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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Implications of the
California Wildfires for
Health, Communities, and
Preparedness

PROCEEDINGS OF A WORKSHOP

Steve Olson, Rapporteur

Forum on Medical and Public Health Preparedness for
Disasters and Emergencies

Roundtable on Population Heath Improvement

Roundtable on the Promotion of Health Equity

Roundtable on Environmental Health Services, Research, and Medicine

Board on Health Sciences Policy

Board on Population Health and Public Health Practice

Health and Medicine Division

images

THE NATIONAL ACADEMIES PRESS
Washington, DC
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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THE NATIONAL ACADEMIES PRESS 500 Fifth Street, NW Washington, DC 20001

This activity was supported by contracts between the National Academy of Sciences and Administration for Children and Families (Department of Health and Human Services [HHS]), Aetna Foundation, American Burn Association, American College of Emergency Physicians, American College of Surgeons Committee on Trauma, American Hospital Association, American Red Cross, Association of Public Health Laboratories, Association of State and Territorial Health Officials, Blue Cross and Blue Shield of North Carolina, The California Endowment, California Wellness Foundation, Centers for Disease Control and Prevention, Colgate-Palmolive Company, The Colorado Trust, Council of State and Territorial Epidemiologists, Dartmouth-Hitchcock Medical Center, Department of Defense, Department of Homeland Security, Department of Transportation, Department of Veterans Affairs Office of Health Equity, East West Protection, LLC, Emergency Nurses Association, ExxonMobil Foundation, Geisinger, Gordon and Betty Moore Foundation, Health Resources and Services Administration Office of Health Equity, Healthcare Ready, HHS Office of the Assistant Secretary for Health, Hogg Foundation for Mental Health, Infectious Diseases Society of America, Kaiser Permanente, The Kresge Foundation, Merck & Co, Inc., National Association of Chain Drug Stores, National Association of County & City Health Officials, National Association of Emergency Medical Technicians, National Fire Protection Association, National Highway Traffic Safety Administration, National Institute of Allergy and Infectious Diseases, National Institute of Environmental Health Sciences, National Library of Medicine, Nemours, New York State Health Foundation, New York University Langone Health Department of Population Health, Office of the Assistant Secretary for Preparedness and Response, The Rippel Foundation, Robert Wood Johnson Foundation, Samueli Institute, Trauma Center Association of America, Uniformed Services University of the Health Sciences, The University of Texas, U.S. Environmental Protection Agency, U.S. Food and Drug Administration, and Wake Forest Baptist Medical Center—Stakeholder Health. Any opinions, findings, conclusions, or recommendations expressed in this publication do not necessarily reflect the views of any organization or agency that provided support for the project.

International Standard Book Number-13: 978-0-309-49987-3
International Standard Book Number-10: 0-309-49987-9
Digital Object Identifier: https://doi.org/10.17226/25622

Additional copies of this publication are available from the National Academies Press, 500 Fifth Street, NW, Keck 360, Washington, DC 20001; (800) 624-6242 or (202) 334-3313; http://www.nap.edu.

Copyright 2020 by the National Academy of Sciences. All rights reserved.

Printed in the United States of America

Suggested citation: National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California wildfires for health, communities, and preparedness: Proceedings of a workshop. Washington, DC: The National Academies Press. https://doi.org/10.17226/25622.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Image

The National Academy of Sciences was established in 1863 by an Act of Congress, signed by President Lincoln, as a private, nongovernmental institution to advise the nation on issues related to science and technology. Members are elected by their peers for outstanding contributions to research. Dr. Marcia McNutt is president.

The National Academy of Engineering was established in 1964 under the charter of the National Academy of Sciences to bring the practices of engineering to advising the nation. Members are elected by their peers for extraordinary contributions to engineering. Dr. John L. Anderson is president.

The National Academy of Medicine (formerly the Institute of Medicine) was established in 1970 under the charter of the National Academy of Sciences to advise the nation on medical and health issues. Members are elected by their peers for distinguished contributions to medicine and health. Dr. Victor J. Dzau is president.

The three Academies work together as the National Academies of Sciences, Engineering, and Medicine to provide independent, objective analysis and advice to the nation and conduct other activities to solve complex problems and inform public policy decisions. The National Academies also encourage education and research, recognize outstanding contributions to knowledge, and increase public understanding in matters of science, engineering, and medicine.

Learn more about the National Academies of Sciences, Engineering, and Medicine at www.nationalacademies.org.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Image

Consensus Study Reports published by the National Academies of Sciences, Engineering, and Medicine document the evidence-based consensus on the study’s statement of task by an authoring committee of experts. Reports typically include findings, conclusions, and recommendations based on information gathered by the committee and the committee’s deliberations. Each report has been subjected to a rigorous and independent peer-review process and it represents the position of the National Academies on the statement of task.

