Study uncovers concerning source of $200 billion in health damages: 'Associated with increased morbidity and mortality risk'
Smoke from wildfires and prescribed burns in the United States caused $200 billion in health damages and was linked to 20,000 premature deaths in 2017 alone, according to Carnegie Mellon University.
A new study published in the journal Communications Earth & Environment reveals the staggering human toll of fire smoke. While most U.S. air pollution sources have decreased since the late 20th century, wildfire pollution has increased.
The damages were almost evenly split between wildfires (predominantly in the West) and prescribed burns (mainly in the Southeast). Senior citizens were hit hardest, representing just 16% of the population but suffering 75% of the damage.
"Many studies have found that fire smoke, like other air pollutants, is associated with increased morbidity and mortality risk. But until recently, the associated social costs were less well understood," explained Nicholas Muller, Carnegie Mellon's Lester and Judith Lave Professor of Economics, Engineering, and Public Policy.
Fire smoke creates dangerous fine particulate matter (PM2.5) that penetrates deep into your lungs and bloodstream. Any long-term exposure to PM2.5 increases your risk of premature death.
The health impacts aren't distributed equally. While seniors face the greatest risks overall, Native American and Black communities experience the highest damages per capita within most age groups. This pattern highlights how environmental hazards often affect already vulnerable populations most severely.
When you breathe in smoke-polluted air, you're exposing yourself to a cocktail of harmful compounds, including ammonia, nitrogen oxides, and volatile organic compounds, all of which contribute to dangerous PM2.5 concentrations.
Researchers suggest several practical approaches to protect people from smoke exposure. Communities can expand real-time air quality monitoring and enhance public outreach through trusted local leaders to keep you informed during smoke events.
You can improve your home's air quality by investing in filtration technologies. Public spaces such as senior centers in low-income neighborhoods could be equipped as clean air shelters during heavy smoke days.
Simple personal protection measures help, too. Using N95 masks during smoke events can protect you if you can't access safe indoor spaces. This is especially important if you work outdoors.
Do you worry about air pollution in and around your home?
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Policymakers are beginning to recognize smoke as a major public health issue rather than a seasonal nuisance. By combining community-based solutions with individual protection measures, you can help reduce the devastating health impacts of fire smoke while broader climate actions address the root causes of increasingly frequent and intense wildfires.
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Cashew milk Getty Images This is a "versatile plant-based option with a creamy texture," according to Terry, and its price is on par with almond milk. It's also available in most grocery stores. Cashew milk has a nuttier taste than most plant-based milks and it's rather sweet. If you prefer a subtler taste, cashew milk might not be the right choice for you. Pros Homemade cashew milk packs 20% of your daily needs of magnesium Some store-bought varieties contain more calcium than dairy milk. Cons There can be a big difference in nutritional profiles between store-bought cashew milk and homemade, Terry says. Homemade varieties are usually higher in fiber, protein and fat. Store-bought cashew milk may be lower in calories than homemade cashew milk, but it may also have less protein and healthy fats. Cashew milk is not a good dairy replacement if you're looking for plant-based milk with high protein content. Macadamia milk Getty Images Because macadamia milk has a "more balanced flavor compared to other nut milks, it could be used on a more frequent basis and in various foods and beverages, " Terry says, whereas other plant milks with stronger flavors (like cashew milk) have limited uses. Pros Nutritionally, macadamia milk has generous amounts of omega-3 and omega-6 fatty acids. It also contains calcium, vitamin D and vitamin B12. Its consistency tends to be on the thicker side, making it a stronger choice for coffee drinks. A macadamia milk latte might hit the spot. Cons It's pricier compared to more mainstream plant-based milks, such as almond and soy. It's also not in as many stores as more popular milk alternatives, so it's not as accessible. The higher fat content makes this a higher-calorie nut milk, which isn't inherently a bad thing, but something to be mindful of if you're trying to lose weight. Banana milk Mooala Yes, banana milk is a thing, and it's actually rather yummy (if you like bananas). Taste-wise, banana milk compares to sipping on a "healthified" milkshake. It's sweet, slightly fruity and super-creamy. Banana milk is a "fun choice to add flavor to smoothies, baked goods, oatmeal, and maybe even your coffee," Terry says. "Can you imagine banana milk with Honey Nut Cheerios?" Pros Banana milk packs 8% of your daily needs for potassium, 25% of daily calcium needs (fortified, not naturally occurring) and contains vitamins B6 and C. It has a sweet, creamy banana flavor without added sugar (unless you opt for the chocolate