Skip to main content
Top
Published in: BMC Public Health 1/2016

Open Access 01-12-2016 | Study protocol

Health effects of smoke from planned burns: a study protocol

Authors: David O’Keeffe, Martine Dennekamp, Lahn Straney, Mahjabeen Mazhar, Tom O’Dwyer, Anjali Haikerwal, Fabienne Reisen, Michael J. Abramson, Fay Johnston

Published in: BMC Public Health | Issue 1/2016

Login to get access

Abstract

Background

Large populations are exposed to smoke from bushfires and planned burns. Studies investigating the association between bushfire smoke and health have typically used hospital or ambulance data and been done retrospectively on large populations. The present study is designed to prospectively assess the association between individual level health outcomes and exposure to smoke from planned burns.

Methods/design

A prospective cohort study will be conducted during a planned burn season in three locations in Victoria (Australia) involving 50 adult participants who undergo three rounds of cardiorespiratory medical tests, including measurements for lung inflammation, endothelial function, heart rate variability and markers of inflammation. In addition daily symptoms and twice daily lung function are recorded. Outdoor particulate air pollution is continuously measured during the study period in these locations. The data will be analysed using mixed effect models adjusting for confounders.

Discussion

Planned burns depend on weather conditions and dryness of ‘fuels’ (i.e. forest). It is potentially possible that no favourable conditions occur during the study period. To reduce the risk of this occurring, three separate locations have been identified as having a high likelihood of planned burn smoke exposure during the study period, with the full study being rolled out in two of these three locations. A limitation of this study is exposure misclassification as outdoor measurements will be conducted as a measure for personal exposures. However this misclassification will be reduced as participants are only eligible if they live in close proximity to the monitors.
Literature
1.
go back to reference Johnston FH. Bushfires and human health in a changing environment. Aust Fam Physician. 2009;38(9):720–4.PubMed Johnston FH. Bushfires and human health in a changing environment. Aust Fam Physician. 2009;38(9):720–4.PubMed
2.
go back to reference Murphy BP, Bradstock RA, Boer MM, Carter J, Cary GJ, Cochrane MA, et al. Fire regimes of Australia: a pyrogeographic model system. J Biogeogr. 2013;40(6):1048–58.CrossRef Murphy BP, Bradstock RA, Boer MM, Carter J, Cary GJ, Cochrane MA, et al. Fire regimes of Australia: a pyrogeographic model system. J Biogeogr. 2013;40(6):1048–58.CrossRef
3.
go back to reference Johnston FH, Hanigan IC, Henderson SB, Morgan GG, Portner T, Williamson GJ, et al. Creating an integrated historical record of extreme bushfire smoke events in Australian cities from 1994 to 2007. J Air Waste Manag Assoc. 2011;61(4):390–8.CrossRef Johnston FH, Hanigan IC, Henderson SB, Morgan GG, Portner T, Williamson GJ, et al. Creating an integrated historical record of extreme bushfire smoke events in Australian cities from 1994 to 2007. J Air Waste Manag Assoc. 2011;61(4):390–8.CrossRef
4.
go back to reference Keywood M, Cope M, Meyer CM, Iinuma Y, Emmerson K. When smoke comes to town: The impact of biomass burning smoke on air quality. Atmospheric Environment. 2015;121:13. Keywood M, Cope M, Meyer CM, Iinuma Y, Emmerson K. When smoke comes to town: The impact of biomass burning smoke on air quality. Atmospheric Environment. 2015;121:13.
5.
