Quantifying Exposure to Wildfire Smoke Among Schoolchildren in California, 2006 to 2021.
Ontology highlight
ABSTRACT:
SUBMITTER: Velasquez EE
PROVIDER: S-EPMC10077104 | biostudies-literature | 2023 Apr
REPOSITORIES: biostudies-literature
Publications
Quantifying Exposure to Wildfire Smoke Among Schoolchildren in California, 2006 to 2021.
Velásquez Esther E EE Benmarhnia Tarik T Casey Joan A JA Aguilera Rosana R Kiang Mathew V MV
JAMA network open 20230403 4
Similar Datasets
Project description:ObjectiveTo evaluate the association of short-term exposure to overall fine particulate matter of <2.5 μm (PM2.5 ) and wildfire-specific PM2.5 with emergency department (ED) visits for headache.BackgroundStudies have reported associations between PM2.5 exposure and headache risk. As climate change drives longer and more intense wildfire seasons, wildfire PM2.5 may contribute to more frequent headaches.MethodsOur study included adult Californian members (aged ≥18 years) of a large de-identified commercial and Medicare Advantage claims database from 2006 to 2020. We identified ED visits for primary headache disorders (subtypes: tension-type headache, migraine headache, cluster headache, and "other" primary headache). Claims included member age, sex, and residential zip code. We linked daily overall and wildfire-specific PM2.5 to residential zip code and conducted a time-stratified case-crossover analysis considering 7-day average PM2.5 concentrations, first for primary headache disorders combined, and then by headache subtype.ResultsAmong 9898 unique individuals we identified 13,623 ED encounters for primary headache disorders. Migraine was the most frequently diagnosed headache (N = 5534/13,623 [47.6%]) followed by "other" primary headache (N = 6489/13,623 [40.6%]). For all primary headache ED diagnoses, we observed an association of 7-day average wildfire PM2.5 (odds ratio [OR] 1.17, 95% confidence interval [CI] 0.95-1.44 per 10 μg/m3 increase) and by subtype we observed increased odds of ED visits associated with 7-day average wildfire PM2.5 for tension-type headache (OR 1.42, 95% CI 0.91-2.22), "other" primary headache (OR 1.40, 95% CI 0.96-2.05), and cluster headache (OR 1.29, 95% CI 0.71-2.35), although these findings were not statistically significant under traditional null hypothesis testing. Overall PM2.5 was associated with tension-type headache (OR 1.29, 95% CI 1.03-1.62), but not migraine, cluster, or "other" primary headaches.ConclusionsAlthough imprecise, these results suggest short-term wildfire PM2.5 exposure may be associated with ED visits for headache. Patients, healthcare providers, and systems may need to respond to increased headache-related healthcare needs in the wake of wildfires and on poor air quality days.
| S-EPMC10066880 | biostudies-literature
Project description:Zinfandel grapes are ubiquitous in California and its wine quality could be negatively impacted from wildfire smoke. Thus, the occurrence of fires prior to grape harvest presents a persistent problem to both viticulture and enology processes. This is the first broad study on Zinfandel to investigate wine quality defects produced by natural wildfires. The project, guided by UHPLC separations and MS2 multiple reaction monitoring, involved measuring natural product phenolic diglycosides (PDs) bioaccumulated in grapes, and expands outcomes published in 2022 by our team (called the Santa Cruz Campaign, SCC). The plan was implemented by exploiting a panel of six marker PDs 1-6 and their deuterated analogues. Examined in the study were 24 different Zinfandel wines obtained from 2016 to 2021 vintages of nine different American Viticulture Areas (AVAs) that were also within five of the eight California Zinfandel viticulture zones. The goal was to extend understanding on PD variations using patterns that possibly change as a function of appellation and fire intensity. Preliminary data was obtained to examine the relative amounts of PDs localized in berry skin versus pulp. The baseline of <15 ppb was proposed by surveying 18 distinct unsmoked Zinfandel wines. It was proposed to estimate the smoke impact on other Zinfandel wines by using seven PD ppb concentrations categories. A pilot study was also launched to assess conclusions by comparing ppb-based ratings versus sensory evaluation quality estimates. General findings presented herein should provide an important foundation to build understanding of using PD patterns to forecast possible Zinfandel wine wildfire damage.
