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How wildfire smoke can harm your health, even from far away

View looking at a skyline with smoke below some of the towers and in the sky, creating red sun.
View at EarthSky Community Photos. | Michael Enright captured this image of Denver, Colorado, on May 23, 2023. Michael wrote: “Smoke over Denver early this morning.” Thank you, Michael. Read on to learn how wildfire smoke can affect human health from 100s of miles away.

Christopher T. Migliaccio, University of Montana

Smoke from more than 200 wildfires burning across Canada has been turning skies hazy in North American cities far from the flames. We asked Chris Migliaccio, a toxicologist at the University of Montana who studies the impact of wildfire smoke on human health, about the health risks people can face when smoke blows in from distant wildfires.

What’s in wildfire smoke that’s a problem?

When we talk about air quality, we often talk about PM2.5. That’s particulate matter 2.5 microns or smaller … small enough that it can travel deep into the lungs.

Exposure to PM2.5 from smoke or other air pollution, such as vehicle emissions, can exacerbate health conditions like asthma. It can also reduce lung function in ways that can worsen existing respiratory problems and even heart disease.

But the term PM2.5 only tells you about size, not composition. What is burning can make a significant difference in the chemistry.

A map of North America shows with wildfire smoke from fires across the U.S. and eastern Canada. Light smoke reached as far south as Texas and Georgia but can be high in the air.
Smoke from wildfires in Canada spread across a large part of the U.S. as of May 22, 2023. Even smoke high in the air reached places as far south as Texas and Georgia. Image via AirNow.gov.

In the northern Rockies, where I live, vegetation fuels most fires. But not all vegetation is the same. If the fire is in the wildland urban interface, manufactured fuels from homes and vehicles may also be burning. And that’s going to create its own toxic chemistry, as well. Chemists often talk about volatile organic compounds (VOCs), carbon monoxide and polycyclic aromatic hydrocarbons (PAHs, which result when biomass and other matter burns) having the potential to harm human health.

How does inhaling wildfire smoke harm human health?

If you have ever been around a campfire and got a blast of smoke in your face, you probably had some irritation. With exposure to wildfire smoke, you might get some irritation in the nose and throat and maybe some inflammation. If you’re healthy, your body for the most part will be able to handle it.

As with a lot of things, the dose makes the poison. Almost anything can be harmful at a certain dose.

Generally, cells in the lungs called alveolar macrophages will pick up the particulates and clear them out … at reasonable doses. It’s when the system gets overwhelmed that you can have a problem.

Illustration of a small section of lungs showing the alveoli and, within the alveoli, a close up of a microphage
Macrophages are in alveoli, which are tiny air sacs in the lungs. Image via The Conversation.

One concern is that smoke can suppress macrophage function, altering it enough that you become more susceptible to respiratory infection. A colleague who looked at lag time in the effect of wildfire smoke exposure found an increase in influenza cases after a bad fire season. Studies in developing countries have also found increases in respiratory infections with people who are cooking on open fires in homes.

The stress of an inflammatory response can also exacerbate existing health problems. Being exposed to wood smoke won’t independently cause someone to have a heart attack. But if they have underlying risk factors, such as significant plaque buildup, the added stress can increase the risk.

Researchers are also studying potential effects on the brain and nervous system from inhaled particulate matter.

Long-distance smoke and toxicity

When smoke blows over long distances, does its toxicity change? We know that the chemistry of wildfire smoke changes. The longer it’s in the atmosphere, the more ultraviolet light will alter the chemistry. But we still have a lot to learn.

Researchers have found that there seems to be a higher level of oxidation, so oxidants and free radicals are being generated the longer smoke is in the air. The specific health effects aren’t yet clear, but there’s some indication that more exposure leads to greater health effects.

The supposition is that more free radicals are generated the longer smoke is exposed to UV light, so there’s a greater potential for health harm. A lot of that, again, comes down to dose.

A photo looking out at the Denver skyline shows a very hazy cities.
Denver was listed among the world’s worst cities for air pollution on May 19, 2023, largely because of the wildfire smoke from Canada. Image via Colorado Air Pollution Control Division.

Chances are, if you’re a healthy individual, going for a bike ride or a hike in light haze won’t be a big deal, and your body will be able to recover.

If you’re doing that every day for a month in wildfire smoke, however, that raises more concerns. I’ve worked on studies with residents at Seeley Lake in Montana who were exposed to hazardous levels of PM2.5 from wildfire smoke for 49 days in 2017. We found a decrease in lung function a year later. No one was on oxygen, but there was a significant drop.

This is a relatively new area of research, and there’s still a lot we’re learning, especially with the increase in wildfire activity as the planet warms.

Take precautions to reduce your risk from wildfire smoke

If there is smoke in the air, you want to decrease your exposure.

Can you completely avoid the smoke? Not unless you’re in a hermetically sealed home. The PM levels aren’t much different indoors and out unless you have a really good HVAC system, such as those with MERV 15 or better filters. But going inside decreases your activity, so your breathing rate is slower and the amount of smoke you’re inhaling is likely lower.

A satellite animation shows smoke moving from fires in Alberta across Canada and into New England.
A satellite captures wildfire smoke on May 16, 2023. Image via NASA EarthData.

We also tend to advise people that if you’re in a susceptible group, such as those with asthma, create a safe space at home and in the office with a high-level stand-alone air filtration system to create a space with cleaner air.

Some masks can help. It doesn’t hurt to have a high-quality N95 mask. Just wearing a cloth mask won’t do much, though.

Most states have air quality monitors that can give you a sense of how bad the air quality is, so check those sites and act accordingly.The Conversation

Christopher T. Migliaccio, Research Associate Professor in Toxicology, University of Montana

This article is republished from The Conversation under a Creative Commons license. Read the original article.

Bottom line: Wildfire smoke can affect human health even at a distance. Learn how to take precautions to reduce your risk.

Read more: Canadian wildfires continue to rage with a smoky central US

Read more: Why wildfires create red suns and moons

The post How wildfire smoke can harm your health, even from far away first appeared on EarthSky.

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