Combined Exposures to Hydrogen Cyanide and Carbon Monoxide in Army Operations Initial Report (2008) / Chapter Skim
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Because of concerns for the health effects of the personnel simultaneously exposed to HCN and CO, the U.S. Army's Center for Health Promotion and Preventive Medicine prepared a report titled Assessment of Combined Health Effects of Hydrogen Cyanide and Carbon Monoxide at Low Levels for Military Occupational Exposures.
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In 2005, the Department of Defense requested that the National Research Council evaluate the Army's proposed guidance for assessing the adverse effects resulting from combined exposures to lowlevels of HCN and CO, and recommend exposure limit guidelines for combined exposures to these chemicals. In response, the National Research Council convened the Committee on Combined Exposures to Hydrogen Cyanide and Carbon Monoxide in Army Operations with oversight from the Committee on Toxicology to address the task assigned to it.
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The committee recommends that the Army assess the validity of the CFK model in the context of armored vehicles both using instantaneous measured data and various running averages. • While the toxicity of combined exposures to HCN and CO is important to understand, the Army should also consider concurrent exposures to other chemicals, e.g., other combustion gases, diesel exhaust, which may have additional effects on the tank crew.
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