Sign In or Create an Account.

By continuing, you agree to the Terms of Service and acknowledge our Privacy Policy

Guides

How to Prepare for Wildfire Smoke, According to Doctors at Harvard

Experts explain what you can do about the smoke engulfing the East Coast and Midwest.

The Statue of Liberty with a cotton ball on its head.
Heatmap Illustration/Getty Images

Canadian wildfire smoke has descended upon large swaths of the Midwest and Eastern United States this week, and as of publication tens of millions of Americans are living under air quality alerts warning them not to go outside. As my colleague Jeva Lange writes, the air in New York City today is reminiscent of a time before the Clean Air Act existed.

Wildfires, for the most part, have historically been the purview of the West; East Coasters, accustomed to hurricanes and blizzards, have mostly managed to avoid the fallout from forest fires. That’s not quite so true anymore, and this week’s smoke is a likely preview of how things will work in the future. So how should people react when smoke makes its way to their cities?

To find out, I called up two doctors from Harvard’s T.H. Chan School of Public Health: Francesca Dominici, professor of biostatistics, population, and data science; and Kimberly Humphrey, an emergency physician and a fellow at the school’s Center for Climate, Health, and the Global Environment. I spoke separately to Dominici and Humphrey; our conversations have been combined and edited for length and clarity.

Let’s begin with the broad strokes. How should people be thinking about this smoke?

Dominici: I think the way to think about it is not to be overly panicking, but maybe it’s a day to not spend hours outside exercising. For people that have compromised immune systems or existing respiratory or cardiovascular diseases, it would be good to limit outdoor exposure as much as possible. So don't panic but be cautious.

What is this smoke made of? What kind of particles are you concerned about?

Humphrey: Smoke from wildfires is a complex mixture of things. The thing about wildfires is they can burn anything. If a house is burning, for example, you have really complex mixtures of whatever is in that house that’s going into the air.

The one that we really worry about is the fine particles, which are known as PM 2.5 (i.e. particles smaller than 2.5 micrometers). They’re very little particles that people breathe in which have really significant impacts on heart and lung function, particularly in people who have chronic health conditions. But the impacts are still significant for people who are healthy previously and have no underlying health problems. It can cause coughing, wheezing, difficulty breathing, eye irritation, and short-term issues with lung function, even in people who don’t have any previous problems with their lungs.

Dominici: It’s not like walking by, for example, a construction site. You can see that dust, and those are not small particles. Those are coarse particles that make you cough or sneeze or bring tears to your eyes. That’s actually good, because you’re basically filtering them out. But these small particles, you don’t feel them. They penetrate very deep into the lungs, and then they cause inflammation that makes our immune response less effective.

How long do those effects last for?

Dominici: We know that these exposures to high-level fine particulate matter have both an immediate effect and a very acute effect. So we see an increase in, for example, hospital admissions, which go up the same day and the day after. But there have also been lots of studies that have documented that this effect can last for a very long time. We see chronic effects including effects on cognitive function like an exacerbation of dementia and Alzheimer's disease.

What should people do on days like today?

Humphrey: The first thing we would say is stay inside, shut your windows, stay away from the smoke, maybe buy an air purifier, exercise indoors.

But one of the tricky things with giving this kind of advice is that wildfire smoke affects people who are from disadvantaged socioeconomic communities more predominantly. And those are often the people that can't do the things that we would recommend to protect their health. For instance, many people have to go out to work or may be sleeping rough or have housing insecurity, and they don't have access to well-structured houses that protect them against wildfire smoke. So there's a real inequity there about the ability for people to follow the advice to keep themselves safe.

How should parents (of pets and children) or people with pre-existing conditions prepare for days like this?

Dominici: You can totally take your dog for a walk or your kid to the playground, but if your child has asthma that’s something to watch out for. Maybe don’t spend hours outside, and make sure you have their asthma medications. People with pre-existing conditions should contact their primary-care physicians and discuss if they should potentially change their medication dosage to make sure their exposure to smoke doesn’t exacerbate whatever problem they have.

Humphrey: We’re seeing health impacts at levels below what the EPA recommends as safe levels of PM 2.5 exposure, so when our apps say “sensitive people” it’s probably actually a message for all of us. It’s important, I think, for people who call themselves healthy to understand that you can be a marathon runner and any exposure to wildfire smoke is going to have some kind of impact on you.

Does wearing a mask help?

Humphrey: It’s very similar to COVID, so cloth masks and surgical masks offer some protection, they’re better than nothing, but they’re not as good as N95 masks. We’d recommend a really high-quality mask like an N95 because it does filter out those very, very tiny particles and offers really good protection.