go back to reference Bradstock RA, Cary GJ, Davies I, Lindenmayer DB, Price OF, Williams RJ. Wildfires, fuel treatment and risk mitigation in Australian eucalypt forests: insights from landscape-scale simulation. J Environ Manage. 2012;105:66–75.CrossRefPubMed Bradstock RA, Cary GJ, Davies I, Lindenmayer DB, Price OF, Williams RJ. Wildfires, fuel treatment and risk mitigation in Australian eucalypt forests: insights from landscape-scale simulation. J Environ Manage. 2012;105:66–75.CrossRefPubMed
6.
go back to reference Price F, Bradstock RA. Quantifying the influence of fuel age and weather on the annual extent of unplanned fires in the Sydney region of Australia. Int J Wildland Fire. 2011;20(1):142–51.CrossRef Price F, Bradstock RA. Quantifying the influence of fuel age and weather on the annual extent of unplanned fires in the Sydney region of Australia. Int J Wildland Fire. 2011;20(1):142–51.CrossRef
7.
go back to reference Haikerwal A, Reisen F, Sim MR, Abramson MJ, Meyer CP, Johnston FH, et al. Impact of smoke from prescribed burning: Is it a public health concern? J Air Waste Manage Assoc. 2015;65(5):592–8.CrossRef Haikerwal A, Reisen F, Sim MR, Abramson MJ, Meyer CP, Johnston FH, et al. Impact of smoke from prescribed burning: Is it a public health concern? J Air Waste Manage Assoc. 2015;65(5):592–8.CrossRef
8.
go back to reference Henderson SB, Johnston FH. Measures of forest fire smoke exposure and their associations with respiratory health outcomes. Curr Opin Allergy Clin Immunol. 2012;12(3):221–7.CrossRefPubMed Henderson SB, Johnston FH. Measures of forest fire smoke exposure and their associations with respiratory health outcomes. Curr Opin Allergy Clin Immunol. 2012;12(3):221–7.CrossRefPubMed
9.
go back to reference Dennekamp M, Abramson MJ. The effects of bushfire smoke on respiratory health. Respirology. 2011;16(2):198.CrossRefPubMed Dennekamp M, Abramson MJ. The effects of bushfire smoke on respiratory health. Respirology. 2011;16(2):198.CrossRefPubMed
10.
go back to reference Liu JC, Pereira G, Uhl SA, Bravo MA, Bell ML. A systematic review of the physical health impacts from non-occupational exposure to wildfire smoke. Environ Res. 2015;136:120–32.CrossRefPubMed Liu JC, Pereira G, Uhl SA, Bravo MA, Bell ML. A systematic review of the physical health impacts from non-occupational exposure to wildfire smoke. Environ Res. 2015;136:120–32.CrossRefPubMed
11.
go back to reference Haikerwal A, Akram M, Del Monaco A, Smith K, Sim MR, Meyer M, et al. Impact of fine particulate matter (PM2. 5) exposure during wildfires on cardiovascular health outcomes. J Am Heart Assoc. 2015;4((7):e001653.CrossRefPubMedPubMedCentral Haikerwal A, Akram M, Del Monaco A, Smith K, Sim MR, Meyer M, et al. Impact of fine particulate matter (PM2. 5) exposure during wildfires on cardiovascular health outcomes. J Am Heart Assoc. 2015;4((7):e001653.CrossRefPubMedPubMedCentral
12.
go back to reference Wong LN, Aung H, Lamé M, Wegesser T, Wilson D. Fine particulate matter from urban ambient and wildfire sources from California’s San Joaquin Valley initiate differential inflammatory, oxidative stress, and xenobiotic responses in human bronchial epithelial cells. Toxicol in Vitro. 2011;25(8):1895–905.CrossRef Wong LN, Aung H, Lamé M, Wegesser T, Wilson D. Fine particulate matter from urban ambient and wildfire sources from California’s San Joaquin Valley initiate differential inflammatory, oxidative stress, and xenobiotic responses in human bronchial epithelial cells. Toxicol in Vitro. 2011;25(8):1895–905.CrossRef
13.
