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Inside the Poisonous Smoke Killing Wildfire Fighters at Young Ages

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Inside the Poisonous Smoke Killing Wildfire Fighters at Young Ages

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Across the country, wildfire fighters work for weeks at a time in poisonous smoke.

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The government says they are protected.

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We tested the air at one fire to find out why they are still dying.

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Across the country, wildfire fighters work for weeks at a time in poisonous smoke.

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The government says they are protected.

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We tested the air at one fire to find out why they are still dying.

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It’s July and the Green fire is tearing through Northern California. An elite federal firefighting crew called the La Grande Hotshots has been sent to help. The 24-person crew has been working for days on the front lines, where invisible toxins hide in the thick haze.

More than 1,000 firefighters are on the fire. Several crews, including the La Grande Hotshots, are trying to contain the flames by building a trench of bare earth that will stretch from a road to a river bank. They’re doing this at night, in hopes that the cooler air will tamp down the smoke.

The crew knows that they’re risking their health.

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The La Grande hotshots on assignment this summer.

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La Grande Hotshots

One longtime member died last year after being diagnosed at 40 with brain cancer. A former crew leader is being treated for both leukemia and lymphoma diagnosed in his 40s. Another colleague was recently told that he has the lungs of a lifelong chainsmoker.

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Wildfire fighters nationwide are getting sick and dying at young ages, The New York Times has reported. The federal government acknowledges that the job is linked to lung disease, heart damage and more than a dozen kinds of cancer.

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Casey Budlong, a La Grande Hotshot, died of cancer in 2024 after fighting fires for two decades. He left behind an 8-year-old son.

Katy Budlong

But the U.S. Forest Service, which employs thousands of firefighters, has for decades ignored recommendations from its own scientists to monitor the conditions at the fire line and limit shifts when the air becomes unsafe.

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To find out how harmful the air gets on an average-size wildfire, Times reporters brought sensors to the Green fire this summer. We tracked levels of some of the most lethal particles in the air, called PM2.5, which are so tiny that they can enter the bloodstream and cause lasting damage.

Readings above 225.5 micrograms per cubic meter are considered hazardous. On the fire line, levels regularly exceeded 500.

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The fire began on July 1 after a lightning storm passed over the Shasta-Trinity National Forest.

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By July 16, much of the area was shrouded in smoke.

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Around 6 p.m., the La Grande Hotshots started their shift and set off toward the fire line.

Capt. Nick Schramm, a crew leader, assumed the air was reasonably safe. He has done this work for nearly two decades, and like most firefighters, he often has coughing fits after long shifts. But he believes that exposure to hazardous air is unavoidable.

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“That’s just the harsh truth,” he said later.

As climate change makes fire seasons worse, several states have tried to shield outdoor workers from wildfire smoke, which can contain poisons like arsenic, benzene and lead. California now requires employers to monitor air quality during fires, and to provide breaks and masks when the air turns unhealthy.

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But these rules don’t apply on the wildfires themselves, because state agencies and private companies successfully argued that those constraints would get in the way of fighting fires.

Until recently, federal firefighters weren’t even allowed to wear masks on the job. Masks are now provided, but they are still banned during the most arduous work, closest to the fire. The Forest Service says face coverings could cause heatstroke, though wildland firefighters in other countries regularly use masks without this problem.

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As crews descended the ridge toward the fire line, the levels of toxic particles nearly doubled.

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Firefighters say that during their shifts they worry more about immediate dangers — falling trees, burns, sharp tools — than about smoke exposure. As the La Grande crew hiked down the steep terrain, Lily Barnes, a squad leader, concentrated on keeping her footing.

Back home in the off-season, she sometimes wonders what the smoke is doing to her body, she said in an interview. “Maybe I’ll realize one day I shouldn’t have been doing this work.”

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The handbook issued to Forest Service crews has 10 words of guidance for smoke exposure on the fire line: “If needed, rotate resources in and out of smoky areas.” The agency declined to comment for this story, but in the past has told The Times that while exposure cannot be completely eliminated, rotating crews helps limit risk.

In practice, according to interviews with hundreds of firefighters, workers feel as though they are sent into smoke and then forgotten. Over months of reporting, Times journalists never saw a boss pull a crew back because of exposure.

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Even experienced supervisors can’t tell exactly how unhealthy the air is just by looking.

Chuy Elguezabal, the La Grande superintendent, says he pulls his crews out of smoke when it becomes impossible for them to work — when they cannot see or breathe, or they are overcome by headaches and coughing fits.

On the Green fire, he said, the smoke seemed like more of an inconvenience, like the 105-degree daytime heat or the poison oak that had given many of the firefighters weeping sores.

