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Carbon monoxide epidemic among immigrant populations: King County, Washington, 2006.

TitleCarbon monoxide epidemic among immigrant populations: King County, Washington, 2006.
Publication TypeJournal Article
Year of Publication2009
AuthorsGulati, RK, Kwan-Gett, T, Hampson, NB, Baer, A, Shusterman, D, Shandro, JR, Duchin, JS
JournalAm J Public Health
Volume99
Issue9
Pagination1687-92
Date Published2009 Sep
ISSN1541-0048
KeywordsAdolescent, Adult, Aged, Aged, 80 and over, Carbon Monoxide Poisoning, Child, Child, Preschool, Disease Outbreaks, Emigrants and Immigrants, Female, Hospitals, Humans, Infant, Infant, Newborn, Male, Middle Aged, Population Surveillance, Retrospective Studies, Washington, Young Adult
Abstract

OBJECTIVES: We investigated an outbreak of carbon monoxide (CO) poisoning after a power outage to determine its extent, identify risk factors, and develop prevention measures.

METHODS: We reviewed medical records and medical examiner reports of patients with CO poisoning or related symptoms during December 15 to 24, 2006. We grouped patients into households exposed concurrently to a single source of CO.

RESULTS: Among 259 patients with CO poisoning, 204 cases were laboratory confirmed, 37 were probable, 10 were suspected, and 8 were fatal. Of 86 households studied, 58% (n = 50) were immigrant households from Africa (n = 21), Asia (n = 15), Latin America (n = 10), and the Middle East (n = 4); 34% (n = 29) were US-born households. One percent of households was European (n = 1), and the origin for 7% (n = 6) was unknown. Charcoal was the most common fuel source used among immigrant households (82%), whereas liquid fuel was predominant among US-born households (34%).

CONCLUSIONS: Educational campaigns to prevent CO poisoning should consider immigrants' cultural practices and languages and specifically warn against burning charcoal indoors and incorrect ventilation of gasoline- or propane-powered electric generators.

DOI10.2105/AJPH.2008.143222
Alternate JournalAm J Public Health
PubMed ID19608962
PubMed Central IDPMC2724456