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Wildfire smoke in Europe linked to higher short-term mortality, study finds
Research highlights mortality risks from wildfire smoke
The Lancet – Planetary Health has published a study showing that wildfire smoke increases short-term mortality across Europe, with respiratory deaths most affected.
The study analysed daily mortality records from 654 regions across 32 countries between 2004 and 2022, covering a population of 541 million people.
Researchers found that fine particulate matter (PM2.5) from wildfire smoke carried greater health risks than PM2.5 from other sources.
Relative risks for cardiovascular and respiratory deaths were higher when linked specifically to wildfire smoke, with respiratory mortality showing the strongest association.
The authors concluded that previous studies underestimated the health burden of wildfire smoke when treating it as equivalent to other types of particulate pollution.
Methodology and dataset explained
The study used the EARLY-ADAPT database to obtain mortality records alongside PM2.5 exposure estimates from the SILAM atmospheric model.
The dataset included more than 95 million daily all-cause deaths, nearly 20 million cardiovascular deaths, and almost 4 million respiratory deaths recorded during the study period.
Associations were calculated using quasi-Poisson regression, assessing the impact of incremental increases in wildfire-related PM2.5.
The researchers noted that fire-related PM2.5 exposure led to stronger mortality associations compared with non-fire sources of PM2.5.
The analysis indicated that using general PM2.5 measures underestimated deaths from wildfire smoke by as much as 93 per cent.
Findings on mortality associations
The study reported that pooled results showed a relative risk of 1.007 for all-cause mortality, 1.009 for cardiovascular mortality, and 1.013 for respiratory mortality per 1 μg/m³ increase in wildfire PM2.5.
The team found that respiratory mortality was particularly sensitive to wildfire-related particles compared with other causes.
Comparisons with previous studies showed similar patterns in France, Italy and Romania, where risk estimates aligned with global datasets.
The researchers suggested that higher toxicity, oxidative potential, and exposure intensity during wildfire events could explain the stronger associations.
Wildfire smoke exposure was described as distinct from background pollution, with periods of very high exposure followed by little to none, unlike continuous urban air pollution.
Climate change and wildfire exposure
The analysis explained that climate change is a key driver of wildfire frequency and intensity across Europe.
Estimates suggest burned areas in Europe could rise by 200 per cent this century if no adaptation measures are introduced.
Even moderate climate change scenarios predict major increases in catastrophic fire risk in southern Europe, with central and northern Europe also becoming more vulnerable during droughts.
Human activity was identified as the cause of 96 per cent of wildfire ignitions in Europe, but weather, vegetation and topography determined fire spread.
The researchers linked climate change, wildfire spread, and smoke exposure in a feedback loop, with each element amplifying the others.
Regional variations in effects
The study indicated that health impacts varied across European regions.
For Portugal and Spain, associations between wildfire smoke and mortality were weaker or imprecise, which researchers said might reflect fire management strategies or adaptation efforts.
Rural populations were reported to be more heavily exposed than urban populations because of their proximity to wildfire sources.
The analysis found that mortality risks were consistent even when accounting for additional pollutants such as ozone.
However, it noted that disentangling the independent effects of wildfire smoke and ozone remains an area requiring further research.
Strengths and limitations of the study
The researchers highlighted that the multicountry dataset provided comprehensive coverage across urban and rural populations.
The SILAM model allowed the team to distinguish wildfire-related PM2.5 from other sources, supporting direct comparison between exposure types.
Limitations included reduced statistical power in estimating risks by age or sex, as fire-related PM2.5 exposure was less variable than general pollution.
Mortality data availability differed by country, which limited subnational analysis in certain areas.
The study added that exposure misclassification could not be fully ruled out and may have led to underestimates of health effects.
Relevance for fire and safety professionals
The findings demonstrate the direct public health burden linked to wildfire smoke exposure across Europe.
Fire and safety professionals may need to factor air quality impacts into wildfire risk management and community protection strategies.
Emergency planning, firefighter safety, and post-fire recovery measures can benefit from understanding the mortality risks linked to smoke exposure.
The research also reinforces the importance of considering climate change as a driver of future wildfire hazards in Europe.
Wildfire smoke in Europe linked to higher short-term mortality, study finds: Summary
The Lancet – Planetary Health reported that wildfire smoke is linked to increased short-term mortality in Europe.
The study used data from 654 regions in 32 countries, covering 541 million people.
Researchers found that fine particulate matter (PM2.5) from wildfire smoke had higher relative risks for mortality than PM2.5 from other sources.
Respiratory deaths showed the strongest association with wildfire smoke exposure.
All-cause mortality risk increased by 0.7 per cent per 1 μg/m³ increase in fire-related PM2.5.
Cardiovascular mortality risk increased by 0.9 per cent under the same conditions.
Respiratory mortality risk increased by 1.3 per cent for the same increment.
Using total PM2.5 underestimated wildfire-related deaths by 93 per cent.
The analysis covered daily mortality records from 2004 to 2022.
The SILAM atmospheric model was used to estimate PM2.5 sources and levels.
Rural populations were more heavily exposed than urban populations.
Regional variations were observed, with weaker associations in Portugal and Spain.
The researchers linked climate change to increased wildfire risk in Europe.
They said wildfires in Europe are 96 per cent human-caused in origin.
