Post-disaster carbon monoxide (CO) poisoning is a growing problem in the Un
ited States. This study describes a documented outbreak of CO poisoning ass
ociated with flooding. Health department staff investigated cases of CO poi
soning following the severe flood of 1997 in Grand Forks, North Dakota. Thi
rty-three laboratory-confirmed cases were identified, involving 18 separate
incidents. Patients ranged in age from 7 to 67 years, and most were men. O
ne patient lost consciousness and was admitted to the hospital; all others
were released after receiving supplemental oxygen. Every incident involved
gasoline-powered pressure washers being used in basements. Five incidents a
mong professional cleaners accounted for 16 cases; the remaining incidents
involved noncommercial use. Thirty patients, from 15 incidents, reported th
e basement was ventilated while the pressure washer was in use. CO poisonin
g must be considered a potential hazard after major floods. (C) 2001 Elsevi
er Science Inc.