an outbreak of carbon monoxide poisoning in yamagata prefecture following the great east japan earthquake
نویسندگان
چکیده
background: in the aftermath of the great east japan earthquake, most of the areas in yamagata prefecture experienced a serious power failure lasting for approximately 24 hours. a number of households were subsequently poisoned with carbon monoxide (co) due to various causes. in this study, we conducted a survey of co poisoning during the disaster. methods: a questionnaire regarding co poisoning associated with the disaster was sent to 37 emergency hospitals in yamagata prefecture. results: a total of 51 patients were treated for unintentional co poisoning in 7 hospitals (hyperbaric oxygen chambers were present in 3 of the hospitals). the patients (18 men, 33 women) ranged in age from 0 to 90 years. the source of co exposure was charcoal briquettes (23 cases; 45%), gasoline-powered electric generators (18 cases; 35%), electric generators together with oil stoves (8 cases; 16%), oil stoves (1 cases; 2%), and automobile exhaust (1 cases; 2%). blood carboxyhemoglobin levels ranged from 0.5% to 41.6% in 49 cases. of these, 41 patients were treated by normobaric oxygen therapy, while one was intubated for artificial respiration. additionally, 5 patients (10%) were treated by hyperbaric oxygen therapy, and 3 patients (6%) experienced delayed neuropsychiatric sequelae. conclusion: co sources included gasoline-powered electric generators and charcoal briquettes during the disaster. storm-related co poisoning is well recognized as a disaster-associated accident in the united states, but not in japan. we emphasize that public education is needed to make people aware of the dangers of co poisoning after a disaster. in addition, a pulse co-oximeter should be set up in hospitals.
منابع مشابه
An Outbreak of Carbon Monoxide Poisoning in Yamagata Prefecture Following the Great East Japan Earthquake
Background: In the aftermath of the Great East Japan Earthquake, most of the areas in Yamagata prefecture experienced a serious power failure lasting for approximately 24 hours. A number of households were subsequently poisoned with carbon monoxide (CO) due to various causes. In this study, we conducted a survey of CO poisoning during the disaster. Methods: A questionnaire regarding CO poisonin...
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عنوان ژورنال:
asia pacific journal of medical toxicologyجلد ۲، شماره ۲، صفحات ۳۷-۴۱
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