Science

Far From the Fires, the Deadly Risks of Smoke Are Intensifying

Published

12 months ago

January 11, 2025

Far From the Fires, the Deadly Risks of Smoke Are Intensifying

It kills more people each year than car crashes, war or drugs do. This invisible killer is the air pollution from sources like cars and trucks or factory smokestacks.

But as wildfires intensify and grow more frequent in a warming world, the smoke from these fires is emerging as a new and deadly pollution source, health experts say. By some estimates, wildfire smoke — which contains a mixture of hazardous air pollutants like particulate matter, nitrogen dioxide, ozone and lead — already causes as many as 675,000 premature deaths a year worldwide, as well as a range of respiratory, heart and other diseases.

Research shows that wildfire smoke is starting to erode the world’s progress in cleaning up pollution from tailpipes and smokestacks, as climate change supercharges fires.

“It’s heartbreaking, it really is,” said Dr. Afif El-Hasan, a pediatrician who specializes in asthma care at Kaiser Permanente in Southern California and a board director of the American Lung Association. Wildfires “are putting our homes in danger, but they’re also putting our health in danger,” Dr. El-Hasan said, “and it’s only going to get worse.”

Those health concerns were coming to the fore this week as wildfires ravaged the Los Angeles area. Residents began to return to their neighborhoods, many strewed with smoldering ash and rubble, to survey the damage. Air pollution levels remained high in many parts of the city, including in northwest coastal Los Angeles, where the air quality index climbed to “dangerous” levels.

Los Angeles, in particular, has seen air pollution at levels that could be raising daily mortality by between 5 to 15 percent, said Carlos F. Gold, an expert in the health effects of air pollution at the University of California, San Diego.

That means current death counts, “while tragic, are likely large underestimates,” he said. People with underlying health issues, as well as older people and children, are particularly vulnerable.

The rapid spread of this week’s fires into dense neighborhoods, where they burned homes, furniture, cars, electronics and materials like paint and plastic, made the smoke more dangerous, said Dr. Lisa Patel, a pediatrician in the San Francisco Bay Area and the executive director of the Medical Society Consortium on Climate and Health.

A recent study found that even for homes that are spared destruction, smoke and ash blown inside could adhere to rugs, sofas and drywall, creating health hazards that can linger for months. “We’re breathing in this toxic brew of volatile organic compounds and polycyclic aromatic hydrocarbons and hexavalent chromium,” Dr. Patel said. “All of it is noxious.”

Intensifying and more frequent fires, meanwhile, are upending experts’ understanding of smoke’s health effects. “Wildfire season is no longer a season,” said Colleen Reid, who researches the effects of air pollution from wildfires on heath at the University of Colorado Boulder. “We have fires all year round that affect the same population repeatedly.”

“The health impacts are not the same as if you were exposed once, and then not again for 10 years,” she said. “The effects of that is something that we still don’t really know.”

A United Nations report from 2022 concluded that the risk of devastating wildfires around the world would surge in coming decades. Heating and drying caused by climate change, along with development in places vulnerable to fire, was expected to intensify a “global wildfire crisis,” the report said. Both the frequency and intensity of extreme wildfires have more than doubled in the past two decades. In the United States, the average acreage burned a year has surged since the 1990s.

Now, pollution from wildfires is reversing what had been a decades-long improvement in air quality brought about by cleaner cars and power generation. Since at least 2016, in nearly three-quarters of states in the U.S. mainland, wildfire smoke has eroded about 25 percent of progress in reducing concentrations of a type of particulate matter called PM 2.5, a Nature study in 2023 found.

In California, wildfire smoke’s effect on air quality is offsetting public health gains brought about by a decline in air pollution from automobiles and factories, state health officials have found. (By releasing carbon dioxide and other planet-warming gases into the atmosphere, wildfires are themselves a big contributor to climate change: The wildfires that ravaged Canada’s boreal forests in 2023 produced more greenhouse gases than the burning of fossil fuels in all but three countries.)

”It’s not a pretty picture,” said Dr. Gold of U.C. San Diego, who took part in the Nature study. If planet-warming gas emissions continue at current levels, “we’ve got some work that suggests that mortality from wildfire smoke in the U.S. could go up by 50 percent,” he said.

One silver lining is that the Santa Ana winds that so ferociously fueled the flames in recent days have been blowing some of the smoke toward the ocean. That stands in contrast to the smoke from the 2023 Canadian wildfires that drifted to New York and other American states hundreds of miles away, causing spikes in emergency room visits for asthma.

