Facility	Grandview Clinical Facility
19000 E. Eastland Center Crt, St. 200	10415 Lackman Road	904 Edmond Street	13830 S Us Highway 71
Independence, MO 64055	Lenexa, KS 66219	St. Joseph, MO 64501	Grandview, MO 64030
816-478-9299	913-495-9905	816-233-7702	816-761-4664
After Hours Available *Now open Saturday 9am – 1pm

KCMO/Broadway Clinical Facility	KCMO/Front Street Clinical Facility	Wyandotte County Clinical Facility
1650 Broadway	6501 East Commerce, Suite 110	1333 Meadowlark Lane, Suite 200
Kansas City, MO 64108	Kansas City, MO 64120	Kansas City, KS 66102
816-842-2020	816-483-5550	913-596-2774

Adult Quick Care provides Urgent Care to Adults and Adolescents Age 14 and Older.

No appointment is necessary at Adult Quick Care.

When you are sick or have a new injury, Adult Quick Care is your affordable, time saving choice for quality care.

To learn more about Adult Quick Care please call 816-559-6320 or visit www.adultquickcare.com.