Carbon monoxide poisoning: What are the Symptoms?

Tuesday 17th November 2020

Carbon monoxide (CO) is often referred to as ‘The Silent Killer’ because you can’t smell, hear or see it. It is a highly toxic gas which can have devastating consequences on your health. With over 4000 people attending A&E departments due to carbon monoxide poisoning in England each year, knowing the symptoms could save your life.

The Symptoms of Carbon Monoxide Poisoning

Carbon monoxide can cause severe symptoms and even death if not detected quickly. CO poisoning symptoms are very similar to that of a common cold or flu, which is a big reason why mild symptoms can also be mistaken for a hangover. Protect yourself and others from carbon monoxide by looking out for these symptoms:

Effects of Carbon Monoxide Exposure

Severe Carbon Monoxide Poisoning

Severe carbon monoxide poisoning may lead to long-term neurological problems, with disturbances in memory, language, cognition, mood and behaviour. This causes damage to the basal ganglia, which may lead to a movement disorder resembling Parkinson’s disease.

Delayed deterioration in neurological condition is an unusual feature of severe carbon monoxide poisoning. This can occur any time from a few days to as long as five to six weeks after the initial exposure to carbon monoxide. The reason for this is not entirely clear.

Long-term Carbon Monoxide Exposure

Chronic exposure to lower levels of carbon monoxide may go unrecognised. The symptoms include milder versions of those seen in acute CO poisoning. Headache, nausea, dizziness, light-headedness, fatigue and sleepiness, difficulty concentrating and memory problems, as well as changes in mood are all symptoms of this.

People are often unable to identify exactly what is the matter despite being aware that something is wrong. They may attribute the problems to overwork, stress or depression. If symptoms disappear while away at work and reappear on returning home, or if other people in the same premises develop similar symptoms, it may become more obvious that there is an environmental cause.

Removing the source of carbon monoxide results in most people recovering from chronic low-level carbon monoxide exposure. However, it can also lead to the brain being starved from oxygen. This can have devastating short term and long term effects.

Treatment for CO Poisoning

Treatment of carbon monoxide poisoning involves immediate removal of the carbon monoxide source, and administration of 100% oxygen together with general supportive medical care.

Hyperbaric oxygen therapy is sometimes advocated for severe cases of carbon monoxide poisoning. This involves giving your lungs much more oxygen than would be possible by breathing pure oxygen at normal air pressure. It has been suggested that this may improve the long-term neurological outcome, although it remains controversial. Hyperbaric oxygen therapy is a specialised technique which is only available in a few centres. It may also be associated with complications of its own and it is not used routinely.

Protect Yourself from Carbon Monoxide Poisoning

Be in the know about carbon monoxide. Would you be able to recognize the signs and symptoms of carbon monoxide poisoning? Learn how to spot the dangers, signs and symptoms of CO poisoning and help to educate those around you. Findings by the Gas Safe Register in 2019 revealed that only one in five respondents said they would be aware of a carbon monoxide leak in their homes if they felt unwell.
Have your gas or solid fuel appliances serviced regularly. According to the latest UK inspection figures from Gas Safe Register, 5.5 million homes in the UK have unsafe gas appliances. When did you last have your appliance checked? If you rent, your landlord must have a gas safety certificate for all gas appliances to comply with regulations.
Install a carbon monoxide alarm where required. It is recommended that a CO alarm be installed in every room in the house containing an appliance that could leak carbon monoxide gas. Is your home covered? Check with vulnerable friends, family or neighbours to see if they need help installing a carbon monoxide alarm. If you rent and you have a gas appliance, your landlord is legally required to provide a working carbon monoxide alarm.

Who is Most at Risk?

Lower income households are more at risk of carbon monoxide poisoning, recent studies have shown. Research carried out by the Nationa l Energy Action charity and the Gas Safety Trust found that 35% of low income and vulnerable households surveyed exceeded the 10ppm threshold for carbon monoxide levels, indicating levels of carbon monoxide that are harmful with prolonged exposure. This can have adverse effects on the body and brain.

