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As blue states double down on renewables, a backlash is growing in red states.

The Inflation Reduction Act was the star of the show in statehouses across the United States this year. As state leaders wrapped up their legislative sessions, many not only tightened their own climate plans, but delivered an encore to the IRA by passing policies to maximize their share of the new federal clean energy funding.
But the applause hasn’t been universal. In a few key Republican-led legislatures, Biden’s climate maneuvers have produced a backlash. Lawmakers pushed through bills that could make cutting emissions a lot harder, making the map of U.S. climate policy start to look as polarized as that of abortion rights or gun control laws.
“There has been a tendency to think about the energy transition as almost automatic when the cost of clean energy technologies come down,” Matto Mildenberger, a political scientist at the University of California-Santa Barbara, told me. “But politics is a really important dimension that's often missed.”
Let’s look at a few examples. Back in February, Minnesota passed a law requiring the state’s utilities to use 100% carbon-free electricity by 2040. Democrats had just taken over the legislature, and they were just warming up. In April they created a $156 million “competitiveness fund” to help agencies and cities compete for the IRA’s clean energy programs. And last week, Democratic Governor Tim Waltz signed two additional laws, one earmarking funding for heat pumps and electric vehicles, and the other creating a new sales tax to support public transit.
Democrats took a similar approach in Colorado, passing new tax credits for many of the same technologies that the IRA funds to try and attract as much federal money into its economy as possible. Coloradans are now eligible for a $7,500 EV tax credit that can be stacked on the federal credit for a juicy $15,000 incentive.
Meanwhile, New York passed the first state-level ban on natural gas in new buildings in the country. Policymakers there also directed a state-run utility to start building renewable energy projects, taking advantage of a little-known provision in the IRA that enables public entities and nonprofits to cash in on federal tax credits.
But in other states, electeds are enacting what you could call anti-climate policies. Montana’s Republican Governor Greg Gianforte recently signed a law that bars state agencies from even considering greenhouse gas emissions when conducting environmental reviews for major projects. The legislature there also passed measures preempting local governments from requiring new buildings to be solar panel or EV-ready, and from placing any restrictions on the use of natural gas. At least 20 other states have enacted similar natural gas ban preemptions in recent years. A new anti-climate copycat bill also spread to a few states this year — Ohio and Tennessee each passed laws classifying natural gas as a source of clean energy.
In Texas, the Republican-controlled legislature is contemplating bills to publicly fund a fleet of new natural gas plants, while placing new, onerous regulations on wind and solar projects. Texas currently produces more wind and solar power than any other state, thanks to lax permitting requirements and an abundance of wind, sun, and undeveloped land. Now, lawmakers want developers of new wind and solar farms — as well as owners of existing projects — to do additional environmental reviews, get new approvals, and pay higher fees. Wind farms would have to be built at least 3,000 feet from neighboring property lines. The rules would not apply to fossil fuel plants.
Though the bill never made it out of committee, a group of Republican lawmakers in Wyoming even sought to “phase out” electric vehicle sales to protect the state’s oil and gas industry. The bill’s lead sponsor later said he supports electric vehicles, and was just trying to send a message to California, which made plans to eventually ban gas-powered vehicles last August.
And while Georgia is often held up as a leader in building a new clean economy, having attracted more clean energy investments since the IRA passed than any other state, Republican lawmakers there recently enacted a tax on public electric vehicle charging.
None of this is particularly surprising or new. To some extent, climate and clean energy policy has long followed party lines. As political scientist Leah Stokes documents in her book Short Circuiting Policy, states like Texas and Ohio have a history of enacting anti-climate policies that slowed the growth of renewables. Those were in large part driven by special interest groups backed by utilities and the fossil fuel industry.
Mildenberger said these efforts are ramping up now because the IRA has made the threat to these industries much more significant. “Increasingly, as some of these technologies are no longer cost competitive in a pure market competition framework, they need to use policy as a rearguard action to try and maintain their market share.”
There is evidence that at least some of these policies, like defining natural gas as clean energy and preempting any bans on the fuel, trace back to special interest groups like the American Legislative Exchange Council and the American Gas Association. What’s new is a push to turn these issues into culture wars by painting natural gas use as a matter of freedom or identity. Republican lawmakers have described a rash of anti-ESG bills, which also have roots with industry groups, as a crackdown on “woke” investing.
