Sources of Carbon Monoxide
Unvented kerosene and gas space heaters; leaking chimneys and furnaces; back-drafting from furnaces, gas water heaters, wood stoves, and fireplaces; gas stoves; generators and other gasoline powered equipment; automobile exhaust from attached garages; and tobacco smoke.  Incomplete oxidation during combustion in gas ranges and unvented gas or kerosene heaters may cause high concentrations of CO in indoor air.  Worn or poorly adjusted and maintained combustion devices (e.g., boilers, furnaces) can be significant sources, or if the flue is improperly sized, blocked, disconnected, or is leaking.  Auto, truck, or bus exhaust from attached garages, nearby roads, or parking areas can also be a source.

Health Effects Associated with Carbon Monoxide
At low concentrations, fatigue in healthy people and chest pain in people with heart disease. At higher concentrations, impaired vision and coordination; headaches; dizziness; confusion; nausea. Can cause flu-like symptoms that clear up after leaving home. Fatal at very high concentrations.  Acute effects are due to the formation of carboxyhemoglobin in the blood, which inhibits oxygen intake.  At moderate concentrations, angina, impaired vision, and reduced brain function may result.  At higher concentrations, CO exposure can be fatal.

Steps to Reduce Exposure to Carbon Monoxide
It is most important to be sure combustion equipment is maintained and properly adjusted.  Vehicular use should be carefully managed adjacent to buildings and in vocational programs.  Additional ventilation can be used as a temporary measure when high levels of CO are expected for short periods of time.

* Keep gas appliances properly adjusted.
* Consider purchasing a vented space heater when replacing an unvented one.
* Use proper fuel in kerosene space heaters.
* Install and use an exhaust fan vented to outdoors over gas stoves.
* Open flues when fireplaces are in use.
* Choose properly sized wood stoves that are certified to meet EPA emission standards. Make certain that doors on all wood stoves fit tightly.
* Have a trained professional inspect, clean, and tune-up central heating system (furnaces, flues, and chimneys) annually. Repair any leaks promptly.
* Do not idle the car inside garage.