2023 · Paper 1 · Question 7 · 6 marks
SaveCarbon monoxide (CO) is released during incomplete combustion of fossil fuels.
Figure 7 shows the dissociation curve for oxyhaemoglobin when:
• not exposed to CO • exposed to CO such that 50% of the oxygen binding sites are occupied by CO (50% COHb).
Using Figure 7, what can you conclude about how exposure to CO affects the loading and unloading of oxygen by haemoglobin?
Explain your answer.

The World Health Organisation (WHO) suggests that to avoid long-term health effects, COHb concentrations should be kept below 2.5%.
WHO recommends that people should not be exposed to:
• air with > 10 mg m–3 CO for more than 8 hours • air with > 30 mg m–3 CO for more than 1 hour.
Scientists have used a mathematical model to calculate the exposure to carbon monoxide that would result in 2.5% COHb in both adults and children.
Table 2 shows the scientists' results.
The scientists suggest that the WHO recommendations for carbon monoxide concentrations resulting in 2.5% COHb should be reduced.
Evaluate the scientists' conclusion.