Fabienne Reisen

Implications for Community Health from Exposure to Bushfire Air Toxics

Environmental Context. Significant bushfires have recently occurred in Indonesia (1997), Europe (2002), Australia (2000–2001) and the USA (2003), and burned large areas over extended periods of time. They cause widespread and serious air pollution through the release of respirable particles and other toxic air contaminants. These large fire events have shown clear impacts on community health and have caused increasing concern about the impact of bushfire smoke, whether from accidental or planned fires, on the health of surrounding communities. Abstract. Bushfires can cause widespread air pollution through the emission of high levels of toxic air contaminants that affect the health of surrounding communities. This review of studies that have evaluated the health impacts of bushfires in North America, Australia and South-East Asia shows that the primary pollutant consistently exceeding air quality guidelines is particulate matter. Elevated levels of respirable particles are likely to be the major cause of the higher number of hospital visits and admissions for respiratory and/or cardiovascular treatment, increased mortality, and elevated respiratory-related symptoms that were observed in communities after major bushfire events. Morbidity effects were found to be mostly short-lived and reversible after exposure ceased, and were more prevalent among susceptible groups such as asthmatics, children, the elderly, and people with pre-existing respiratory and/or cardiac illnesses. Implications of such exposures to the Australian population will be discussed in relation to existing (urban) air quality measures and options for community response to bushfire events.

Exposure to bushfire smoke during prescribed burns and wildfires: Firefighters’ exposure risks and options

Firefighters are exposed to known health-damaging air pollutants present in bushfire smoke and poorly managed exposure can result in serious health issues. A better understanding of exposure levels and the major factors influencing exposures is crucial for the development of mitigation strategies to minimise exposure risks and adverse health impacts. This study monitored air toxics within the breathing zone of firefighters at prescribed burns and at wildfires in Australia. The results showed that exposure levels were highly variable, with higher exposures (sometimes exceeding occupational exposure standards) associated with particular work tasks (such as patrol and suppression) and with certain burn conditions. The majority of firefighters exposures were at low and moderate levels (~60%), however considerable attention should be given to the high (~30%) and very high (6%) exposure risk situations for which acute and chronic health risks are very likely and for which control strategies should be developed and implemented to minimise health risks.

Impact of smoke from prescribed burning: Is it a public health concern?

Given the increase in wildfire intensity and frequency worldwide, prescribed burning is becoming a more common and widespread practice. Prescribed burning is a fire management tool used to reduce fuel loads for wildfire suppression purposes and occurs on an annual basis in many parts of the world. Smoke from prescribed burning can have a substantial impact on air quality and the environment. Prescribed burning is a significant source of fine particulate matter (PM2.5 aerodynamic diameter < 2.5µm) and these particulates are found to be consistently elevated during smoke events. Due to their fine nature PM2.5 are particularly harmful to human health. Here we discuss the impact of prescribed burning on air quality particularly focussing on PM2.5. We have summarised available case studies from Australia including a recent study we conducted in regional Victoria, Australia during the prescribed burning season in 2013. The studies reported very high short-term (hourly) concentrations of PM2.5 during prescribed burning. Given the increase in PM2.5 concentrations during smoke events, there is a need to understand the influence of prescribed burning smoke exposure on human health. This is important especially since adverse health impacts have been observed during wildfire events when PM2.5 concentrations were similar to those observed during prescribed burning events. Robust research is required to quantify and determine health impacts from prescribed burning smoke exposure and derive evidence based interventions for managing the risk. Implications: Given the increase in PM2.5 concentrations during PB smoke events and its impact on the local air quality, the need to understand the influence of PB smoke exposure on human health is important. This knowledge will be important to inform policy and practice of the integrated, consistent, and adaptive approach to the appropriate planning and implementation of public health strategies during PB events. This will also have important implications for land management and public health organizations in developing evidence based objectives to minimize the risk of PB smoke exposure.

Wildfire smoke and public health risk

Wildfire activity is predicted to increase with global climate change, resulting in longer fire seasons and larger areas burned. The emissions from fires are highly variable owing to differences in fuel, burning conditions and other external environmental factors. The smoke that is generated can impact human populations spread over vast geographical areas. Wildfire smoke is a complex mixture of pollutants that can undergo physical and chemical transformation processes during transport and can have major impacts on air quality and public health. This review looks at the main features of smoke that should be considered in the assessment of public health risk. It describes the current state of knowledge and discusses how smoke is produced, what factors affect emissions and smoke distribution, and what constituents of smoke are most likely to cause adverse health effects.

Health effects of smoke from planned burns: a study protocol

BackgroundLarge populations are exposed to smoke from bushfires and planned burns. Studies investigating the association between bushfire smoke and health have typically used hospital or ambulance data and been done retrospectively on large populations. The present study is designed to prospectively assess the association between individual level health outcomes and exposure to smoke from planned burns.Methods/designA prospective cohort study will be conducted during a planned burn season in three locations in Victoria (Australia) involving 50 adult participants who undergo three rounds of cardiorespiratory medical tests, including measurements for lung inflammation, endothelial function, heart rate variability and markers of inflammation. In addition daily symptoms and twice daily lung function are recorded. Outdoor particulate air pollution is continuously measured during the study period in these locations. The data will be analysed using mixed effect models adjusting for confounders.DiscussionPlanned burns depend on weather conditions and dryness of ‘fuels’ (i.e. forest). It is potentially possible that no favourable conditions occur during the study period. To reduce the risk of this occurring, three separate locations have been identified as having a high likelihood of planned burn smoke exposure during the study period, with the full study being rolled out in two of these three locations. A limitation of this study is exposure misclassification as outdoor measurements will be conducted as a measure for personal exposures. However this misclassification will be reduced as participants are only eligible if they live in close proximity to the monitors.