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Since the 1990s, Forest Service researchers have suggested giving crews wearable air sensors, but the agency hasn’t done it. Other dangerous workplaces, like coal mines, have long been required to monitor airborne hazards.

On the Green fire, The Times used a device that weighs as much as a deck of cards and costs about $200.

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Last year, firefighters wore the same devices during a small federal research project to measure their exposure. For hours, those readings stayed at 1,000 — as high as the monitors go — according to Zach Kiehl, a consultant who worked on the project.

Mr. Kiehl said that ideally, crews would be issued monitors to know when to put on masks or pull back from a smoky area. “You can pay now and prevent future cases, or pay out later when a person is losing a husband or a father,” he said.

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The firefighters believe that the decision to work at night has paid off: The smoke occasionally got thick, but didn’t seem bad compared with other fires they have worked. They think the exposure was fleeting.

In fact, the monitors show, the air was never safe.

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Methodology

To measure particulate concentrations at the Green fire, The Times followed U.S. Forest Service crews and carried two Atmotube PRO sensors. These portable, inexpensive monitors are the same as those the Forest Service has tested in the field.

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We consulted with Dr. Aishah Shittu, an environmental health scientist, and Dr. Jim McQuaid, an atmospheric scientist, both from the University of Leeds. They are co-authors of a study showing that Atmotube Pro sensors demonstrated good performance for measuring fine particulate matter concentrations despite being a fraction of the size of reference-grade models. We also developed our approach in consultation with experts from the Interior Department and the Forest Service.

On the Green fire, the sensors recorded minute-by-minute averages of airborne particles that are 2.5 micrometers in diameter or smaller. The Times then matched these readings with timestamps and locations from a satellite-enabled GPS watch.

Generally, the harm associated with PM2.5 levels is calculated based on a 24-hour average. Here, for near-real-time monitoring on the fire line, we followed the guidance of Drs. Shittu and McQuaid by first averaging the readings from the two sensors and then calculating a 15-minute rolling average.

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Using those figures, we categorized the health risks of PM2.5 exposure according to standards set by the U.S. Environmental Protection Agency. We used standards meant for the public because there are no federal occupational standards for wildfire smoke exposure.

After averaging, our data had a correlation coefficient of 0.98 and a mean coefficient of variation between the two sensors of 7.5 percent. The E.P.A. recommends that PM2.5 air measurements have a correlation coefficient of at least 0.7 and a mean coefficient of variation less than 30 percent. Our correlation and variance measures gave us confidence that the sensors were largely in agreement.

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The 3-D base map in this article uses Google’s Photorealistic 3D Tiles, which draw from the following sources to create the tiles: Google; Airbus; Landsat / Copernicus; Data SIO, NOAA, U.S. Navy, NGA, GEBCO; IBCAO.

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Video: Wii Bowling Takes Over Tulsa Retirement Homes

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Video: Wii Bowling Takes Over Tulsa Retirement Homes

new video loaded: Wii Bowling Takes Over Tulsa Retirement Homes

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Wii Bowling Takes Over Tulsa Retirement Homes

Retirement communities in Tulsa, Okla., compete against one another in a Nintendo Wii Sports bowling league.

“That’s how you win.” “There you go, Ron.” “Way to go.”

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Retirement communities in Tulsa, Okla., compete against one another in a Nintendo Wii Sports bowling league.

By Nick Oxford, Alisa Shodiyev Kaff and Alexandra E. Petri

June 19, 2026

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Weight-loss drugs linked to ‘Ozempic ears’ and other cosmetic complaints, surgeons say

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Weight-loss drugs linked to ‘Ozempic ears’ and other cosmetic complaints, surgeons say

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As the popularity of GLP-1 drugs continues to climb, significant weight loss associated with the medications has been linked to a growing list of cosmetic concerns.

Some surgeons report that more patients are seeking treatments for so-called “Ozempic earlobes,” which reportedly appear thinner, longer or more sagging after the loss of facial fat.

“The use of semaglutides causes you to lose fat across your body, including the small, fat pads of the earlobes,” facial plastic surgeon Sachin S. Parikh, MD, told NewBeauty.

OZEMPIC, OTHER SEMAGLUTIDES LINKED TO HAIR LOSS: HERE’S WHAT TO KNOW

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“It’s important to note that semaglutides do not damage ear tissue or affect hearing in any way, so any intervention would be purely cosmetic,” added the California-based doctor.

Some of the potential treatments for “Ozempic earlobes” may include dermal filler, fat transfer, laser treatments or surgical earlobe reduction, according to the report.

