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How Wildfire Smoke Exposure Affects Your Health

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Saturday, January 11, 2025

Firefighters continue battling Palisades fire as flames rage across Los Angeles, California, United States on January 09, 2025. (Photo by Official Flickr Account of CAL FIRE / Handout/Anadolu via Getty Images)Wildfire seasons are becoming more and more devastating and damaging for everyone.Wildfires aren’t just dangerous for the people and wildlife living directly around the flames, but also for those nearby who are exposed to heavy smoke. And because smoke can travel long distances, even people thousands of miles away from the fires can feel their effects. Scientists are actively learning about the harms linked to wildfire smoke, but early findings suggest that wildfire smoke can have a seriously detrimental effect on our short and long-term health. Why breathing in wildfire smoke is harmfulWildfire smoke contains a mixture of gases, liquids and solid particles. What concerns scientists the most about wildfire smoke is the fine particulate matter (called PM 2.5), or small pieces of liquid and gas that can stay suspended in the air. The smallest particles are the ones that can get deepest into the lungs and cause annoying symptoms — like a cough or shortness of breath — in the short term and more concerning health problems down the road, explained Colleen Reid, an environmental epidemiologist and health geographer with the University of Colorado Boulder.According to Reid, no level of PM 2.5 is considered safe — but at higher levels, the health effects are clearly worse.“A study from Montana found that seasons with record-high smoke were followed by more severe flu seasons, adding to the growing body of evidence that wildfire smoke can make people more susceptible to viruses and infections.”How wildfire smoke immediately affects usThese tiny particles can get deep into our lungs and enter the bloodstream, at which point they can travel to other organs and cause widespread inflammation, Reid explained. One report found that teens living near wildfires have higher levels of inflammatory markers in their blood. Wildfire smoke can cause sore throats, a cough, watery eyes, congestion, headaches and difficulty breathing or shortness of breath. Smoke particles can also reach the brain and trigger cognitive issues. According to Rosana Aguilera Becker, an environmental health scientist with the University of California, San Diego, people who have asthma, respiratory illnesses or COPD are most at risk and have higher rates of hospital admissions due to smoke during wildfires. In areas close to wildfires, researchers have found a spike in inhaler refills among people who have asthma. Increases in visits to the emergency room for cardiovascular events and heart attacks have also been recorded in communities experiencing wildfires. What we know about the long-term health effectsThe effects don’t go away once the smoke clears. A study from Montana found that seasons with record-high smoke were followed by more severe flu seasons, adding to the growing body of evidence that wildfire smoke can make people more susceptible to viruses and infections. The long-term health consequences linked to wildfire smoke exposure are understudied, largely because this hasn’t been a big issue until recently. In the past, there would be a wildfire, smoke would shoot into the sky for a short period of time, then the clogged air would clear out. It wasn’t until the past few fire seasons that the air quality has been really bad over really large geographic areas for really long periods of time, Reid said.But there are some clues. Wildfire smoke is thought to be a risk factor for dementia and Alzheimer’s disease. And through her research, Reid has found that when pregnant people are exposed to wildfire smoke, there’s a greater risk of the baby being born early or at low birth weight. A study conducted on monkeys found that primates exposed to wildfires as infants had worse pulmonary functioning and immune functioning later on in life. This brings up the question of “what happens to children when they’re exposed to wildfire smoke when they’re still developing,” Becker said. Evidence looking at the long-term health effects of other types of air pollution suggests that harmful air can impact our respiratory health, cardiovascular health and neurological health. One study found that kids who grew up in areas with polluted air, like Los Angeles, go on to experience worse lung function as adults.“We could assume, based on what we know, that there are similar things with wildfire smoke,” Reid said, noting that we really need more research on wildfire smoke specifically. Allen J. Schaben via Getty ImagesPeople can experience the effects of wildfire smoke even from thousands of miles away.Does proximity to the wildfire matter?Scientists know the most about smoke exposure in communities that are close to wildfires. But what happens when that air travels thousands of miles, as it did this summer when the jet stream brought Oregon’s wildfire smoke to the East Coast? According to Reid, there can definitely be health consequences in these places, too. In the past, air pollution that traveled long distances was minuscule, but the fires in Oregon and Canada showed us that wildfire smoke can travel far and at really high concentrations. This is an area scientists will need to look into in the coming years. There may be differences in how fresh smoke and older smoke affects our health — but, again, no level of PM 2.5 is safe. Our behaviors also play a role. When a fire erupts in the West, people are aware of the fire and know to stay in. You can smell it and you can see plumes of smoke spilling into the air. On the East Coast, where there are no plumes or traces of a campfire scent, some people may not take the necessary steps to protect themselves from inhaling bad air, Reid said. Here’s how to protect yourself from wildfire smokeYou can gauge the quality of the air around you by checking your local air quality index (AQI). Reid recommends the app Smoke Sense, which provides an air quality map and recommendations for what you should or shouldn’t do. Air NOW is another tool that sends local alerts about AQIs. If PM 2.5 levels are high, the best thing to do is stay inside and limit your outdoor activities, Becker said. It’s OK for most people to exercise at lower PM 2.5 levels, as the benefits of exercise are thought to outweigh the risks. We Need Your SupportOther news outlets have retreated behind paywalls. At HuffPost, we believe journalism should be free for everyone.Would you help us provide essential information to our readers during this critical time? We can't do it without you.Can't afford to contribute? Support HuffPost by creating a free account and log in while you read.You've supported HuffPost before, and we'll be honest — we could use your help again. We view our mission to provide free, fair news as critically important in this crucial moment, and we can't do it without you.Whether you give once or many more times, we appreciate your contribution to keeping our journalism free for all.You've supported HuffPost before, and we'll be honest — we could use your help again. We view our mission to provide free, fair news as critically important in this crucial moment, and we can't do it without you.Whether you give just one more time or sign up again to contribute regularly, we appreciate you playing a part in keeping our journalism free for all.Support HuffPostAlready contributed? Log in to hide these messages.If you can afford an air purifier — they can be pricey! — get one with a HEPA filter. Keep your doors and windows closed. Older homes and rental properties tend to be leakier and allow more air pollution in. You can also purchase a MERV-13 filter and put it in a box fan or your AC unit. Make sure you’re regularly cleaning your car filters as they can collect a lot of particles over time. (You can find a list of filtering products certified by the Asthma & Allergy Foundation of America here.)If you do venture outside when the PM 2.5 levels are high, bring a mask. N95 masks are the gold standard because they filter all of the air that you breathe in. Though surgical masks are less effective, they’re ultimately better than having no barrier between you and the harmful particles in wildfire smoke.