go back to reference Delfino RJ, Staimer N, Tjoa T, Gillen DL, Polidori A, Arhami M, et al. Air pollution exposures and circulating biomarkers of effect in a susceptible population: clues to potential causal component mixtures and mechanisms. Environ Health Perspect. 2009;117(8):1232–8.CrossRefPubMedPubMedCentral Delfino RJ, Staimer N, Tjoa T, Gillen DL, Polidori A, Arhami M, et al. Air pollution exposures and circulating biomarkers of effect in a susceptible population: clues to potential causal component mixtures and mechanisms. Environ Health Perspect. 2009;117(8):1232–8.CrossRefPubMedPubMedCentral
14.
go back to reference Jalaludin B, Smith M, O’Toole B, Leeder S. Acute effects of bushfires on peak expiratory flow rates in children with wheeze: A time series analysis. Aust N Z J Public Health. 2000;24(2):174–7.CrossRefPubMed Jalaludin B, Smith M, O’Toole B, Leeder S. Acute effects of bushfires on peak expiratory flow rates in children with wheeze: A time series analysis. Aust N Z J Public Health. 2000;24(2):174–7.CrossRefPubMed
15.
go back to reference Simpson R, Williams G, Petroeschevsky A, Best T, Morgan G, Denison L, et al. The short-term effects of air pollution on daily mortality in four Australian cities. Aust N Z J Public Health. 2005;29(3):205–12.CrossRefPubMed Simpson R, Williams G, Petroeschevsky A, Best T, Morgan G, Denison L, et al. The short-term effects of air pollution on daily mortality in four Australian cities. Aust N Z J Public Health. 2005;29(3):205–12.CrossRefPubMed
16.
go back to reference Johnston F, Bailie R, Pilotto L. Bushfire smoke and respiratory hospital admissions in the Australian monsoon tropics Australian Epidemiology. 2006;13:65 Johnston F, Bailie R, Pilotto L. Bushfire smoke and respiratory hospital admissions in the Australian monsoon tropics Australian Epidemiology. 2006;13:65
17.
go back to reference Chen L, Verrall K, Tong S. Air particulate pollution due to bushfires and respiratory hospital admissions in Brisbane. Australia Int J Environ Health Res. 2006;16(3):181–91.CrossRefPubMed Chen L, Verrall K, Tong S. Air particulate pollution due to bushfires and respiratory hospital admissions in Brisbane. Australia Int J Environ Health Res. 2006;16(3):181–91.CrossRefPubMed
18.
go back to reference Melody SM, Johnston FH. Coal mine fires and human health: What do we know? International Journal of Coal Geology. 2015;152, Part B:1–14. Melody SM, Johnston FH. Coal mine fires and human health: What do we know? International Journal of Coal Geology. 2015;152, Part B:1–14.
19.
go back to reference McCreanor J, Cullinan P, Nieuwenhuijsen MJ, Stewart-Evans J, Malliarou E, Jarup L, et al. Respiratory effects of exposure to diesel traffic in persons with asthma. N Engl J Med. 2007;357(23):2348–58.CrossRefPubMed McCreanor J, Cullinan P, Nieuwenhuijsen MJ, Stewart-Evans J, Malliarou E, Jarup L, et al. Respiratory effects of exposure to diesel traffic in persons with asthma. N Engl J Med. 2007;357(23):2348–58.CrossRefPubMed
20.
go back to reference Trenga CA, Sullivan JH, Schildcrout JS, Shepherd KP, et al. Effect of Particulate Air Pollution on Lung Function in Adult and Pediatric Subjects in a Seattle Panel Study*. Chest. 2006;129(6):1614–22.CrossRefPubMed Trenga CA, Sullivan JH, Schildcrout JS, Shepherd KP, et al. Effect of Particulate Air Pollution on Lung Function in Adult and Pediatric Subjects in a Seattle Panel Study*. Chest. 2006;129(6):1614–22.CrossRefPubMed
21.
go back to reference Zanobetti A, Gold DR, Stone PH, Suh HH, Schwartz J, Coull BA, et al. Reduction in Heart Rate Variability with Traffic and Air Pollution in Patients with Coronary Artery Disease. Environ Health Perspect. 2010;118(3):324–30.CrossRefPubMed Zanobetti A, Gold DR, Stone PH, Suh HH, Schwartz J, Coull BA, et al. Reduction in Heart Rate Variability with Traffic and Air Pollution in Patients with Coronary Artery Disease. Environ Health Perspect. 2010;118(3):324–30.CrossRefPubMed
22.
