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Characterization of Carbon Monoxide Exposure During Hurricane Sandy and Subsequent Nor’easter

Published online by Cambridge University Press:  25 April 2017

Amy Schnall ,
Royal Law ,
Amy Heinzerling ,
Kanta Sircar ,
Scott Damon ,
Fuyuen Yip ,
Josh Schier ,
Tesfaye Bayleyegn  and
Amy Wolkin
Amy Schnall*
Affiliation:
Centers for Disease Control and Prevention, National Center for Environmental Health, Atlanta, Georgia
Royal Law
Affiliation:
Centers for Disease Control and Prevention, National Center for Environmental Health, Atlanta, Georgia
Amy Heinzerling
Affiliation:
University of California San Francisco, Department of Internal Medicine, San Francisco, California
Kanta Sircar
Affiliation:
Centers for Disease Control and Prevention, National Center for Environmental Health, Atlanta, Georgia
Scott Damon
Affiliation:
Centers for Disease Control and Prevention, National Center for Environmental Health, Atlanta, Georgia
Fuyuen Yip
Affiliation:
Centers for Disease Control and Prevention, National Center for Environmental Health, Atlanta, Georgia
Josh Schier
Affiliation:
Centers for Disease Control and Prevention, National Center for Environmental Health, Atlanta, Georgia
Tesfaye Bayleyegn
Affiliation:
Centers for Disease Control and Prevention, National Center for Environmental Health, Atlanta, Georgia
Amy Wolkin
Affiliation:
Centers for Disease Control and Prevention, National Center for Environmental Health, Atlanta, Georgia
*
Correspondence and reprint requests to Amy Schnall, MPH, Centers for Disease Control and Prevention, National Center for Environmental Health, 4770 Buford Highway, MS F60, Atlanta, GA 30305 (e-mail: [email protected]).
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Abstract

Objective

Carbon monoxide (CO) is an odorless, colorless gas produced by fossil fuel combustion. On October 29, 2012, Hurricane Sandy moved ashore near Atlantic City, New Jersey, causing widespread morbidity and mortality, $30 to $50 billion in economic damage, and 8.5 million households to be without power. The combination of power outages and unusually low temperatures led people to use alternate power sources, placing many at risk for CO exposure.

Methods

We examined Hurricane Sandy–related CO exposures from multiple perspectives to help identify risk factors and develop strategies to prevent future exposures. This report combined data from 3 separate sources (health departments, poison centers via the National Poison Data System, and state and local public information officers).

Results

Results indicated that the number of CO exposures in the wake of Hurricane Sandy was significantly greater than in previous years. The persons affected were mostly females and those in younger age categories and, despite messaging, most CO exposures occurred from improper generator use.

Conclusions

Our findings emphasize the continued importance of CO-related communication and ongoing surveillance of CO exposures to support public health response and prevention during and after disasters. Additionally, regional poison centers can be a critical resource for potential on-site management, public health promotion, and disaster-related CO exposure surveillance. (Disaster Med Public Health Preparedness. 2017;11:562–567)

Keywords

disastercarbon monoxidehurricane
Type
Original Research
Information
Disaster Medicine and Public Health Preparedness , Volume 11 , Issue 5 , October 2017 , pp. 562 - 567
Copyright
Copyright © Society for Disaster Medicine and Public Health, Inc. 2017 

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References

1. Hampson, NB, Stock, AL. Storm-related carbon monoxide poisoning: lessons learned from recent epidemics. Undersea Hyperb Med. 2006;33(4):257-263.Google Scholar
2. Centers for Disease Control and Prevention. Carbon monoxide poisoning after Hurricane Katrina—Alabama, Louisiana, and Mississippi, August-September 2005. MMWR Morb Mortal Wkly Rep. 2005;54(39):996-998.Google Scholar
3. Centers for Disease Control and Prevention. Carbon monoxide exposures after Hurricane Ike—Texas, September 2008. MMWR Morb Mortal Wkly Rep. 2009;58(31):845-849.Google Scholar
4. Centers for Disease Control and Prevention. Nonfatal, unintentional, non-fire-related carbon monoxide exposures—United States, 2004-2006. MMWR Morb Mortal Wkly Rep. 2008;57(33):896-899.Google Scholar
5. Raub, JA, Mathieu-Nolf, M, Hampson, NB, Thom, SR. Carbon monoxide poisoning—a public health perspective. Toxicology. 2000;145(1):1-14. https://doi.org/10.1016/S0300-483X(99)00217-6.CrossRefGoogle ScholarPubMed
6. Weather.com. Sandy: five latest developments. http://www.weather.com/news/news/sandy-top-five-20121028. Published October 31, 2012. Accessed February 10, 2016.Google Scholar
7. Painter, WL, Brown, JT. Congressional Research Service. FY2013 Supplemental funding for disaster relief. http://fas.org/sgp/crs/misc/R42869.pdf. Published February 19, 2013. Accessed February 10, 2016.Google Scholar
8. Centers for Disease Control and Prevention. Carbon monoxide exposures reported to poison centers and related to Hurricane Sandy—northeastern United States, 2012. MMWR Morb Mortal Wkly Rep. 2012;61(44):905.Google Scholar
9. Wang, L, Emmerich, SJ. Modeling the effects of outdoor gasoline powered generator use on indoor carbon monoxide exposures. NIST Technical Note 1637. Gaithersburg, MD: National Institute of Standards and Technology, US Department of Commerce. http://fire.nist.gov/bfrlpubs/build09/PDF/b09009.pdf. Published August 2009. Accessed February 16, 2016.Google Scholar
10. Centers for Disease Control and Prevention. Carbon Monoxide Poisoning: Flyers and Other Educational Materials. CDC website. https://www.cdc.gov/disasters/co-materials.html. Published August 28, 2008. Accessed October 29, 2016.Google Scholar