Smoke from a fire can have a dangerous impact on your physical and mental health, even from thousands of miles away.

Firefighters continue battling Palisades fire as flames rage across Los Angeles, California, United States on January 09, 2025. (Photo by Official Flickr Account of CAL FIRE / Handout/Anadolu via Getty Images)

Wildfire seasons are becoming more and more devastating and damaging for everyone.

Wildfires aren’t just dangerous for the people and wildlife living directly around the flames, but also for those nearby who are exposed to heavy smoke. And because smoke can travel long distances, even people thousands of miles away from the fires can feel their effects.

Scientists are actively learning about the harms linked to wildfire smoke, but early findings suggest that wildfire smoke can have a seriously detrimental effect on our short and long-term health.

Why breathing in wildfire smoke is harmful

Wildfire smoke contains a mixture of gases, liquids and solid particles. What concerns scientists the most about wildfire smoke is the fine particulate matter (called PM 2.5), or small pieces of liquid and gas that can stay suspended in the air.

The smallest particles are the ones that can get deepest into the lungs and cause annoying symptoms — like a cough or shortness of breath — in the short term and more concerning health problems down the road, explained Colleen Reid, an environmental epidemiologist and health geographer with the University of Colorado Boulder.

According to Reid, no level of PM 2.5 is considered safe — but at higher levels, the health effects are clearly worse.

“A study from Montana found that seasons with record-high smoke were followed by more severe flu seasons, adding to the growing body of evidence that wildfire smoke can make people more susceptible to viruses and infections.”

How wildfire smoke immediately affects us

These tiny particles can get deep into our lungs and enter the bloodstream, at which point they can travel to other organs and cause widespread inflammation, Reid explained. One report found that teens living near wildfires have higher levels of inflammatory markers in their blood. Wildfire smoke can cause sore throats, a cough, watery eyes, congestion, headaches and difficulty breathing or shortness of breath. Smoke particles can also reach the brain and trigger cognitive issues.