But Hanna Breetz, a political scientist at Arizona State University told me it would be a mistake to attribute the trend purely to industry influence or the usual reactionary politics. That view overlooks two other very real factors that she sees contributing to an increasingly polarized environment. One is that people in rural states are legitimately concerned about what a decarbonized future means for them in terms of land use and extraction. They are going to bear the brunt of landscape impacts from vast new solar and wind farms and lithium mines.
The second is genuine risks to reliability from a grid powered by increasing amounts of renewables and batteries that’s also serving an increasing number of electric appliances. “There are some very serious concerns that have yet to be dealt with, particularly in the face of climate change and weather-related issues,” said Breetz. She pointed to a recent report warning of blackouts in some parts of the country this summer, which highlighted diminished capacity from natural gas and coal plants as one potential cause. “I think there's a lot less ideological opposition within utilities than many people assume, and that they are scared to death about a lot of these reliability concerns.”
It’s hard to untangle the role of each of these components — industry influence, party politics, land use concerns, and technical challenges — when they all feed into one another. The effect could intensify as more and more people experience a bad blackout or are faced with a solar farm being built in a place they hold dear.
But also, it might not. If all goes according to Biden’s plan, the IRA will be a countervailing force that brings new jobs and economic growth to areas where political support for clean energy is in short supply. The majority of clean energy project announcements since the IRA was passed are in states like Georgia, Arizona, and South Carolina. Think of the new battery belt emerging in the South, or how many renewable energy projects are popping in Republican-held congressional districts.
“In three or five years that might make some of the extreme rhetoric and policy positions that we're seeing right now on the Republican side of the aisle a little bit more challenging to hold,” said Mildenberger. “My view is that even in some of the more fossil fuel intensive parts of the United States, the question of the energy transition is not if, but when. And to help manage the global climate crisis, that ‘when’ needs to be really soon.”
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On NRC moves, Blue Energy, and China’s solar and methanol breakthroughs
Current conditions: The World Cup’s final match between Argentina and Spain is set to take place Sunday in New Jersey, where the thick orange haze of Canadian wildfire smoke is still hovering • Temperatures are soaring to 110 degrees Fahrenheit in Ethiopia’s northeast Afar province • Researchers just categorized the first major dust storm of Arizona’s monsoon season, which struck Phoenix earlier in the week, as a Category 3.

On Tuesday, I told you about the United Arab Emirates’ plan to build a new port to bypass the Strait of Hormuz. Iraq and its oil partners are looking westward. The Financial Times reported yesterday that Chevron and Baghdad are in advanced discussions to form a consortium to build and restore a pipeline network through Syria as an alternate route to export oil. The U.S. oil giant is working with the Los Angeles-based TI Capital and an investment group owned by the Syrian-Qatari billionaire Al-Khayyat brothers, who own a major construction company in the Gulf nation and are, according to Bloomberg, “betting big” on Syria’s post-war reconstruction.
It’s yet another sign that, as my colleague Matthew Zeitlin wrote, it’ll be a long time before the Strait of Hormuz returns to normal operations — especially now that the war is back on.
Just two weeks ago, I told you that the Nuclear Regulatory Commission had proposed both overhauling how it measures the risks from radiation exposure and giving more flexibility to developers to prove their reactors operate safely. Now the agency is continuing its regulatory blitz with another rule, posted Thursday to the Federal Register, to smooth the way for license renewals, speed up approvals to begin construction on certain components and structures at new nuclear plants, and provide more guidance for technologies that use coolants other than water.
In Spain, meanwhile, the country’s Nuclear Safety Council gave the country’s oldest nuclear station, the Almaraz plant two hours west of Madrid, the greenlight to continue operating until 2030, according to NucNet. Currently, the Spanish government is pursuing the world’s only active nuclear phaseout policy. Virtually every country that has phased out atomic energy now regrets it. Switzerland and Belgium already reversed course. German politicians complain constantly about what a mistake it was to quit nuclear power. Taiwan, which shut down its last reactor last year, now wants to reopen at least one. Even Italy, the first country to abandon nuclear energy, is now looking to revive the industry.
