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Children are at greater risk of wildfire smoke, and it could affect their development. Here's what parents need to know

Children are at greater risk of wildfire smoke, and it could affect their development. Here's what parents need to know

Toronto once again has some of the worst air quality in the world
this summer as of Thursday morning, with wildfire smoke blowing into the city from the Prairies.
Environment Canada has
issued a special statement
urging Torontonians to stay inside — and experts say this is doubly important for children, who are among those at greatest risk of smoke exposure.
Aside from being more vulnerable to the immediate health effects of smoke inhalation, new research suggests repeated exposure to air pollution could have long-term ramifications for their development.
With the city once again blanketed in wildfire smoke, experts are warning that long-term exposure to air pollution can lead to higher risk of
With the city once again blanketed in wildfire smoke, experts are warning that long-term exposure to air pollution can lead to higher risk of
Here's why, and what parents can do to keep their kids safe.
It mainly has to do with their small bodies, explained Dr. Samantha Green, a family physician with Unity Health Toronto.
Given their size, young children inhale more air per kilogram of body mass, meaning more airborne pollutants in proportion to their bodies. And because their lungs are still developing, the organ is more susceptible to damage.
That means the younger one is, the more they may be affected. 'Babies and the youngest children are most at risk,' Green explained.
In the short term, kids might experience similar symptoms to adults, just more intense, Green said. Think chest tightness, trouble breathing, sore throat, coughing, burning eyes or dizziness.
'In children who have asthma, or allergies, or other chronic health conditions, they may experience worsening in their underlying (conditions),' Green continued.
The scarfs were issued after veteran firefighters won a battle to get presumptive illness coverage due to chronic smoke exposure.
The scarfs were issued after veteran firefighters won a battle to get presumptive illness coverage due to chronic smoke exposure.
But in the long run, emerging research suggests repeated exposure could potentially lead to decreased overall lung function, an increased risk of lung and brain tumours, and potential impact on developmental outcomes, according to Green.
'The greater time spent experiencing the poor air quality and the more repeated exposures, the worse the risk,' she continued.
The answer is 'not really,' according to Jeffrey Brook, an associate professor at the University of Toronto's Dalla Lana School of Public Health.
It's true that N95 masks can help catch some of the harmful particles released in wildfire smoke, but given the time-limited nature of this event, Brook and other experts say they aren't necessary.
'We don't want people to panic,' he said. 'The level that we're seeing here are what children are dealing with day in and day out in other countries in the world … It makes sense to be prudent, but not to panic.'
Green added that while masks might catch particulate matter, they won't keep us safe from the other dangerous chemicals in smoke, such as carbon monoxide, ammonia, ozone and nitrogen dioxide.
Torontonians are being urged to limit their time outside as smoke blows into the city. But smoke will still leak inside, experts say.
Torontonians are being urged to limit their time outside as smoke blows into the city. But smoke will still leak inside, experts say.
'In children, N95 masks often don't fit properly, often aren't worn properly and really are not a solution,' Green said.
'I think for a child with underlying asthma, who must be outside, I would recommend wearing an N95 mask. But really, as much as possible, we should be keeping all children inside.'
The best solution, according to experts, is to keep your kids indoors when it's smoky out.
On Thursday morning, Toronto's air quality health index was
ranked eight out of ten
, or 'high risk.' Parents should consider rescheduling outdoor activities at any level higher than a seven, according to Helen Doyle, chair of the co-ordinating committee at the Canadian Partnership for Children's Health and Environment.
Experts previously told the Star
most buildings can only keep out about half of all air pollutants
, but it's better than having kids outside without protection.
Otherwise, Doyle advises parents to keep an eye on the air quality health index, and check for any updates as they come. She notes that
apps like WeatherCAN
are able to alert you once the index reaches a certain level.
If possible, keep your windows closed and the air-conditioning on if you have the option. Doyle says you can also consider purchasing a portable air filter, or making your own.
The Star previously outlined how to make an affordable filter
using a fan, air filters, duct tape and cardboard.
'We can only adapt so much and this is such a good example of where adaptation is not ideal,' Green said. 'We need to keep children indoors during the summer and we need to refrain from everyday childhood activities like going swimming in Lake Ontario or playing on a playground.'
The fact we're being pushed to do so is 'key evidence of the climate crisis, and unfortunately, things will continue to get worse year over year from here on in unless we stop burning fossil fuels,' Green finished.
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Children are at greater risk of wildfire smoke, and it could affect their development. Here's what parents need to know
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Children are at greater risk of wildfire smoke, and it could affect their development. Here's what parents need to know

