Asthma exacerbation due to climate change-induced wildfire smoke in the Western US

Climate change and human activities have drastically altered the natural wildfire balance in the Western US and increased population health risks due to exposure to pollutants from fire smoke. Using dynamically downscaled climate model projections, we estimated additional asthma emergency room visit...

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Main Authors: Jennifer D Stowell, Cheng-En Yang, Joshua S Fu, Noah C Scovronick, Matthew J Strickland, Yang Liu
Format: Article
Language:English
Published: IOP Publishing 2021-01-01
Series:Environmental Research Letters
Subjects:
Online Access:https://doi.org/10.1088/1748-9326/ac4138
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author Jennifer D Stowell
Cheng-En Yang
Joshua S Fu
Noah C Scovronick
Matthew J Strickland
Yang Liu
author_facet Jennifer D Stowell
Cheng-En Yang
Joshua S Fu
Noah C Scovronick
Matthew J Strickland
Yang Liu
author_sort Jennifer D Stowell
collection DOAJ
description Climate change and human activities have drastically altered the natural wildfire balance in the Western US and increased population health risks due to exposure to pollutants from fire smoke. Using dynamically downscaled climate model projections, we estimated additional asthma emergency room visits and hospitalizations due to exposure to smoke fine particulate matter (PM _2.5 ) in the Western US in the 2050s. Isolating the amount of PM _2.5 from wildfire smoke is both difficult to estimate and, thus, utilized by relatively few studies. In this study, we use a sophisticated modeling approach to estimate future increase in wildfire smoke exposure over the reference period (2003–2010) and subsequent health care burden due to asthma exacerbation. Average increases in smoke PM _2.5 during future fire season ranged from 0.05 to 9.5 µ g m ^−3 with the highest increases seen in Idaho, Montana, and Oregon. Using the Integrated Climate and Land-Use Scenarios (ICLUS) A2 scenario, we estimated the smoke-related asthma events could increase at a rate of 15.1 visits per 10 000 persons in the Western US, with the highest rates of increased asthma (25.7–41.9 per 10 000) in Idaho, Montana, Oregon, and Washington. Finally, we estimated healthcare costs of smoke-induced asthma exacerbation to be over $1.5 billion during a single future fire season. Here we show the potential future health impact of climate-induced wildfire activity, which may serve as a key tool in future climate change mitigation and adaptation planning.
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spelling doaj.art-f2b6c46ee9984a81974eddbd8cfad4cb2023-08-09T15:22:32ZengIOP PublishingEnvironmental Research Letters1748-93262021-01-0117101402310.1088/1748-9326/ac4138Asthma exacerbation due to climate change-induced wildfire smoke in the Western USJennifer D Stowell0https://orcid.org/0000-0001-6879-7149Cheng-En Yang1https://orcid.org/0000-0002-4069-4997Joshua S Fu2https://orcid.org/0000-0001-5464-9225Noah C Scovronick3https://orcid.org/0000-0003-1410-3337Matthew J Strickland4Yang Liu5https://orcid.org/0000-0001-5477-2186Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University , Atlanta, GA, 30322, United States of America; Department of Environmental Health, Boston University School of Public Health , Boston, MA, 02118, United States of AmericaDepartment of Civil and Environmental Engineering, University of Texas Knoxville , Knoxville, TN, 37996, United States of AmericaDepartment of Civil and Environmental Engineering, University of Texas Knoxville , Knoxville, TN, 37996, United States of AmericaGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University , Atlanta, GA, 30322, United States of AmericaSchool of Community Health Sciences, University of Nevada Reno , Reno, NV, 89557, United States of AmericaGangarosa Department of Environmental Health, Rollins School of Public Health, Emory University , Atlanta, GA, 30322, United States of AmericaClimate change and human activities have drastically altered the natural wildfire balance in the Western US and increased population health risks due to exposure to pollutants from fire smoke. Using dynamically downscaled climate model projections, we estimated additional asthma emergency room visits and hospitalizations due to exposure to smoke fine particulate matter (PM _2.5 ) in the Western US in the 2050s. Isolating the amount of PM _2.5 from wildfire smoke is both difficult to estimate and, thus, utilized by relatively few studies. In this study, we use a sophisticated modeling approach to estimate future increase in wildfire smoke exposure over the reference period (2003–2010) and subsequent health care burden due to asthma exacerbation. Average increases in smoke PM _2.5 during future fire season ranged from 0.05 to 9.5 µ g m ^−3 with the highest increases seen in Idaho, Montana, and Oregon. Using the Integrated Climate and Land-Use Scenarios (ICLUS) A2 scenario, we estimated the smoke-related asthma events could increase at a rate of 15.1 visits per 10 000 persons in the Western US, with the highest rates of increased asthma (25.7–41.9 per 10 000) in Idaho, Montana, Oregon, and Washington. Finally, we estimated healthcare costs of smoke-induced asthma exacerbation to be over $1.5 billion during a single future fire season. Here we show the potential future health impact of climate-induced wildfire activity, which may serve as a key tool in future climate change mitigation and adaptation planning.https://doi.org/10.1088/1748-9326/ac4138Wildfireclimate changeasthmarespiratoryPM2.5smoke
spellingShingle Jennifer D Stowell
Cheng-En Yang
Joshua S Fu
Noah C Scovronick
Matthew J Strickland
Yang Liu
Asthma exacerbation due to climate change-induced wildfire smoke in the Western US
Environmental Research Letters
Wildfire
climate change
asthma
respiratory
PM2.5
smoke
title Asthma exacerbation due to climate change-induced wildfire smoke in the Western US
title_full Asthma exacerbation due to climate change-induced wildfire smoke in the Western US
title_fullStr Asthma exacerbation due to climate change-induced wildfire smoke in the Western US
title_full_unstemmed Asthma exacerbation due to climate change-induced wildfire smoke in the Western US
title_short Asthma exacerbation due to climate change-induced wildfire smoke in the Western US
title_sort asthma exacerbation due to climate change induced wildfire smoke in the western us
topic Wildfire
climate change
asthma
respiratory
PM2.5
smoke
url https://doi.org/10.1088/1748-9326/ac4138
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