S-Space College of Medicine/School of Medicine (의과대학/대학원) Dept. of Medicine (의학과) The Seoul Journal of Medicine The Seoul Journal of Medicine Vol. 19 No.4 (1978)
연탄가스 중독의 발생실태에 관한 연구
A Study of the Incidence and Therapeutic Measures on Carbon Monoxide Poisoning in Seoul
- Issue Date
- 서울대학교 의과대학
- Seoul J Med, Vol.19 No.4, pp. 173-178
- Since the wide-spread usage of the anthracite coal
briquette as a main domestic fuel for cooking and
under-floor heating. a tremendous number of carbon
monoxide poisoning has been reported, especially in
the winter time. As long as we keep on the usage of
this dangerous fuel , even though it is very beneficial
to us in economic point of view. it is our urgent ne~ds
to prevent and overcome this hazard to the public.
Many studies of the prevention orieated approaches
mostly failed to propose practical and effective preventive
measure. So many socia-economic and environrnental
parameters are intermingled in the tragic
scene of carbon monoxide poisoning
Carbon monoxide poisoning is non-reportable disease
(accident) in Korea. That is one of the reason why
we don t have a reliable incidence data. Even though the official statistics prepared by the National Police
and the hospital statistics published are available,
they have very much limited significance in terms of
actual patterns of incidence.
Authors designed this survey to estimate annual
incidence rate in Seoul area. Thirty-three middle
schools were selected as target institutions and around
50,OOO survey forms were distributed to 1st. and 2nd.
year middle school students. In selecting schools,
stratified random sampling technique was employed
with consideration of population distribution of each
administrative sector (Gu). Total numbers of population
in habiting with students are 528,033 in 111,450
households. The incidence of carbon monoxide poiso
ning was investigated during 1 year period. from Jan.
1977 to Dec. 1977. Also we reviewed all official and
hospital statistics reported by many authors as a
reference data. The effectiveness of hyperbaric oxygen
therapy was also briefly reviewed
The general findings we obtained are follows:
1. The incidence rate of carbon monoxide poisoning
in Seoul area is 306 per 10,000 population: the mild
is 260, the grave (comatous) is 45, and the expired
2. The incidence was the highest in December and
the lowest in August.
3. Among the patient, only 4.1% had hospital
treatment and merely one fourth of the comatous
patient received hospital care
4. The official statics compiled by National Police
were found to be very much under-estimated one.
because the police data relies on the report of the
death of unknown causes. So it is very difficult to
refer this data as the incidence rate.