Heat and Wildfire Smoke Are Even More Harmful When Combined, a Study Says

The NewsIn California, days that experienced both extreme heat and wildfire smoke at the same time have seen disproportionate numbers of hospitalizations for heart and lung ailments, a new study found. The research highlights the public health dangers of distinct climate threats that can have a compound effect when they occur simultaneously.The research, published on Friday in the journal Science Advances, also found that this compounding effect was greater in communities with lower levels of income, education, health insurance coverage and tree cover.Smoke from wildfires turned the skies orange in the Bay Area in September 2020.Jim Wilson/The New York TimesBackground: Global warming is intensifying both threats.As humans warm the planet, both heat waves and wildfires are becoming more severe and longer-lasting in the American West. That also means they are more likely to overlap. Researchers have estimated that two-thirds of California’s land area experienced broiling heat and heavy wildfire smoke concurrently at some point during the state’s record fire year of 2020.Both hazards are harmful to health on their own: Heat stress increases cardiac strain, and inhaling wildfire smoke can aggravate lung conditions. The new study, led by researchers at the Scripps Institution of Oceanography at the University of California, San Diego, looked at the health effects when the two threats appeared in tandem.On exceptionally hot and smoky days, staying indoors doesn’t always help, and certainly not for people who don’t have air-conditioners and air purifiers, said Tarik Benmarhnia, an environmental epidemiologist at Scripps and one of the study’s authors. “Air pollution doesn’t stay politely outside,” he said. “It gets inside, interacts with a lot of indoor air pollutants and can lead to a lot of issues.”The Findings: Compounding harms, and unequal ones, too.The researchers took state data on unscheduled hospitalizations between 2006 and 2019 and combined it with detailed readings of temperatures and wildfire smoke.We are having trouble retrieving the article content.Please enable JavaScript in your browser settings.Thank you for your patience while we verify access. If you are in Reader mode please exit and log into your Times account, or subscribe for all of The Times.Thank you for your patience while we verify access.Already a subscriber? Log in.Want all of The Times? Subscribe.

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The Health Effects of Extreme Heat

Researchers are drilling down into the ways life on a hotter planet will tax our bodies, and looking for protections that, unlike air-conditioning, don’t make the problem worse.When W. Larry Kenney, a professor of physiology at Pennsylvania State University, began studying how extreme heat harms humans, his research focused on workers inside the disaster-stricken Three Mile Island nuclear plant, where temperatures were as high as 165 degrees Fahrenheit.In the decades that followed, Dr. Kenney has looked at how heat stress affects a range of people in intense environments: football players, soldiers in protective suits, distance runners in the Sahara.Of late, however, his research has focused on a more mundane subject: ordinary people. Doing everyday things. As climate change broils the planet.Heat advisories and excessive heat warnings were in effect on Monday across much of the eastern interior of the United States, following a weekend of record-smashing heat in the country’s Southwest. The heat will move farther Northeast in the next few days, according to the National Weather Service, into the upper Mississippi Valley, western Great Lakes and Ohio Valley. With severe heat waves now affecting swaths of the globe with frightening regularity, scientists are drilling down into the ways life in a hotter world will sicken and kill us. The aim is to get a better grip on how many more people will be afflicted by heat-related ailments, and how frequent and severe their suffering will be. And to understand how to better protect the most vulnerable.One thing is for sure, scientists say: The heat waves of the past two decades are not good predictors of the risks that will confront us in the decades to come. Already, the link between greenhouse-gas emissions and sweltering temperatures is so clear that some researchers say there may soon no longer be any point trying to determine whether today’s most extreme heat waves could have happened two centuries ago, before humans started warming the planet. None of them could have.And if global warming is not slowed, the hottest heat wave many people have ever experienced will simply be their new summertime norm, said Matthew Huber, a climate scientist at Purdue University. “It’s not going to be something you can escape.”A construction worker took a water break during a heat wave in Boston in 2021.Brian Snyder/ReutersWhat’s tougher for scientists to pin down, Dr. Huber said, is how these climatic shifts will affect human health and well-being on a large scale, particularly in the developing world, where huge numbers of people are already suffering but good data is scarce. Heat stress is the product of so many factors — humidity, sun, wind, hydration, clothing, physical fitness — and causes such a range of harms that projecting future effects with any precision is tricky.There also haven’t been enough studies, Dr. Huber said, on living full time in a warmer world, instead of just experiencing the occasional roasting summer. “We don’t know what the long-term consequences of getting up every day, working for three hours in nearly deadly heat, sweating like crazy and then going back home are,” he said.The growing urgency of these issues is drawing in researchers, like Dr. Kenney, who didn’t always think of themselves as climate scientists. For a recent study, he and his colleagues placed young, healthy men and women in specially designed chambers, where they pedaled an exercise bike at low intensity. Then the researchers dialed up the heat and humidity.They found that their subjects started overheating dangerously at much lower “wet-bulb” temperatures — a measure that accounts for both heat and mugginess — than what they had expected based on previous theoretical estimates by climate scientists.Effectively, under steam-bath conditions, our bodies absorb heat from the environment faster than we can sweat to cool ourselves down. And “unfortunately for humans, we don’t pump out a lot more sweat to keep up,” Dr. Kenney said.Heat is climate change at its most devastatingly intimate, ravaging not just landscapes and ecosystems and infrastructure, but the depths of individual human bodies.Heat’s victims often die alone, in their own homes. Apart from heatstroke, it can cause cardiovascular collapse and kidney failure. It damages our organs and cells, even our DNA. Its harms are multiplied in the very old and very young, and in people with high blood pressure, asthma, multiple sclerosis and other conditions.When the mercury is high, we aren’t as effective at work. Our thinking and motor functions are impaired. Excessive heat is also associated with greater crime, anxiety, depression and suicide.Children suffering from heat stroke received treatment at the Tej Bahadur Sapru Hospital in Prayagraj, India, in May.Rajesh Kumar Singh/Associated PressThe toll on the body can be strikingly personal. George Havenith, director of the Environmental Ergonomics Research Center at Loughborough University in England, recalled an experiment years ago with a large group of subjects. They wore the same clothes and performed the same work for an hour, in 95 degree heat and 80 percent humidity. But by the end, their body temperatures ranged from 100 degrees to 102.6 degrees Fahrenheit.“A lot of the work we’re doing is trying to understand why one person ends up on one side of the spectrum and the other one on the other,” he said.For years, Vidhya Venugopal, a professor of environmental health at Sri Ramachandra University in Chennai, India, has been studying what heat does to workers in India’s steel plants, car factories and brick kilns. Many of them suffer from kidney stones caused by severe dehydration.One encounter a decade ago has stayed with her. She met a steelworker who had been working 8-to-12-hour days near a furnace for 20 years. When she asked him how old he was, he said 38 to 40.Understand the Latest News on Climate ChangeCard 1 of 5Great Salt Lake.

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