Consumer
Information
FAQs
Carbon
Monoxide Action Levels
The
Mold Scare: Medical Facts Versus Dubious Myths
FAQ
About Carbon Monoxide Detectors
Carbon Monoxide
Action Levels
Standard for Action Levels
The following action level have been defined as
minimums for BPI certified Carbon Monoxide Analyst. Analyst may
work for a government agency or business entity that has adopted
more stringent standards than the ones defined in this document.
As such, CO Analysts may enforce those higher standards or ignore
conditions in excess of the defined action levels. The action levels
are considered net indoor reading -i.e.- indoor ambient minus outdoor
ambient readings.
0 to 9 parts per million (ppm)
Normal - No Action: Typical from: outdoor sources,
fumes from attached garages, heavy smoking, fireplace spillage and
operation of unvented combustion appliances. With ambient conditions
in this range, analysts may continue testing sequences.
10 to 35 parts per million (ppm)
Marginal: This level could be prolematic in some
situations. Actions: Occupants should be advised of a potential
health hazard to small children, elderly people and persons suffering
from respirator or heart problems. If the home has an attached garage,
document CO levels in garage. Accept this level as normal for unvented
appliances but not for vented appliance. If unvented appliances
are in operation, recommend additional ventilation in the areas
of operation. With ambient condition in this range, analyst may
continue testing to locate the CO source.
36 to 99 parts per million (ppm)
Excessive: Medical Alert. Conditions must be mitigated.
Actions: Ask occupants to step outside and query about health symptoms.
Advise occupants to seek medical attention. If occupants exhibit
any symptoms of CO poisoning, have someone drive them to a medical
facility. Enter the building, open doors and windows to ventilate
the structure. Turn off all combustion appliances until the CO level
has been reduced to safe levels. If forced air equipment is available,
continuous operation of the air handler is recommended at this time.
If the home has an attached garage, document CO levels in garage.
Test combustion appliances one at a time to determine the source
of CO production. If an appliance is determined to be the source
of CO production, it should be shut off and not used until a qualified
technician with proper test equipment can service it. That should
be done quickly. If the home has an attached garage, document CO
levels in garage. Disable combustion appliance operation. Continually
monitor indoor ambient levels while moving through the building.
Once the atmosphere within the structure has returned to safe levels
and the appliances have been turned back on, locate the source of
CO production for corrective measures.
100 to 200 parts per millions (ppm)
Dangerous: Medical Alert. Emergency conditions exist.
Actions: Evacuate the building immediately and check occupants for
health symptoms. Advise all occupants to seek medical attention.
Occupants should have someone else drive them to a medical facility.
If occupants exhibit symptoms of CO poisoning, emergency service
personnel must be called. Evacuation is important, but Analysts
must not subject themselves to excessive conditions. Maximum exposure
time is 15 minutes. Open all doors and windows that can be done
quickly. If the home has an attached garage, document CO levels
in garage. Disable combustion appliance operation. Continually monitor
indoor ambient levels while moving through the building. Once the
atmosphere within the structure has returned to safe levels and
the appliances have been turned back on, locate the source of CO
production for corrective measures.
Greater than 200 parts per million (ppm)
Dangerous: Medical Alert. Emergency conditions exist.
Actions: Evacuate the building immediately and check occupants for
health symptoms. Advise all occupants to seek medical attention.
Occupants should have someone else drive them to medical facility.
If occupants exhibit symptoms of CO poisoning, emergency service
personnel must be called. Evacuation is important, but analysts
must not subject themselves to these conditions. Do not stay inside
or re-enter the building until conditions have dropped below 100
ppm. Open all doors and windows that can be done quickly without
entering the structure. Call the local utility to shut off gas supply
(if applicable and necessary). If the home has an attached garage,
document CO levels in garage if possible to do so without being
subjected to high levels of CO. Once the atmosphere within the structure
has returned to safe levels, restore fuel supply to appliances.
Operate and test the appliances one at a time to determine the source
of CO production.
The
Mold Scare - Medical Facts Versus Dubious Myths
"There are many different
kinds of mold - at least 10,000 common types.
What do the following things have in
common: Wine, penicillin, cheese, beer and mushrooms?Can't guess?
Here's a big hint: It's also the latest dubious health scare, costing
Texas consumers millions of dollars in higher insurance premiums
and needless home "health" testing, and it's being used
as a get-rich-quick scheme for some personal injury lawyers.