According to Rosana Aguilera Becker, an environmental health scientist with the University of California, San Diego, people who have asthma, respiratory illnesses or COPD are most at risk and have higher rates of hospital admissions due to smoke during wildfires. In areas close to wildfires, researchers have found a spike in inhaler refills among people who have asthma.

Increases in visits to the emergency room for cardiovascular events and heart attacks have also been recorded in communities experiencing wildfires.

What we know about the long-term health effects

The effects don’t go away once the smoke clears. A study from Montana found that seasons with record-high smoke were followed by more severe flu seasons, adding to the growing body of evidence that wildfire smoke can make people more susceptible to viruses and infections.

The long-term health consequences linked to wildfire smoke exposure are understudied, largely because this hasn’t been a big issue until recently. In the past, there would be a wildfire, smoke would shoot into the sky for a short period of time, then the clogged air would clear out. It wasn’t until the past few fire seasons that the air quality has been really bad over really large geographic areas for really long periods of time, Reid said.

But there are some clues. Wildfire smoke is thought to be a risk factor for dementia and Alzheimer’s disease. And through her research, Reid has found that when pregnant people are exposed to wildfire smoke, there’s a greater risk of the baby being born early or at low birth weight.

A study conducted on monkeys found that primates exposed to wildfires as infants had worse pulmonary functioning and immune functioning later on in life. This brings up the question of “what happens to children when they’re exposed to wildfire smoke when they’re still developing,” Becker said.

Evidence looking at the long-term health effects of other types of air pollution suggests that harmful air can impact our respiratory health, cardiovascular health and neurological health. One study found that kids who grew up in areas with polluted air, like Los Angeles, go on to experience worse lung function as adults.

“We could assume, based on what we know, that there are similar things with wildfire smoke,” Reid said, noting that we really need more research on wildfire smoke specifically.

Allen J. Schaben via Getty Images

People can experience the effects of wildfire smoke even from thousands of miles away.

Does proximity to the wildfire matter?

Scientists know the most about smoke exposure in communities that are close to wildfires. But what happens when that air travels thousands of miles, as it did this summer when the jet stream brought Oregon’s wildfire smoke to the East Coast? According to Reid, there can definitely be health consequences in these places, too.

In the past, air pollution that traveled long distances was minuscule, but the fires in Oregon and Canada showed us that wildfire smoke can travel far and at really high concentrations. This is an area scientists will need to look into in the coming years. There may be differences in how fresh smoke and older smoke affects our health — but, again, no level of PM 2.5 is safe.

Our behaviors also play a role. When a fire erupts in the West, people are aware of the fire and know to stay in. You can smell it and you can see plumes of smoke spilling into the air. On the East Coast, where there are no plumes or traces of a campfire scent, some people may not take the necessary steps to protect themselves from inhaling bad air, Reid said.

Here’s how to protect yourself from wildfire smoke

You can gauge the quality of the air around you by checking your local air quality index (AQI). Reid recommends the app Smoke Sense, which provides an air quality map and recommendations for what you should or shouldn’t do. Air NOW is another tool that sends local alerts about AQIs.

If PM 2.5 levels are high, the best thing to do is stay inside and limit your outdoor activities, Becker said. It’s OK for most people to exercise at lower PM 2.5 levels, as the benefits of exercise are thought to outweigh the risks.

We Need Your Support

Other news outlets have retreated behind paywalls. At HuffPost, we believe journalism should be free for everyone.

Would you help us provide essential information to our readers during this critical time? We can't do it without you.

Can't afford to contribute? Support HuffPost by creating a free account and log in while you read.

You've supported HuffPost before, and we'll be honest — we could use your help again. We view our mission to provide free, fair news as critically important in this crucial moment, and we can't do it without you.

Whether you give once or many more times, we appreciate your contribution to keeping our journalism free for all.

You've supported HuffPost before, and we'll be honest — we could use your help again. We view our mission to provide free, fair news as critically important in this crucial moment, and we can't do it without you.

Whether you give just one more time or sign up again to contribute regularly, we appreciate you playing a part in keeping our journalism free for all.

Support HuffPost

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If you can afford an air purifier — they can be pricey! — get one with a HEPA filter. Keep your doors and windows closed. Older homes and rental properties tend to be leakier and allow more air pollution in. You can also purchase a MERV-13 filter and put it in a box fan or your AC unit. Make sure you’re regularly cleaning your car filters as they can collect a lot of particles over time. (You can find a list of filtering products certified by the Asthma & Allergy Foundation of America here.)