As the popularity of GLP-1 drugs continues to climb, significant weight loss associated with the medications has been linked to a growing list of cosmetic concerns. (iStock)

Dr. Mohammed Asif from Duly Health and Care in Naperville, Illinois, said that while he hasn’t personally noticed an uptick in ear surgeries, he has seen a rise in other procedures due to GLP-1-triggered weight loss.

Some of those include panniculectomies (Ozempic skin removal surgery) and abdominoplasties (tummy tucks).

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PLASTIC SURGERY TRENDS TAKE A SURPRISING TURN, AS DOCTORS SEE MORE PATIENTS ‘SIZING DOWN’

“There has been a significant increase in body contouring procedures among patients with GLP-1 weight loss,” Asif told Fox News Digital. 

“In my practice, I’ve seen a significant surge in breast lifts, panniculectomies (skin removal surgery), abdominoplasties (tummy tucks), brachioplasties (arm lifts) and thighplasties due to weight loss.”

TOP COSMETIC PROCEDURES REVEALED IN NEW REPORT: WHAT’S TRENDING AND WHY

Healing and recovery are “far greater and less complicated” than with bariatric surgery weight loss, Asif noted.

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“This is due to the gradual weight loss achieved over time with GLP-1s.”

“Ozempic breast” is another common complaint, according to Dr. Michael Omidi, a double board-certified plastic surgeon practicing in Beverly Hills.

“There has been a significant increase in body contouring procedures among patients with GLP-1 weight loss,” a doctor told Fox News Digital. (iStock)

“Women in their 30s and 40s would not typically need a breast lift, but when you’re taking drugs like Ozempic or Wegovy that cause rapid weight loss, women can see gravity take its toll on their breasts,” he told Fox News Digital. 

“When women, especially younger ones, lose fat too fast, it causes the breasts, which are comprised of fat, glandular tissue and skin, to lose volume,” he went on. “The skin and supporting ligaments don’t always bouce back at the same rate as the weight loss, resulting in breasts that can appear saggy and deflated.”

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NEW OBESITY TREATMENT MAY HELP PRESERVE MUSCLE DURING WEIGHT LOSS

Dr. Samuel Golpanian, a double board-certified plastic surgeon in Beverly Hills, said he has seen “dozens” of patients – men and women alike – seeking treatments for so-called “Ozempic butt” after significant weight loss.

“This is an unintended consequence of taking GLP-1s,” he told Fox News Digital.

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“Such dramatic weight loss in a short period of time causes the skin not to tighten quickly enough to keep up with the body’s changes. Our buttocks have a large amount of fat, so when that volume disappears quickly, you’ll develop a flatter, saggier behind.”

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“Such dramatic weight loss in a short period of time causes the skin not to tighten quickly enough to keep up with the body’s changes,” a surgeon said. (iStock)

Kristy Hamilton, MD, a Houston-based surgeon who is a member of the American Society of Plastic Surgeons (ASPS), agreed that a growing number of patients are seeking skin-tightening procedures after losing large amounts of weight with GLP-1s.

“We’re absolutely seeing more of those patients, and I expect that trend to continue,” said Hamilton in an ASPS report.

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“People are losing as much as 100 pounds on this medication – and when you’re losing that amount, that’s significant. You’re certainly going to have excess skin afterward.”

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The ASPS lists the following body-contouring procedures as the ones most frequently performed after substantial weight loss.

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  • Tummy tuck (abdominoplasty): Removes excess abdominal skin and fat
  • Lower body lift (belt lipectomy): Addresses the abdomen, buttocks, hips and thighs
  • Arm lift (brachioplasty): Removes hanging upper-arm skin
  • Thigh lift: Tightens excess skin of the inner thighs
  • Breast lift (mastopexy): Addresses sagging, deflated breasts after weight loss
  • Facelift/neck lift: Addresses facial volume loss and skin laxity after major weight loss

“People are losing as much as 100 pounds on this medication – and when you’re losing that amount, that’s significant. You’re certainly going to have excess skin afterward.” (iStock)

Experts say adequate protein intake and resistance training can help minimize the loss of lean muscle mass that often accompanies rapid weight loss, which could reduce some of the cosmetic concerns.

Golpanian also emphasized the importance of eating enough protein.

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“It can be harder since your appetite is suppressed, but it’s so important to consume at least 110 grams of protein a day while taking a GLP-1 drug,” he advised. 

“Also, I say this to my patients all the time: You have to lift weights to keep your muscles from atrophying. Strength training can help build muscles and preserve your glutes.”

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New At-Home DNA Test Reveals if GLP-1 Weight-Loss Drugs Will Work for You

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New At-Home DNA Test Reveals if GLP-1 Weight-Loss Drugs Will Work for You


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GLP-1 Test Predicts If Weight Loss Drugs Will Work for You




















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