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Article

Fatal Unintentional Non-Fire Related Carbon Monoxide Poisoning: Data from Narrative Verdicts in England and Wales, 1998–2019

1
Radiation, Chemicals and Environment Directorate, UK Health Security Agency, Didcot OX11 0RQ, UK
2
Environmental Public Health Team, Health Protection Division, Public Health Wales, Cardiff CF10 3NW, UK
3
Radiation, Chemicals and Environment Directorate (Wales), UK Health Security Agency, Cardiff CF5 2YB, UK
4
Precision Medicine, King’s College Hospital NHS Foundation Trust, London SE5 9RS, UK
5
Department of Public Health, Environments and Society, London School of Hygiene and Tropical Medicine, London WC1E 7HT, UK
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2022, 19(7), 4099; https://doi.org/10.3390/ijerph19074099
Submission received: 27 January 2022 / Revised: 10 March 2022 / Accepted: 15 March 2022 / Published: 30 March 2022

Abstract

Unintentional non-fire related (UNFR) carbon monoxide (CO) poisoning continues to cause fatalities. The narrative verdicts from coroners concerning fatal UNFR CO poisoning in England and Wales, 1998–2019, were collated by the Office for National Statistics. Search terms related to CO exposure were used to obtain information regarding the circumstances of death. Findings were grouped by the location of death, the source of CO, and the reason or behaviour underlying the exposure. There were 750 deaths (77% male). The annual number of deaths decreased over the period studied. Two thirds (68%) of the deaths occurred in the autumn or winter. From the records with information, 59% of deaths occurred within a dwelling (67% male). Males also predominated deaths within vehicles (91%) and garages or outbuildings (95%). From the deaths with information, domestic piped gas was the most common source of CO (36%) and the most frequent underlying factor was inadequate ventilation of exhaust gases (39%, 91% male). Despite the decrease in the annual number of deaths over the study period, there remains a clear need for measures that raise awareness of the dangers of CO poisoning, especially amongst men working alone in garages or outbuildings. Education campaigns and fitting and maintaining CO alarms in high-risk areas should be encouraged.
Keywords: carbon monoxide; CO; unintentional poisoning; environmental epidemiology; environmental public health; unintentional death; preventing CO poisoning carbon monoxide; CO; unintentional poisoning; environmental epidemiology; environmental public health; unintentional death; preventing CO poisoning

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MDPI and ACS Style

Close, R.M.; Iqbal, N.; Jones, S.J.; Kibble, A.; Flanagan, R.J.; Crabbe, H.; Leonardi, G.S. Fatal Unintentional Non-Fire Related Carbon Monoxide Poisoning: Data from Narrative Verdicts in England and Wales, 1998–2019. Int. J. Environ. Res. Public Health 2022, 19, 4099. https://doi.org/10.3390/ijerph19074099

AMA Style

Close RM, Iqbal N, Jones SJ, Kibble A, Flanagan RJ, Crabbe H, Leonardi GS. Fatal Unintentional Non-Fire Related Carbon Monoxide Poisoning: Data from Narrative Verdicts in England and Wales, 1998–2019. International Journal of Environmental Research and Public Health. 2022; 19(7):4099. https://doi.org/10.3390/ijerph19074099

Chicago/Turabian Style

Close, Rebecca M., Neelam Iqbal, Sarah J. Jones, Andrew Kibble, Robert J. Flanagan, Helen Crabbe, and Giovanni S. Leonardi. 2022. "Fatal Unintentional Non-Fire Related Carbon Monoxide Poisoning: Data from Narrative Verdicts in England and Wales, 1998–2019" International Journal of Environmental Research and Public Health 19, no. 7: 4099. https://doi.org/10.3390/ijerph19074099

APA Style

Close, R. M., Iqbal, N., Jones, S. J., Kibble, A., Flanagan, R. J., Crabbe, H., & Leonardi, G. S. (2022). Fatal Unintentional Non-Fire Related Carbon Monoxide Poisoning: Data from Narrative Verdicts in England and Wales, 1998–2019. International Journal of Environmental Research and Public Health, 19(7), 4099. https://doi.org/10.3390/ijerph19074099

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