Unintentional carbon monoxide (CO) poisoning causes approximately 2100
deaths in the United States per year, but the use of CO detectors could potentially
prevent many of these deaths.
To describe the epidemiology of potentially preventable unintentional
CO poisoning deaths in New Mexico.
A total of 136 deaths from CO poisoning investigated by the New Mexico
Office of the Medical Investigator, 1980 through 1995.
Main Outcome Measures.—
Characteristics of deaths from CO poisoning; estimates of the number
of deaths potentially preventable with CO detectors.
Of 136 people whose deaths were classified as "unintentional carbon
monoxide poisoning, not fire related," 49 (36%) most likely were asleep when
poisoned. Thirty-nine (49%) of 80 people whose deaths were identified as "residential
fatalities" most likely were asleep vs 10 (18%) of 56 of those whose deaths
were identified as occurring in or around motor vehicles. A blood-alcohol
level greater than 0.01% was present in 56 (42%) of the decedents. Among decedents
who had a negative blood-alcohol level (52 in residences and 26 in vehicles),
an electronic audible CO detector may have prevented CO poisoning; whereas,
among those who had a negative blood-alcohol level and most likely were awake
at the time of CO exposure (28 in residences and 23 in vehicles), an electronic
detector or a nonaudible, chemical reagent type detector may have prevented
Differences exist between deaths due to unintentional CO poisoning that
occur in residences and those that occur in or around motor vehicles. Carbon
monoxide detectors, whether the electronic or chemical reagent types, may
have prevented approximately half of these deaths. The high proportion of
decedents with alcohol in their blood indicates that effective public health
campaigns must address the role of alcohol in CO poisoning deaths.