May 2007

Frequently Asked Questions Regarding Health and Wildfires

Q: What is the health threat from wildfire smoke?
A: Smoke from wildfires is a mixture of gases and fine particles from burning trees and other plant materials. Smoke can hurt your eyes, irritate your respiratory system, and worsen chronic heart and lung diseases. Fortunately, most persons who are exposed to thick smoke will not have health problems. How much and how long you are exposed to the smoke, as well as your age and degree of susceptibility play a role in determining whether or not someone will experience smoke-related problems. If you are experiencing serious medical problems for any reason, seek medical treatment immediately.

Q: How can I tell if the smoke is affecting my family or me?
A: • Smoke can cause coughing, scratchy throat, irritated sinuses, shortness of breath, chest pain, headaches, stinging eyes and runny nose.
     • If you have heart or lung disease, smoke might make your symptoms worse.
     • People who have heart disease might experience chest pain, rapid heartbeat, shortness of breath and fatigue
     • Smoke may worsen symptoms for people who have pre-existing respiratory conditions, such as respiratory allergies, asthma, and chronic obstructive pulmonary disease (COPD), in the following ways:
        o Inability to breathe normally
        o Cough with or without mucus
        o Chest discomfort
        o Wheezing and shortness of breath
     • When smoke levels are high enough, even healthy people may experience some of these symptoms.

Q: How can I protect myself and my family from the harmful effects of smoke?
A: The best thing to do is to limit your exposure to the smoke. Specific strategies to decrease exposure to smoke include staying indoors whenever possible, using air conditioners (air conditioned homes usually have lower air exchange rates than homes that use open windows for ventilation), using mechanical air cleaners, keeping windows closed while driving in a vehicle, and minimizing other sources of air pollution (e.g., smoking tobacco, using wood burning stoves, burning candles or incense and vacuuming).

Q: Will I suffocate in my house?
A: No. The most common call for evacuation during a wildfire is due to the direct threat of the fire, not smoke. Leaving the area of thick smoke may be an option for those who are sensitive to smoke. But it is often difficult to predict the duration, intensity and direction of smoke, making this an unattractive choice to many people.
During severe smoke events, local clean air shelters may be designated to provide residents with a cool place to get out of the smoke, or individuals may choose to visit these locations on their own. These places may include large commercial buildings, educational facilities, shopping malls, movie theaters or any place with effective air conditioning and particle filtration.

Q: What about “N95”respirators?
A: N95 respirators look like paper masks but have been tested and certified by the National Institute for Occupational Safety and Health (NIOSH). They are good enough to filter out 95% of the small particles that may be found in smoke. Of course, like any filtering face-piece respirator, they must fit properly to the wearer’s face to work correctly. It is also important to know that N95 particulate respirators only filter particles, and not toxic gases and vapors.

Q: Should I Wear a mask or N95 respirator?
A: The Department of Health does not recommend the wearing of any masks or respirators at this time. There are several drawbacks to recommending widespread respirator use in an area affected by wildfire smoke. Most people may not use the respirators correctly and may not understand the importance of having an airtight seal between the respirator and the face. For instance, it is impossible to get a good seal on individuals with facial hair. As a result, the respirator will provide little if any protection, and may offer the wearer a false sense of protection.
Filtering face-piece respirators are also uncomfortable since they can make breathing more difficult which can lead to physiological stresses such as increased respiratory rates and heart rates. Respirators can also contribute to heat stress. Because of this, respirator use by those with cardiopulmonary and respiratory diseases can be dangerous, and should only be done under a doctor’s supervision. Even healthy adults may find that the increased effort required for breathing makes it uncomfortable to wear a respirator for more than short periods of time.

Q: Will a wet towel or bandana provide any help?
A: The Department of Health does not recommend using wet towels or bandanas. Since wet towels or bandanas may not be sealed to the face and their capacity to filter very small particles is unknown, they will likely provide little to no protection. They are also not certified as effective respirators by National Institute for Occupational Safety and Health (NIOSH).