Constellation Energy knows a thing or two about what works with nuclear power. So it’s quite notable that the largest operator of civilian reactors in the nation is making a bet on one of the more unique startups hoping to shape the next generation of atomic power stations. Constellation’s venture arm announced a strategic equity investment into Blue Energy, a developer that is pitching itself as a project manager to get small modular reactors built on time and on budget. Unlike most other players in the nuclear game at the moment, Blue Energy isn’t designing its own reactor. The company calls itself “reactor agnostic.” Rather, Constellation said the company would focus instead on building GE Vernova Hitachi Nuclear Energy’s BWRX-300, a 300-megawatt boiling water reactor that is currently one of the leading designs in the U.S. “With demand for near-term power rising, Constellation’s investment will help Blue Energy meet America’s need by making new nuclear development predictable, rapidly scalable, and project financeable for the first time in history,” Blue Energy CEO Jake Jurewicz said in a statement. “This relationship helps us leverage an established operator, proven technology, and innovative, project-financeable deployment models to expand access to nuclear energy.”
Meanwhile, one of the most attention-grabbing startups in the next-generation reactor race is looking at an eye-popping valuation. Led by its 27-year-old CEO Isaiah Taylor, Valar Atomics made waves when it worked with the U.S. military to transport the components for its gas-cooled microreactor by plane. The company is now eyeing a $6 billion valuation, The Information reported last night.
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New York City’s brand-new power line connecting the five boroughs to Quebec’s hydroelectric system is down for repairs in the midst of the summer heat. Hydro-Quebec, the French-speaking province’s state-owned utility, said its teams had “identified a fault with the terrestrial cable” at a location on the U.S. stretch of the route. Governor Kathy Hochul’s office called the outage “unacceptable” in a statement to Gothamist.
Over in Hawaii, Governor Josh Green, a fellow Democrat, signed legislation to adopt a clean fuel standard, making the island state the fifth in the nation to adopt such a policy. The program will come into full effect at the start of 2029, and will use market incentives to reduce the carbon intensity of fuel over time. Texas, meanwhile, is serving as the model for the new bipartisan permitting reform bill my colleague Robinson Meyer broke news of last night.
Chinese panel manufacturer LONGi’s newest solar cell has made a breakthrough in increasing the power conversion efficiency of its panels to 35.5%. That figure was confirmed this week by a European certification test. The cell design is called a crystalline silicon-perovskite tandem cell, which PV Tech described as “widely regarded as a leading technology pathway for next generation” solar panels. A perovskite top cell with a crystalline silicon bottom cell allows the solar panel to tap into both technologies’ efficiencies. By contrast, the efficiency by percentage of energy converted to electricity in thin-film solar cells like those the U.S. manufacturer First Solar sells tap out somewhere in the teens. The more popular crystalline silicon cells that China has dominated have efficiency rates of up to 24%. So LONGi’s announcement represents a significant improvement.
Meanwhile, China’s state-owned pipeline company, PipeChina, successfully shipped two batches of methanol about 125 miles through existing oil pipelines in northwest China. Hydrogen Insight hailed the test as “a record-breaking trial that could transform” a sector long plagued by questions about how to transport fuel. It’s the latest sign, as I told you last month, that Beijing is doubling down on green hydrogen.
Like a Mesopotamian metal merchant of yore, I like to train a keen eye on copper prices in this newsletter. And with good reason: It’s the basic building block of the electrical system, and it’s subject to some wild geopolitical price pressures. Just look at why the price is sliding now. Per Mining.com, the major storms in Chile and the flareup of hostilities in Iran are depressing the market for the metal, which had hit an all-time high earlier this year.
Senator Martin Heinrich’s bill, which makes it easier to connect new power plants to the grid, is an encouraging sign for bipartisan permitting reform.
An important part of a bipartisan permitting reform deal may be falling into place.
Senator Martin Heinrich of New Mexico introduced a bill on Thursday that would make it easier for new power plants to hook up to electricity markets across the country.
