Evidence map›Paper›PMID 34285366›Full record

ArticleJournal of exposure science & environmental epidemiology2021

Carbon monoxide exposures in wildland firefighters in the United States and targets for exposure reduction.

Erin O Semmens, Cindy S Leary, Molly R West, Curtis W Noonan, Kathleen M Navarro, Joseph W Domitrovich

Abstract read
In one paragraph

Article in Journal of exposure science & environmental epidemiology, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 9 papers.

0numbers the graph read from it
0cells of the map it votes in
9citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

9 citing papers in PubMed.

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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Erin O SemmensCenter for Population Health Research, School of Public and Community Health Sciences, University of Montana, Missoula, MT, USA. erin.semmens@umontana.edu.
Cindy S LearyCenter for Population Health Research, School of Public and Community Health Sciences, University of Montana, Missoula, MT, USA.
Molly R WestNational Technology and Development Program, United States Department of Agriculture, Forest Service, Missoula, MT, USA.
Curtis W NoonanCenter for Population Health Research, School of Public and Community Health Sciences, University of Montana, Missoula, MT, USA.
Kathleen M NavarroWestern States Division, National Institute for Occupational Safety and Health, Centers for Disease Control and Prevention, Denver, CO, USA.
Joseph W DomitrovichNational Technology and Development Program, United States Department of Agriculture, Forest Service, Missoula, MT, USA.

Funding

Wildfires and Cardiovascular Health: Evaluating Associations and Intervention StrategiesP20GM130418 · NIGMS · UNIVERSITY OF MONTANA · PI Jessica Liddell · 2020 to 2026
$17.9M
Longitudinally-assessed health impacts of wildland firefightingR21OH011385 · OH · UNIVERSITY OF MONTANA · PI NOONAN, CURTIS WILLIAM, SEMMENS, ERIN O'BRIEN · 2018 to 2019
$394k
ACL HHS R21OH011385NIGMS NIH HHS P20 GM130418NIOSH CDC HHS R21 OH011385
6 · The paper itself

Abstract

backgroundEvery year thousands of wildland firefighters (WFFs) work to suppress wildfires to protect public safety, health, and property. Although much effort has been put toward mitigating air pollutant exposures for the public and WFFs, the current burden in this worker population is unclear as are the most effective exposure reduction strategies.

objectiveQuantify fireline carbon monoxide (CO) exposures in WFFs and identify predictors of exposures.

methodsWe collected 1-min breathing zone CO measurements on 246 WFFs assigned to fires between 2015 and 2017. We used generalized estimating equations to evaluate predictors of CO exposure.

resultsApproximately 5% of WFFs had fireline CO exposure means exceeding the National Wildfire Coordinating Group's occupational exposure limit of 16 ppm. Relative to operational breaks, direct suppression-related job tasks were associated with 56% (95% CI: 47%, 65%) higher geometric mean CO concentrations, adjusted for incident type, crew type, and fire location. WFF perception of smoke exposure was a strong predictor of measured CO exposure. SIGNIFICANCE: Specific job tasks related to direct suppression and WFF perceptions of smoke exposure are potential opportunities for targeted interventions aimed at minimizing exposure to smoke.

Indexed as

FirefightersFiresOccupational ExposureCarbon MonoxideHumansSmokeUnited StatesCarbon MonoxideSmokeCarbon monoxideOccupationalPreventionWildland firefighter

Identifiers

PMID34285366
PMCPMC8448930

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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.