They noted climate change amplifies wildfire size, duration and spread.
The dataset included more than 95 million daily all-cause deaths.
It also recorded nearly 20 million cardiovascular and 4 million respiratory deaths.
The research indicated stronger effects for respiratory outcomes compared with other mortality causes.
The authors said estimates of wildfire smoke health burdens should be based on fire-specific data.
Carcinogens in Quincy gear: why firefighters say trust is broken
Image: IAFF [Quincy Mayor Thomas Koch discusses PFAS concerns at a press conference.]
Independent testing confirms presence of PFAS in new gear
Independent testing has confirmed the presence of carcinogens in turnout gear purchased by Quincy, Massachusetts.
According to the International Association of Fire Fighters (IAFF), the equipment was advertised as PFAS-free but analysis showed high levels of the chemicals.
Quincy Mayor Thomas Koch said: “It’s truly outrageous to me, and deeply troubling, that we stand here today talking about how the new gear that we bought – sold to us on the premise that it had no PFAS in it, PFAS-free, that’s how it was advertised – was recently independently tested and came back highly positive with PFAS components in the gear.”
The IAFF stated that the results confirm fire fighters cannot rely on industry assurances about safety claims.
IAFF General President Edward Kelly said: “We cannot trust the manufacturers. We have to do independent testing on our own and ensure that what we’re being told is true – that dangerous chemicals are not infused in our gear.”
Context of PFAS risks and carcinogens
The IAFF reported that the International Agency for Research on Cancer has classified some PFAS as carcinogenic.
It added that growing scientific evidence points to long-term health risks from exposure.
Quincy’s Local 792 requested the independent analysis after concerns about the PFAS-free claims made by the manufacturer.
The city had begun purchasing new gear two years ago, and the decision to test was made to confirm that equipment met safety expectations.
The IAFF explained that the findings from Quincy illustrate how carcinogens remain present in turnout gear despite marketing assurances.
Local leadership response in Quincy
Quincy Local 792 President Tom Bowes said the findings highlight the failures of manufacturers to provide safe equipment.
Bowes said: “The last few months dealing with this issue have been frustrating, angry, and, truthfully, sad, seeing what these companies continue to pull.
“These companies are paid to protect us, and they have failed miserably.
“We do this job because we love helping people.
All we ask is to be protected.”
Bowes confirmed that support from the IAFF, 3rd District Vice President Jay Colbert, the Professional Fire Fighters of Massachusetts, and city officials has helped Local 792 address the problem.
The IAFF stated that the collaboration has been essential in navigating the outcome of the testing.
NFPA standards restricting carcinogens in gear
The IAFF reported that its advocacy has helped shape new standards on turnout gear.
In October 2024, NFPA issued Standard 1970, the first to restrict PFAS and other hazardous substances in turnout gear.
The organisation said the standard introduces a Restricted Substances List prohibiting chemicals such as PFAS and certain flame retardants.
This provision takes effect on 18 September 2025, and manufacturers may continue selling existing gear until 18 March 2026.
It said this gap leaves a period where fire fighters could still purchase equipment containing PFAS or other substances.
The IAFF added that NFPA 1970 also changes UV Light Degradation tests to reflect real-world conditions.
The association reported that the new framework may support the development of next-generation protective clothing.
It said the standard also establishes voluntary labelling to indicate gear tested and found to contain 100 ppm or less total fluorine.
Calls for continued vigilance
Kelly said the issue is wider than Quincy alone.
He said: “This is not a Quincy-centric issue. This is something that impacts fire fighters across North America.
“We cannot trust corporations to tell us the truth.
They have failed us too many times.”
The IAFF explained that while the NFPA changes are progress, the Quincy results highlight the ongoing need for independent testing.
It added that carcinogens in turnout gear remain a concern for departments across the continent.
Relevance for fire and safety professionals
The IAFF stated that the findings in Quincy show how carcinogens may still be present in gear marketed as safe.
The organisation said this emphasises the importance of independent testing of equipment.
It explained that fire departments should be aware of the timeline for NFPA 1970 implementation and the continued presence of PFAS in the market.
It added that professionals across the sector can use this information to inform procurement, policy, and training decisions.
Carcinogens found in Quincy firefighter gear: Summary
Independent testing confirmed the presence of carcinogens in new turnout gear purchased by Quincy, Massachusetts.
The International Association of Fire Fighters reported that the gear had been marketed as PFAS-free.
Quincy Mayor Thomas Koch criticised the findings.
IAFF General President Edward Kelly said fire fighters must conduct their own independent testing.
The International Agency for Research on Cancer has classified some PFAS as carcinogenic.
Quincy’s Local 792 requested the analysis of newly purchased equipment.
Local 792 President Tom Bowes said manufacturers had failed to provide protection.
The IAFF reported that support came from Local 792, IAFF District leadership, and state representatives.
The IAFF stated that NFPA introduced Standard 1970 in October 2024.
The standard restricts PFAS and other hazardous substances in turnout gear.
The provisions take effect on 18 September 2025 with a sell-through period until 18 March 2026.
NFPA 1970 also includes updated UV Light Degradation testing.
The standard establishes voluntary labelling for gear tested with 100 ppm or less fluorine.
Kelly said carcinogen risks are a continent-wide issue.
The IAFF said the findings highlight the need for continued independent testing.