Hi
@motacyclist -- at altitude the air becomes thinner as the ambient pressure drops and it's actually the pressure of Oxygen that counts to the body, not the %, although at a given ambient pressure the two are directly related.
Simple example is that at sea level the ambient pressure of oxygen is approximately 150mmHg, which is about 21% of air (the total pressure about 760mmHg = 100%)
At Everest base camp, ambient pressure is approximately half (i.e. approximately 400mmHg) and although oxygen is still 21% of the mix, the body has approximately half the oxygen available to it (because it's the pressure not the % that matters).
What this means is that we can learn from how the body reacts at altitude to infer what may be relevant in terms of oxygen depletion in a van (due to combustion).
According to this chart (
http://www.geography.hunter.cuny.edu/tbw/wc.notes/1.atmosphere/high.altitude/partial.pressure.html)
18.5% inspired oxygen (which is approximately 88% of sea level) would approximately be equivalent to 1000metres altitude -- i.e. lower than most ski resorts -- so on its own is very unlikely to be harmful in any way at all.
Of course in reality it's a bit more complex -- as build up of water vapour (from boiling the kettle) and extra exhaled co2 (as
@WelshGas) will slightly displace some Oxygen from the mix.
Most people start noticing ill effects of low oxygen at about 2500-3000 metres altitude and may start to get symptoms of altitude sickness after about 6-8hours exposure. Therefore I'd say it would be impossible to suffer severe acute hypoxia (lack of oxygen) toxicity from combustion within a van, in normal use.