Proceedings published by the National Academies of Sciences, Engineering, and Medicine chronicle the presentations and discussions at a workshop, symposium, or other event convened by the National Academies. The statements and opinions contained in proceedings are those of the participants and are not endorsed by other participants, the planning committee, or the National Academies.

For information about other products and activities of the National Academies, please visit www.nationalacademies.org/about/whatwedo.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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PLANNING COMMITTEE ON IMPLICATIONS OF THE CALIFORNIA WILDFIRES FOR HEALTH, COMMUNITIES, AND PREPAREDNESS1

KENNETH W. KIZER (Chair), Director of the Institute for Population Health Improvement, University of California, Davis, Health

JULIE BALDWIN, Director, Center for Health Equity Research, Northern Arizona University

MICHELLE BELL, Mary E. Pinchot Professor of Environmental Health, Yale University School of Forestry and Environmental Studies

WAYNE E. CASCIO, Director, Environmental Effects Research Laboratory, Office of Research and Development, U.S. Environmental Protection Agency

DAVID EISENMAN, Professor-in-Residence, David Geffen School of Medicine and Fielding School of Public Health, University of California, Los Angeles

RICHARD J. JACKSON, Former Professor and Chair, Environmental Health Sciences, Fielding School of Public Health, University of California, Los Angeles

WAYNE B. JONAS, President and Chief Executive Officer, Samueli Institute

SUZET M. McKINNEY, Executive Director, Illinois Medical District Commission WINSTON WONG, Medical Director, Community Benefit; Director, Disparities Improvement and Quality Initiatives, Kaiser Permanente

Health and Medicine Division Staff

KAREN M. ANDERSON, Senior Program Officer

ALINA BACIU, Senior Program Officer

KATHLEEN STRATTON, Scholar

SCOTT WOLLEK, Senior Program Officer

CAROLINE M. CILIO, Associate Program Officer

AIMEE MEAD, Associate Program Officer

PAMELA RAMEY-McCRAY, Senior Program Assistant

KIMBERLY SUTTON, Senior Program Assistant

ROSE MARIE MARTINEZ, Senior Board Director

ANDREW M. POPE, Senior Board Director

___________________

1 The National Academies of Sciences, Engineering, and Medicine’s planning committees are solely responsible for organizing the workshop, identifying topics, and choosing speakers. The responsibility for the published Proceedings of a Workshop rests with the workshop rapporteur and the institution.

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Consultant

STEVE OLSON, Science Writer

Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Reviewers

This Proceedings of a Workshop was reviewed in draft form by individuals chosen for their diverse perspectives and technical expertise. The purpose of this independent review is to provide candid and critical comments that will assist the National Academies of Sciences, Engineering, and Medicine in making each published proceedings as sound as possible and to ensure that it meets the institutional standards for quality, objectivity, evidence, and responsiveness to the charge. The review comments and draft manuscript remain confidential to protect the integrity of the process.

We thank the following individuals for their review of this proceedings:

Although the reviewers listed above provided many constructive comments and suggestions, they were not asked to endorse the content of the proceedings nor did they see the final draft before its release. The review of this proceedings was overseen by MARTÍN-J. SEPÚLVEDA, Claraluzz, LLC. He was responsible for making certain that an independent examination of this proceedings was carried out in accordance with standards of the National Academies and that all review comments were carefully considered. Responsibility for the final content rests entirely with the rapporteur and the National Academies.

Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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Page viii Cite
Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
×
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Suggested Citation:"Front Matter." National Academies of Sciences, Engineering, and Medicine. 2020. Implications of the California Wildfires for Health, Communities, and Preparedness: Proceedings of a Workshop. Washington, DC: The National Academies Press. doi: 10.17226/25622.
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California and other wildfire-prone western states have experienced a substantial increase in the number and intensity of wildfires in recent years. Wildlands and climate experts expect these trends to continue and quite likely to worsen in coming years. Wildfires and other disasters can be particularly devastating for vulnerable communities. Members of these communities tend to experience worse health outcomes from disasters, have fewer resources for responding and rebuilding, and receive less assistance from state, local, and federal agencies. Because burning wood releases particulate matter and other toxicants, the health effects of wildfires extend well beyond burns. In addition, deposition of toxicants in soil and water can result in chronic as well as acute exposures.

On June 4-5, 2019, four different entities within the National Academies of Sciences, Engineering, and Medicine held a workshop titled Implications of the California Wildfires for Health, Communities, and Preparedness at the Betty Irene Moore School of Nursing at the University of California, Davis. The workshop explored the population health, environmental health, emergency preparedness, and health equity consequences of increasingly strong and numerous wildfires, particularly in California. This publication is a summary of the presentations and discussion of the workshop.

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