Cited by 47Occupational Health and PerformanceAir Quality and Health ImpactsOccupational exposure and asthma

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Respiratory Outcomes of Firefighter Exposures in the Fort McMurray Fire: A Cohort Study From Alberta Canada

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Cherry, Nicola, Barrie, James R., Beach, Jeremy, Galarneau, Jean-Michel, Mhonde, Trish, Wong, Eric·2021·Journal of Occupational & Environmental Medicine

Abstract

Objective: Determine effects on respiratory health of firefighters attending a catastrophic wildfire. Methods: Within the Alberta Administrative Health Database, we identified five community-based controls for each firefighter in a cohort of 1234 deployed to the 2016 Fort McMurray fire. Spirometry records were identified and a stratified sample assessed clinically. We estimated PM 2.5 particles exposure. Results: Firefighters had an increased risk of asthma consultation post-fire (OR new onset asthma = 2.56; 95%CI 1.75 to 3.74). Spirometry showed decreased FEV 1 and FVC with increasing exposure. In the clinical assessment, 20% had a positive MCT and 21% BWT. Those with ongoing fire-related symptoms had a higher concurrence of positive MCT and BWT (OR = 4.35; 95%CI 1.11 to 17.12). Lower diffusion capacity related to higher exposure. Conclusions: Massive exposures during a wildfire are associated with non-resolving airways damage.

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Metadata

Authors
Cherry, N., Barrie, J. R., Beach, J., Galarneau, J.-M., Mhonde, T., & Wong, E.
Affiliations
University of Alberta (CA)
Corresponding author
Cherry, Nicola
Venue
Journal of Occupational & Environmental Medicine
Published
2021-06-09
Volume
63
Issue
9
Pages
779-786
ISSN
  • 1076-2752 (ISSN-L)
  • 1536-5948
OpenAlex
W3172466539
Cited by
47
References
1
Citations by year
2026: 19 · 2025: 10 · 2024: 7 · 2023: 10 · 2021: 1
FWCI
7.41
Type
journal article
Language
en
Open access
Locations
  • Journal of Occupational and Environmental Medicine (publishedVersion, cc-by-nc-nd)
  • PubMed (publishedVersion)
Funders
Canadian Institutes of Health Research
Topics
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational Health and Performance
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
  • Health Sciences › Medicine › Public Health, Environmental and Occupational Health › Occupational exposure and asthma
Keywords
firefighters, wildfire exposure, respiratory health, asthma, spirometry, PM2.5, carbon monoxide, bronchial provocation test, airway hyperresponsiveness, diffusion capacity, occupational exposure
MeSH terms
Wildfires, Alberta, Fires, Humans, Cohort Studies, Occupational Exposure, Firefighters

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