Co-worker fatalities from hydrogen sulfide.

BACKGROUND Hydrogen sulfide is a colorless, odorless gas that may cause rapid loss of consciousness and respiratory depression without warning. It has produced toxicity in workers in numerous industries and occupations. METHODS A review of the United States Bureau of Labor Statistics (USBLS) Census of Fatal Occupational Injuries (CFOI) for occupational deaths related to hydrogen sulfide from 1993 to 1999 was performed. RESULTS Fifty-two workers died of hydrogen sulfide toxicity in this 7-year period. Deaths were most commonly reported in workers who were white (85%), male (98%), and in their first year of employment with the company (48%). Common industries included waste management, petroleum, and natural gas. In 21% of cases, a co-worker died simultaneously or in the attempt to save the workers. CONCLUSIONS Hydrogen sulfide toxicity is uncommon, but potentially deadly. Toxicity is predominantly in new workers and co-worker fatalities occur in a significant minority of cases. Proper training and education on the warning signs of hydrogen sulfide toxicity may help reduce worker fatalities.

[1]  K. Donham,et al.  Acute toxic exposure to gases from liquid manure. , 1982, Journal of occupational medicine. : official publication of the Industrial Medical Association.

[2]  H. Pickett,et al.  Hyperbaric oxygen therapy for severe hydrogen sulfide poisoning. , 1985, The Journal of emergency medicine.

[3]  J W Snyder,et al.  Occupational fatality and persistent neurological sequelae after mass exposure to hydrogen sulfide. , 1995, The American journal of emergency medicine.

[4]  T. D. Bailey,et al.  Hydrogen sulfide poisoning treated with hyperbaric oxygen. , 1985, The Journal of emergency medicine.

[5]  B. Rumack,et al.  Hydrogen sulfide poisoning: an antidotal role for sodium nitrite? , 1997, Veterinary and human toxicology.

[6]  M. Woodbury,et al.  Death caused by fermenting manure. , 1981, JAMA.

[7]  R. Crapo,et al.  Dung lung: a report of toxic exposure to liquid manure. , 1981, Annals of internal medicine.

[8]  J. Perrone,et al.  Twenty-foot fall averts fatality from massive hydrogen sulfide exposure. , 2001, The Journal of emergency medicine.

[9]  L. Adelson,et al.  Fatal hydrogen sulfide intoxication. Report of three cases occurring in a sewer. , 1966, Archives of pathology.

[10]  R. Smith,et al.  The effect of methemoglobin on the inhibition of cytochrome c oxidase by cyanide, sulfide or azide. , 1977, Biochemical pharmacology.

[11]  J. Beck,et al.  Nitrite as antidote for acute hydrogen sulfide intoxication? , 1981, American Industrial Hygiene Association journal.

[12]  J. Chang-Claude,et al.  Cancer Mortality among Man‐Made Vitreous Fiber Production Workers , 1997, Epidemiology.

[13]  K. Shimada,et al.  Bronchial injury and pulmonary edema caused by hydrogen sulfide poisoning. , 1999, The American journal of emergency medicine.

[14]  G. Dimopoulos,et al.  Hydrogen Sulfide Poisoning: Management and Complications , 1995, Angiology.

[15]  K. Kulig,et al.  Hydrogen sulfide poisoning from toxic inhalations of roofing asphalt fumes. , 1986, Annals of Emergency Medicine.

[16]  A. Suruda,et al.  Occupationally Related Hydrogen Sulfide Deaths in the United States From 1984 to 1994 , 2000, Journal of occupational and environmental medicine.

[17]  Milby Th Hydrogen sulfide intoxication. Review of the literature and report of unusual accident resulting in two cases of nonfatal poisoning. , 1962 .

[18]  R. Glass,et al.  Deaths from asphyxia among fisherman. , 1980, JAMA.

[19]  J. Popp,et al.  A critical review of the literature on hydrogen sulfide toxicity. , 1984, Critical reviews in toxicology.

[20]  Manure Waste Pits Fatalities attributed to entering manure waste pits--Minnesota, 1992. , 1993, MMWR. Morbidity and mortality weekly report.

[21]  J. Deng,et al.  Hydrogen sulfide poisonings in hot-spring reservoir cleaning: two case reports. , 1987, American journal of industrial medicine.