Each year, the general public and wildland firefighters in the US are exposed to smoke from wildland fires. As part of an effort to characterize health risks of breathing this smoke, a review of the literature was conducted using five major databases, including PubMed and MEDLINE Web of Knowledge, to identify smoke components that present the highest hazard potential, the mechanisms of toxicity, review epidemiological studies for health effects and identify the current gap in knowledge on the health impacts of wildland fire smoke exposure. Respiratory events measured in time series studies as incidences of disease-caused mortality, hospital admissions, emergency room visits and symptoms in asthma and chronic obstructive pulmonary disease patients are the health effects that are most commonly associated with community level exposure to wildland fire smoke. A few recent studies have also determined associations between acute wildland fire smoke exposure and cardiovascular health end-points. These cardiopulmonary effects were mostly observed in association with ambient air concentrations of fine particulate matter (PM2.5). However, research on the health effects of this mixture is currently limited. The health effects of acute exposures beyond susceptible populations and the effects of chronic exposures experienced by the wildland firefighter are largely unknown. Longitudinal studies of wildland firefighters during and/or after the firefighting career could help elucidate some of the unknown health impacts of cumulative exposure to wildland fire smoke, establish occupational exposure limits and help determine the types of exposure controls that may be applicable to the occupation.
Extensive measurements of smoke exposure among wildland firefighters are summarized, showing that firefighters can be exposed to significant levels of carbon monoxide and respiratory irritants, including formaldehyde, acrolein, and respirable particulate matter. Benzene was also measured and found to be well below permissible exposure limits, with the highest concentrations occurring among firefighters working with engines and torches burning petroleum-based fuel. Exposures to all pollutants were higher among firefighters at prescribed burns than at wildfires, while shift-average smoke exposures were lowest among firefighters who performed initial attack of wildfires in the early stages of the fires. Smoke exposure reaches its highest levels among firefighters maintaining fire within designated firelines and performing direct attack of spot fires that cross firelines. These events and the associated smoke exposures were positively correlated with increasing ambient wind speeds, which hamper fire management and carry the convective plume of the fire into firefighters' breathing zone. The pollutants measured in smoke were reasonably well-correlated with each other, enabling estimation of exposure to multiple pollutants in smoke from measurements of a single pollutant such as carbon monoxide.
[1] Research activities focused on estimating the direct emissions of carbon from wildland fires across North America are reviewed as part of the North American Carbon Program disturbance synthesis. A comparison of methods to estimate the loss of carbon from the terrestrial biosphere to the atmosphere from wildland fires is presented. Published studies on emissions from recent and historic time periods and five specific cases are summarized, and new emissions estimates are made using contemporary methods for a set of specific fire events. Results from as many as six terrestrial models are compared. We find that methods generally produce similar results within each case, but estimates vary based on site location, vegetation (fuel) type, and fire weather. Area normalized emissions range from 0.23 kg C m −2 for shrubland sites in southern California/NW Mexico to as high as 6.0 kg C m −2 in northern conifer forests. Total emissions range from 0.23 to 1.6 Tg C for a set of 2003 fires in chaparral-dominated landscapes of California to 3.9 to 6.2 Tg C in the dense conifer forests of western Oregon. While the results from models do not always agree, variations can be attributed to differences in model assumptions and methods, including the treatment of canopy consumption and methods to account for changes in fuel moisture, one of the main drivers of variability in fire emissions. From our review and synthesis, we identify key uncertainties and areas of improvement for understanding the magnitude and spatial-temporal patterns of pyrogenic carbon emissions across North America.
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