Toronto once again has some of the worst air quality in the world this summer as of Thursday morning, with wildfire smoke blowing into the city from the Prairies. Environment Canada has issued a special statement urging Torontonians to stay inside — and experts say this is doubly important for children, who are among those at greatest risk of smoke exposure. Aside from being more vulnerable to the immediate health effects of smoke inhalation, new research suggests repeated exposure to air pollution could have long-term ramifications for their development. With the city once again blanketed in wildfire smoke, experts are warning that long-term exposure to air pollution can lead to higher risk of With the city once again blanketed in wildfire smoke, experts are warning that long-term exposure to air pollution can lead to higher risk of Here's why, and what parents can do to keep their kids safe. It mainly has to do with their small bodies, explained Dr. Samantha Green, a family physician with Unity Health Toronto. Given their size, young children inhale more air per kilogram of body mass, meaning more airborne pollutants in proportion to their bodies. And because their lungs are still developing, the organ is more susceptible to damage. That means the younger one is, the more they may be affected. 'Babies and the youngest children are most at risk,' Green explained. In the short term, kids might experience similar symptoms to adults, just more intense, Green said. Think chest tightness, trouble breathing, sore throat, coughing, burning eyes or dizziness. 'In children who have asthma, or allergies, or other chronic health conditions, they may experience worsening in their underlying (conditions),' Green continued. The scarfs were issued after veteran firefighters won a battle to get presumptive illness coverage due to chronic smoke exposure. The scarfs were issued after veteran firefighters won a battle to get presumptive illness coverage due to chronic smoke exposure. But in the long run, emerging research suggests repeated exposure could potentially lead to decreased overall lung function, an increased risk of lung and brain tumours, and potential impact on developmental outcomes, according to Green. 'The greater time spent experiencing the poor air quality and the more repeated exposures, the worse the risk,' she continued. The answer is 'not really,' according to Jeffrey Brook, an associate professor at the University of Toronto's Dalla Lana School of Public Health. It's true that N95 masks can help catch some of the harmful particles released in wildfire smoke, but given the time-limited nature of this event, Brook and other experts say they aren't necessary. 'We don't want people to panic,' he said. 'The level that we're seeing here are what children are dealing with day in and day out in other countries in the world … It makes sense to be prudent, but not to panic.' Green added that while masks might catch particulate matter, they won't keep us safe from the other dangerous chemicals in smoke, such as carbon monoxide, ammonia, ozone and nitrogen dioxide. Torontonians are being urged to limit their time outside as smoke blows into the city. But smoke will still leak inside, experts say. Torontonians are being urged to limit their time outside as smoke blows into the city. But smoke will still leak inside, experts say. 'In children, N95 masks often don't fit properly, often aren't worn properly and really are not a solution,' Green said. 'I think for a child with underlying asthma, who must be outside, I would recommend wearing an N95 mask. But really, as much as possible, we should be keeping all children inside.' The best solution, according to experts, is to keep your kids indoors when it's smoky out. On Thursday morning, Toronto's air quality health index was ranked eight out of ten , or 'high risk.' Parents should consider rescheduling outdoor activities at any level higher than a seven, according to Helen Doyle, chair of the co-ordinating committee at the Canadian Partnership for Children's Health and Environment. Experts previously told the Star most buildings can only keep out about half of all air pollutants , but it's better than having kids outside without protection. Otherwise, Doyle advises parents to keep an eye on the air quality health index, and check for any updates as they come. She notes that apps like WeatherCAN are able to alert you once the index reaches a certain level. If possible, keep your windows closed and the air-conditioning on if you have the option. Doyle says you can also consider purchasing a portable air filter, or making your own. The Star previously outlined how to make an affordable filter using a fan, air filters, duct tape and cardboard. 'We can only adapt so much and this is such a good example of where adaptation is not ideal,' Green said. 'We need to keep children indoors during the summer and we need to refrain from everyday childhood activities like going swimming in Lake Ontario or playing on a playground.' The fact we're being pushed to do so is 'key evidence of the climate crisis, and unfortunately, things will continue to get worse year over year from here on in unless we stop burning fossil fuels,' Green finished.

