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Abstract Wildfires cause elevated air pollution that can be detrimental to human health. However, health impact assessments associated with emissions from wildfire events are subject to uncertainty arising from different sources. Here, we quantify and compare major uncertainties in mortality and morbidity outcomes of exposure to fine particulate matter (PM2.5) pollution estimated for a series of wildfires in the Southeastern U.S. We present an approach to compare uncertainty in estimated health impacts specifically due to two driving factors, wildfire‐related smoke PM2.5fields and variability in concentration‐response parameters from epidemiologic studies of ambient and smoke PM2.5. This analysis, focused on the 2016 Southeastern wildfires, suggests that emissions from these fires had public health consequences in North Carolina. Using several methods based on publicly available monitor data and atmospheric models to represent wildfire‐attributable PM2.5, we estimate impacts on several health outcomes and quantify associated uncertainty. Multiple concentration‐response parameters derived from studies of ambient and wildfire‐specific PM2.5are used to assess health‐related uncertainty. Results show large variability and uncertainty in wildfire impact estimates, with comparable uncertainties due to the smoke pollution fields and health response parameters for some outcomes, but substantially larger health‐related uncertainty for several outcomes. Consideration of these uncertainties can support efforts to improve estimates of wildfire impacts and inform fire‐related decision‐making.
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Wildfire Smoke Is Associated With an Increased Risk of Cardiorespiratory Emergency Department Visits in Alaska
Abstract Alaskan wildfires have major ecological, social, and economic consequences, but associated health impacts remain unexplored. We estimated cardiorespiratory morbidity associated with wildfire smoke (WFS) fine particulate matter with a diameter less than 2.5 μm (PM2.5) in three major population centers (Anchorage, Fairbanks, and the Matanuska‐Susitna Valley) during the 2015–2019 wildfire seasons. To estimate WFS PM2.5, we utilized data from ground‐based monitors and satellite‐based smoke plume estimates. We implemented time‐stratified case‐crossover analyses with single and distributed lag models to estimate the effect of WFS PM2.5on cardiorespiratory emergency department (ED) visits. On the day of exposure to WFS PM2.5, there was an increased odds of asthma‐related ED visits among 15–65 year olds (OR = 1.12, 95% CI = 1.08, 1.16), people >65 years (OR = 1.15, 95% CI = 1.01, 1.31), among Alaska Native people (OR = 1.16, 95% CI = 1.09, 1.23), and in Anchorage (OR = 1.10, 95% CI = 1.05, 1.15) and Fairbanks (OR = 1.12, 95% CI = 1.07, 1.17). There was an increased risk of heart failure related ED visits for Alaska Native people (Lag Day 5 OR = 1.13, 95% CI = 1.02, 1.25). We found evidence that rural populations may delay seeking care. As the frequency and magnitude of Alaskan wildfires continue to increase due to climate change, understanding the health impacts will be imperative. A nuanced understanding of the effects of WFS on specific demographic and geographic groups facilitates data‐driven public health interventions and fire management protocols that address these adverse health effects.
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- Award ID(s):
- 1757348
- PAR ID:
- 10361978
- Publisher / Repository:
- DOI PREFIX: 10.1029
- Date Published:
- Journal Name:
- GeoHealth
- Volume:
- 5
- Issue:
- 5
- ISSN:
- 2471-1403
- Format(s):
- Medium: X
- Sponsoring Org:
- National Science Foundation
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