| S-EPMC9501791 | biostudies-literature
Project description:BACKGROUND:Wildfire events are increasing in prevalence in the western United States. Research has found mixed results on the degree to which exposure to wildfire smoke is associated with an increased risk of mortality. METHODS:We tested for an association between exposure to wildfire smoke and non-traumatic mortality in Washington State, USA. We characterized wildfire smoke days as binary for grid cells based on daily average PM2.5 concentrations, from June 1 through September 30, 2006-2017. Wildfire smoke days were defined as all days with assigned monitor concentration above a PM2.5 value of 20.4 μg/m3, with an additional set of criteria applied to days between 9 and 20.4 μg/m3. We employed a case-crossover study design using conditional logistic regression and time-stratified referent sampling, controlling for humidex. RESULTS:The odds of all-ages non-traumatic mortality with same-day exposure was 1.0% (95% CI: - 1.0 - 4.0%) greater on wildfire smoke days compared to non-wildfire smoke days, and the previous day's exposure was associated with a 2.0% (95% CI: 0.0-5.0%) increase. When stratified by cause of mortality, odds of same-day respiratory mortality increased by 9.0% (95% CI: 0.0-18.0%), while the odds of same-day COPD mortality increased by 14.0% (95% CI: 2.0-26.0%). In subgroup analyses, we observed a 35.0% (95% CI: 9.0-67.0%) increase in the odds of same-day respiratory mortality for adults ages 45-64. CONCLUSIONS:This study suggests increased odds of mortality in the first few days following wildfire smoke exposure. It is the first to examine this relationship in Washington State and will help inform local and state risk communication efforts and decision-making during future wildfire smoke events.
| S-EPMC6958692 | biostudies-literature
Project description:Wildfire smoke is known to exacerbate respiratory conditions; however, evidence for cardiovascular and cerebrovascular events has been inconsistent, despite biological plausibility. A population-based epidemiologic analysis was conducted for daily cardiovascular and cerebrovascular emergency department (ED) visits and wildfire smoke exposure in 2015 among adults in 8 California air basins. A quasi-Poisson regression model was used for zip code-level counts of ED visits, adjusting for heat index, day of week, seasonality, and population. Satellite-imaged smoke plumes were classified as light, medium, or dense based on model-estimated concentrations of fine particulate matter. Relative risk was determined for smoky days for lag days 0 to 4. Rates of ED visits by age- and sex-stratified groups were also examined. Rates of all-cause cardiovascular ED visits were elevated across all lags, with the greatest increase on dense smoke days and among those aged ≥65 years at lag 0 (relative risk 1.15, 95% confidence interval [1.09, 1.22]). All-cause cerebrovascular visits were associated with smoke, especially among those 65 years and older, (1.22 [1.00, 1.49], dense smoke, lag 1). Respiratory conditions were also increased, as anticipated (1.18 [1.08, 1.28], adults >65 years, dense smoke, lag 1). No association was found for the control condition, acute appendicitis. Elevated risks for individual diagnoses included myocardial infarction, ischemic heart disease, heart failure, dysrhythmia, pulmonary embolism, ischemic stroke, and transient ischemic attack. Analysis of an extensive wildfire season found smoke exposure to be associated with cardiovascular and cerebrovascular ED visits for all adults, particularly for those over aged 65 years.
