Wildland fire smoke health effects on wildland firefighters and the public

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This work combines a comprehensive literature review with extensive smoke exposure concentration data for wildland firefighters to estimate health risks specific to wildland fire smoke. First, we conducted a literature review to identify smoke components that present the highest health hazard potential, the mechanisms of their toxicity, and reviewed epidemiological studies to identify the current gaps in knowledge about the health impacts of wildland fire smoke exposure for firefighters and the public. Next, we examined wildland firefighter exposures, explored predictors of smoke exposures to determine factors influencing smoke exposure for wildland firefighters and estimated exposure to air pollutants using carbon monoxide (CO) as an indicator pollutant. Lastly, we estimated disease risk in wildland firefighters for exposure to particulate matter from smoke using firefighter specific breathing rates with existing exposure response relationship information for risk of lung cancer, ischemic heart disease and cardiovascular disease from cigarette smoking, which produces particulate matter with a similar size range.