If you do venture outside when the PM 2.5 levels are high, bring a mask. N95 masks are the gold standard because they filter all of the air that you breathe in. Though surgical masks are less effective, they’re ultimately better than having no barrier between you and the harmful particles in wildfire smoke.

Read the full story here.
Photos courtesy of

Living Near Polluted Missouri Creek as a Child Tied to Later Cancer Risk

By I. Edwards HealthDay ReporterTHURSDAY, July 17, 2025 (HealthDay News) — Folks who grew up near a polluted Missouri creek during the 1940s...

THURSDAY, July 17, 2025 (HealthDay News) — Folks who grew up near a polluted Missouri creek during the 1940s through 1960s may have higher odds for cancer now, new research shows.The study focused on Coldwater Creek in St. Louis County. The area was contaminated with radioactive waste from the U.S. government’s atomic bomb program during World War II.Back then, uranium was processed in St. Louis and nuclear waste was stored near the city’s airport. That waste leaked into Coldwater Creek, which runs through several residential neighborhoods.Researchers found that people who lived within one kilometer (0.62 miles) of the creek as kids had an 85% higher risk of developing certain cancers later in life compared to those who lived more than 20 kilometers (12.4 miles) away.Those cancers include leukemia, thyroid cancer and breast cancer, which are known to be linked to radiation exposure.“The closer the childhood residence got to Coldwater Creek, the risk of cancer went up, and pretty dramatically," lead researcher Marc Weisskopf, a professor of epidemiology at Harvard T.H. Chan School of Public Health, told The Wall Street Journal.For the study, Weisskopf’s team surveyed more than 4,200 adults who lived in the St. Louis area as children between 1958 and 1970.These people had donated their baby teeth years ago for radiation research. The new survey asked about cancer and other health issues.About 1 in 4 participants said they had been diagnosed with cancer. Risk dropped the farther someone lived from the creek as a child.Outside experts who reviewed the findings described them as concerning.“It emphasizes the importance of appreciating that radioactive waste is carcinogenic, particularly to children, and that we have to ensure that we have to clean up any remaining waste that’s out there,” Dr. Rebecca Smith-Bindman, a radiation risk expert at the University of California, San Francisco, told The Journal.In 2024, the U.S. Army Corps of Engineers began placing warning signs along parts of the creek that still have radioactive waste, The Journal reported.The U.S. Agency for Toxic Substances and Disease Registry reported in 2019 that contamination have raised the risk of leukemia and lung and bone cancer. Later exposures, starting in the 2000s, were linked to a slight increase in lung cancer for those who lived nearby.But the agency said it’s hard to link any one person’s cancer directly to radiation. Genetics, lifestyle and other factors could also play a role.In this study, radiation exposure wasn’t directly measured. Cancer cases were also self-reported, not confirmed by medical records. Weisskopf plans to measure radiation levels using the stored baby teeth in future research.Radiation exposure has long been tied to cancer, but this study is among the first to look at lower, long-term environmental exposure in the U.S., not just high levels from nuclear disasters or bombings."Radiation, when it’s given unnecessarily, only causes risk," Dr. Howard Sandler, chair of radiation oncology at Cedars-Sinai in Los Angeles, told The Journal.SOURCE: The Wall Street Journal, July 16, 2025Copyright © 2025 HealthDay. All rights reserved.

Disposable Vapes Release Toxic Metals, Lab Study Says

By Dennis Thompson HealthDay ReporterFRIDAY, July 11, 2025 (HealthDay News) — People using cheap disposable vape devices are likely inhaling high...