The legislation, which applies to all types of generation, would allow new power plants to connect to the grid without waiting for the arduous technical studies — and without paying the exorbitant equipment upgrade fees — now required in much of the country.
Instead, the bill would let power plants opt into a much faster safety study and offer what it cheekily dubs “basic access service for energy-only delivery” — that is, BASED service — to the local electricity market.
A similar approach is already used in Texas, which has added more new generation than any other U.S. power market in recent years. In effect, Heinrich hopes to bring that cheaper, faster, and more laissez-faire method to the rest of the country.
“As electricity demand grows, we need to find better, faster ways to add more affordable, reliable power to the grid,” Heinrich said in a statement. “Right now, unnecessary delays are slowing projects that could help lower energy costs and deliver the low-cost energy we need.”
Outside experts have pushed for wider adoption of Texas’s approach, which is dubbed “connect and manage,” for some time. Although Heinrich’s proposal would apply to all kinds of power plants, Texas has been particularly successful at bringing new solar, battery, and natural gas power plants online in recent years — and it has done so while keeping connection costs lower than other markets.
“We’re seeing the success of the free market in Texas,” Sarah Toth Kotwiss, an electricity researcher at the energy and climate think tank RMI, told me, noting the state has added far more generation in recent years than much bigger and more populous U.S. grid zones. “They’re leading the way, and replicating that free market attitude could go a long way in the rest of the U.S.”
More broadly, the proposal is the kind of legislation that would slot into the bipartisan permitting package expected later this year — and as soon as next month. Heinrich’s proposal may be a sign that the senator, the ranking Democratic member of the natural resources committee, takes the prospect of reaching a deal seriously.
Across much of the country, a new power plant can only connect to the power grid after the local grid operator completes what’s called an “interconnection study” — an intensive technical account of how that new plant will affect the overall system.
These studies examine a slew of worst-case scenarios, simulating how the plant would behave at full capacity under extremely congested grid conditions, such as during a heat wave. The new plant’s developer is then required to pay for the grid and transmission line upgrades that would allow their project to run at full blast at those moments of maximum stress.
In theory, that approach maximizes the amount of money a developer can make on a new power plant. But because the grid is a big, interconnected system, that method can cause long delays and rippling costs in practice. In one case, a new 300-megawatt plant in North Dakota near the Canadian border could not start operating until it paid nearly $3 million to upgrade power lines and transformers in Missouri — more than 1,000 miles away.
And because interconnection studies try to model a proposed power plant’s influence on the power grid for years into the future, a single cancellation can have a cascading effect. When a power plant pulls out of the interconnection queue, every project in line behind it sometimes needs to be studied again, causing delays and costs to spiral even further.
In one famous example, a solar and battery plant in Maryland was initially told that it needed to pay for $1.25 million to connect to the local grid. But after a series of cancellations and new rounds of study, that figure was revised — to nearly $72 million. The solar project got shelved.
While interconnection queues used to be relatively quick, the process of hooking up a new power plant to the grid can now regularly take eight years, Kotwiss said.
As I discussed with the electricity researchers Tyler Norris and Claire Waymer on Heatmap’s podcast Shift Key in 2024, these lengthening wait times have changed how power plant developers behave. Many developers now “spam the queue,” filing study requests for any project that they could ever conceivably want to build. That has led delays to spiral even further.
The end result of all this spamming is that the total capacity of power plants asking to connect to the grid now exceeds the size of the U.S. grid itself. At the end of 2025, more than 2,000 gigawatts of new generation or storage projects were waiting in interconnection queues, according to the Lawrence Berkeley National Lab. The country’s operating power plant fleet is only about 1,400 gigawatts.
To be clear, most of those proposed projects will never be built — they are hypothetical queries submitted by developers who are trying to claim a place in line. Yet even switching on a small set of plants could transform the power grid.
These long wait times aren’t the norm in Texas. In the Lone Star state, it takes less than four years to bring a new plant online.
That’s because new power plants in Texas can hook up to the grid — and start generating power — as soon as the local grid operator completes a more rudimentary engineering and safety study. Then during moments of peak grid congestion, power plants must curtail their own generation, reducing their electricity production to the level that the overall grid can support. While this means that a given solar farm or natural gas plant might not run at full bore all the time, the overall approach gets that plant up and running much sooner, allowing it to sell energy into the grid during most of the year.