go back to reference Huttunen K, Siponen T, Salonen I, Yli-Tuomi T, Aurela M, Dufva H, et al. Low-level exposure to ambient particulate matter is associated with systemic inflammation in ischemic heart disease patients. Environ Res. 2012;116:44–51.CrossRefPubMed Huttunen K, Siponen T, Salonen I, Yli-Tuomi T, Aurela M, Dufva H, et al. Low-level exposure to ambient particulate matter is associated with systemic inflammation in ischemic heart disease patients. Environ Res. 2012;116:44–51.CrossRefPubMed
23.
go back to reference Tan WC, Qiu D, Liam BL, Ng TP, Lee SH, van Eeden SF, et al. The Human Bone Marrow Response to Acute Air Pollution Caused by Forest Fires. Am J Respir Crit Care Med. 2000;161(4):1213–7.CrossRefPubMed Tan WC, Qiu D, Liam BL, Ng TP, Lee SH, van Eeden SF, et al. The Human Bone Marrow Response to Acute Air Pollution Caused by Forest Fires. Am J Respir Crit Care Med. 2000;161(4):1213–7.CrossRefPubMed
24.
go back to reference Wegesser TC, Franzi LM, Mitloehner FM, Eiguren-Fernandez A, Last JA. Lung antioxidant and cytokine responses to coarse and fine particulate matter from the great California wildfires of 2008. Inhal Toxicol. 2010;22(7):561–70.CrossRefPubMed Wegesser TC, Franzi LM, Mitloehner FM, Eiguren-Fernandez A, Last JA. Lung antioxidant and cytokine responses to coarse and fine particulate matter from the great California wildfires of 2008. Inhal Toxicol. 2010;22(7):561–70.CrossRefPubMed
25.
go back to reference Wegesser TC, Pinkerton KE, Last JA. California Wildfires of 2008: Coarse and Fine Particulate Matter Toxicity. Environ Health Perspect. 2009;117(6):893–7.CrossRefPubMedPubMedCentral Wegesser TC, Pinkerton KE, Last JA. California Wildfires of 2008: Coarse and Fine Particulate Matter Toxicity. Environ Health Perspect. 2009;117(6):893–7.CrossRefPubMedPubMedCentral
26.
go back to reference Myatt TA, Vincent MS, Kobzik L, Naeher LP, MacIntosh DL, Suh H. Markers of inflammation in alveolar cells exposed to fine particulate matter from prescribed fires and urban air. J Occup Environ Med. 2011;53(10):1110–4.CrossRefPubMed Myatt TA, Vincent MS, Kobzik L, Naeher LP, MacIntosh DL, Suh H. Markers of inflammation in alveolar cells exposed to fine particulate matter from prescribed fires and urban air. J Occup Environ Med. 2011;53(10):1110–4.CrossRefPubMed
27.
go back to reference Morgan G, Sheppeard V, Khalaj B, Ayyar A, Lincoln D, Jalaludin B, et al. Effects of bushfire smoke on daily mortality and hospital admissions in Sydney, Australia. Epidemiology. 2010;21:47–55.CrossRefPubMed Morgan G, Sheppeard V, Khalaj B, Ayyar A, Lincoln D, Jalaludin B, et al. Effects of bushfire smoke on daily mortality and hospital admissions in Sydney, Australia. Epidemiology. 2010;21:47–55.CrossRefPubMed
28.
go back to reference Reisen F, Meyer CP, McCaw L, Powell JC, Tolhurst K, Keywood MD, et al. Impact of smoke from biomass burning on air quality in rural communities in southern Australia. Atmos Environ. 2011;45(24):3944–53.CrossRef Reisen F, Meyer CP, McCaw L, Powell JC, Tolhurst K, Keywood MD, et al. Impact of smoke from biomass burning on air quality in rural communities in southern Australia. Atmos Environ. 2011;45(24):3944–53.CrossRef
29.
go back to reference Reisen F, Meyer CP, Keywood MD. Impact of biomass burning sources on seasonal aerosol air quality. Atmos Environ. 2013;67:437–47.CrossRef Reisen F, Meyer CP, Keywood MD. Impact of biomass burning sources on seasonal aerosol air quality. Atmos Environ. 2013;67:437–47.CrossRef
30.
