The delayed effect of wildfire season particulate matter on subsequent influenza season in a mountain west region of the USA.

Particularly in rural settings, there has been little research regarding the health impacts of fine particulate matter (PM2.5) during the wildfire season smoke exposure period on respiratory diseases, such as influenza, and their associated outbreaks months later. We examined the delayed effects of PM2.5 concentrations for the short-lag (1-4 weeks prior) and the long-lag (during the prior wildfire season months) on the following winter influenza season in Montana, a mountainous state in the western United States. We created gridded maps of surface PM2.5 for the state of Montana from 2009 to 2018 using spatial regression models fit with station observations and Moderate Resolution Imaging Spectroradiometer (MODIS) aerosol optical thickness data. We used a seasonal quasi-Poisson model with generalized estimating equations to estimate weekly, county-specific, influenza counts for Montana, associated with delayed PM2.5 concentration periods (short-lag and long-lag effects), adjusted for temperature and seasonal trend. We did not detect an acute, short-lag PM2.5 effect nor short-lag temperature effect on influenza in Montana. Higher daily average PM2.5 concentrations during the wildfire season was positively associated with increased influenza in the following winter influenza season (expected 16% or 22% increase in influenza rate per 1 µg/m3 increase in average daily summer PM2.5 based on two analyses, p = 0.04 or 0.008). This is one of the first observations of a relationship between PM2.5 during wildfire season and influenza months later.

Decreasing fire season precipitation increased recent western US forest wildfire activity.

Western United States wildfire increases have been generally attributed to warming temperatures, either through effects on winter snowpack or summer evaporation. However, near-surface air temperature and evaporative demand are strongly influenced by moisture availability and these interactions and their role in regulating fire activity have never been fully explored. Here we show that previously unnoted declines in summer precipitation from 1979 to 2016 across 31-45% of the forested areas in the western United States are strongly associated with burned area variations. The number of wetting rain days (WRD; days with precipitation ≥2.54 mm) during the fire season partially regulated the temperature and subsequent vapor pressure deficit (VPD) previously implicated as a primary driver of annual wildfire area burned. We use path analysis to decompose the relative influence of declining snowpack, rising temperatures, and declining precipitation on observed fire activity increases. After accounting for interactions, the net effect of WRD anomalies on wildfire area burned was more than 2.5 times greater than the net effect of VPD, and both the WRD and VPD effects were substantially greater than the influence of winter snowpack. These results suggest that precipitation during the fire season exerts the strongest control on burned area either directly through its wetting effects or indirectly through feedbacks to VPD. If these trends persist, decreases in summer precipitation and the associated summertime aridity increases would lead to more burned area across the western United States with far-reaching ecological and socioeconomic impacts.