Cited by 309Air Quality and Health ImpactsOccupational Health and PerformanceIndoor Air Quality and Microbial Exposure

Review of the health effects of wildland fire smoke on wildland firefighters and the public

Adetona, Olorunfemi, Reinhardt, Timothy E., Domitrovich, Joe, Broyles, George, Adetona, Anna M., Kleinman, Michael T., Ottmar, Roger D., Naeher, Luke P.·2016·Inhalation Toxicology

Abstract

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.

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Registry

Crossref · 10.3109/08958378.2016.1145771

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291 of 291 references verified0 citation errors · 0 not checkable

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  • Of these deaths, 29% were a result of burnover and 21% were heart attacks.

    “Of these deaths, 29 % were a result of burnover and 21 % were heart attacks.”

    From The costs and losses of wildfires: a literature survey (2017) · cites this paper as [50]

  • From 1990 to 1998, 133 people died while involved in fighting wildfires.

    “From 1990 to 1998, 133 people died while involved in fighting wildfires.50”

    From The costs and losses of wildfires: a literature survey (2017) · cites this paper as [50]

  • The largest cause of death was vehicle related (23% due to aircraft accidents, 19% related to other vehicles).

    “The largest cause of death was vehicle related (23 % due to aircraft accidents, 19 % related to other vehicles).”

    From The costs and losses of wildfires: a literature survey (2017) · cites this paper as [50]

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Authors
Adetona, O., Reinhardt, T. E., Domitrovich, J., Broyles, G., Adetona, A. M., Kleinman, M. T., Ottmar, R. D., & Naeher, L. P.
Affiliations
  • University of Georgia (US)
  • Amec Foster Wheeler (United States) (US)
  • US Forest Service (US)
  • University of California, Irvine (US)
Corresponding author
Naeher, Luke P.
Venue
Inhalation Toxicology
Published
2016-02-23
Volume
28
Issue
3
Pages
95-139
ISSN
  • 0895-8378 (ISSN-L)
  • 1091-7691
OpenAlex
W2290155135
Cited by
305
References
291
Citations by year
2026: 23 · 2025: 46 · 2024: 37 · 2023: 42 · 2022: 37 · 2021: 50 · 2020: 23 · 2019: 20 · 2018: 13 · 2017: 10 · 2016: 4
FWCI
1.71
Type
journal article
Language
en
Open access
closed
Locations
  • Inhalation Toxicology (publishedVersion)
  • PubMed (publishedVersion)
Topics
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
  • Health Sciences › Health Professions › Occupational Therapy › Occupational Health and Performance
  • Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Indoor Air Quality and Microbial Exposure
Keywords
wildfire smoke, wildland firefighters, health effects, PM2.5, respiratory diseases, asthma, chronic obstructive pulmonary disease, cardiovascular effects, cardiopulmonary effects, disease mortality, hospitalization, emergency department visits, occupational exposure, cumulative exposure, exposure limits, exposure control
MeSH terms
Air Pollution, Environmental Exposure, Fires, Humans, Plants, Smoke, Wood, Forests

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