By Dennis Thompson HealthDay ReporterFRIDAY, July 11, 2025 (HealthDay News) — People using cheap disposable vape devices are likely inhaling high levels of toxic metals with every puff, a recent study says.After a few hundred puffs, some disposable vapes start releasing levels of toxic metals higher than found in either last-generation refillable e-cigarettes or traditional tobacco smokes, researchers reported in the journal ACS Central Science.These metals can increase a person’s risk of cancer, lung disease and nerve damage, researchers said.“Our study highlights the hidden risk of these new and popular disposable electronic cigarettes — with hazardous levels of neurotoxic lead and carcinogenic nickel and antimony — which stresses the need for urgency in enforcement,” senior researcher Brett Poulin, an assistant professor of environmental toxicology at the University of California-Davis, said in a news release.Earlier studies found that the heating elements of refillable vapes could release metals like chromium and nickel into the vapor people breathe.For this study, researchers analyzed seven disposable devices from three well-known vape brands: ELF Bars, Flum Pebbles and Esco Bar.Before they were even used, some of the devices had surprisingly high levels of lead and antimony, researchers reported. The lead appears to have come from leaded copper alloys used in the devices, which leach into the e-liquid.The team then activated the disposable vapes, creating between 500 and 1,500 puffs for each device, to see whether their heating elements would release more metals.Analysis of the vapor revealed that:Levels of metals like chromium, nickel and antimony increased as the number of puffs increased, while concentrations of zinc, copper and lead were elevated at the start. Most of the tested disposables released higher amounts of metals than older refillable vapes. One disposable released more lead during a day’s use than one would get from nearly 20 packs of tobacco cigarettes. Nickel in three devices and antimony in two devices exceeded cancer risk limits. Four devices had nickel and lead emissions that surpassed health risk thresholds for diseases other than cancer. These results reflect only three of the nearly 100 disposable vape brands now available on store shelves, researchers noted.“Coupling the high element exposures and health risks associated with these devices and their prevalent use among the underage population, there is an urgent need for regulators to investigate this issue further and exercise regulatory enforcement accordingly,” researchers wrote.SOURCES: American Chemical Society, news release, June 20, 2025; ACS Central Science, June 25, 2025Copyright © 2025 HealthDay. All rights reserved.

Trying to Quit Smoking? These Expert-Backed Tips Can Help

By David Hill, MD, Chair, Board of Directors, American Lung Association HealthDay ReporterTHURSDAY, July 10, 2025 (HealthDay News) — According to...

THURSDAY, July 10, 2025 (HealthDay News) — According to the U.S. Centers for Disease Control and Prevention (CDC), in 2022, the majority of the 28.8 million U.S. adults who smoked cigarettes wanted to quit; approximately half had tried to quit, but fewer than 10% were successful.Many folks say quitting smoking was the hardest thing they have ever done. This includes people who have climbed mountains, corporate ladders, tackled childbirth and raised families.Successfully overcoming tobacco addiction is a process, and it takes time. It can’t be done at once. Individuals taught themselves how to smoke, vape or chew tobacco products and practiced for so long that the behavior became as automatic as breathing, eating or sleeping.Quitting, then, is a process of overcoming addiction and learned behaviors. Individuals must learn to manage nicotine addiction, unlearn their automatic behavior of tobacco use, and replace it with healthy new alternatives.Because tobacco dependence is a chronic relapsing condition, Freedom From Smoking® identifies quitting tobacco use and maintaining abstinence as a process in which a person may cycle through multiple periods of relapse and remission before experiencing long-term lifestyle and behavior change.The CDC suggests that it takes eight to 11 attempts before quitting permanently.It’s essential to understand three challenges associated with quitting and create a plan to address each with proven-effective strategies:1. Psychological Link of Nicotine Addiction Over time, using tobacco products becomes an automatic behavior that needs to be unlearned.  After quitting, emotions can overwhelm a person.  Grief can also play an important role in the quitting process.  Create support systems through counseling classes, and among family, friends and co-workers. Mark a calendar for every day you are tobacco-free and reward yourself for days you avoid use. Use positive self-talk when cravings arise, such as “the urge will pass whether I smoke or not” or “smoking is not an option for me.”2. Sociocultural Link of Nicotine AddictionCertain activities and environmental cues can trigger the urge to smoke. As people mature, social factors or cues play a role in continuing use.  People who use tobacco may be reluctant to give up those connections or routines.  Identify your triggers and use replacements such as cinnamon sticks, doodling on a notepad or finding another activity to keep your hands busy. Create change and break routine by using the 3 A’s — AVOID (the situation), ALTER (the situation) or ALTERNATIVE (substitute something else). Keep a quit kit/survival kit with you at all times with items you can use to replace tobacco product use when the urge comes.3. Biological (Physical) Link of Nicotine AddictionAddiction occurs when a substance — like nicotine, alcohol or cocaine — enters the brain and activates the brain’s receptors for that substance, producing pleasure.  When a person quits, the brain’s nicotine receptors activate, creating cravings and withdrawal symptoms.  Over time, the receptors become inactive, and the withdrawal symptoms and urges to use fade away. Use cessation medications approved by the U.S. Food and Drug Administration (prescription or over-the-counter) in the proper doses for the full time period recommended by a clinician. Do not stop treatment early. Exercise alternative ways to release dopamine such as physical activity or listening to music.  Use stress management techniques, including deep breathing and relaxation exercises, daily if possible.Nearly 2 in 3 adults who have ever smoked cigarettes have successfully quit, according to the CDC You can, too! To learn more about strategies for countering the challenges associated with the three-link chain of nicotine addiction, visit Quit Smoking & Vaping | American Lung Association.Dr. David Hill is a member of the Lung Association's National Board of Directors and is the immediate past chair of the Northeast Regional Board of the American Lung Association. He serves on the Leadership Board of the American Lung Association in Connecticut and is a former chair of that board. He is a practicing pulmonary and critical care physician with Waterbury Pulmonary Associates and serves as their director of clinical research. He is an assistant clinical professor of medicine at the Yale University School of Medicine, an assistant clinical professor at the Frank Netter School of Medicine at Quinnipiac University, and a clinical instructor at the University of Connecticut School of Medicine.Copyright © 2025 HealthDay. All rights reserved.

