Wildfire Smoke: A Guide for Public Health Officials

1 Wildfire Smoke A Guide for Public Health Officials Revised May 2016. environmental Protection Agency * Forest Service * Centers for Disease Control and Prevention * California Air Resources Board NOTE: This Guide , which was last revised in 2008, is designed to help local Public Health Officials prepare for smoke events, to take measures to protect the Public when smoke is present, and communicate with the Public about Wildfire smoke and Health . The 2016. version has been updated with the assistance and expertise from a number of federal and state agencies.

2 Please test drive this version during the 2016 Wildfire season and send us feedback. Is the information in the Guide clear? Are there additional materials, such as fact sheets, that would be helpful to you? Let us know what works well for you, and what doesn't. We'll use that feedback to create a new version, which we plan to distribute as early in the 2017 fire season as possible. The 2017 version will include additional features, such as downloadable fact sheets. Please provide your agency's feedback through the following organizations: Robert Vanderslice, Association of State and Territorial Health Officials : Kelly Poole, environmental Council of States: Jason Sloan, Association of Air Pollution Control Agencies: Nancy Krueger, National Association of Clean Air Agencies: Andy Bessler, National Tribal Air Association: Or contact us directly: Susan Lyon Stone, US environmental Protection Agency: Dr.

3 Wayne Cascio, US environmental Protection Agency: Pete Lahm, US Forest Service: 2. Acknowledgements This document, originally developed by the California Air Resources Board (CARB) and the California Department of Public Health (CDPH), is designed to help local Public Health Officials prepare for smoke events, to take measures to protect the Public when smoke is present, and communicate with the Public about Wildfire smoke and Health . The version has been updated with the assistance and expertise from a number of federal and state agencies, including: US Centers for Disease Control and Prevention Dr.

4 Paul Garbe and Scott Damon - Air Pollution and Respiratory Health Branch US Centers for Disease Control and Prevention The National Institute of Occupational Safety and Health Corey Butler - Western States Division William Haskell - National Personal Protective Technology Laboratory US environmental Protection Agency Dr. Wayne Cascio and Jason Sacks - Office of Research and Development Martha Berger - Office of Children's Health Protection Gregory Brunner - Office of Air and Radiation/Indoor Environments Division Susan Lyon Stone (Project Lead), Alison Davis, Phil Dickerson, Michelle Wayland and John White - Office of Air and Radiation/Office of Air Quality Planning and Standards Lawrence Berkeley National Laboratory William J.

5 Fisk - Indoor Environment Group US Forest Service Peter Lahm - Fire and Aviation Management, Washington Office Dr. Susan O'Neill - Pacific Northwest Research Station, Forest Service, AirFire Team Dr. Narasimhan (Sim) Larkin - Pacific Northwest Research Station, Forest Service, AirFire Team Roger Ottmar - Pacific Northwest Research Station, Forest Service, FERA Team Dr. Leland Tarnay - Pacific Southwest Research Station, Forest Service Mark Fitch - Fire Management Program, National Park Service Joshua Hyde - University of Idaho College of Natural Resources Pediatric environmental Health Specialty Units (PESHU).

6 Dr. Marissa Hauptman and Dr. Laura Anderko California Air Resources Board and Department of Public Health The California Air Resources Board (CARB) and California Department of Public Health 3. (CDPH) were the primary authors of the original two versions of this document. Peggy Jenkins (Indoor Exposure Assessment Section), Greg Vlasek (Office of Emergency Response) and Charles Pearson (California Air Response Planning Alliance) of CARB and Dr. Barbara Materna of CDPH provided extensive comments on this draft. The 2008 version of this document was written by Michael Lipsett and Barbara Materna, CDPH; Susan Lyon Stone, EPA; Shannon Therriault, Missoula County Health Department.

7 Robert Blaisdell, California Office of environmental Health Hazard Assessment; and Jeff Cook, CARB, with input from individuals in several other government agencies and academia. The original document was developed in part as a result of a workshop held at the University of Washington in June 2001, under the auspices of the environmental Protection Agency, Region X, and the Department of environmental Health , School of Public Health and Community Medicine of the University of Washington. Harriet Ammann, formerly with the Washington Department of Health , was a co-author of the first version of this Guide , which was written and disseminated in 2001-02.

8 The viewpoints and policies expressed herein do not necessarily represent those of the various agencies and organizations listed. Mention of any specific product name is neither an endorsement nor a recommendation for use. 4. Table of Contents Introduction .. 7. Composition of smoke .. 7. Characteristics of Wildfire smoke .. 8. Unified response to Wildfire smoke .. 11. Health effects of smoke .. 13. Sensitive populations .. 14. Specific strategies to reduce smoke exposure .. 17. Stay indoors .. 17. Reduce activity .. 18.

9 Reduce other sources of indoor air pollution .. 19. Use air conditioners and filters .. 19. Use room air cleaners .. 20. Avoid ozone generators .. 22. Create a clean room at 22. 23. Inside vehicles .. 23. Respiratory 24. Cleaner air shelters .. 29. Avoiding smoky periods .. 29. Closures .. 29. Evacuation .. 30. Summary of strategies for exposure reduction .. 30. Communicating particulate matter levels .. 32. Air Quality Index .. 32. AirNow .. 32. Forest Service wildland fire air quality monitoring website tool .. 35. Using visual range to assess smoke levels in the interior western United 36.

10 Recommendations for Public Health actions .. 38. Public service announcements .. 38. Public advisories and protective measures .. 39. Build strong partnerships .. 41. 5. References .. 46. Additional Resources and Links .. 48. Appendices .. 49. Appendix A: Guidance on Protecting Workers in Offices and Similar Indoor Workplaces from Wildfire Smoke (Adapted from Cal/OSHA) .. 50. Appendix B: Protect Your Lungs from Wildfire Smoke - Fact Sheet from California Department of Public Health .. 54. Appendix C: Hazards during Cleanup Work Following Wildfires from National Institute for Occupational Safety (NIOSH).