Ah, now you know - it's called mold.
So how did this very common type of fungus, present
in all sorts of good things we use on a daily basis and ever-present
in our environment, grow into the major consumer crises that it
has become today? The answer may surprise you. As a board certified
allergist-immunologist, I have taught, done research and seen patients
with a variety of immune-based medical conditions for the past 14
years. In the last several years, my clinical office has become
increasingly populated by very frightened, sometimes angry individuals.
They believe, or have been told, that they have "toxic mold
disease." But do they really? Let's examine some facts about
mold. There are many different kinds - at least 10,000 common types.
Mold is everywhere, because it simply requires a source of water,
sugar and oxygen along with a friendly surface to thrive and grow.
In places where lots of water is actually in the air itself (i.e.
high-humidity environments like Texas), mold easily finds comfortable
growth sites and is especially prosperous.
Molds are not new -they have always been around
us and always will be. It is not possible to "get rid of mold,"
nor would we even want to. Is mold harmful to people? Can molds
cause memory loss, fatigue, or brain damage? For most people, the
answer is a resounding, and hopefully reassuring, "No!"
The world is filled with mold spores -- we breath it in our air,
we eat it in our foods, and we drink it in our water every day with
no ill effects. Some people do develop allergies and experience
symptoms of asthma or hay fever when exposed to certain mold spores.
There are also a few mold-related diseases that can be serious,
but these are extremely rare. But what about the experts who claim
to diagnose all sorts of mold related illnesses such as memory loss
or learning disabilities? There is absolutely no proof to support
these claims. And what about the dreaded toxic mold? The term itself
seems to have been manufactured to arouse panic and fear among otherwise
normal people. Some molds do produce "mycotoxins," but
these are mostly of concern in the agriculture and food industries.
Still, even though health risks may be vastly exaggerated,
most people would rather not have excess, visible mold in their
homes. If there is a lot of mold, it looks bad and has an unpleasant
odor. Mold removal, however, is relatively simple to accomplish.
If you have mold, you have excess moisture and this source needs
to be eliminated, whether it is a roof leak, a shower leak, condensation,
or from some other source. Often, the mold can simply be cleaned
off, and will not return if the moisture is removed. Should you
pay for a "mold test?" No. The nation's most reputable
experts, including the U.S. Centers for Disease Control and the
reigning mold expert from Harvard's School of Public Health, do
not support most home mold testing. Remember, in a place with high
humidity like the entire Gulf Coast, you will find at least some
mold in virtually 100 percent of homes more than a couple of years
old. If you see or smell mold in your home, clean it up and stop
the source of water. It's that simple. Should you find someone to
blame? The mere presence of mold in a home or office does not automatically
mean that someone has done something wrong.
Unfortunately, our society today seems to be about
everyone suing everyone else for things that used to be considered
part of life. Should you panic? To me, this is the most important
issue of all. You need to react to mold based on the facts, not
on the hysteria and hype you may have recently heard or read. The
mold scare is already having a demonstrable and troubling effect
on the Texas economy and on individual lives. Texas insurance rates
are already more than double the national average and are continuing
to rise based in large part on mold-related claims. Many people
can no longer afford homeowners insurance, assuming they can even
get coverage in the first place. Home sales are not going through
because of mold concerns. At the same time, home sellers, lenders,
Realtors, title companies and a host of other industries are being
damaged, which will begin to show up as real job losses for real
Texans.
Moreover, individuals and families are being moved
out of their homes by testers and remediators and having their lives
disrupted mostly for no legitimate reason whatsoever. If you think
the major concern is really about your health, ask yourself this
question: Do the apartments and hotels into which these people are
being relocated have higher or lower mold content than the homes
from which they have been removed for weeks or months while expensive
renovations are completed? Or how about the outside air that we
are exposed to every day -- are the same molds inside the home found
in the air outside? The bottom line is this: If you are ill, see
a physician. If he or she thinks you may have mold allergies, ask
to be tested by a reputable specialist who has the credentials to
provide calm, reliable medical information then follow your doctor's
direction for treatment. Check the physician's credentials to determine
their expertise claim in the diagnosis and management of mold-related
allergic diseases. Don't be afraid to discuss with your doctor why
he or she thinks mold is causing your problems. If you see or smell
mold in your home, simply clean it up and plug the water leak. If
you need an expert to help, find a reputable person or company trained
in moisture issue management to find and fix the water source. And,
perhaps most importantly of all, if someone comes to you to try
and assess blame for the mold "exposure," ask yourself
whether you want the aggravation, expense and frustration associated
with trying to get compensated for the everyday risks associated
with living on our planet.