Heinrich’s law would order electricity markets and grid operators to make this faster option available to new power plants across the country. It would let power plants opt into receiving a much simpler and faster study, one that checks only that adding the new power plant will be safe for the immediate grid.
A power plant that opts into the new BASED service would still have the option of entering the traditional interconnection queue. Doing so would let it eventually increase its operation over time, paying for grid upgrades so that it can participate in capacity markets and other auctions.
Expanding Texas’s approach to other states could help cut costs for electricity consumers by bringing more energy onto the market faster, Kotwiss said. Even in complicated power markets that include additional auctions — for capacity, for instance, or reliability — energy still makes up most wholesale costs.
It could also help ease the strains on the grid — especially in congested regions like the Mid-Atlantic — caused by artificial intelligence data centers and new factories.
The Texas-inspired technique could help the solar and battery industries, because it keeps a given project’s upfront expenses low and allows those technologies’ low costs to dominate their economics. Solar has boomed in Texas in recent years, and the state now has more utility-scale solar installed than California does.
But the BASED approach would likely help natural gas plants and other forms of newer, cheaper generation, too, because it strengthens new entrants as compared to incumbents. Jacob Mays, a Cornell engineering professor, has studied how slow and wonky interconnection queues can prevent electricity markets from functioning well. The existing interconnection approach used in most of the country “amounts to a significant barrier on new entry to new generation,” he told me, and it has “some anticompetitive impacts.”
Heinrich has said that he plans on introducing more electricity system reforms soon, including a bill to push utilities to adopt technologies that get more capacity out of their existing equipment.
I think it’s an encouraging sign for permitting reform advocates that ranking Senate Democrats are advancing these kinds of technology-neutral power market bills. An eventual deal will likely ultimately rest on Democrats’ willingness to support policy like this — and whether they can strike a deal with Republicans to rewrite parts of long-standing environmental or permitting laws, including the National Historic Preservation Act and Clean Water Act.
But just as importantly, it will depend on Republicans — and the White House — reining in President Trump’s powers to kill energy projects by fiat. With this bill, Democrats are suggesting they’re willing to be, well, a little BASED. Whether the president will join them remains to be seen.
Your mileage may vary — but you’ll probably want to keep the outdoor runs to a minimum.
I became a runner in the spring of 2020. My run streak was my sourdough starter. Those were the Wild West days of respiratory spray warnings, when I’d get dirty looks from strangers even if I passed them while wearing my Under Armour running mask. But I wasn’t about to let a deadly pandemic — much less the wildfire smoke that descended on New York that fall — get in the way of logging my miles.
These days, I am at least a little bit older and wiser. I’ve also learned a lot about wildfire smoke in the interim — how it kills more than 20,000 people in the U.S. every year, how there’s a lot of freaky stuff in it that you don’t want in your body, and how there’s no safe threshold for exposure. But while it’s clearly a bad idea to go for a run right now if you live in Milwaukee, where the air is literally yellow due to the fires in Minnesota and Ontario, it’s maybe less clear if you’re somewhere where the AQI is still only moderate or “unhealthy for sensitive groups.” Do you really, actually need to skip your run in those conditions? Can you just go to the gym instead?
At the end of the day, everyone should make decisions based on their own risk tolerance. But John C. Quindry — a professor of integrative physiology and athletic training at the University of Montana, who described his team as “first to the party” when it comes to understanding the risks of exercising in the smoke — said his research shows that not only is exercising in the smoke hazardous to otherwise healthy individuals, there’s also a class of people for whom it might be extra dangerous, and they might not even know it.
Our conversation has been edited and condensed for clarity.
Why is exercising in the smoke worse than, say, commuting in the smoke?
If you exercise, you take more breaths per minute, and you take deeper breaths, so the total volume of air you breathe at a given time is greater.
Inhaling wildfire smoke is sometimes compared to smoking cigarettes. Some back-of-the-envelope math puts a run in Chicago this morning at the equivalent of smoking a couple of cigarettes, which sounds pretty minimal. Why take this seriously?
