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US air quality impacted by Canadian wildfire smoke

Millions of people in the US are under air quality alerts as smoke from Canadian wildfires sweeps through the Midwest and East Coast.

The smoke is can cause health problems such as trouble breathing, burning eyes, dizziness, headache or nausea. Doctors say people whose symptoms are getting worse should get medical attention.

Here’s what they want everyone to know about staying healthy and avoiding problems when the air is thick with smoke.

Why does wildfire smoke make it so difficult to breathe? “This is like small, very tiny particulate matter that goes deep into the airways. It’s not an allergen; it’s an irritant. And so an irritant can affect anyone’s lungs and cause you to start coughing and feeling that throat itchiness,” said Dr. Shilpa Patel, medical director of Children’s National IMPACT DC Asthma Clinic in Washington.

Is there any way people can be protected while outside? “We do have some natural protection. Our nasal hairs can protect us from a lot of these particles. But these are really small particles from the wildfires, so it’s not enough,” said Dr. Aida Capo, a pulmonologist with Hackensack Meridian Palisades Medical Center in New Jersey.

“The recommendation is not to be outside, but if you want to wear a mask to help, absolutely wear one and then make sure it is an N95, not a surgical mask. A surgical mask’s not going to protect you from getting these particles in your airways, because it’s just not quite enough. If you have to be outdoors for an extended length of time, an N95 will decrease some of these small particles in your airways, but they have to be worn appropriately, and it’s hard to wear an N95 for an extended length of time,” she said.

Patel advises “reducing strenuous physical activity which requires deep breathing. If you have to walk, walk, but I wouldn’t go for a run or a jog.”

“Just be prudent about your decision to be outside,” she added. “And keep in mind, even if you go outside and it doesn’t bother you, it could affect you later. Because these are small particulates, so they go deep into your airways, and the response could be a little bit delayed.”

According to Dr. David Rosenberg, a specialist in pulmonary disease at UH Ahuja Medical Center in Cleveland, where residents are also seeing poor air quality conditions due to wildfire smoke, “these particulates are particularly irritating to your upper airway, your nose or your throat and your eyes, so if you feel any of this, it is a warning sign. We have sensitive neurological sensors that can act like an alarm that means you’re potentially breathing something harmful, so you should heed that warning and go inside.”

People with pets will need to go outside, but experts suggest minimizing time and trips.

“Pets have to go outside and use their facilities, but don’t go out running with them, and minimize their time outside, too,” Dr. Peter DeCarlo, an associate professor in the Department of Environmental Health and Engineering at Johns Hopkins University, said. “If you can, just walk a little bit more slowly so you’re not breathing as deeply. That can help.”

Read more here.

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Chauncey Koziol

Update: 2024-08-25