Protecting Children's Health During and After Natural Disasters: Wildfires & Volcanic Ash
Children's Health Effects from Wildfires and Volcanic Ash
Wildfires
Wildfires expose children to a number of environmental hazards, e.g., fire, smoke, psychological conditions, and the byproducts of combustion. After a wildfire, children may be exposed to a different set of environmental hazards involving not only their homes, but also nearby structures, land, and recovery activities.
Wildfires and Smoke Impact on Children's Health
Children’s lungs are still growing and developing so they are especially vulnerable to wildfire smoke and ash. Tiny particles (PM2.5) in wildfire smoke can also affect the health of people who are expecting and other vulnerable groups.
Children who breathe in wildfire smoke may experience:
- Chest pain and tightness;
- Trouble breathing;
- Wheezing;
- Coughing;
- Burning in the nose, throat, and eyes;
- Dizziness;
- Or other symptoms, including longer term health impacts.
Wildfire smoke and ash can be particularly harmful to children with asthma, allergies, or other chronic health. Children are also more vulnerable to experiencing stress and mental health effects from disasters, including wildfires.
How to Protect Children During a Smoke Event
Reduce Outdoor Activities:
- Use AirNow to check your local air quality. If you are in an area with poor air quality, it may be best to stay inside. Wait until air quality improves before you are active outdoors.
- Children should stay and play indoors! During smoky times, reduce your child’s exposure by keeping them inside.
- If outside, wear a mask that will help protect from smoke. Cloth masks will not protect from wildfire smoke, but an N95 respirator mask or an equivalently rated mask can provide some protection if properly fitted for children.
Keep the Air in Your Home Clean:
- If you have central air, run your HVAC system. If you have a central air system in your home, use it to filter the air. Use high-efficiency filters (rated MERV-13 or higher) and replace the filters frequently. Learn about your system and use the appropriate settings (“Recirculate” and “On” rather than “Auto”). If your system has a fresh air option, close the intake.
- If you have a window air conditioner, close the outdoor air damper. Make sure that the seal between the air conditioner and the window is as tight as possible.
- Use a portable air cleaner. Use a portable air cleaner in one or more rooms. Run continuously with doors and windows closed. If you can't get a portable air cleaner, consider using a DIY Air Cleaner.
- Create and use a “clean air room”. Clean air rooms can help reduce your exposure to smoke while staying indoors.
- Keep your air space cool while windows are closed. Use air conditioners, heat pumps, fans, and window shades to keep your clean air space comfortably cool on hot days.
- Avoid activities that create pollution. Avoid activities such as frying foods, sweeping, vacuuming, cleaning with chemicals, and using gas, propane, or wood-burning stoves and furnaces.
Learn more about steps you can take to keep your indoor air as clean as possible during a wildfire.
Resources
- Wildfire Smoke: A Guide for Public Health Officials (PDF) (53 pp, 2MB) (CA Office of Environmental Health Hazard Assessment)
- Children's Health and Wildfire Smoke Exposure Workshop
Volcanic Ash
Volcanic ash consists of tiny pieces of rock and glass that is spread over large areas by wind. During volcanic ash fall, people should take measures to avoid unnecessary exposure to airborne ash and gases. View basic information about volcano safety.
Short-term exposure to ash usually does not cause significant health problems for the general public, but special precautions should be taken to protect susceptible people such as infants and children. Most volcanic gases such as carbon dioxide and hydrogen sulfide blow away quickly. Sulfur dioxide is an irritant volcanic gas that can cause the airways to narrow, especially in people with asthma. Precaution should be taken to ensure that children living close to the volcano or in low-lying areas (where gases may accumulate) are protected from respiratory and eye irritation.
While children face the same health problems from volcanic ash particles suspended in the air as adults (namely respiratory and irritation of the nose, throat, and eyes), they may be more vulnerable to exposure due to their smaller physical size, developing respiratory systems, and decreased ability to avoid unnecessary exposure. Small volcanic ash particles - those less than 10 micrometers in diameter - pose the greatest health concern because they can pass through the nose and throat and get deep into the lungs. This size range includes fine particles, with diameters less than 2.5 micrometers, and coarse particles, which range in size from 2.5 to 10 micrometers in diameter. Particles larger than 10 micrometers do not usually reach the lungs, but they can irritate your eyes, nose, and throat. The volcanic ash may exacerbate the symptoms of children suffering from existing respiratory illnesses such as asthma, cystic fibrosis, or tuberculosis.
Precautions for Children if Ash is Present
- Always pay attention to warnings and obey instructions from local authorities.
- Check the Air Quality Index forecast for your area.
- Stay alert to news reports about volcanic ash warnings.
- Keep children indoors.
- Children should avoid running or strenuous activity during ash fall. Exertion leads to heavier breathing which can draw ash particles deeper into the lungs.
- Parents may want to plan indoor games and activities that minimize activity when ash is present.
- If your family must be outdoors when there is ash in the air, they should wear a disposable mask. If no disposable masks are available, make-shift masks can be made by moistening fabric such as handkerchiefs to help to block out large ash particles.
- Volcanic ash can irritate the skin; long-sleeved shirts and long pants should be worn if children must go outdoors.
- Children should not play in areas where ash is deep or piled-up, especially if they are likely to roll or lie in the ash piles.
- Children should wear glasses instead of contact lens to avoid eye irritation.
- Create a “clean room” where children sleep and play to help to minimize exposure to ash in indoor air.
- Keep windows and doors closed. Close any vents or air ducts (such as chimneys) that may allow ash to enter the house.
- Run central air conditioners on the "recirculate" option (instead of "outdoor air intake"). Clean the air filter to allow good air flow indoors.
- Avoid vacuuming as it will stir up ash and dust into the air.
- Do not smoke or burn anything (tobacco, candles, incense) inside the home. This will create more indoor pollutants.
- If it is too warm or difficult to breathe inside with the windows closed, seek shelter elsewhere.
- A portable room air filter may be effective to remove particles from the air.
- Choosing to buy an air cleaner is ideally a decision that should be made before a smoke/ash emergency occurs. Going outside to locate an appropriate device during an emergency may be hazardous, and the devices may be in short supply.
- An air cleaner with a HEPA filter, an electrostatic precipitator (ESP), or an ionizing air cleaner may be effective at removing air particles provided it is sized to filter two or three times the room air volume per hour.
- Avoid ozone generators, personal air purifiers, "pure-air" generators and "super oxygen" purifiers as these devices emit ozone gas into the air at levels that can irritate airways and exacerbate existing respiratory conditions. These devices are also not effective at removing particles from the air.
For More Information
- Pediatric Environmental Health Specialty Units (PEHSU)
- To access children's environmental health issues experts, please contact the Pediatric Environmental Health Specialty Unit (PEHSU) in your area
- PEHSU in EPA Region 10 - Alaska, Idaho, Oregon, Washington, and Native Tribes -- (877) 543-2436.
- Air Quality Index (AIR Now) Local Advisories (EPA)
- Anchorage Air Quality Volcano Information (Municipality of Anchorage, AK)
- Guide to Air Cleaners and Air Filters in the Home (EPA)
- Guidelines on Preparedness Before, During and After an Ashfall (PDF) (10 pp, 499K) (International Volcanic Health Hazard Network with assistance from U.S. Geological Survey)
- Health Hazards of Volcanic Ash: A Guide for the Public (International Volcanic Health Hazard Network with assistance from U.S. Geological Survey)
- Key Facts About Volcanic Eruptions (U.S. Centers for Disease Control and Prevention, CDC)
- Volcanic Ash Preparedness (Municipality of Anchorage, AK)