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PJ Online homeThe Pharmaceutical Journal
Vol 279 No 7464 p146
11 August 2007

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Early detection of CO poisoning during stop smoking clinics

Smoking cessation clinics provide opportunities for early detection of carbon monoxide poisoning from faulty household appliances, the Health Protection Agency has advised.

Chronic exposure to carbon monoxide can harm health, even if it is not sufficient to produce immediately recognisable adverse effects, the HPA says. If higher than expected levels of carbon monoxide are found in a breath sample, patients should be advised that raised carbon monoxide levels may be due to faulty or badly ventilated devices that burn fossil fuels, such as cookers, fires, boilers and water heaters.

Anyone with symptoms of carbon monoxide poisoning should be referred to accident and emergency. Those without symptoms should have appliances assessed urgently. The advice follows an incident at a smoking cessation clinic in Surrey. After giving up smoking a patient attending the clinic continued to have high levels of carbon monoxide. Further investigation revealed that a faulty gas appliance was causing exposure to carbon monoxide.

“If a patient has given up smoking, but still has high levels of carbon monoxide in exhaled breath, carbon monoxide exposure should be considered as a possible cause,” the HPA says. “This new opportunity to detect carbon monoxide exposure in patients trying to give up smoking could prevent illness or even death.”

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