Lead Exposure Can Harm Kids' Memory, Study Says

By Dennis Thompson HealthDay ReporterTHURSDAY, July 10, 2025 (HealthDay News) — Even low levels of lead exposure can harm kids' working memory,...

By Dennis Thompson HealthDay ReporterTHURSDAY, July 10, 2025 (HealthDay News) — Even low levels of lead exposure can harm kids' working memory, potentially affecting their education and development, according to a new study.Exposure to lead in the womb or during early childhood appears to increase kids' risk of memory decay, accelerating the rate at which they forget information, researchers reported July 9 in the journal Science Advances.“There may be no more important a trait than the ability to form memories. Memories define who we are and how we learn,” said senior researcher Dr. Robert Wright, chair of environmental medicine at the Icahn School of Medicine at Mount Sinai in New York City.“This paper breaks new ground by showing how environmental chemicals can interfere with the rate of memory formation,” Wright said in a news release.For the study, researchers took blood lead measurements from the mothers of 576 children in Mexico during the second and third trimester of pregnancy. Later, the team took samples directly from the kids themselves, at ages 4 to 6.Between 6 and 8 years of age, the kids took a test called the delayed matching-to-sample task, or DMST, to measure their rate of forgetting.In the test, kids had to remember a simple shape for up to 32 seconds after it had been briefly shown to them, and then choose it from three offered options.The test lasted for 15 minutes, with correct responses rewarding the child with tokens that could be exchanged for a toy at the end of the experiment.“Children with higher levels of blood lead forgot the test stimulus faster than those with low blood lead levels,” Wright said.Researchers noted that the Mexican children in the study had higher median blood lead levels than those typically found in U.S. kids 6 to 10 years old – 1.7 Ug/dL versus 0.5 Ug/dL. (Median means half were higher, half were lower.)Children in Mexico are exposed to lead through commonly used lead-glazed ceramics used to cook, store and serve food, researchers said.However, the Mexican kids’ blood lead levels were still lower than the 3.5 Ug/dL level used by the U.S. Centers for Disease Control and Prevention to identify kids in the United States with more lead exposure than others, researchers added.“In the U.S., the reduction of environmental exposures to lead, such as lead-based paint in homes, lead pipes, and lead in foods such as spices, is still of continued importance as even low levels of lead can have detrimental effects on children’s cognitive function and development,” researchers wrote in their paper.This study also shows that the DMST test can be used to help test the effect of other environmental hazards on kids’ memory, researchers said.“Children are exposed to many environmental chemicals, and this model provides a validated method to further assess the effect of additional environmental exposures, such as heavy metals, air pollution, or endocrine disruptors, on children’s working memory,” co-lead researcher Katherine Svensson, a postdoctoral fellow in environmental medicine at the Icahn School of Medicine at Mount Sinai, said in a news release.SOURCES: Mount Sinai, news release, July 9, 2025; Science Advances, July 9, 2025Copyright © 2025 HealthDay. All rights reserved.