At one point that year, more than a third of Americans, from the East Coast to the Midwest, were under air quality alerts from Canadian wildfire smoke. “We’re seeing new and worsening threats in places that are not used to them,” Dr. Patel, the pediatrician, said.

The new normal is bringing about changes to health care, Dr. Patel said. More health systems are sending out air quality alerts to vulnerable patients. In the small community hospital where she works, “every child that comes in with wheezing or asthma, I talk to them about how air pollution is getting worse because of wildfires and climate change,” she said.

“I teach them how to look up air quality, and say they should ask for an air purifier,” Dr. Patel added. She also cautions that children should not participate in cleanup after a wildfire.

Scientists are still trying to understand the full range of wildfire smoke’s health effects. One big question is how much of what researchers know about vehicle exhaust and other forms of air pollution apply to wildfire smoke, said Mark R. Miller, a researcher at the Center for Cardiovascular Science at the University of Edinburgh who led a recent global survey of climate change, air pollution and wildfires.

For example, exhaust particles “are so small that when we breathe them in, they go deep down into our lungs and are actually small enough that they can pass from our lungs into our blood,” he said. “And once they’re in our blood, they can be carried around our body and start to build up.”

That means air pollution affects our entire body, he said. “It has effects on people who have diabetes, has effects on the liver and the kidney, it has effects on the brain, on pregnancy,” he said. What’s still not clear is whether pollution from wildfires has all of those same effects. “But it’s likely,” he said.

Experts have a range of advice for people living in areas with smoke. Keep an eye on air quality alerts, and follow evacuation orders. Stay indoors as much as possible, and use air purifiers. When venturing outside, wear N95 masks. Don’t do strenuous exercise in bad air. Keep children, older people and other vulnerable groups away from the worst smoke.

Ultimately, tackling climate change and cutting back on all kinds of air pollution is the way to reduce the overall burden on health, said Dr. El-Hasan of the American Lung Association. “Can you imagine how much worse things would be if we hadn’t started cleaning up emissions from our cars?” he said. “I’m trying to think, glass half full, but it does break my heart and it does worry me.”

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Science

AI windfall helps California narrow projected $3-billion budget deficit

Published

1 hour ago

January 10, 2026

Press Room

AI windfall helps California narrow projected -billion budget deficit

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SACRAMENTO — California and its state-funded programs are heading into a period of volatile fiscal uncertainty, driven largely by events in Washington and on Wall Street.

Gov. Gavin Newsom’s budget chief warned Friday that surging revenues tied to the artificial intelligence boom are being offset by rising costs and federal funding cuts. The result: a projected $3-billion state deficit for the next fiscal year despite no major new spending initiatives.

The Newsom administration on Friday released its proposed $348.9-billion budget for the fiscal year that begins July 1, formally launching negotiations with the Legislature over spending priorities and policy goals.

“This budget reflects both confidence and caution,” Newsom said in a statement. “California’s economy is strong, revenues are outperforming expectations, and our fiscal position is stable because of years of prudent fiscal management — but we remain disciplined and focused on sustaining progress, not overextending it.”

Newsom’s proposed budget did not include funding to backfill the massive cuts to Medicaid and other public assistance programs by President Trump and the Republican-led Congress, changes expected to lead to millions of low-income Californians losing healthcare coverage and other benefits.

“If the state doesn’t step up, communities across California will crumble,” California State Assn. of Counties Chief Executive Graham Knaus said in a statement.

The governor is expected to revise the plan in May using updated revenue projections after the income tax filing deadline, with lawmakers required to approve a final budget by June 15.

Newsom did not attend the budget presentation Friday, which was out of the ordinary, instead opting to have California Director of Finance Joe Stephenshaw field questions about the governor’s spending plan.

“Without having significant increases of spending, there also are no significant reductions or cuts to programs in the budget,” Stephenshaw said, noting that the proposal is a work in progress.

California has an unusually volatile revenue system — one that relies heavily on personal income taxes from high-earning residents whose capital gains rise and fall sharply with the stock market.

Entering state budget negotiations, many expected to see significant belt tightening after the nonpartisan Legislative Analyst’s Office warned in November that California faces a nearly $18-billion budget shortfall. The governor’s office and Department of Finance do not always agree, or use the LAO’s estimates.

On Friday, the Newsom administration said it is projecting a much smaller deficit — about $3 billion — after assuming higher revenues over the next three fiscal years than were forecast last year. The gap between the governor’s estimate and the LAO’s projection largely reflects differing assumptions about risk: The LAO factored in the possibility of a major stock market downturn.

“We do not do that,” Stephenshaw said.