Over 60s were also found to be particularly vulnerable to CO poisoning. This could be attributed to the likelihood of them spending more time at home and feeling the cold, resulting in regular appliance use to stay warm. Elderly people, or those with respiratory problems, are also more at risk from the effects of carbon monoxide. They become ill more quickly, with symptoms being similar to those of flu or food poisoning, a headache, nausea and dizziness. These symptoms are usually attributed to those common illnesses rather than to carbon monoxide poisoning.

Headache or dizziness is a symptom of co poisoning — Carbon monoxide poisoning symptoms can easily be mistaken for flu or a common cold or sickness bug

Other groups shown to be disproportionately affected by CO poisoning include pregnant women, young children, anyone with an existing respiratory condition and elderly people.

Carbon monoxide poisoning information sheet printable download — Download our information sheet and share with relatives or friends

Mel Saunders

Head of Marketing

Mel joined Safelincs in 2020 and leads the content and marketing team.

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Is Your Holiday Home Protected From The ‘Silent Killer’? Carbon Monoxide Responsibilities For Accommodation Providers

Thursday 17th September 2020

Content updated 09 August 2024

When someone books a holiday, what features do they look for? Maybe a hot tub, fire pit or log burner for that little bit of luxury? A carbon monoxide detector might not be top of the list, but with carbon monoxide (CO), or the ‘Silent Killer’, ensuring your holiday accommodation is CO safe should be a priority. Did you know that as a holiday home owner in England, you have a legal responsibility to comply with regulations relating to carbon monoxide safety? Holiday-makers want to have peace of mind that their safety is a top priority when booking a holiday, and carbon monoxide safety is no exception.

Following the tragic death of Hudson Foley, a 24-year-old travelling in Ecuador, from carbon monoxide poisoning, the issue of CO safety when travelling has been highlighted. The dangers of this deadly gas are just as significant within the UK; it is the cause of more than 100 deaths annually. If you own a holiday home, caravans, gite or glamping pod anywhere in the world, protect your guests by fitting a working CO alarm. Part of the Pack Safe Appeal, set up in memory of Hudson, is to promote CO safety measures from accommodation providers. This includes ensuring carbon monoxide alarms are fitted and working, and that gas safety checks are regularly carried out. Safelincs are supporting the Pack Safe Appeal this summer by offering 15% off CO alarms using code HUDSON15.

Why is carbon monoxide dangerous?

Carbon monoxide (CO) is a highly poisonous gas with no smell or taste and can be difficult to detect without the aid of a carbon monoxide detector. Symptoms such as tiredness, shortness of breath, nausea and headaches can be easily mistaken for flu or food poisoning. However, after exposure to high levels for 2 hours, the person may become unconscious and could die from this poisonous gas. With such sudden consequences, early detection is critical.

For more information about the dangers of carbon monoxide and how it kills, read our blog.

Accommodation providers: Your responsibilities

CO gas is produced by the incomplete burning of fuels containing carbon, for example coal, wood, gas or charcoal. A build-up in emissions of CO gas can come from:
• Faulty gas appliances
• Fuel burning stoves, open fires or BBQs used in poorly ventilated areas
• Running a car engine in an enclosed space.

Like landlords, holiday home owners have a responsibility to ensure that their properties are compliant with the regulations Smoke and Carbon Monoxide Alarm (England) Regulations 2015. These regulations state that a carbon monoxide detector should be fitted in any room that has a solid fuel burning appliance such as a log burner or open fire. Whilst not a legal requirement, it is also advisable to install a detector in any room with a gas or oil burning appliance such as a boiler or oven. You should also check and log all smoke and CO alarms on change-over day for added peace on mind.

In Scotland, it is a legal requirement that all homes with a carbon fuel burning appliance, such as a boiler, gas cooker, or open fire, have a CO alarm installed. Similar regulations are also in place in Wales.

Maintaining CO Alarms and Fuel Burning Appliances

The maintenance of gas appliances in all properties is also of paramount importance. The Gas Safety (Installation and Use) Regulations 1998 outlines the legal duties of self-catering accommodation providers to ensure the safety of any guests. All gas appliances should be installed and checked annually by a Gas Safe Engineer. Accommodation providers need to ensure adequate ventilation throughout the holiday accommodation. This is of particular importance in caravans, lodges and tents or glamping pods.

