When considering the dangers of wildfires, thoughts of fleeing your home while a raging wildfire rapidly approaches can easily consume your imagination. However, the number one cause of death from fires is smoke inhalation.
Inhaling smoke damages your body in one or both of the following ways:
- by robbing it of oxygen
- through particulate matter irritation
Smoke inhalation is particularly dangerous because you may not show symptoms until 24 to 48 hours after exposure. 50 - 80% of fire deaths are from smoke inhalation.1
What’s in wildfire smoke?
Wildfire smoke is a mixture of thousands of individual compounds, including harmful particles and gases that pose a severe health risk to anyone (including pets) nearby and downwind from a fire. Wildfire smoke often includes:
What’s in wildfire smoke depends upon multiple factors, including:
The primary pollutant threatening the health of those nearby and downwind of a wildfire is particulate matter. Wildfire smoke often contains fine (or PM2.5) and ultrafine particles. These tiny airborne particles are the most dangerous to your health.
Fine particles (smaller than 2.5 microns) penetrate deeply into your lungs. The most dangerous are ultrafine particles (smaller than 0.1 microns), which represent 90% of all airborne particles. These particles are tiny and can be absorbed directly into your bloodstream. Once in your blood, they can reach any organ or area of your body.
How wildfire smoke behaves
Many factors affect wildfire smoke behavior, such as:
the stage of the fire
Windy conditions generally cause smoke to mix with larger volumes of air to lower smoke concentrations. However, strong winds also can spread fires more quickly, causing larger fires with greater impact. Regional weather can be the dominant determinant in how a fire behaves as well as how smoke affects surrounding areas.
However, regional weather systems can spread fires quickly and result in large fires with more smoke generated, creating the potential for even greater impacts. Strong regional weather systems can dominate a fire’s behavior for days and be the determining factor of where and how smoke will affect an area.
Smoke can travel for miles beyond its source. In 2020, smoke from fires in the western United States drifted for nearly 5,000 miles, eventually being detected in Europe.2
At-risk populations and wildfire smoke
Most healthy adults will recover from smoke exposure. However, certain individuals are more at risk for severe health consequences, including:3
Young children. Children whose lungs are still developing are considered more vulnerable, regardless of whether they have a pre-existing condition.
Pregnant women. Wildfire smoke inhalation puts pregnant women and their unborn children at a higher risk than the general population.
Older adults. This population is at-risk due to an increased rate of pre-existing lung and heart diseases.
Anyone with a respiratory disease. Individuals with emphysema, chronic bronchitis, COPD, asthma, or another respiratory disease are at-risk.
Individuals with a cardiovascular disease. Circulatory diseases include high blood pressure, vascular diseases, heart failure, and cerebrovascular conditions. These conditions make sufferers susceptible to heart attacks, transient chest pain, heart failure, stroke, and sudden death from cardiac arrhythmia.
Young children, pregnant women, older adults, and people with respiratory and cardiovascular pre-existing conditions may find their symptoms worsen and may find it harder to breathe.4
A 2017 review published in Environmental Toxicology and Pharmacology found that there are still important study opportunities for exploring long-term health implications of smoke exposure, smoke exposure recovery, and additional smoke inhalation health impacts for children.5
Exposure to smoke can be dangerous simply due to the microorganisms within the smoke. As noted in a 2020 study published in Science Magazine, it’s known that microorganisms such as bacteria and fungal spores are part of the composition of particulate matter found in smoke.6 The study theorizes that infectious disease may be spread as bacteria and fungi become part of smoke particulate matter.
Wildfire smoke preparation and safety tips
Wildfire smoke events can occur seemingly without warning. But there are steps you can take to prepare yourself.
Tips to limit wildfire smoke exposure
Remain indoors as much as possible. This tactic is most useful in buildings that effectively stop outdoor air from getting inside. If you need to travel by car to leave or evacuate an area affected by wildfire smoke, use a car air purifier to help keep your vehicle interior air clean as you pass through smoky or polluted areas.
Wear a mask outdoors. Only use a respirator mask with an N95, KN95, or N100 rating to help.
Maintain a clean air environment inside your home. Wildfire smoke particles and gases can quickly build up inside your home. Keep windows closed and seal off any openings to the outside, including vents. When using an air conditioner, be sure to set it to re-circulate and close the fresh-air intake. Filter the air when ventilating the space. A high-performance air purifier for wildfire smoke, will help remove smoke particles of all sizes from the indoor air and help control ozone levels. This is critical if you live in an urban area downwind (even remotely) from wildfires.
Avoid activities that further pollute the indoor air. Avoid burning candles, using the fireplace, or even vacuuming unless you own a high-performance HEPA vacuum cleaner. All of these activities can otherwise become additional sources of indoor air pollutants. Use an air quality monitor to track levels of indoor pollutants like PM2.5 and CO2 from smoke and other indoor pollution sources. Take action if indoor air pollutants rise to dangerous levels by running an air purifier, circulating fresh air through your HVAC system, or leaving your home temporarily if indoor air becomes unsafe to breathe or your home is threatened by wildfire.
Use an air quality monitoring app to keep track of pollutants in your environment. The AirVisual air monitor reveals real-time hyperlocal data from over 80,000 sensors around the world. The app tracks up to six key wildfire pollutants, such as PM2.5, CO2, and NO2, so that you have the best picture of your local air quality during a wildfire and can take action to help protect your health.
Wildfires are increasing in frequency and intensity. Wildfire smoke can negatively affect your health, even if you’re far away from the actual fire. Learn to protect the health of yourself and your family, and rest assured that you’ve taken the necessary precautions.
During a wildfire, it’s also important to monitor your local air quality to see how wildfire smoke will affect your outdoor air.
While wildfire smoke may be a warning sign of imminent fires, smoke also delivers its own set of risks for people living miles beyond the source. Though smoke pollutants carried on the wind may be invisible, their impacts are felt by those most at risk. Smoke pollutants pose health threats that range from irritation and cough to more serious respiratory and cardiac risks.
By helping control smoke pollutants that threaten our indoor air quality through monitoring and air purification, it's possible to help manage wildfire smoke health risks.
 National Fire Protection Association. (n.d.). Reporter's guide: The consequences of fire.
 Freedman A. (2020, September 16). Western wildfire smoke nearing Europe, may be on an around-the-world journey. The Washington Post.
 Environmental Protection Agency, United States. (2020). How smoke from fires can affect your health.
 Centers for Disease Control and Prevention. (2013). Wildfire smoke.
 Black C, et al. (2017). Wildfire smoke exposure and human health: Significant gaps in research for a growing public health issue. DOI: 10.1016/j.etap.2017.08.022
 Kobziar L, et al. (2020). Wildfire smoke, a potential infectious agent. DOI: 10.1126/science.abe8116