We don’t know for sure that when you exercise outside, it’s equivalent to, in this case, smoking a couple of cigarettes or a pack. We’ve been working for years trying to actually figure out how bad it is, and we just don’t know.
One of the things that complicates this is that not all smoke is created equal. Wildfire smoke in the West is different from wildfire smoke east of the Mississippi, where there are many different types of vegetation. And separately, if a wildfire consumes a house and all the plastics, organic solvents, and things in the roof, that’s certainly worse than just biomass burning — and that is all separate from cigarette smoke. So the chemicals that you inhale are part of it; it’s not just the particulate.
I don’t think it’s inappropriate to say we know how much particulate a filtered cigarette is going to deliver on a puff-by-puff basis and try to equate it to inhaling wood smoke or being downwind of a fire event. Those back-of-the-envelope calculations can make it one-to-one. But what is the impact on health? We don’t know.
Going back to something you said, is smoke in the West or East worse? Why?
We don’t really know, and one reason is that smoke that starts in the West goes east. There are some really good studies that look at the rates of emergency room visits and deaths downwind of fires. You can apply some pretty fancy math, and it’s clearly demonstrated by multiple research groups that whatever the source of the smoke is, there are people who are extra sensitive to it, and they show up in the emergency room more frequently. Tragically, to a smaller degree, they also occasionally die more frequently.
But if we put those data aside and say, “What does the smoke look like from Western biomass versus Eastern biomass?” We know the Western biomass, at least this time of year, is much drier. And when it’s dry, it tends to burn a little “cleaner,” which is to say, if you were to take a certain number of grams of pine wood — which burns fairly cleanly — how much PM 2.5 do you get? You’re going to get a higher PM 2.5 from wet wood. That’s the effect when you start to move to the middle or eastern part of the country. Deciduous trees, even when they’re dry, put out more PM 2.5 unit by unit.
Now, is that worse for the body in the short or long term? We really don’t know. Once you breathe in the smoke, it’s pretty easy to measure what’s in the blood: You just take a blood sample before and after the exposure. You can try to gauge how bad the smoke is by looking at what appears in the blood. Do you get oxidative stress? Do you get inflammation? Is there something else there? Has it changed metabolism?
We also look at exhaled breath condensate. It’s the immune cells, which are the first line of defense when you’re exposed to particulates, that are really sounding the alarm. In some people, that alarm gets sounded more than in others. So we’ve been trying to figure out what are these subtle but important biochemical and physiologic signals? How do they go together? They tell us how bad the smoke is, but it’s taken us years to unfold this story.
I saw in your 2025 study that half of your participants had a heightened response to physiological stress, and that you selected them for that reason. I was hoping you could tell me what a “heightened response to physiological stress” means and why it was important to include those candidates.
This is critical. Let me give you the backstory. When we would do these studies, we would put participants in the lab and burn Western locally sourced pine dried out to 15% humidity. We’d burn it carefully, measure the dose of PM 2.5, and have people breathe it in. We’d conduct studies before and after exercise, whether on a bike or a treadmill, and we varied the intensity and duration. And we didn’t find very much when we looked at the blood and exhaled breath condensate for how well the blood vessels constrict or how reactive the body’s autonomic nervous system was in controlling cardiovascular function. We’d find subtle changes, but statistically speaking, we could never really draw firm conclusions.
But we would notice that, on a person-by-person basis, there would be notable spikes in what we were looking at. We’d see, “Oh, these three or four people really seem to have this notable response, and everybody else really didn’t.” We’d publish our studies and essentially say, “Yeah, we didn’t find much.” It was honest data, and people believe it when you publish negative data that says, “We went through that much trouble, we spent $100,000, and we found nothing.” But we found these people who were a little bit different than the others.
So we’d sit around and spitball. These were normal people, by the way; we were not taking asthmatics or people with [chronic obstructive pulmonary disease]. They were not diabetic. There are people we know full well will have an exaggerated response, and we didn’t look at any of them. We looked at what are called “apparently healthy people” — the people who go to the physician and are told nothing’s wrong with them.
