Smoke from wildfires may have contributed to thousands of additional premature births in California between 2007 and 2012. The findings underscore the value of reducing the risk of big, extreme wildfires and suggest pregnant people should avoid very smoky air.

The study, published Aug. 14 in Environmental Research, finds there may have been as many as 7,000 extra preterm births in California attributable to wildfire smoke exposure between 2007 and 2012. These births occurred before 37 weeks of pregnancy when incomplete development heightens risk of various neurodevelopmental, gastrointestinal and respiratory complications, and even death.

Wildfire smoke contains high levels of the smallest and deadliest type of particle pollution, known as PM 2.5. These specks of toxic soot, or particulate matter, are so fine they can embed deep in the lungs and pass into the bloodstream, just like the oxygen molecules we need to survive.

The research comes as massive wildfires are again blazing through parched landscapes in the western U.S. — just a year after a historic wildfire season torched more than 4 million acres of California and produced some of the worst daily air pollution ever recorded in the state. During the 2020 fire season, more than half of the state’s population experienced a month of wildfire smoke levels in the range of unhealthy to hazardous.

This year could be worse, said Stanford environmental economist Marshall Burke, a co-author of the new study. And yet much remains unknown about the health impacts of these noxious plumes, which contribute a growing portion of fine particle pollution nationwide and have a different chemical makeup from other ambient sources of PM 2.5, such as agriculture, tailpipe emissions and industry.

One possible explanation for the link between wildfire smoke exposure and preterm birth, the authors say, is that the pollution may trigger an inflammatory response, which then sets delivery in motion. The increase in risk is relatively small in the context of all the factors that contribute to the birth of a healthy, full-term baby. «However, against a backdrop where we know so little about why some women deliver too soon, prematurely, and why others do not, finding clues like the one here helps us start piecing the bigger puzzle together,» said co-author Gary Shaw, DrPH, a professor of pediatrics and co-primary investigator of Stanford’s March of Dimes Prematurity Research Center.

Story Source:
Materials provided by Stanford University. Original written by Josie Garthwaite. Note: Content may be edited for style and length.