| S-EPMC6015400 | biostudies-literature
Project description:Climate change impacts and rapid development in the wildland-urban interface are increasing population exposure and vulnerability to the harmful effects of wildfire and wildfire smoke. The direct and indirect effects of these hazards may impact future mobility decisions among populations at risk. To better understand how perceptions and personal experience inform wildfire- and smoke-associated migration intentions, we surveyed a representative sample of 1108 California residents following the 2020 wildfire season. We assessed the associations between threat appraisal, coping appraisal, personal experience, migration intentions, the impact of wildfire and smoke on migration intentions and place satisfaction, and the potential likelihood of future migration. Results indicate that roughly a third of our sample intended to move in the next 5 years, nearly a quarter of whom reported that wildfire and smoke impacted their migration decision at least a moderate amount. Prior negative outcomes (e.g., evacuating, losing property) were associated with intentions to migrate. Perceived susceptibility and prior negative outcomes were associated with a greater impact of wildfire and smoke on migration intentions. For those intending to remain in place, prior negative outcomes were associated with a greater impact of wildfire and smoke on place satisfaction, which was in turn associated with a greater reported likelihood of future migration. Our findings suggest that perceptions of and experiences with wildfire and smoke may impact individual mobility decisions. These insights may be leveraged to inform risk communications and outreach campaigns to encourage wildfire and smoke risk mitigation behaviors and to improve climate migration modeling.Supplementary informationThe online version contains supplementary material available at 10.1007/s11111-022-00409-w.
| S-EPMC9399564 | biostudies-literature
Project description:In recent years, wildland fires have occurred more frequently and with increased intensity in many fire-prone areas. In addition to the direct life and economic losses attributable to wildfires, the emitted smoke is a major contributor to ambient air pollution, leading to significant public health impacts. Wildfire smoke is a complex mixture of particulate matter (PM), gases such as carbon monoxide, nitrogen oxide, and volatile and semi-volatile organic compounds. PM from wildfire smoke has a high content of elemental carbon and organic carbon, with lesser amounts of metal compounds. Epidemiological studies have consistently found an association between exposure to wildfire smoke (typically monitored as the PM concentration) and increased respiratory morbidity and mortality. However, previous reviews of the health effects of wildfire smoke exposure have not established a conclusive link between wildfire smoke exposure and adverse cardiovascular effects. In this review, we systematically evaluate published epidemiological observations, controlled clinical exposure studies, and toxicological studies focusing on evidence of wildfire smoke exposure and cardiovascular effects, and identify knowledge gaps. Improving exposure assessment and identifying sensitive cardiovascular endpoints will serve to better understand the association between exposure to wildfire smoke and cardiovascular effects and the mechanisms involved. Similarly, filling the knowledge gaps identified in this review will better define adverse cardiovascular health effects of exposure to wildfire smoke, thus informing risk assessments and potentially leading to the development of targeted interventional strategies to mitigate the health impacts of wildfire smoke.
| S-EPMC7791832 | biostudies-literature
Project description:BackgroundThe relationship between the risk of exposure to environmental hazards and the emergency preparedness of nursing homes is not well-understood. This study evaluates the association between wildfire exposure risk and nursing home emergency preparedness.MethodsFrom a sample of Centers for Medicare & Medicaid Services (CMS) certified nursing homes in California, we determined the prevalence of "exposed" facilities that were located within 5 km of a wildfire risk area, as informed by a field-tested model. Among the 1182 nursing homes, we identified emergency preparedness deficiencies from January 2017 to December 2019. We estimated associations between exposure and emergency preparedness deficiencies using unadjusted and adjusted generalized estimating equations with logistic and negative binomial distributions.ResultsA greater percentage of the 495 exposed facilities had at least one emergency preparedness deficiency than the 687 unexposed facilities (83.9% vs 76.9%). The mean (3.6 vs 3.2) and median (3 vs 2) numbers of emergency preparedness deficiencies were also greater for exposed facilities. In both the unadjusted and adjusted analyses, exposure to wildfire risk was significantly associated with the likelihood of at least one emergency preparedness deficiency (adjusted odds ratio 1.52, p-value 0.007). There was a positive but not statistically significant association between exposure and the number of emergency preparedness deficiencies assigned to a nursing home (adjusted rate ratio 1.12, p-value 0.062). These results were consistent in analyses that used more stringent distance- and severity-thresholds to define exposure status.ConclusionCalifornia nursing homes at heightened risk of exposure to wildfires have poorer emergency preparedness than unexposed facilities. These findings suggest that nursing home management and staff may be unaware of important environmental risks to which their facilities are exposed. Improved integration of nursing homes into community disaster planning may better align facility preparedness with surrounding wildfire risk.
