Estimated Mortality and Morbidity Attributable to Smoke Plumes in the United States: Not Just a Western US Problem

As anthropogenic emissions continue to decline and emissions from landscape (wild, prescribed, and agricultural) fires increase across the coming century, the relative importance of landscape‐fire smoke on air quality and health in the United States (US) will increase. Landscape fires are a large source of fine particulate matter (PM(2.5)), which has known negative impacts on human health. The seasonal and spatial distribution, particle composition, and co‐emitted species in landscape‐fire emissions are different from anthropogenic sources of PM(2.5). The implications of landscape‐fire emissions on the sub‐national temporal and spatial distribution of health events and the relative health importance of specific pollutants within smoke are not well understood. We use a health impact assessment with observation‐based smoke PM(2.5) to determine the sub‐national distribution of mortality and the sub‐national and sub‐annual distribution of asthma morbidity attributable to US smoke PM(2.5) from 2006 to 2018. We estimate disability‐adjusted life years (DALYs) for PM(2.5) and 18 gas‐phase hazardous air pollutants (HAPs) in smoke. Although the majority of large landscape fires occur in the western US, we find the majority of mortality (74%) and asthma morbidity (on average 75% across 2006–2018) attributable to smoke PM(2.5) occurs outside the West, due to higher population density in the East. Across the US, smoke‐attributable asthma morbidity predominantly occurs in spring and summer. The number of DALYs associated with smoke PM(2.5) is approximately three orders of magnitude higher than DALYs associated with gas‐phase smoke HAPs. Our results indicate awareness and mitigation of landscape‐fire smoke exposure is important across the US.