Falise Alyssa M, Griffin Isabel, Fernandez Danielle, Rodriguez Xeniamaria, Moore Emily, Barrera Anne, Suarez Juan, Cutie Lidice, Zhang Guoyan
1Florida Department of Health in Miami-Dade County,Epidemiology,Disease Control,and Immunization Services,Miami,Florida.
2Miami-Dade County Fire Rescue,Doral,Florida.
Disaster Med Public Health Prep. 2019 Feb;13(1):94-96. doi: 10.1017/dmp.2018.67. Epub 2018 Jul 17.
The Florida Department of Health in Miami-Dade County (DOH-Miami-Dade) investigated 106 reported carbon monoxide (CO) exposures over a 9-day timeframe after Hurricane Irma. This report evaluates risk factors for CO poisoning and the importance of heightened surveillance following natural disasters.
Data on CO poisoning cases from September 9 to 18, 2017 were extracted from Merlin, the Florida Department of Health Surveillance System. Medical records were obtained and follow-up interviews were conducted to collect data on the confirmed CO poisoning cases. Data were analyzed using SAS v9.4.
Ninety-one of the 106 people exposed to CO met the case definition for CO poisoning: 64 confirmed, 7 probable, and 20 suspect cases. Eighty-eight percent of the affected individuals were evaluated in emergency departments and 11.7% received hyperbaric oxygen treatment. The most frequently reported symptoms included headache (53.3%), dizziness (50.7%), and nausea (46.7%). Three patients expired due to their exposure to CO.
Post Hurricane Irma, the DOH-Miami-Dade investigated numerous cases for CO exposure. By understanding who is most likely to be impacted by CO and the impact of generators' location on people's health, education efforts can be tailored to the population most at risk and further CO exposures and related mortalities following natural disasters can be reduced. (Disaster Med Public Health Preparedness. 2019;13:94-96).
迈阿密-戴德县佛罗里达州卫生部（迈阿密-戴德卫生部）对飓风“厄玛”过后9天内报告的106起一氧化碳（CO）暴露事件展开了调查。本报告评估了CO中毒的风险因素以及自然灾害后加强监测的重要性。
从佛罗里达州卫生部监测系统Merlin中提取了2017年9月9日至18日CO中毒病例的数据。获取了病历并进行了随访访谈，以收集确诊CO中毒病例的数据。使用SAS v9.4对数据进行了分析。
106名接触CO的人员中有91人符合CO中毒的病例定义：64例确诊，7例可能，20例疑似病例。88%的受影响个体在急诊科接受了评估，11.7%接受了高压氧治疗。最常报告的症状包括头痛（53.3%）、头晕（50.7%）和恶心（46.7%）。3名患者因接触CO死亡。
飓风“厄玛”过后，迈阿密-戴德卫生部调查了众多CO暴露病例。通过了解哪些人最有可能受到CO影响以及发电机位置对人们健康的影响，可以针对风险最高的人群开展教育工作，从而减少自然灾害后进一步的CO暴露及相关死亡事件。（《灾害医学与公共卫生防范》。2019年；13：94 - 96）
