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Wildfire Smoke And Health: 5 Questions Answered

By: , Posted on: November 16, 2017

Wildfire creates an orange glow in a view from a hilltop Oct. 13, 2017, in Geyserville, California. AP Photo/Marcio Jose Sanchez

Editor’s note: The federal government has declared a public health emergency in Northern California due to wildfires burning across 10 counties. One major threat is smoke, which is causing unhealthy air levels across a wide area, including San Francisco. Atmospheric chemist Richard Peltier explains why smoke from wildfires is hazardous and what kinds of protection are effective.

What substances in wildfire smoke are most dangerous to human health? What kinds of impacts can they have?

Wood smoke contains a mixture of microscopic droplets and particles and invisible gases that spread downwind from the fire source. Surprisingly, relatively few studies have investigated the types of exposures we are now seeing in California. Most studies focus on very controlled laboratory experiments, or forest fire fighters who are working on controlled burning, or exposures people in developing nations experience when they use primitive cook stoves. None of these accurately reflects conditions that Californians are experiencing now.

Wood smoke is a very complicated mixture of material in the air, and much of it is known to affect human health. It comes from lots of different fuel sources, including mature trees, dried leaves, forest litter and, unfortunately, local homes. The emissions vary depending on what material is burning and whether it is smoldering or in flames.

For the most part, wildfire smoke is a mixture of carbon monoxide, volatile organic carbon and particles that include alkaline ash, black carbon and organic carbon, which usually contains polyaromatic hydrocarbon, a known cancer-causing agent.

Smoke from wildfires in Northern California, Oregon, Washington, Idaho and Montana blankets much of the Pacific Northwest on Sept. 5, 2017. NASA

Is a brief exposure, say for a few hours, dangerous, or is smoke mainly a concern if it lingers for days? How does distance from the fire affect risk?

We don’t fully know how the size and length of the dose affect risks, but the longer you are exposed to pollutants from wood smoke, the higher the risk of developing smoke-related illnesses. Short-term exposures to intense smoke can lead to lung and cardiovascular problems in some people, especially if they are already susceptible to these diseases. Longer-term exposure over a few days or weeks increases the risk and the chance of health impacts as your cumulative dose increases.

Smoke tends to become more diluted with distance from the source, but there really isn’t any way to estimate a safe distance where the pollutants are so diluted that they pose no risk. Eventually rainfall will clean all of this pollution from the atmosphere, but that can take days or even weeks. In the meantime, these pollutants can travel thousands of miles. That means air pollution from wildfires may threaten people who are far downwind.

Image of a plume of high-altitude smoke from a forest fire near Alaska, observed in northern Quebec, Canada, more than 2,000 miles away. Richard Peltier, CC BY-ND

How do the worst pollution levels from the wildfires in California compare to bad air days in a megacity like Beijing or Mumbai?

The concentrations of pollution in communities downwind of these fires are on par with what we see in rapidly growing cities such as Mumbai and Beijing. But there is an important difference. In California these pollutants affect a relatively small geographic area, and the affected areas can rapidly shift with changing weather patterns. In locations like Mumbai and Beijing, high concentrations are sustained across the entire region for days or even weeks. Everyone in the community has to endure them, and there is no practical escape. For now, though, Californians are experiencing what it’s like to live in a developing country without strong air pollution controls.

How should people in smoky areas protect themselves? Are there remedies they should avoid?

The most effective way to protect yourself is by staying with friends or family who live far away from the smoke. People who can’t leave the area should close windows and doors, and apply weather sealing if they detect smoke leaking in. Even masking tape can be reasonably effective. But most houses leak outside air indoors, so this strategy isn’t foolproof.

Portable high-efficiency filter devices – often marketed as HEPA – can remove indoor air pollution, but often are too small to be effective for an entire house. They are best used in individual rooms where people spend a great deal of time, such as a bedroom. And they can be very expensive.

N95 mask. Max-Leonhard von Schaper, CC BY

Products marketed as air fresheners that use odorants, such as scented candles or oil vaporizers that plug into an outlet, do nothing to improve air quality. They can actually make it worse. Similarly, products that “clean” the air using ozone can release ozone into your home, which is very hazardous.

Personal face mask respirators can also be effective, but not the cheap paper or cloth masks that many people in developing countries commonly use. The best choice is an N95-certified respirator, which is designed to protect workers from hazardous exposures on the job.

These masks are made of special fabric that is designed to catch particles before they can be inhaled. Paper masks are meant to protect you from contact with large droplets from someone who might be ill. N95 respirators block particles from entering your mouth and nose. They can be a little uncomfortable to wear, especially for long periods, but are pretty effective, and many retailers sell them.

What else do scientists want to know about wildfire smoke?

We have a pretty good understanding of the pollutants that wildfires emit and how they change over time, but we don’t have a firm grasp of how different health effects arise, who is most susceptible or what the long-term effects may be. It is not easy to predict where and when wildfires will occur, which makes it hard for scientists to evaluate individuals who have been exposed to smoke. Controlled laboratory studies give us some clues about what happens in the human body, but these exposures often are quite different from what happens in the real world.

The California fires are affecting thousands of people, and it is good to see that firefighters are starting to contain them. But there will be more wildfires, so we need to learn more about how smoke exposure affects people long after the fires end.

This article was originally published on The Conversation website under a Creative Commons Attribution 4.0 International License. Read the original here.

Chapter 19 Wildfires from Disasters and Public Health is available for a limited time on ScienceDirect.

This chapter explains the factors contributing to wildfire morbidity and mortality. As human habitation expands further into wildland areas, it increases the number of homes and individuals at risk. In addition to direct risks of burns and traumatic injuries, wildfire smoke can pose health risks over vast areas. Vulnerable populations with increased health risks from wildfire smoke include the very young, elderly, and those with existing respiratory or cardiovascular illnesses. There are a number of mitigation measures that may reduce the risk of wildfire injury. These measures range from simple lawn maintenance and watering to selection of less-flammable building materials and plants used for landscaping. Wildfire public notification and evacuation are essential to risk reduction. Rapid evacuation also results in acute healthcare needs such as oxygen tanks or concentrators, routine medications for diabetes and hypertension, devices for insulin delivery, and nebulizers. Local planning must address strategies to meet these critical materials.

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