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That means, on especially smoky days, indoor air quality can still reach dangerous levels for susceptible individuals, Brook and other experts previously told the Star. These can include young children, pregnant people, elderly individuals and those with respiratory or cardiovascular conditions like asthma. 'There's a lot of epidemiology research that says (pollutants released by wildfires) is a major killer,' Brook explained. 'It's one of the most significant causes of premature mortality in the world.' And yet, our building codes and ventilation systems generally aren't designed to prioritize smoke and other pollutants, experts say. As the climate crisis makes wildfires a more common occurrence, policymakers are being urged to consider long-term solutions to a worsening issue. There are three main ways smoke (and other air pollutants) can infiltrate our homes, according to Amy Li, an assistant professor of civil and environmental engineering at the University of Waterloo. The first is through any large openings, like a door left ajar or an opened window. 'This is why we often have the recommendation to close all windows and doors when we know the outdoor air is not good,' she explained. The second pathway is less visible — leaks and cracks in a home's enclosure through which pollutants can enter. 'Buildings are not like a spaceship,' Li said. 'There will always be some amount (of pollutants) getting into the building.' Health experts are not currently concerned about air quality in Toronto but warn prolonged exposure to moderate risk air may threaten health. Health experts are not currently concerned about air quality in Toronto but warn prolonged exposure to moderate risk air may threaten health. The third is through mechanical ventilation systems that funnel outside air indoors, said Jeffrey Siegel, a professor of civil engineering at the University of Toronto. This sort of system is present in 'most non-residential buildings,' he said. It's why large commercial and institutional buildings, like schools, offices and community centres, are often more vulnerable to smoke, Li added, although it varies from building to building. Older buildings also tend to have more cracks for pollutants to seep through and ventilation systems less able to keep smoke out, Li and Siegel explained. Meanwhile, single family homes and townhouses tend to be 'leakier' compared to highrise apartment complexes, Li said. Buildings without air conditioning are also at greater risk if windows are kept open to regulate high temperatures, Siegel added. The first rule of thumb is to close any doors and windows when it's smoky out. You might even consider taping windows shut if leaks are present, Li said. 'That's not as protective as would be ideal because of the leaks in buildings … but it will help,' Siegel added. But this may not be an option if your residence has no air conditioning and you're weathering a period of extreme heat: 'The health effects of extreme heat can be more serious than the effects of wildfire smoke,' Siegel said. If your home has a central forced air system with a MERV 11-rated air filter or better, Siegel recommends keeping your fan going continuously if possible. MERV, or 'minimum efficiency reporting values,' measures how efficiently a filter can capture particles; a MERV 13 to 15 rated filter is preferred, Siegel said. Unlike many commercial buildings, most residences in Canada recirculate the indoor air instead of pumping in fresh air from the outside, Li said. TORONTO - The Canadian Ophthalmological Society is urging people to take care of their eyes as wildfires burn across Manitoba and Saskatchewan. TORONTO - The Canadian Ophthalmological Society is urging people to take care of their eyes as wildfires burn across Manitoba and Saskatchewan. Siegel also recommended running portable air filters in crowded spaces, especially in areas with susceptible individuals. The Star previously outlined how to make an affordable filter using a fan, air filters, duct tape and cardboard. If possible, Li recommends upgrading your home's filtration system. Consult with a professional first, especially if your home's ventilation system is old, as a high-efficiency filter might overwhelm the system and lead to drops in pressure, she said. Finally, those at high risk can consider wearing a well-fitted respirator or mask, like an N95 mask, while indoors when it's especially smoky, Siegel explained. Until recently, building filtration systems have placed less emphasis on keeping wildfire smoke and other environmental pollutants out, Brook noted. And while the COVID-19 pandemic saw a shift toward improving HVAC systems in buildings like schools, experts and advocates have noted it's not sufficient to keep up with the increasing prevalence of wildfires. Almost any upgrades to a building will also make it more resistant to wildfire smoke, Siegel said, from installing new windows to heating, ventilation and air-conditioning retrofits. The problem is many of the buildings where these improvements are needed most, like schools, are unable to implement them due to budget and funding limitations, he continued. For urbanites, there's a new way to mark the calendar: the day the smoke reaches the city. For urbanites, there's a new way to mark the calendar: the day the smoke reaches the city. 'It's an important area that we should be thinking about for investment, because the issue isn't just wildfire smoke,' Siegel said. 'We have increasing ambient air pollution just because of urbanization. We have a lot more construction, a lot more traffic, a lot of major roadways with schools and other buildings near them.' There's another hurdle. Brook noted that improved ventilation, air-conditioning and filtration systems may end up contributing to the climate crisis. 'If you just start expending more energy to make the indoor air clean, it can becomes a vicious cycle of more emissions if our energy is coming from dirty sources,' he said. 'We have to think, what's our long-term strategy?' Brook continued. 'Why have we stopped talking about how we're going to meet carbon emission targets? How are we going to upgrade our housing and clean air while not increasing our energy usages?'

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