title: Occupational carbon monoxide poisoning in Washington State, 2000-2005.
abstract: Washington State workers' compensation data can be used to guide prevention efforts focused on occupational carbon monoxide (CO) poisoning. Between 2000 and 2005, a total of 345 individual claims comprising 221 different exposure incidents were identified for the 6-year time period. The construction industry had 43 (20%) CO incidents, followed by wholesale trade with 32 (15%), and agriculture with 27 (12%) incidents. Fuel-powered forklifts caused 29% of all incidents, while autos/trucks/buses were responsible for 26%. The number of forklift incidents in fruit packing and cold storage companies declined significantly from 1994 through 2007 (Spearman's rho = 0.6659, p < 0.01). While this study used multiple medical records from workers' compensation claims to identify CO poisoning, a surveillance system that lacks extensive medical records may rely principally on carboxyhemoglobin (COHb) tests. This study demonstrated that 71% of the identified workers' compensation claims had associated COHb tests. The recurrence and timing of CO poisoning as well as control of the CO-generating source were determined. Approximately 8% of all work sites had recurring CO poisoning incidents. Two percent experienced a recurrent incident within 16 days of the initial incident, and 6% experienced a recurrent incident between 16 days and 3 years after the initial incident. Sixty-seven percent of claimants exposed to CO were not in direct control of the CO-generating source; this has implications for CO prevention and underscores the need for all employees to be trained on CO hazards.
authors.affiliation: WA State Department of Labor and Industries, SHARP Program, Olympia, Washington 98504, USA. whca235@Lni.wa.gov
authors.forename: Carolyn K
authors.initials: CK
authors.lastname: Reeb-Whitaker
authors.forename: David K
authors.initials: DK
authors.lastname: Bonauto
authors.forename: Stephen G
authors.initials: SG
authors.lastname: Whittaker
authors.forename: Darrin
authors.initials: D
authors.lastname: Adams
mesh_terms: D002249:Carbon Monoxide Poisoning / Q000453:epidemiology* / Q000517:prevention & control; D006801:Humans; D015994:Incidence; D009784:Occupational Diseases / Q000453:epidemiology* / Q000517:prevention & control; D016273:Occupational Exposure / Q000517:prevention & control*; D012307:Risk Factors; D014861:Washington / Q000453:epidemiology; D014942:Workers' Compensation / Q000706:statistics & numerical data