Cents or sensibility on detector law?

By Dennis Byrne
Chicago Tribune

You've only got a couple of weeks left before you must--by order of the state of Illinois--install a carbon monoxide detector within 15 feet of every bedroom in your home.

You have a right to ask why, when your chance of dying of accidental carbon monoxide poisoning is about as slim as getting struck by lightning.

Especially when no one can tell you with certainty exactly how many people die from the poisoning in Illinois, or nationally, for that matter. The Illinois Department of Public Health includes the accidental monoxide deaths with other poison fatalities, such as sulfur dioxide inhalation. In 2004, the latest year that figures were available, there were 21 such deaths. The Illinois Poison Center, whose figures are admittedly incomplete, has recorded only two carbon monoxide deaths since 2003.

Let's do the math: There are about 4.5 million households in Illinois; we can safely estimate that there are at least that many bedrooms in the state that require a detector. Figuring a detector costs anywhere from $20 to $60, that means that Illinois residents have to lay out $90 million to $270 million by Jan. 1 for the detectors. Assuming that Illinois has four accidental carbon monoxide deaths annually (which probably errs on the high side), the residents of Illinois are spending somewhere between $22.5million and $67.5 million for each life saved. No one wants to place a price on the value of a life, but that goes way beyond what is reasonable in the public or private sector at any level.

Some experts will concede that it's not a cost-effective way to prevent deaths, but they argue that the detectors have other important benefits. Dr. Michael Wahl, medical director of the Illinois Poison Center, said the health effects of carbon monoxide poisoning could be serious over the long run. He pointed to a study that found that exposure can increase the risk of a heart attack later in life. Dr. Jerrold B. Leikin, medical toxicologist with Evanston Northwestern Healthcare-Omega, said focusing only on fatalities overlooks the magnitude of serious illnesses associated with carbon monoxide poisoning, many of them indistinguishable from flu, food poisoning and neurological damage.

Others point out that the alarms will sound before anyone shows symptoms of poisoning, which could prevent serious harm. A study based on media accounts shows that cities, like Chicago, with mandatory detectors tend to have fewer carbon monoxide deaths.

Then there's the anecdotal evidence. "Oftentimes, when I diagnose a patient with accidental CO poisoning, the patient expresses how lucky he or she is," Leikin said in testimony to the Illinois House several years ago. "With general usage of these electronic detectors, luck can be taken out of the equation."

All right, all right already.

Here's where the libertarian rant is supposed to come about government not only prescribing what you can't do (eating trans fat), but also what you must do (wear a seat belt, buy carbon monoxide detectors). About the legislature, with hardly any notice, finally passing such a law after failing for years to do so. About doing the detector industry a big favor by passing the mandate. About actually making it a criminal violation, with time in jail, for ignoring the law.

But I can't rant. I'm worn out. It has just become too much. Who can be against a device that could save some lives and secure health?

Besides, how bad would I feel about my family--anyone's family--getting harmed or even dying, because I refused to shell out $20? Especially if the reason I refuse to buy one is because I don't want government telling me what to do.

After all is said and done, a carbon monoxide detector now adorns my bedroom.

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