Cited by 308Air Quality and Health ImpactsOccupational Health and PerformanceIndoor Air Quality and Microbial Exposure

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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

DOI 10.3109/08958378.2016.1145771

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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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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.
ORCID: Adetona, Olorunfemi
Adetona, Anna M.
Kleinman, Michael T.
Ottmar, Roger D.
Naeher, Luke P.
Venue: Inhalation Toxicology
Publisher: Informa UK Limited
Published: 2016-02-23
Volume: 28
Issue: 3
Pages: 95-139
ISSN: 0895-8378 (ISSN-L)
1091-7691
DOI: 10.3109/08958378.2016.1145771
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 › Medicine › Public Health, Environmental and Occupational Health › 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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