Is the stress, anxiety and guilty conscience really
worth it? You be the judge.
Frequently Asked Questions About
Carbon Monoxide Detectors
What is carbon monoxide (CO) and why do
I need a carbon monoxide detector?
Carbon monoxide is a colorless, odorless, tasteless
and toxic gas produced as a by-product of combustion. Any fuel burning
appliance, vehicle, tool or other device has the potential to produce
dangerous levels of carbon monoxide gas. Examples of carbon monoxide
producing devices commonly in use around the home include:
Fuel fired furnaces (non-electric)
Gas water heaters
Fireplaces and wood stoves
Gas stoves
Gas dryers
Charcoal grills
Lawnmowers, snow blowers and other yard equipment
Automobiles
The Consumer Products Safety Commission (CPSC)
reports that approximately 200 people per year are killed by accidental
CO poisoning with an additional 5000 people injured. These deaths
and injuries are typically caused by improperly used or malfunctioning
equipment aggravated by improvements in building construction which
limit the amount of fresh air flowing in to homes and other structures.
While regular maintenance and inspection of gas
burning equipment in the home can minimize the potential for exposure
to CO gas, the possibility for some type of sudden failure resulting
in a potentially life threatening build up of gas always exists.
What are the medical effects of carbon monoxide
and how do I recognize them?
Carbon monoxide inhibits the blood's ability to
carry oxygen to body tissues including vital organs such as the
heart and brain. When CO is inhaled, it combines with the oxygen
carrying hemoglobin of the blood to form carboxyhemoglobin. Once
combined with the hemoglobin, that hemoglobin is no longer available
for transporting oxygen. How quickly the carboxyhemoglobin builds
up is a factor of the concentration of the gas being inhaled (measured
in parts per million or PPM) and the duration of the exposure. Compounding
the effects of the exposure is the long half-life of carboxyhemoglobin
in the blood. Half-life is a measure of how quickly levels return
to normal. The half-life of carboxyhemoglobin is approximately 5
hours. This means that for a given exposure level, it will take
about 5 hours for the level of carboxyhemoglobin in the blood to
drop to half its current level after the exposure is terminated.
Since one can't easily measure COHb levels outside
of a medical environment, CO toxicity levels are usually expressed
in airborne concentration levels (PPM) and duration of exposure.
Expressed in this way, symptoms of exposure can be stated as follows:
- PPM CO Time Symptoms
- 35 PPM 8 hours Maximum exposure allowed by OSHA
in the workplace over an eight hour period.
- 200 PPM 2-3 hours Mild headache, fatigue, nausea
and dizziness.
- 400 PPM 1-2 hours Serious headache- other symptoms
intensify. Life threatening after 3 hours.
- 800 PPM 45 minutes Dizziness, nausea and convulsions.
Unconscious within 2 hours. Death within 2-3 hours.
- 1600 PPM 20 minutes Headache, dizziness and nausea.
Death within
1 hour.
- 3200 PPM 5-10 minutes Headache, dizziness and
nausea. Death within 1 hour.
- 6400 PPM 1-2 minutes Headache, dizziness and
nausea. Death within
25-30 minutes.
- 12,800 PPM 1-3 minutes Death.
As can be seen from the above information, the symptoms
vary widely based on exposure level, duration and the general health
and age on an individual. Also note the one recurrent theme that
is most significant in the recognition of carbon monoxide poisoning-
headache, dizziness and nausea. These 'flu like' symptoms are often
mistaken for a real case of the flu and can result in delayed or
misdiagnosed treatment. When experienced in conjunction with a the
sounding of a carbon monoxide these symptoms are the best indicator
that a potentially serious buildup of carbon monoxide exists. This
comment will be returned to later.
What are the different types of carbon monoxide
detectors and how do they work?