| S-EPMC10023274 | biostudies-literature
Project description:BackgroundWildfire activity is predicted to increase in many parts of the world due to changes in temperature and precipitation patterns from global climate change. Wildfire smoke contains numerous hazardous air pollutants and many studies have documented population health effects from this exposure.ObjectivesWe aimed to assess the evidence of health effects from exposure to wildfire smoke and to identify susceptible populations.MethodsWe reviewed the scientific literature for studies of wildfire smoke exposure on mortality and on respiratory, cardiovascular, mental, and perinatal health. Within those reviewed papers deemed to have minimal risk of bias, we assessed the coherence and consistency of findings.DiscussionConsistent evidence documents associations between wildfire smoke exposure and general respiratory health effects, specifically exacerbations of asthma and chronic obstructive pulmonary disease. Growing evidence suggests associations with increased risk of respiratory infections and all-cause mortality. Evidence for cardiovascular effects is mixed, but a few recent studies have reported associations for specific cardiovascular end points. Insufficient research exists to identify specific population subgroups that are more susceptible to wildfire smoke exposure.ConclusionsConsistent evidence from a large number of studies indicates that wildfire smoke exposure is associated with respiratory morbidity with growing evidence supporting an association with all-cause mortality. More research is needed to clarify which causes of mortality may be associated with wildfire smoke, whether cardiovascular outcomes are associated with wildfire smoke, and if certain populations are more susceptible.CitationReid CE, Brauer M, Johnston FH, Jerrett M, Balmes JR, Elliott CT. 2016. Critical review of health impacts of wildfire smoke exposure. Environ Health Perspect 124:1334-1343; http://dx.doi.org/10.1289/ehp.1409277.
| S-EPMC5010409 | biostudies-literature
Project description:The 2019-20 Australian wildfires caused extreme haze events across New South Wales (NSW), which reduced photovoltaic (PV) power output. We analyze 30-min energy data from 160 geographically separated residential PV systems in NSW with a total capacity of 312 kW from 6 Nov 2019-15 Jan 2020. The observed mean power reduction rate for PV energy generation as a function of the fine particulate matter (PM2.5) concentration is 13 ± 2% per 100 μg/m3 of PM2.5. The resulting energy loss for residential and utility PV systems is estimated at 175 ± 35 GWh, equating to a worst-case financial loss of 19 ± 4 million USD. We found the relative impact to be most significant in the mornings and evenings, which may necessitate the installation of additional energy storage. As PV systems are sensitive to smoke and become ubiquitous, we propose employing them to support wildfire detection and monitoring.
| S-EPMC10845029 | biostudies-literature
Project description:Objectives. To describe demographic and social characteristics of US communities exposed to wildfire smoke. Methods. Using satellite-collected data on wildfire smoke with the locations of population centers in the coterminous United States, we identified communities potentially exposed to light-, medium-, and heavy-density smoke plumes for each day from 2011 to 2021. We linked days of exposure to smoke in each category of smoke plume density with 2010 US Census data and community characteristics from the Centers for Disease Control and Prevention's Social Vulnerability Index to describe the co-occurrence of smoke exposure and social disadvantage. Results. During the 2011-to-2021 study period, increases in the number of days of heavy smoke were observed in communities representing 87.3% of the US population, with notably large increases in communities characterized by racial or ethnic minority status, limited English proficiency, lower educational attainment, and crowded housing conditions. Conclusions. From 2011 to 2021, wildfire smoke exposures in the United States increased. As smoke exposure becomes more frequent and intense, interventions that address communities with social disadvantages might maximize their public health impact. (Am J Public Health. 2023;113(7):759-767. https://doi.org/10.2105/AJPH.2023.307286).
| S-EPMC10262248 | biostudies-literature