Often called the invisible killer, carbon monoxide (CO) is an odorless, colorless gas created when fuels (such as gasoline, wood, coal, natural gas, propane, oil, and methane) burn incompletely. In the home, heating and cooking equipment that burn fuel are potential sources of carbon monoxide. Vehicles or generators running in an attached garage can also produce dangerous levels of carbon monoxide.

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Carbon Monoxide Facts

  • In 2023, the National Fire Incident Reporting System data included 82,245 CO incidents which required a local fire department response. This does not include the 79,051 CO alarm malfunctions and the 79,286 CO alarm activations where no CO was found present.
  • A 2023 study by the U.S. Centers for Disease Control found unintentional non–fire-related CO poisoning between 2005 and 2018 to be annually responsible for approximately 101,847 emergency department (ED) visits (48.3 visits per 1 million), 14,365 hospitalizations (4.1 cases per 1 million), and at least 430 deaths.

Safety Tips

  • CO alarms should be installed in a central location outside each sleeping area and on every level of the home and in other locations where required by applicable laws, codes or standards. For the best protection, interconnect all CO alarms throughout the home. When one sounds, they all sound.
  • Follow the manufacturer’s instructions for placement and mounting height.
  • Choose a CO alarm that has the label of a recognized testing laboratory.
  • Call your local fire department’s non-emergency number to find out what number to call if the CO alarm sounds.
  • Test CO alarms at least once a month; replace them according to the manufacturer’s instructions.
  • If the audible trouble signal sounds, check for low batteries. If the battery is low, replace it. If it still sounds, call the fire department.
  • If the CO alarm sounds, immediately move to a fresh air location outdoors or by an open window or door. Make sure everyone inside the home is accounted for. Call for help from a fresh air location and stay there until emergency personnel.
  • If you need to warm a vehicle, remove it from the garage immediately after starting it. Do not run a vehicle or other fueled engine or motor indoors, even if garage doors are open. Make sure the exhaust pipe of a running vehicle is not covered with snow.
  • During and after a snowstorm, make sure vents for the dryer, furnace, stove, and fireplace are clear of snow build-up.
  • A generator should be used in a well-ventilated location outdoors away from windows, doors and vent openings.
  • Gas or charcoal grills can produce CO — only use outside.
Keeping Your Community Safe with Carbon Monoxide Alarms toolkit
Keeping Your Community Safe with Carbon Monoxide Alarms

This toolkit offers consumers valuable safety tips for protecting their families from CO. There are resources, in English and Spanish, for fire departments and public safety educators to help spread awareness in their communities about CO safety. Kit includes community outreach ideas, safety tip sheets, easy-to read CO tips and infographics.

Download the Toolkit

The NFPA Podcast

In this podcast, we speak to Richard Roberts, a member of several NFPA committees on carbon monoxide, and an active participant in the National Carbon Monoxide Awareness Association. He dives into the science of how this deadly gas gets into people’s homes, how CO affects the human body, how CO codes and standards are changing, and what people can do to better protect themselves.

Symptoms of CO Poisoning

CO enters the body through breathing. CO poisoning can be confused with flu symptoms, food poisoning and other illnesses. Some symptoms include shortness of breath, nausea, dizziness, light headedness or headaches. High levels of CO can be fatal, causing death within minutes.

The dangers of CO exposure depend on several variables, including the victim's health and activity level. Infants, pregnant women, and people with physical conditions that limit their body's ability to use oxygen (i.e. emphysema, asthma, heart disease) can be more severely affected by lower concentrations of CO than healthy adults would be.

A person can be poisoned by a small amount of CO over a longer period of time or by a large amount of CO over a shorter amount of time.

 

Signs of acute carbon monoxide poisoning

Source: National Carbon Monoxide Awareness Association