Carbon monoxide human

National Ambient Air Quality Standards. Under the Clean Air Act, six criterion pollutants, ie, pollutants of special concern, have been estabhshed by the EPA sulfur oxides (SO ), particulates, carbon monoxide (CO), nitrogen oxides (NO ), o2one (photochemical oxidants), and lead. National Ambient Air QuaUty Standards (NAAQS) were developed by EPA based on threshold levels of air pollution below which no adverse effects could be experienced on human health or the environment. 

Polyurethanes. These polymers can be considered safe for human use. However, exposure to dust, generated in finishing operations, should be avoided. Ventilation, dust masks, and eye protection are recommended in foam fabrication operations. Polyurethane or polyisocyanurate dust may present an explosion risk under certain conditions. Airborne concentrations of 25—30 g/m are required before an explosion occurs. Inhalation of thermal decomposition products of polyurethanes should be avoided because carbon monoxide and hydrogen cyanide are among the many products present. 

A deterrnination that carbon monoxide might be a metaboUte of methylene chloride in humans (33) suggests that unacceptable levels of carboxyhemoglobin would exist in the blood of persons exposed to methylene chloride vapors at concentrations greater than 500 ppm for extended periods of time. These conditions are rarely encountered in most industrial appHcations. However, as with any organic solvent, adequate ventilation should be provided to ensure compliance with all industrial and governmental regulations. 

Human-made sources cover a wide spectrum of chemical and physical activities and are the major contributors to urban air pollution. Air pollutants in the United States pour out from over 10 million vehicles, the refuse of over 250 million people, the generation of billions of kilowatts of electricity, and the production of innumerable products demanded by eveiyday living. Hundreds of millions of tons of air pollutants are generated annu ly in the United States alone. The five main classes of pollutants are particulates, sulfur dioxide, nitrogen oxides, volatile organic compounds, and carbon monoxide. Total emissions in the United States are summarized by source categoiy for the year 1993 in Table 25-10. 

Air-poUutant effects on neural and sensory functions in humans vary widely. Odorous pollutants cause only minor annoyance yet, if persistent, they can lead to irritation, emotional upset, anorexia, and mental depression. Carbon monoxide can cause death secondary to the depression of the respiratory centers of the central nervous system. Short of death, repeated and prolonged exposure to carbon monoxide can alter sensory protection, temporal perception, and higher mental functions. Lipid-soluble aerosols can enter the body and be absorbed in the lipids of the central nervous system. Once there, their effects may persist long after the initial contact has been removed. Examples of agents of long-term chronic effects are organic phosphate pesticides and aerosols carrying the metals lead, mercury, and cadmium. 

The effect of accumulation in various systems depends greatly on the quantity of pollutants involved. Many pollutants can be detected at concentrations lower than those necessary to affect human health. For pollutants which are eliminated slowly, individuals can be monitored over long periods of time to detect trends in body burden the results of these analyses can then be related to total pollutant exposure. Following are two examples of air pollutants that contribute to the total body burden for lead and carbon monoxide. 

The second example of an air pollutant that affects the total body burden is carbon monoxide (CO). In addihon to CO in ambient air, there are other sources for inhalation. People who smoke have an elevated CO body burden compared to nonsmokers. Individuals indoors may be exposed to elevated levels of CO from incomplete combustion in heating or cooking stoves. CO gas enters the human body by inhalation and is absorbed directly into the bloodstream the total body burden resides in the circulatory system. The human body also produces CO by breakdown of hemoglobin. Hemoglobin breakdown gives every individual a baseline level of CO in the circulatory system. As the result of these factors, the body burden can fluctuate over a time scale of hours. 

The U.S. Environmental Protection Agency has established National Ambient Air Quality Standards (NAAQS) for protection of human health and welfare. These standards are defined in terms of concentration and hme span for a specific pollutant for example, the NAAQS for carbon monoxide is 9 ppmV for 8 hr, not to be exceeded more than once per year. For a state or local government to establish compliance with a National Ambient Air Quality Standard, measurements of the actual air quality must be made. To obtain these measurements, state and local governments have established stationary monitoring networks with instrumentation complying with federal specifications, as discussed in Chapter 14. The results of these measurements determine whether a given location is violating the air quality standard. 

For any pollutant, air quality criteria may refer to different types of effects. For example. Tables 22-1 through 22-6 list effects on humans, animals, vegetation, materials, and the atmosphere caused by various exposures to sulfur dioxide, particulate matter, nitrogen dioxide, carbon monoxide, ozone, and lead. These data are from fhe Air Quality Criteria for these pollutants published by the U.S. Environmental Protection Agency. 

FAS is normally characterized by growth retardation, anomalies of the head and face, and psychomotor dysfunctions. Excessive consumption of ethyl alcohol may lead to malformations of the heart, extremities, and kidneys. Since consumption of ethyl alcohol is socially acceptable and prevalent even in pregnant women, the risks associated with the use of ethyl alcohol are remarkable. However, it should be kept in mind that there are several chemical compounds in tlie occupational environment that may also cause malformations even at low doses. The oc-cupationally-important known human teratogens include methyl mercury, ethyl alcohol, PCB compounds, tobacco smoke, lead, TCDD, 2,4,5- F, carbon monoxide, nitrogen dioxide, gasoline, and fluoride. 

The pollutants most strongly damaging to human, animal, and sometimes plant health include ozone, fine particulate matter, lead, nitrogen oxides (NO ), sulfur oxides (SOJ, and carbon monoxide. Many other chemicals found in polluted air can cause lesser health impacts (such as eye irritation). VOC compounds comprise the bulk of such chemicals. Formaldehyde is one commonly mentioned pollutant of this sort, as is PAN (peroxyacyl nitrate). Such... 

Some indication of risk of employee exposure to airborne chemicals can be gauged from an analysis of the level of exposure for comparison with known human dose/ response data such as those for carbon monoxide and hydrogen sulphide listed in... 

The major mono oxygenases in the endoplasmic reticulum are cytochrome P450s—so named because the enzyme was discovered when it was noted that preparations of microsomes that had been chemically reduced and then exposed to carbon monoxide exhibited a distinct peak at 450 nm. Among reasons that this enzyme is important is the fact that approximately 50% of the drugs humans ingest are metabolized by isoforms of cytochrome P450 these enzymes also act on various carcinogens and pollutants. 

Even simple molecules often have strikingly different properties. For example, carbon and oxygen form two different simple compounds. Whereas a molecule of carbon monoxide contains one oxygen atom and one carbon atom, carbon dioxide contains two atoms of oxygen and one atom of carbon. Although these molecules have some common properties (both are colorless, odorless gases), the difference in chemistry caused by a change of one atom is profound. We produce and exhale carbon dioxide as a natural by-product of metabolism. This compound is relatively harmless to humans. In contrast, carbon monoxide is a deadly poison, even at very low concentrations. 

It is well known that hydrogen cyanide can be liberated during combustion of nitrogen containing polymers such as wool, silk, polyacrylonitrile, or nylons (1, 2). Several investigators have reported cyanide levels in smoke from a variety of fires (3, 4, 5). The levels reported are much below the lethal levels. Thus the role of cyanide in fire deaths would seem to be quite low. However, as early as 1966 the occurence of cyanide in the blood (above normal values) of fire victims was reported (6). Since then many investigators have reported elevated cyanide levels in fire victims (7-13). However, it has been difficult to arrive at a cyanide blood level which can be considered lethal in humans. In this report the results of cyanide analysis in blood of fire victims are reported as well as the possibility that cyanide may, in some cases, be more important than carbon monoxide as the principal toxicant in fire smoke. 

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