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September 7, 1940


JAMA. 1940;115(10):876. doi:10.1001/jama.1940.02810360064028

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To the Editor:—  Because of the number of cases of alleged chronic carbon monoxide poisoning which are getting into the courts, the article entitled "Carbon Monoxide—A Domestic Hazard, with Especial Reference to the Problem in West Virginia," by Harvey G. Beck, Wilmer H. Schulze and George M. Suter, which appeared in The Journal, July 6, page 1, deserves comment.There is no question of the importance of true acute carbon monoxide poisoning which leads to coma and death or to complete recovery except for neurologic complications in rare instances. These authors imply that chronic carbon monoxide poisoning is a common cause of a great multiplicity of symptoms. In only one or two of their cases do the criteria given seem adequate to establish significant exposure to carbon monoxide. The number of patients in a similar environment who did not show any symptoms is not mentioned. In only two cases is

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