Nearly Half of Americans Still Live With High Levels of Air Pollution, Posing Serious Health Risks, Report Finds

The most recent State of the Air report by the American Lung Association found that more than 150 million Americans breathe air with unhealthy levels of ozone or particle pollution

Nearly Half of Americans Still Live With High Levels of Air Pollution, Posing Serious Health Risks, Report Finds The most recent State of the Air report by the American Lung Association found that more than 150 million Americans breathe air with unhealthy levels of ozone or particle pollution Lillian Ali - Staff Contributor April 25, 2025 12:50 p.m. For 25 of the 26 years the American Lung Association has reported State of the Air, Los Angeles—pictured here in smog—has been declared the city with the worst ozone pollution in the United States. David Iliff via Wikimedia Commons under CC BY-SA 3.0 Since 2000, the American Lung Association has released an annual State of the Air report analyzing air quality data across the United States. This year’s report, released on Wednesday, found the highest number of people exposed to unhealthy levels of air pollution in a decade. According to the findings, 156 million Americans—or 46 percent of the U.S. population—live with levels of particle or ozone pollution that received a failing grade. “Both these types of pollution cause people to die,” Mary Rice, a pulmonologist at Harvard University, tells NPR’s Alejandra Borunda. “They shorten life expectancy and drive increases in asthma rates.” Particle pollution, also called soot pollution, is made up of minuscule solid and liquid particles that hang in the air. They’re often emitted by fuel combustion, like diesel- and gasoline-powered cars or the burning of wood. Ozone pollution occurs when polluting gases are hit by sunlight, leading to a reaction that forms ozone smog. Breathing in ozone can irritate your lungs, causing shortness of breath, coughing or asthma attacks. The 2025 State of the Air report, which analyzed air quality data from 2021 to 2023, found 25 million more people breathing polluted air compared to the 2024 report. The authors link this rise to climate change. “There’s definitely a worsening trend that’s driven largely by climate change,” Katherine Pruitt, the lead author of the report and national senior director for policy at the American Lung Association, tells USA Today’s Ignacio Calderon. “Every year seems to be a bit hotter globally, resulting in more extreme weather events, more droughts, more extreme heat and more wildfires.” Those wildfires produce the sooty particles that contribute to particulate pollution, while extreme heat creates more favorable conditions for ozone formation, producing smog. While climate change is contributing to heavy air pollution, it used to be much worse. Smog has covered cities like Los Angeles since the early 20th century. At one point, these “hellish clouds” of smog were so thick that, in the middle of World War II, residents thought the city was under attack. The Optimist Club of Highland Park, a neighborhood in northeast Los Angleles, wore gas masks at a 1954 banquet to highlight air pollution in the city. Los Angeles Daily News via Wikimedia Commons under CC-BY 4.0 The passage of the Clean Air Act and the creation of the federal Environmental Protection Agency (EPA) in 1970 marked a turning point in air quality, empowering the government to regulate pollution and promote public health. Now, six key air pollutants have dropped by about 80 percent since the law’s passage, according to this year’s report. But some researchers see climate change as halting—or even reversing—this improvement. “Since the act passed, the air pollution has gone down overall,” Laura Kate Bender, an assistant vice president at the American Lung Association, tells CBS News’ Kiki Intarasuwan. “The challenge is that over the last few years, we’re starting to see it tick back up again, and that’s because of climate change, in part.” At the same time, federal action against climate change appears to be slowing. On March 12, EPA administrator Lee Zeldin announced significant rollbacks and re-evaluations, declaring it “the greatest day of deregulation our nation has seen.” Zeldin argued that his deregulation will drive “a dagger straight into the heart of the climate change religion.” Included in Zeldin’s push for deregulation is a re-evaluation of Biden-era air quality standards, including those for particulate pollution and greenhouse gases. The EPA provided a list of 31 regulations it plans to scale back or eliminate, including limits on air pollution, mercury emissions and vehicles. This week, the EPA sent termination notices to nearly 200 employees at the Office of Environmental Justice and External Civil Rights. “Unfortunately, we see that everything that makes our air quality better is at risk,” Kate Bender tells CBS News, citing the regulation rollbacks and cuts to staff and funding at the EPA. “If we see all those cuts become reality, it’s gonna have a real impact on people’s health by making the air they breathe dirtier.” Get the latest stories in your inbox every weekday.

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