Dataset Information

The health impacts and economic value of wildland fire episodes in the U.S.: 2008-2012.

ABSTRACT: INTRODUCTION:Wildland fires degrade air quality and adversely affect human health. A growing body of epidemiology literature reports increased rates of emergency departments, hospital admissions and premature deaths from wildfire smoke exposure. OBJECTIVE:Our research aimed to characterize excess mortality and morbidity events, and the economic value of these impacts, from wildland fire smoke exposure in the U.S. over a multi-year period; to date no other burden assessment has done this. METHODS:We first completed a systematic review of the epidemiologic literature and then performed photochemical air quality modeling for the years 2008 to 2012 in the continental U.S. Finally, we estimated the morbidity, mortality, and economic burden of wildland fires. RESULTS:Our models suggest that areas including northern California, Oregon and Idaho in the West, and Florida, Louisiana and Georgia in the East were most affected by wildland fire events in the form of additional premature deaths and respiratory hospital admissions. We estimated the economic value of these cases due to short term exposures as being between $11 and $20B (2010$) per year, with a net present value of $63B (95% confidence intervals $6-$170); we estimate the value of long-term exposures as being between $76 and $130B (2010$) per year, with a net present value of $450B (95% confidence intervals $42-$1200). CONCLUSION:The public health burden of wildland fires-in terms of the number and economic value of deaths and illnesses-is considerable.

SUBMITTER: Fann N

PROVIDER: S-EPMC6117838 | biostudies-literature | 2018 Jan

REPOSITORIES: biostudies-literature

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The health impacts and economic value of wildland fire episodes in the U.S.: 2008-2012.

Fann Neal N Alman Breanna B Broome Richard A RA Morgan Geoffrey G GG Johnston Fay H FH Pouliot George G Rappold Ana G AG

The Science of the total environment 20170818

<h4>Introduction</h4>Wildland fires degrade air quality and adversely affect human health. A growing body of epidemiology literature reports increased rates of emergency departments, hospital admissions and premature deaths from wildfire smoke exposure.<h4>Objective</h4>Our research aimed to characterize excess mortality and morbidity events, and the economic value of these impacts, from wildland fire smoke exposure in the U.S. over a multi-year period; to date no other burden assessment has don ...[more]

PMID: 28826118

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Project description:ObjectiveThis study updates previous estimates of the economic burden of diagnosed diabetes and quantifies the increased health resource use and lost productivity associated with diabetes in 2012.Research design and methodsThe study uses a prevalence-based approach that combines the demographics of the U.S. population in 2012 with diabetes prevalence, epidemiological data, health care cost, and economic data into a Cost of Diabetes Model. Health resource use and associated medical costs are analyzed by age, sex, race/ethnicity, insurance coverage, medical condition, and health service category. Data sources include national surveys, Medicare standard analytical files, and one of the largest claims databases for the commercially insured population in the U.S.ResultsThe total estimated cost of diagnosed diabetes in 2012 is $245 billion, including $176 billion in direct medical costs and $69 billion in reduced productivity. The largest components of medical expenditures are hospital inpatient care (43% of the total medical cost), prescription medications to treat the complications of diabetes (18%), antidiabetic agents and diabetes supplies (12%), physician office visits (9%), and nursing/residential facility stays (8%). People with diagnosed diabetes incur average medical expenditures of about $13,700 per year, of which about $7,900 is attributed to diabetes. People with diagnosed diabetes, on average, have medical expenditures approximately 2.3 times higher than what expenditures would be in the absence of diabetes. For the cost categories analyzed, care for people with diagnosed diabetes accounts for more than 1 in 5 health care dollars in the U.S., and more than half of that expenditure is directly attributable to diabetes. Indirect costs include increased absenteeism ($5 billion) and reduced productivity while at work ($20.8 billion) for the employed population, reduced productivity for those not in the labor force ($2.7 billion), inability to work as a result of disease-related disability ($21.6 billion), and lost productive capacity due to early mortality ($18.5 billion).ConclusionsThe estimated total economic cost of diagnosed diabetes in 2012 is $245 billion, a 41% increase from our previous estimate of $174 billion (in 2007 dollars). This estimate highlights the substantial burden that diabetes imposes on society. Additional components of societal burden omitted from our study include intangibles from pain and suffering, resources from care provided by nonpaid caregivers, and the burden associated with undiagnosed diabetes.

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Project description:Wildland fires are a major source of fine particulate matter (PM2.5), one of the most harmful ambient pollutants for human health globally. To represent the influence of wildland fire emissions on atmospheric composition, regional and global chemical transport models rely on emission inventories developed from estimates of burned area (i.e. fire size and location). While different methods of estimating annual burned area agree reasonably well in the western U.S. (within 20-30% for most years during 2002-2014), estimates for the southern U.S. can vary by more than a factor of 5. These differences in burned area lead to significant variability in the spatial and temporal allocation of emissions across fire emission inventory platforms. In this work, we implement wildland fire emission estimates for 2011 from three different products - the USEPA National Emission Inventory (NEI), the Fire Inventory of NCAR (FINN), and the Global Fire Emission Database (GFED4s) - into the Community Multiscale Air Quality (CMAQ) model to quantify and characterize differences in simulated PM and ozone concentrations across the contiguous U.S. (CONUS) due to the fire emission inventory used. The NEI is developed specifically for the U.S., while both FINN and GFED4s are available globally. We find that NEI emissions lead to the largest increases in modeled annual average PM2.5 (0.85 μg m-3) and April-September maximum daily 8-h ozone (0.28 ppb) nationally compared to a "no fire" baseline, followed by FINN (0.33 μg m-3 and 0.22 ppb) and GFED4s (0.12 μg m-3 and 0.17 ppb). Annual mean enhancements in wildland fire pollution are highest in the southern U.S. across all three inventories (over 4 μg m-3 and 2 ppb in some areas), but show considerable spatial variability within these regions. We also examine the representation of five individual fire events during 2011 and find that of the two global inventories, FINN reproduces more of the acute changes in pollutant concentrations modeled with NEI and shown in surface observations during each of the episodes investigated compared to GFED4s. Understanding the sensitivity of modeling fire-related PM2.5 and ozone in the U.S. to burned area estimation approaches will inform future efforts to assess the implications of present and future fire activity for air quality and human health at national and global scales.

Dataset Information

The health impacts and economic value of wildland fire episodes in the U.S.: 2008-2012.

Publications

The health impacts and economic value of wildland fire episodes in the U.S.: 2008-2012.

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