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      Social Vulnerability in US Communities Affected by Wildfire Smoke, 2011 to 2021

      1 , 1 , 1 , 1
      American Journal of Public Health
      American Public Health Association

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          Abstract

          Objectives. To describe demographic and social characteristics of US communities exposed to wildfire smoke.

          Methods. Using satellite-collected data on wildfire smoke with the locations of population centers in the coterminous United States, we identified communities potentially exposed to light-, medium-, and heavy-density smoke plumes for each day from 2011 to 2021. We linked days of exposure to smoke in each category of smoke plume density with 2010 US Census data and community characteristics from the Centers for Disease Control and Prevention’s Social Vulnerability Index to describe the co-occurrence of smoke exposure and social disadvantage.

          Results. During the 2011-to-2021 study period, increases in the number of days of heavy smoke were observed in communities representing 87.3% of the US population, with notably large increases in communities characterized by racial or ethnic minority status, limited English proficiency, lower educational attainment, and crowded housing conditions.

          Conclusions. From 2011 to 2021, wildfire smoke exposures in the United States increased. As smoke exposure becomes more frequent and intense, interventions that address communities with social disadvantages might maximize their public health impact. (Am J Public Health. 2023;113(7):759–767. https://doi.org/10.2105/AJPH.2023.307286 )

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          Most cited references44

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          Social Vulnerability to Environmental Hazards*

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            Critical Review of Health Impacts of Wildfire Smoke Exposure

            Background: Wildfire activity is predicted to increase in many parts of the world due to changes in temperature and precipitation patterns from global climate change. Wildfire smoke contains numerous hazardous air pollutants and many studies have documented population health effects from this exposure. Objectives: We aimed to assess the evidence of health effects from exposure to wildfire smoke and to identify susceptible populations. Methods: We reviewed the scientific literature for studies of wildfire smoke exposure on mortality and on respiratory, cardiovascular, mental, and perinatal health. Within those reviewed papers deemed to have minimal risk of bias, we assessed the coherence and consistency of findings. Discussion: Consistent evidence documents associations between wildfire smoke exposure and general respiratory health effects, specifically exacerbations of asthma and chronic obstructive pulmonary disease. Growing evidence suggests associations with increased risk of respiratory infections and all-cause mortality. Evidence for cardiovascular effects is mixed, but a few recent studies have reported associations for specific cardiovascular end points. Insufficient research exists to identify specific population subgroups that are more susceptible to wildfire smoke exposure. Conclusions: Consistent evidence from a large number of studies indicates that wildfire smoke exposure is associated with respiratory morbidity with growing evidence supporting an association with all-cause mortality. More research is needed to clarify which causes of mortality may be associated with wildfire smoke, whether cardiovascular outcomes are associated with wildfire smoke, and if certain populations are more susceptible. Citation: Reid CE, Brauer M, Johnston FH, Jerrett M, Balmes JR, Elliott CT. 2016. Critical review of health impacts of wildfire smoke exposure. Environ Health Perspect 124:1334–1343; http://dx.doi.org/10.1289/ehp.1409277
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              The MODIS fire products

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                Author and article information

                Journal
                American Journal of Public Health
                Am J Public Health
                American Public Health Association
                0090-0036
                1541-0048
                July 2023
                July 2023
                : 113
                : 7
                : 759-767
                Affiliations
                [1 ]Jason Vargo is with the Federal Reserve Bank of San Francisco, San Francisco, CA. Brooke Lappe is a doctoral student in the Gangarosa Department of Environmental Health, Rollins School of Public Health, Emory University, Atlanta, GA. Maria C. Mirabelli is with the Asthma and Community Health Branch, Division of Environmental Health Science and Practice, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, GA. Kathryn C. Conlon is with the Department of Public...
                Article
                10.2105/AJPH.2023.307286
                10262248
                37285572
                d7756509-9e0b-4aba-974f-05c705503ea3
                © 2023
                History

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