Q: What should I do if I must drive to work?
A: Individuals can reduce the amount of smoke particles in their vehicles by keeping the windows closed. The car’s ventilation systems typically remove a portion of the particulate coming in from outside. For best results, individuals may want to use the re-circulate air feature found in most cars, which will help keep the particulate levels lower.

Q: Our community has an outdoor game scheduled for this evening, should we cancel it?
A: All persons in areas affected by the wildfire smoke are being advised to limit outdoor activity and stay indoors whenever possible to minimize exposure to the smoke. Contact your local emergency management officials for more guidance.

Q: Do air-purifying machines help remove smoke particles inside buildings?
A: Some air cleaners may be effective at reducing indoor particle levels, but most are not effective at removing gases and odors, and also tend to be expensive. Some devices, known as ozone generators, personal ozone devices, “energized oxygen”, “triatomic oxygen”, “activated oxygen” and “pure air” generators are sold as air cleaners, but they are not recommended for use in occupied buildings. Ozone does not remove particles from the air, and would not be effective during smoke events. Ozone itself is toxic and a regulated outside air pollutant. We advise the public to avoid exposure to ozone indoors by not using air cleaners that produce ozone. For additional information consider reviewing the US Environmental Protection Agency document: “Ozone Generators That Are Sold As Air Cleaners” available at
http://www.epa.gov/iaq/pubs/ozonegen.html
Also, humidifiers or de-humidifiers are not technically air cleaners and will not significantly reduce the amount of particles in the air during a smoke event.

Q: What should I do about closing up my house when it is so hot in there?
A: If you do not have an air conditioner and if it is too warm to stay inside with the windows closed, seek alternative shelter.

Q: If I have respiratory problems and can’t reach my doctor, where should I go?
A: If you have a medical emergency you should call 911 or go the hospital emergency room immediately.

Q: What do I bring if I’m told to evacuate my home?
A: If asked or instructed to evacuate your home make sure to bring your important family documents (birth certificates, wills, insurance policies, etc), any valuables and your family disaster supply kit. Your disaster supply kit should contain enough food, water and supplies to sustain your family for at least 3 days. Don’t forget any medications or special items such as a first aid kit. For additional information on how to prepare your family for disasters consider reviewing the “Family Preparedness Guide” available at:
http://www.doh.state.fl.us/rw_webmaster/prepareenglish06.pdf It is extremely important for families to create their own disaster plan before a disaster strikes so they are quickly able to determine what valuables they may want to bring, what items need to be stored, how to preserve keepsakes, etc.

Q: I operate a nonresidential building with outside air intakes. Should I close the outside air intakes during a wildfire smoke event?
A: Every nonresidential building has a uniquely designed ventilation system, where any changes even temporary ones, can have an impact on building occupants and indoor air quality. We recommend you consult with a heating, ventilation and air-conditioning professional for guidance on this issue.

Q: Where can I find information about the air quality in the area I live?
A: The Florida Department of Environmental Protection provides updated information on outdoor air quality in Florida. You can access this information by logging into the following website:
http://www.floridadep.org/air/airquality.htm

Q: As an employee or volunteer, I am working in an area where I am exposed to wildfire smoke. What type of respiratory protection should I use?
A: Consult with your employer or the agency to which you are volunteering. The U.S. Department of Labor, Occupational Safety and Health Administration (OSHA) requires all employers to establish respiratory protection programs for their employees to use when it is deemed necessary. If respirators are deemed necessary to limit exposures to airborne contaminants, the employer is required to provide the selected the appropriate respirator based on the respiratory hazard the employee is expected to experience during work. The employer then provides respirators, training and medical evaluations at no cost to the employee.

For additional information about the respiratory protection standards, log on to
www.OSHA.gov and click "r" on the site index alphabet, or call OSHA at 1-800-321-OSHA or the National Institute for Occupational Safety & Health (NIOSH) at 1-800-35-NIOSH.