go back to reference Engling G, Carrico CM, Kreidenweis SM, Collett JLJ, Day DE, Malm WC, et al. Determination of levoglucosan in biomass combustion aerosol by high-performance anion-exchange chromatography with pulsed amperometric detection Atmospheric Environment. 2006a;40(Suppl 2):299–311 Engling G, Carrico CM, Kreidenweis SM, Collett JLJ, Day DE, Malm WC, et al. Determination of levoglucosan in biomass combustion aerosol by high-performance anion-exchange chromatography with pulsed amperometric detection Atmospheric Environment. 2006a;40(Suppl 2):299–311
31.
go back to reference Cowie CT, Ezz W, Xuan W, Lilley W, Rose N, Rae M, et al. A randomised cross-over cohort study of exposure to emissions from a road tunnel ventilation stack. BMJ Open. 2012;2(4). doi:10.1136/bmjopen-2012-001201corr1. Cowie CT, Ezz W, Xuan W, Lilley W, Rose N, Rae M, et al. A randomised cross-over cohort study of exposure to emissions from a road tunnel ventilation stack. BMJ Open. 2012;2(4). doi:10.​1136/​bmjopen-2012-001201corr1.
32.
go back to reference Allen R, Wallace L, Larson T, Sheppard L, Liu LJ. Estimated hourly personal exposures to ambient and nonambient particulate matter among sensitive populations in Seattle, Washington. J Air Waste Manag Assoc. 2004;54(9):1197–211.CrossRefPubMed Allen R, Wallace L, Larson T, Sheppard L, Liu LJ. Estimated hourly personal exposures to ambient and nonambient particulate matter among sensitive populations in Seattle, Washington. J Air Waste Manag Assoc. 2004;54(9):1197–211.CrossRefPubMed
33.
go back to reference Englert N. Fine particles and human health—a review of epidemiological studies. Toxicol Lett. 2004;149:235–42.CrossRefPubMed Englert N. Fine particles and human health—a review of epidemiological studies. Toxicol Lett. 2004;149:235–42.CrossRefPubMed
34.
go back to reference Lanki T, Hampel R, Tiittanen P, Andrich S, Beelen R, Brunekreef B, et al. Air Pollution from Road Traffic and Systemic Inflammation in Adults: A Cross-Sectional Analysis in the European ESCAPE Project. Environ Health Perspect. 2015;123(8):785–91.PubMedPubMedCentral Lanki T, Hampel R, Tiittanen P, Andrich S, Beelen R, Brunekreef B, et al. Air Pollution from Road Traffic and Systemic Inflammation in Adults: A Cross-Sectional Analysis in the European ESCAPE Project. Environ Health Perspect. 2015;123(8):785–91.PubMedPubMedCentral
35.
go back to reference Li Y, Rittenhouse-Olson K, Scheider WL, Mu L. Effect of particulate matter air pollution on C-reactive protein: a review of epidemiologic studies. Rev Environ Health. 2012;27(2–3):133–49.PubMedPubMedCentral Li Y, Rittenhouse-Olson K, Scheider WL, Mu L. Effect of particulate matter air pollution on C-reactive protein: a review of epidemiologic studies. Rev Environ Health. 2012;27(2–3):133–49.PubMedPubMedCentral
36.
go back to reference Vedal S, Dutton S. Wildfire air pollution and daily mortality in a large urban area. Environ Res. 2006;102:29–35.CrossRefPubMed Vedal S, Dutton S. Wildfire air pollution and daily mortality in a large urban area. Environ Res. 2006;102:29–35.CrossRefPubMed
37.
go back to reference Reisen F, Hansen D, Meyer CP. Exposure to bushfire smoke during prescribed burns and wildfires: Firefighters’ exposure risks and options. Environ Int. 2011;37(2):314–21.CrossRefPubMed Reisen F, Hansen D, Meyer CP. Exposure to bushfire smoke during prescribed burns and wildfires: Firefighters’ exposure risks and options. Environ Int. 2011;37(2):314–21.CrossRefPubMed
Metadata
Title
Health effects of smoke from planned burns: a study protocol
Authors
David O’Keeffe
Martine Dennekamp
Lahn Straney
Mahjabeen Mazhar
Tom O’Dwyer
Anjali Haikerwal
Fabienne Reisen
Michael J. Abramson
Fay Johnston
Publication date
01-12-2016
Publisher
BioMed Central
Published in
BMC Public Health / Issue 1/2016
Electronic ISSN: 1471-2458
DOI
https://doi.org/10.1186/s12889-016-2862-y

Other articles of this Issue 1/2016

BMC Public Health 1/2016 Go to the issue