Working in Smoke:: Wildfire Impacts on the Health of Firefighters and Outdoor Workers and Mitigation Strategies

Overview

Journal Clin Chest Med

Specialty Pulmonary Medicine

Date 2020 Nov 6

PMID 33153693

Citations 18

Authors

Kathleen Navarro

Affiliations

Soon will be listed here.

Abstract

Wildland firefighters work on wildfire incidents all over the United States and perform arduous work under extreme work conditions, including exposure to smoke. Wildland fire smoke is a mixture of hazardous air pollutants. For assessing wildland firefighter exposure to smoke, most studies measured carbon monoixde (CO) and particulate matter and reported changes in lung health by measured lung function, airway responsiveness, and respiratory symptoms across individual work shifts and single fire seasons. All fire personnel should understand the hazards of smoke and develop ways to mitigate exposure to smoke.

Citing Articles

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Health effects of repeated exposures during wildland firefighting: a data-linkage cohort study from Alberta, Canada.

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References

Neitzel R, Naeher L, Paulsen M, Dunn K, Stock A, Simpson C . Biological monitoring of smoke exposure among wildland firefighters: a pilot study comparing urinary methoxyphenols with personal exposures to carbon monoxide, particular matter, and levoglucosan. J Expo Sci Environ Epidemiol. 2008; 19(4):349-58. DOI: 10.1038/jes.2008.21. View

Swiston J, Davidson W, Attridge S, Li G, Brauer M, van Eeden S . Wood smoke exposure induces a pulmonary and systemic inflammatory response in firefighters. Eur Respir J. 2008; 32(1):129-38. DOI: 10.1183/09031936.00097707. View

Navarro K, Kleinman M, Mackay C, Reinhardt T, Balmes J, Broyles G . Wildland firefighter smoke exposure and risk of lung cancer and cardiovascular disease mortality. Environ Res. 2019; 173:462-468. DOI: 10.1016/j.envres.2019.03.060. View

de Vos A, Cook A, Devine B, Thompson P, Weinstein P . Effect of protective filters on fire fighter respiratory health: field validation during prescribed burns. Am J Ind Med. 2008; 52(1):76-87. DOI: 10.1002/ajim.20651. View

Adetona O, Simpson C, Li Z, Sjodin A, Calafat A, Naeher L . Hydroxylated polycyclic aromatic hydrocarbons as biomarkers of exposure to wood smoke in wildland firefighters. J Expo Sci Environ Epidemiol. 2015; 27(1):78-83. PMC: 5140750. DOI: 10.1038/jes.2015.75. View

Orellano P, Quaranta N, Reynoso J, Balbi B, Vasquez J . Effect of outdoor air pollution on asthma exacerbations in children and adults: Systematic review and multilevel meta-analysis. PLoS One. 2017; 12(3):e0174050. PMC: 5358780. DOI: 10.1371/journal.pone.0174050. View

Liu D, Tager I, Balmes J, Harrison R . The effect of smoke inhalation on lung function and airway responsiveness in wildland fire fighters. Am Rev Respir Dis. 1992; 146(6):1469-73. DOI: 10.1164/ajrccm/146.6.1469. View

Adetona O, Hall D, Naeher L . Lung function changes in wildland firefighters working at prescribed burns. Inhal Toxicol. 2011; 23(13):835-41. DOI: 10.3109/08958378.2011.617790. View

Reisen F, Hansen D, Meyer C . Exposure to bushfire smoke during prescribed burns and wildfires: firefighters' exposure risks and options. Environ Int. 2010; 37(2):314-21. DOI: 10.1016/j.envint.2010.09.005. View

10.

Gaughan D, Piacitelli C, Chen B, Law B, Virji M, Edwards N . Exposures and cross-shift lung function declines in wildland firefighters. J Occup Environ Hyg. 2014; 11(9):591-603. PMC: 7781241. DOI: 10.1080/15459624.2014.895372. View

11.

Main L, Wolkow A, Tait J, Gatta P, Raines J, Snow R . Firefighter's Acute Inflammatory Response to Wildfire Suppression. J Occup Environ Med. 2019; 62(2):145-148. DOI: 10.1097/JOM.0000000000001775. View

12.

Miranda A, Martins V, Cascao P, Amorim J, Valente J, Tavares R . Monitoring of firefighters exposure to smoke during fire experiments in Portugal. Environ Int. 2010; 36(7):736-45. DOI: 10.1016/j.envint.2010.05.009. View

13.

Adetona A, Adetona O, Gogal Jr R, Diaz-Sanchez D, Rathbun S, Naeher L . Impact of Work Task-Related Acute Occupational Smoke Exposures on Select Proinflammatory Immune Parameters in Wildland Firefighters. J Occup Environ Med. 2017; 59(7):679-690. PMC: 6810646. DOI: 10.1097/JOM.0000000000001053. View

14.

Reinhardt T, Broyles G . Factors affecting smoke and crystalline silica exposure among wildland firefighters. J Occup Environ Hyg. 2018; 16(2):151-164. DOI: 10.1080/15459624.2018.1540873. View

15.

Henn S, Butler C, Li J, Sussell A, Hale C, Broyles G . Carbon monoxide exposures among U.S. wildland firefighters by work, fire, and environmental characteristics and conditions. J Occup Environ Hyg. 2019; 16(12):793-803. DOI: 10.1080/15459624.2019.1670833. View

16.

Adetona O, Reinhardt T, Domitrovich J, Broyles G, Adetona A, Kleinman M . Review of the health effects of wildland fire smoke on wildland firefighters and the public. Inhal Toxicol. 2016; 28(3):95-139. DOI: 10.3109/08958378.2016.1145771. View

17.

Hejl A, Adetona O, Diaz-Sanchez D, Carter J, Commodore A, Rathbun S . Inflammatory effects of woodsmoke exposure among wildland firefighters working at prescribed burns at the Savannah River Site, SC. J Occup Environ Hyg. 2013; 10(4):173-80. DOI: 10.1080/15459624.2012.760064. View

18.

Semmens E, Domitrovich J, Conway K, Noonan C . A cross-sectional survey of occupational history as a wildland firefighter and health. Am J Ind Med. 2016; 59(4):330-5. DOI: 10.1002/ajim.22566. View

19.

Adetona A, Kyle Martin W, Warren S, Hanley N, Adetona O, Zhang J . Urinary mutagenicity and other biomarkers of occupational smoke exposure of wildland firefighters and oxidative stress. Inhal Toxicol. 2019; 31(2):73-87. PMC: 6624838. DOI: 10.1080/08958378.2019.1600079. View

20.

Rajagopalan S, Al-Kindi S, Brook R . Air Pollution and Cardiovascular Disease: JACC State-of-the-Art Review. J Am Coll Cardiol. 2018; 72(17):2054-2070. DOI: 10.1016/j.jacc.2018.07.099. View