Among the key areas in the budget:

Science

California confirms first measles case for 2026 in San Mateo County as vaccination debates continue

Published

13 hours ago

January 10, 2026

Press Room

California confirms first measles case for 2026 in San Mateo County as vaccination debates continue

Barely more than a week into the new year, the California Department of Public Health confirmed its first measles case of 2026.

The diagnosis came from San Mateo County, where an unvaccinated adult likely contracted the virus from recent international travel, according to Preston Merchant, a San Mateo County Health spokesperson.

Measles is one of the most infectious viruses in the world, and can remain in the air for two hours after an infected person leaves, according to the CDPH. Although the U.S. announced it had eliminated measles in 2000, meaning there had been no reported infections of the disease in 12 months, measles have since returned.

Last year, the U.S. reported about 2,000 cases, the highest reported count since 1992, according to CDC data.

“Right now, our best strategy to avoid spread is contact tracing, so reaching out to everybody that came in contact with this person,” Merchant said. “So far, they have no reported symptoms. We’re assuming that this is the first [California] measles case of the year.”

San Mateo County also reported an unvaccinated child’s death from influenza this week.

Across the country, measles outbreaks are spreading. Today, the South Carolina State Department of Public Health confirmed the state’s outbreak had reached 310 cases. The number has been steadily rising since an initial infection in July spread across the state and is now reported to be connected with infections in North Carolina and Washington.

Similarly to San Mateo’s case, the first reported infection in South Carolina came from an unvaccinated person who was exposed to measles while traveling internationally.

At the border of Utah and Arizona, a separate measles outbreak has reached 390 cases, stemming from schools and pediatric centers, according to the Utah Department of Health and Human Services.

Canada, another long-standing “measles-free” nation, lost ground in its battle with measles in November. The Public Health Agency of Canada announced that the nation is battling a “large, multi-jurisdictional” measles outbreak that began in October 2024.

If American measles cases follow last year’s pattern, the United States is facing losing its measles elimination status next.

For a country to lose measles-free status, reported outbreaks must be of the same locally spread strain, as was the case in Canada. As many cases in the United States were initially connected to international travel, the U.S. has been able to hold on to the status. However, as outbreaks with American-origin cases continue, this pattern could lead the Pan American Health Organization to change the country’s status.

In the first year of the Trump administration, officials led by Health Secretary Robert F. Kennedy Jr. have promoted lowering vaccine mandates and reducing funding for health research.

In December, Trump’s presidential memorandum led to this week’s reduced recommended childhood vaccines; in June, Kennedy fired an entire CDC vaccine advisory committee, replacing members with multiple vaccine skeptics.

Experts are concerned that recent debates over vaccine mandates in the White House will shake the public’s confidence in the effectiveness of vaccines.

“Viruses and bacteria that were under control are being set free on our most vulnerable,” Dr. James Alwine, a virologist and member of the nonprofit advocacy group Defend Public Health, said to The Times.

According to the CDPH, the measles vaccine provides 97% protection against measles in two doses.

Common symptoms of measles include cough, runny nose, pink eye and rash. The virus is spread through breathing, coughing or talking, according to the CDPH.

Measles often leads to hospitalization and, for some, can be fatal.

Science

Trump administration declares ‘war on sugar’ in overhaul of food guidelines

Published

3 days ago

January 7, 2026

Press Room

Trump administration declares ‘war on sugar’ in overhaul of food guidelines

The Trump administration announced a major overhaul of American nutrition guidelines Wednesday, replacing the old, carbohydrate-heavy food pyramid with one that prioritizes protein, healthy fats and whole grains.

“Our government declares war on added sugar,” Health and Human Services Secretary Robert F. Kennedy Jr. said in a White House press conference announcing the changes. “We are ending the war on saturated fats.”

“If a foreign adversary sought to destroy the health of our children, to cripple our economy, to weaken our national security, there would be no better strategy than to addict us to ultra-processed foods,” Kennedy said.

Improving U.S. eating habits and the availability of nutritious foods is an issue with broad bipartisan support, and has been a long-standing goal of Kennedy’s Make America Healthy Again movement.

During the press conference, he acknowledged both the American Medical Association and the American Assn. of Pediatrics for partnering on the new guidelines — two organizations that earlier this week condemned the administration’s decision to slash the number of diseases that U.S. children are vaccinated against.

“The American Medical Association applauds the administration’s new Dietary Guidelines for spotlighting the highly processed foods, sugar-sweetened beverages, and excess sodium that fuel heart disease, diabetes, obesity, and other chronic illnesses,” AMA president Bobby Mukkamala said in a statement.