Smoke and soot from wildfires may be causing more Covid-19 cases and deaths, study finds

Powerful, dry winds swept across San Francisco, California, during 2020's wildfire season, driving up the risk of fires in a region that has been battered by heat waves and dangerously poor air quality.

(CNN)As the coronavirus surges again in the United States, scientists have found another disaster is playing a key role in the number of people who contract severe Covid-19 cases and how many die: wildfires.

A new study published in the journal Science Advances found that increases in fine particulate matter from wildfire smoke in 2020 led to a surge in Covid-19 cases and deaths in California, Oregon and Washington.
"Fine particulate matter air pollution can be an additional vehicle for spreading the virus even faster," Francesca Dominici, co-author of the study and professor of biostatistics, population and data science at Harvard T.H. Chan School of Public Health, told CNN. "Considering that we are seeing an increased risk of cases from the Delta [variant] and we already have the wildfires, that's going to be concerning."
    Fine particulate matter, or PM 2.5, is among tiniest yet also the most dangerous pollutants. When inhaled, it travels deep into lung tissue where it can enter the bloodstream. PM2.5, which comes from other sources like fossil fuel plants, cars and agriculture, and is linked to a number of health complications: asthma, heart disease, chronic bronchitis, and other respiratory illnesses — all underlying conditions that make people vulnerable to severe outcomes from Covid-19.
      Dr. Albert Rizzo, chief medical officer at the American Lung Association, who was not involved in the new study, said that air pollution from wildfire smoke is likely causing inflammation in the lungs.
        "The particulate matter is what leads the airways to be a very fertile ground for uninvited infection like the Covid virus to get into our airway," Rizzo told CNN. "The immune system is only geared up to try to fight the effects of a particulate matter and now it has a virus that it has to trigger against as well."
        It's a dangerous combination, Dominici said. "Right now, considering that we are seeing an increase in risks and cases due to the Delta variant, and we're already getting wildfires, that's going to be concerning," she added.
          2020 was a historic wildfire season, scorching more than 10 million acres across the Western states. While the direct death toll from the fires was at least 43, researchers at Stanford University in September estimated roughly 1,200 to 3,000 excess deaths in California from inhaling wildfire smoke, or PM 2.5.
          The effects of the 2021 Western wildfires have become so far-reaching that not only did the smoke drift and became visible across the country as far as New York, but the fires have been exhibiting extreme fire behavior, such as rotational patterns within the fire, or producing rare, towering clouds.
          California's sky glowing orange due to smoke from the wildfires.
          The Harvard study looked at 92 counties in California, Oregon, and Washington impacted by wildfire in 2020. Using satellite images for the fires and public data on Covid-19 cases and deaths in the three Western states, researchers found that in the majority of the counties they studied, there was strong evidence that the more smoke and soot there was, the more there were cases and deaths from Covid. If PM 2.5 levels stayed higher for 28 days in a row, cases rose by nearly 12% and deaths by more than 8%.
          "This is a very important study," Donghai Liang, professor of environmental health at Emory University, who was not involved in the study, told CNN. "This is among those first studies that really report the link between particulate matter coming out of the 2020 wildfires in the United States and how they contribute to the exacerbation on Covid-19 cases and deaths."
          As the climate crisis accelerates, Liang said public health risks associated with wildfires may worsen. According to the landmark UN report published Monday, climate change-fueled drought and heat now make wildfire seasons longer and result in more destructive fires.
          "Even without Covid, we've been concerned that climate change that leads to hotter environments, and droughts, is fodder for wildfires to occur," Rizzo said "Then you add the wildfire ash and soot to the air quality, it does make respiratory issues much more likely to oc