Do you think COVID has made us better prepared to deal with the effects of wildfire smoke?

Humphrey: I think we have the tools. What’s missing is education. So many people have access to air quality data, it’s on an app or on the internet, but they need more education about what to do with it. I’m very, very concerned with the socioeconomic inequities in particular. It’s a lot of the same issues as COVID: All of these issues are really, really hard to solve but are part of this whole piece.

Dominici: In a certain way, COVID has been a wake-up call. We are much more cautious about what’s in our air. I think it’s always important to keep in mind that when we’re talking about the health effects, we have to really understand that they’re a manifestation of the climate crisis. It’s not something we’re going to see in the future. It’s something that’s happening right now.


Read more about wildfire smoke:

The World's Wildfire Models Are Getting Torched

Almost Everyone Got the Smoke Wrong

Doctors Are Quietly Teaching Americans About Climate Change

Green

You’re out of free articles.

Subscribe today to experience Heatmap’s expert analysis 
of climate change, clean energy, and sustainability.
To continue reading
Create a free account or sign in to unlock more free articles.
or
Please enter an email address
By continuing, you agree to the Terms of Service and acknowledge our Privacy Policy
Energy

Everyone Wants to Know PJM’s Data Center Plan

How will America’s largest grid deal with the influx of electricity demand? It has until the end of the year to figure things out.

Power lines and a data center.
Heatmap Illustration/Getty Images

As America’s largest electricity market was deliberating over how to reform the interconnection of data centers, its independent market monitor threw a regulatory grenade into the mix. Just before the Thanksgiving holiday, the monitor filed a complaint with federal regulators saying that PJM Interconnection, which spans from Washington, D.C. to Ohio, should simply stop connecting new large data centers that it doesn’t have the capacity to serve reliably.

The complaint is just the latest development in a months-long debate involving the electricity market, power producers, utilities, elected officials, environmental activists, and consumer advocates over how to connect the deluge data centers in PJM’s 13-state territory without further increasing consumer electricity prices.

Keep reading...Show less
Green
Energy

Exclusive: U.S. Startup Lands Deal to Develop International AI-for-Nuclear Rules

Atomic Canyon is set to announce the deal with the International Atomic Energy Agency.

An atom and AI.
Heatmap Illustration/Getty Images

Two years ago, Trey Lauderdale asked not what nuclear power could do for artificial intelligence, but what artificial intelligence could do for nuclear power.

The value of atomic power stations to provide the constant, zero-carbon electricity many data centers demand was well understood. What large language models could do to make building and operating reactors easier was less obvious. His startup, Atomic Canyon, made a first attempt at answering that by creating a program that could make the mountains of paper documents at the Diablo Canyon nuclear plant, California’s only remaining station, searchable. But Lauderdale was thinking bigger.

Keep reading...Show less
Blue
AM Briefing

Trump’s SMR Play

On black lung, blackouts, and Bill Gates’ reactor startup

Donald Trump and Chris Wright.
Heatmap Illustration/Getty Images

Current conditions: The Northeastern U.S. is bracing for 6 inches of snow, including potential showers in New York City today • A broad swath of the Mountain West, from Montana through Colorado down to New Mexico, is expecting up to six inches of snow • After routinely breaking temperature records for the past three years, Guyana shattered its December high with thermometers crossing 92 degrees Fahrenheit.

THE TOP FIVE

1. Energy Department shells out $800 million to two nuclear projects

The Department of Energy gave a combined $800 million to two projects to build what could be the United States’ first commercial small modular reactors. The first $400 million went to the federally owned Tennessee Valley Authority to finance construction of the country’s first BWRX-300. The project, which Heatmap’s Matthew Zeitlin called the TVA’s “big swing at small nuclear,” is meant to follow on the debut deployment of GE-Hitachi Nuclear Energy’s 300-megawatt SMR at the Darlington nuclear plant in Ontario. The second $400 million grant backed Holtec International’s plan to expand the Palisades nuclear plant in Michigan where it’s currently working to restart with the company’s own 300-megawatt reactor. The funding came from a pot of money earmarked for third-generation reactors, the type that hew closely to the large light water reactors that make up nearly all the U.S. fleet of 94 commercial nuclear reactors. While their similarities with existing plants offer some benefits, the Trump administration has also heavily invested in incentives to spur construction of fourth-generation reactors that use coolants other than water. “Advanced light-water SMRs will give our nation the reliable, round-the-clock power we need to fuel the President’s manufacturing boom, support data centers and AI growth, and reinforce a stronger, more secure electric grid,” Secretary of Energy Chris Wright said in a statement. “These awards ensure we can deploy these reactors as soon as possible.”

Keep reading...Show less
Blue