My doctorate was not in exercise science; it was in biomedical science, from a medical school environment. Somewhere along the line, I was exposed to something called the cold pressor test. It has been around longer than both of us. Physicians 80 years ago would have somebody come into their lab or clinic, and they’d say, “Hey, we’re going to put your hand in a bucket of ice water for two minutes and see what that does to your blood pressure.” It almost sounds like a fourth-grade sleepover prank for the first kid to fall asleep.
But we started doing the test, and we took a pretty conservative approach, meaning that if we put someone’s hand in the ice water and their systolic blood pressure — that’s the top number, 120 over 80 is sort of the high end for good blood pressure — and if their systolic number went to at least 20 millimeters of mercury, then we call them cold pressure test positive, or CPT positive.
None of these were people who were hypertensive. They had normal blood pressure. Nothing was wrong with them as far as their medical team could observe. But how many of these [CPT positive] people are sitting around? If you take the average population, 10% to 15% will be cold pressor test positive. We don’t necessarily know if this is a bad thing. It may be contextual, but these are people we can verifiably measure with something as simple as a blood pressure cuff and a bucket of ice water. You can verify their physiology is more reactive within a couple of minutes than someone else’s.
We suspected that if we took these people and then exercised them in the smoke, they would have an exaggerated response compared with people who weren’t CPT positive. And so that’s what we did, and that’s what we found.
That’s fascinating. So the practical takeaway is, unless you’ve done this test yourself, you don’t know if you’re one of these people who’s particularly reactive to wildfire smoke?
You have to always be careful that you don’t make big, broad, blanket applications from one study. We would need to confirm or refute it with additional studies, and that’s a matter of getting grant money and conducting those next-generation investigations.
But here’s something we can glean: We know that people who have an exaggerated response to a cold pressor test are more likely to have hypertension. And they’re more likely to have it earlier — instead of getting high blood pressure at 50, 60, or 70, they’re going to get it at 30 or 40. We know they’re more likely to eventually suffer from heart failure; it seems to develop more in people who have this sort of reactive response. While the cold pressor test response is not predictive in and of itself of anything — future diabetes, heart failure, heart attacks, hypertension, none of that — people with all of those conditions are more likely to be cold pressor test positive.
The way I would take it is, if you are somebody who is not in great health, isn’t fit, or if you have creeping blood pressure or a family history of heart disease, blood pressure, or metabolic derangement like diabetes, you are the kind of person who needs to be a little bit more careful [in the smoke].
Is there an air quality level at which you would tell a young, healthy person “Don’t go for your morning run?”
An educated guess is the best we can do right now. Every study is a brick in the bigger metaphorical wall of understanding this. What we can say is: If you are young and apparently healthy, the threshold would be maybe even up into the “unhealthy for sensitive groups” number. They’re probably okay. But then again, how hard are they working? How long are they outside? If you’re working very hard, your ventilatory rate is much, much higher. And how long are you staying out? What is the long-term impact year after year?
There are epidemiologic studies that can demonstrate that if you’ve lived downwind from major wildfire events for decades, it’s going to impact your health. That’s not debated. But what is the short-term impact? We don’t know.
Indoor air pollution is a major issue during these events, too. Would you advise someone to skip the gym on a particularly smoky day?
When it’s smoky outside, it makes sense to say, “Let’s just stay indoors.” But then the question is, is some of that smoke getting indoors? Sure enough, it is. Then the question is, how much? And the answer is, it depends on the air handling systems in the building; how many people are coming in and out; whether the windows open; how many doors are there; are they left open; what are they using to heat and cool the place; do they have high-volume HEPA filtration; and are they changing that filtration?
But let’s dial back. We have two ends of a spectrum. You have a leaky building. Doors are open. Windows are open. Lots of people are coming in and out. In that scenario, the air inside is only about 20% or 30% better than the air outside. And that’s not very good.
But then let’s go to the other end of the spectrum, to a building that is being kept shut. They’re controlling who can come in and out, and there are two sets of doors to help buffer that. Which is better in a smoky situation? The places with the HEPA filtration, high-volume air turnover, and where they change the filters. But in that case, you’re still going to have 25% of that particulate matter inside, even if you can’t perceive that it’s there. That’s not good news.