flavor). Banana milk is easy to make at home. Cons Currently there's only one brand you can buy in stores, Mooala. As banana milk grows in popularity, other companies will probably jump on the bandwagon. However, until that happens, accessibility to store-bought banana milk may be limited for some. Banana milk lacks vitamin D compared to other plant milks, most of which are fortified with vitamin D. Rice milk Getty Images Rice milk is an allergy-friendly option for those who need to avoid nuts, seeds, soy or lactose, explains Terry. It's also a widely accessible option sold in various grocery stores. Rice milk has the highest carbohydrate content of all the plant-based milks on this list (not including sweetened and flavored options), but that's not a bad thing unless you need to watch your carb intake for health reasons. Pros Rice milk is inexpensive. It's fortified with vitamins and minerals such as vitamins B12 and D, and calcium. It has a mild flavor that's lightly sweet and versatile. Cons Rice milk is known to have a watery consistency. It may contain added sugars, gums and additives for flavor, consistency and shelf-life. Check the label for ingredients if you're looking to avoid specific additives. It is not a source of protein. Pea milk Ripple Another great allergy-friendly option, pea milk is made from yellow peas and is naturally soy-, gluten-, lactose-, and nut-free. Ripple is the best-known maker of pea milk, and Ripple milk has a pretty impressive nutrient profile compared to other plant milks. Pros Pea milk is high in protein -- eight ounces of Ripple pea milk contains eight grams of protein, making this a "solid choice for those looking for a protein-rich milk or a dairy substitute," Terry says. Pea protein is rich in branched-chain amino acids. It's a good source of omega-3s (from algal oil) and calcium. It provides vitamins A and D Cons It has a chalky sensation and aftertaste, according to some. Certain types and flavors of pea milk are high in sugar. Hemp milk Pacific Foods Soy was once the only known plant-based source of a complete protein, but hemp seeds provide all 10 essential amino acids, too. The flavor is earthy and nutty, and as with all plant-based milks, some will love it while others won't. Pros Hemp seeds contain ample magnesium, folate, phosphorus and potassium. Store-bought options tend to be fortified with additional calcium, phosphorus and vitamins A, B12 and D. Higher in unsaturated healthy fats (omega-3 and omega-6) than other plant milks. Cons Hemp is known to interact with certain prescription medications. The high fat content in hemp may lead to digestive upset if you consume too much at once, but this is unlikely to happen with hemp milk, since it's not concentrated hemp. Coconut milk Getty Images Coconut milk is less of a drinking beverage and more of an ingredient for cooking, but some varieties of coconut milk do taste good on their own. As far as accessibility, you can probably get coconut milk at your local grocery store. Pros Coconut contains medium-chain triglycerides and is loaded with minerals, including manganese, magnesium, potassium, copper and selenium. It's high in fiber compared to other plant-based milks. Versatile -- You can find many varieties of coconut milk available for different culinary needs, such as drinks, sauces, baking, cooking. Cons Higher in calories and fat. Again, this isn't inherently bad, but it-could be a con for some, depending on personal health needs, goals and lifestyle choices. It's not a protein-rich milk. Which plant-based milk is best? Getty Images "When it comes to choosing the most well-rounded option for the combination of nutrition, sustainability and versatility, oat milk and hemp milk come out on top in my opinion," Terry says. With so many plant-based milks on the market, it can be hard to find "the one," but unless you don't have access to multiple variations, you don't have to stick to just one type. "Various plant-based milks means diverse uses, culinary benefits and nutritional benefits," Terry says. "You may have one for your coffee, one for smoothies, one for baking, one for cooking [and] making sauces." If you're looking for a protein-rich, plant-based milk to replace dairy milk, Terry recommends soy milk or pea milk. Most plant-based milks are fortified with calcium and other vitamins and minerals to match or even surpass the nutritional quality of cow's milk, so protein becomes the main factor. Oh, and don't be scared of the gums and emulsifiers you see on the ingredients lists of plant-based milks. While these ingredients may cause digestive upset for some people, they're harmless for most people, Terry says. You may have heard phrases like "Don't eat ingredients that you can't pronounce" or "If you can't recognize it, neither can your body." In 2016, for example, an ad campaign attempted to demonize the additives in almond milk by scaring watchers into thinking lecithin was a shady ingredient. "These phrases are neither helpful nor accurate," Terry says. "For example, plant milks may contain added 'alpha-tocopherols' which, sure, may be hard to pronounce, but is simply a type of vitamin E." Finally, look out for sweetened flavors when shopping for plant-based milks. You might toss a harmless-looking chocolate almond milk carton into your basket, only to realize later that one eight-ounce glass has as much sugar as a candy bar. As always, reading nutrition labels can help you make healthy decisions.