There are a number of different types and brands
of carbon monoxide detectors on the market today; They can be most
easily characterized by whether they operate on household current
or batteries. Underlying this, in most cases, is the type of sensor
employed in the detectors operation. Detectors using household current
typically employ some type of solid-state sensor which purges itself
and resamples for CO on a periodic basis. This cycling of the sensor
is the source of its increased power demands. Detectors powered
by batteries typically use a passive sensor technology which reacts
to the prolonged exposure to carbon monoxide gas.
Are some types of detectors better than
others? How do I select the best detector for me?
Regardless of the type of sensor used all detectors
sold on the market today should conform to minimum sensitivity and
alarm characteristics. These characteristics have been defined and
are verified by Underwriters Laboratory in their standard for carbon
monoxide detectors UL 2034. This standard was most recently revised
in June of 1995 and went into effect in October of 1995. This revision
specified additional requirements regarding identification of detector
type, low-level (nuisance) alarm sensitivity and alarm silencing.
Under no circumstances should one purchase a detector that is not
UL listed.
How many carbon monoxide detectors should
I have and where should I place them?
The Consumer Product Safety Commission recommends
a detector on each floor of a residence. At a minimum, a single
detector should be placed on each sleeping floor with an additional
detector in the area of any major gas burning appliances such as
a furnace or water heater. Installation in these areas ensures rapid
detection of any potentially malfunctioning appliances and the ability
to hear the alarm from all sleeping areas. In general, carbon monoxide
detectors should be placed high (near the ceiling) for most effective
use. Detectors should also not be placed within five feet of gas
fueled appliances or near cooking or bathing areas. Consult the
manufacturers installation instructions for proper placement of
a detector within a given area.
What are the most common causes of carbon
monoxide detector alarms? There
are many conditions which can cause a carbon monoxide detector to
alarm. Most are preventable and few are actually life threatening.
Ideally through proper placement of the detector and education of
the users the number of preventable calls can be minimized and activation
will only occur in the more serious situations.
What should I do when my carbon monoxide
detector goes off?
First and foremost, stay calm. As mentioned previously
most situations resulting in activation of a carbon monoxide detector
are not life threatening and do not require calling 911. To determine
the need to call 911, ask the following question of everyone in
the household:
"Does anyone feel ill? Is anyone experiencing
the 'flu-like' symptoms of headache, nausea or dizziness?"
If the answer to the above by anyone in the household is true, evacuate
the household to a safe location and have someone call 911. Failure
to evacuate immediately may result in prolonged exposure and worsening
effects from possible carbon monoxide gas. The best initial treatment
for carbon monoxide gas exposure is fresh air. If
the answer to the above by everyone in the household is no, the
likelihood of a serious exposure is greatly diminished and one probably
does not need to call 911. Instead, turn off any gas burning appliances
or equipment, ventilate the area and attempt to reset the alarm.
If the alarm will not reset or resounds, call a qualified heating
and ventilating service contractor to inspect your system for possible
problems. If at any time during this process someone begins to feel
ill with the symptoms described above evacuate the household to
a safe location and have someone call 911.
What can I expect to happen if I call 911?
What to expect when calling 911 is based on the
polices and procedures of the public safety agencies serving your
community and will vary from area to area. Most public safety agencies
are, however, recognizing the dangers posed by carbon monoxide gas
and are adopting similar procedures to the ones described below.
These procedures are based on information developed by the International
Association of Fire Chiefs (IAFC) and other national and regional
associations. The objective of these procedures is to quickly determine
the severity of the situation and provide the proper emergency response.
The following is a summary of what one can expect to happen if the
call 911 because a carbon monoxide detector is sounding:
When initially calling 911 be prepared to provide
the following information:
- Your address.
- The type of detector that is sounding.
- Whether or not anyone is feeling ill with 'flu-like'
symptoms as previously described.
- Whether or not everyone has evacuated the residence.
- The reading on the detector (if known or available)
- The dispatcher will determine the response required
based on the answers to the above- most significantly whether
or not anyone is feeling ill.
If anyone is feeling ill and/or you can not or have
not been able to evacuate everyone, law enforcement, medical and
fire personnel will be assigned to the call on an emergency basis.
Law enforcement to assist with the immediate evacuation of individuals,
medical to treat any victims and fire to monitor for CO gas and
assist with the other activities.
If no one is feeling ill, you may be advised to
contact your local heating contractor or gas company to assist you
or, more likely, fire personnel will be dispatched on a routine
basis to monitor for CO gas and advise if a 'real' carbon monoxide
problem exists.
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