Further to this, it is essential that CO alarms are tested regularly to ensure that it is working, and not near the end of its life. It is recommended that these detectors are tested once a month – sign up for our reminder service to receive texts and emails when this is due.

Provide information for your tenants

With frequent change-over of tenants and short-term occupancy, it may also help to provide a factsheet with guidance on carbon monoxide safety. Information such as how to locate and turn off the mains gas supply, what to do if the carbon monoxide alarm goes off or who to contact in an emergency may prove invaluable. Some tenants will be unfamiliar with gas appliances and general advice on how to use them safely could be useful.

Furthermore, unlike some smoke alarms that are prone to false triggers, a CO alarm is very unlikely to go off unless it detects carbon monoxide. False alarms are very unlikely and residents should be advised to act immediately and assume it is an emergency situation. Many people are not aware of the CO emissions from BBQs and camp fires. Cosy fires and family BBQs can prove deadly if emissions are allowed to accumulate in a tent, glamping pod or caravan. Campsites or caravan sites are advised to alert campers to the possible dangers of carbon monoxide poisoning from these activities.

Confidence in the UK holiday market

With the trend in UK ‘staycations’ looking set to continue into next year, ensuring the safety of guests in all accommodation will only help to increase confidence in UK holidays. Families should have peace of mind that their safety is of the utmost importance. There are many options for carbon monoxide alarms including combined or separate smoke and CO alarms, audible and visual cues and fixed or portable units. The requirement of each accommodation type varies depending on size, risks and structure.

The Kidde 7DCO alarm is a great solution for most providers as it is Kitemarked as safe for use in all domestic situations as well as in caravans, boats and tents. Its 10-year lifespan, digital display and option for free-standing or wall-mounting makes it a reliable and flexible option. And, with readings taken every 15 seconds and displayed on the digital panel, guests would have complete peace of mind that they are protected from the ‘silent killer’.

A suitable carbon monoxide alarm — Digital Display Carbon Monoxide Alarm 10 Yr Warranty – Kidde 7DCO

If you are an accommodation provider and would like more information, please contact our customer care team on 0800 612 6537.

Mel Saunders

Head of Marketing

Mel joined Safelincs in 2020 and leads the content and marketing team.

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Maintained or Non-Maintained Emergency Lighting?7th June 2024
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What to do with old smoke alarms?

Monday 19th December 2011

Customers ask us occasionally about the recycling of smoke alarms. Here is some information relating to this.

Smoke and heat alarms fall under the WEEE (Waste Electrical and Electronic Equipment) regulations. The biggest burden, with regards to the recycling of these goods, falls on businesses manufacturing, rebranding or importing alarms or any other electrical equipment. Retailers like us have to follow a reduced set of regulations.

Retailers have to pay a fee to be allowed to recommend their domestic customers to drop their old smoke and heat alarms off at local recycling centers (Distributor Take-Back Scheme) rather than returning them to Safelincs for passing on to the manufacturers. As the directive states that the customer should in this case dispose of the old alarm themselves at the recycling centers we could in theory refuse to accept old smoke alarms back from domestic customers. However, we allow customers to send us their old units as a courtesy when they purchase from us.

Ideally, as stated above, domestic customers should drop their old alarms off at their local recycling centers, however, they can also dispose small numbers of alarms in their normal refuse. Quite often customers are concerned that the crossed-out wheelie bin on the back of the alarm means that they must not place the unit in a normal waste bin. This is a mis-understanding, the crossed-out wheelie bin just means that this product falls under the WEEE regulations and ideally should be recycled. Nevertheless, small numbers of smoke alarms are permitted in the household waste. There is currently no differentiation in this respect between the ionisation and other smoke alarms despite the ionisation alarms containing small amounts of radio-activity.

There are WEEE rules that differ for domestic customers and businesses. Business smoke alarm users can drop small numbers of old alarms off at the recycling centre, where the cost for recycling will be passed on to the manufacturers. Business customers can also pass the smoke alarms on to us. We then pass them on to the manufacturers. This is only the case if they buy new smoke alarms from us at the same time or if they bought the units from us in the first place (there are some detailed rules relating to this regulation, which have been left out for simplicity).