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DOI: 10.1055/a-2542-8711
Gesundheitliche Auswirkungen von Waldbränden
Health Effects of Wildfires
Die zunehmende Häufigkeit und Intensität von Waldbränden, verstärkt durch den Klimawandel, stellt eine beträchtliche Bedrohung für Umwelt und Gesundheit dar. Diese Brände verursachen eine erhebliche Luftverschmutzung – insbesondere durch Feinstaubpartikel. Dieser Beitrag beleuchtet, auf welche Weise Waldbrandrauch die Gesundheit gefährdet, welche Bevölkerungsgruppen davon besonders betroffen sind und welche Maßnahmen ergriffen werden können.
Abstract
The increasing frequency and intensity of wildfires, exacerbated by climate change, pose a significant threat to both the environment and human health. In addition to destroying ecosystems, these fires cause severe air pollution, particularly through fine particulate matter (PM2.5, diameter ≤ 2.5 µm), which can be transported over long distances. A recent example are the wildfires in Canada, whose smoke enveloped New York City in dense smog. Fine particulate matter increases the risk of cardiovascular and respiratory diseases, especially among vulnerable groups such as children, pregnant women, individuals with preexisting conditions, and the elderly. Globally, emissions from wildfires are linked to hundreds of thousands of premature deaths annually. Protective measures such as early warning systems, air filtration systems, and the use of masks can help reduce exposure. However, knowledge gaps remain, particularly regarding the specific components of pollutants and their interactions with environmental factors. Long-term research is essential to better understand the health impacts and to develop targeted prevention strategies. Wildfires underscore the urgent need for global climate protection measures and innovative approaches to public health preparedness.
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Wachsende Gefahr durch Waldbrände: Durch den Klimawandel nehmen Häufigkeit, Intensität und Ausbreitung von Waldbränden weltweit zu, begünstigt durch steigende Temperaturen, Trockenheit und menschliche Besiedlung waldreicher Gebiete.
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Weiträumige gesundheitliche Auswirkungen: Rauch aus Waldbränden enthält gesundheitsschädliche Partikel und Gase, die über tausende Kilometer transportiert werden können und die Luftqualität in entfernten Regionen massiv verschlechtern.
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Feinstaub als größte Gesundheitsgefahr: Besonders Feinstaub (PM2,5) aus Waldbrandrauch kann tief in die Lunge und den Blutkreislauf eindringen, systemische Entzündungen auslösen und das Risiko für Herz-Kreislauf- und Atemwegserkrankungen erhöhen.
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Gefährdete Bevölkerungsgruppen: Menschen mit Vorerkrankungen, ältere Erwachsene, Kinder, Schwangere sowie sozial benachteiligte Gruppen sind besonders anfällig für die gesundheitlichen Folgen von Waldbrandrauch.
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Dringlichkeit präventiver Maßnahmen: Schutzmaßnahmen wie Luftfilter, Aufenthalte in rauchfreien Innenräumen und eine bessere Überwachung der Luftqualität sind entscheidend, um gesundheitliche Schäden durch Waldbrände zu minimieren.
Schlüsselwörter
Waldbrände - Luftverschmutzung - Feinstaubpartikel - gefährdete Bevölkerungsgruppen - Gesundheitsrisiken - wildfires - air pollution - fine particulate matter - vulnerable groups - health risksPublication History
Article published online:
28 May 2025
© 2025. Thieme. All rights reserved.
Georg Thieme Verlag KG
Oswald-Hesse-Straße 50, 70469 Stuttgart, Germany
Thomas Münzel, Andreas Daiber. Gesundheitliche Auswirkungen von Waldbränden. Dtsch Med Wochenschr 2025; 150: a25428711.
DOI: 10.1055/a-2542-8711
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Literatur
- 1 Miller MR, Landrigan PJ, Arora M. et al. Environmentally Not So Friendly: Global Warming, Air Pollution, and Wildfires. J Am Coll Cardiol 2024; 83: 2291-2307
- 2 Jones MW, Kelley DI, Burton CA. et al. State of Wildfires 2023–2024. Earth Syst Sci Data 2024; 16: 3601-3685
- 3 Chen K, Ma Y, Bell ML. et al. Canadian wildfire smoke and asthma syndrome emergency department visits in New York City. JAMA 2023; 330: 1385-1387
- 4 Chen AI, Ebisu K, Benmarhnia T. et al. Emergency department visits associated with wildfire smoke events in California, 2016–2019. Environ Res 2023; 238: 117154
- 5 Hadley MB, Henderson SB, Brauer M. et al. Protecting cardiovascular health from wildfire smoke. Circulation 2022; 146: 788-801
- 6 Naserinejad N, Costanian C, Birot O. et al. Wildland fire, air pollution and cardiovascular health: is it time to focus on the microvasculature as a risk assessment tool?. Front Physiol 2023; 14: 1225195
- 7 Munzel T, Daiber A. The air pollution constituent particulate matter (PM2.5) destabilizes coronary artery plaques. Eur Heart J Cardiovasc Imaging 2019; 20: 1365-1367
- 8 Munzel T, Gori T, Al-Kindi S. et al. Effects of gaseous and solid constituents of air pollution on endothelial function. Eur Heart J 2018; 39: 3543-3550
- 9 Groß S, Esselborn M, Weinzierl B. et al. Aerosol classification by airborne high spectral resolution lidar observations. Atmos Chem Phys 2013; 13: 2487-2505
- 10 Phuleria HC, Fine PM, Zhu YF. et al. Air quality impacts of the 2003 Southern California wildfires. J Geophys Res Atmos 2005; 110: D07S20
- 11 Watts N, Amann M, Arnell N. et al. The 2019 report of The Lancet Countdown on health and climate change: ensuring that the health of a child born today is not defined by a changing climate. Lancet 2019; 394: 1836-1878
- 12 Xu R, Yu P, Abramson MJ. et al. Wildfires, global climate change, and human health. N Engl J Med 2020; 383: 2173-2181
- 13 Kim YH, Tong H, Daniels M. et al. Cardiopulmonary toxicity of peat wildfire particulate matter and the predictive utility of precision cut lung slices. Part Fibre Toxicol 2014; 11: 29
- 14 Wettstein ZS, Hoshiko S, Fahimi J. et al. Cardiovascular and cerebrovascular emergency department visits associated with wildfire smoke exposure in California in 2015. J Am Heart Assoc 2018; 7: e007492
- 15 Chen G, Guo Y, Yue X. et al. Mortality risk attributable to wildfire-related PM(2.5) pollution: a global time series study in 749 locations. Lancet Planet Health 2021; 5: e579-e587
- 16 Roberts G, Wooster M. Global impact of landscape fire emissions on surface level PM2.5 concentrations, air quality exposure and population mortality. Atmos Environ 2021; 252: 118210
- 17 Johnston FH, Henderson SB, Chen Y. et al. Estimated global mortality attributable to smoke from landscape fires. Environ Health Perspect 2012; 120: 695-701
- 18 Reid CE, Brauer M, Johnston FH. et al. Critical review of health impacts of wildfire smoke exposure. Environ Health Perspect 2016; 124: 1334-1343
- 19 Chen H, Samet JM, Bromberg PA. et al. Cardiovascular health impacts of wildfire smoke exposure. Part Fibre Toxicol 2021; 18: 2
- 20 Karanasiou A, Alastuey A, Amato F. et al. Short-term health effects from outdoor exposure to biomass burning emissions: A review. Sci Total Environ 2021; 781: 146739
- 21 Unosson J, Blomberg A, Sandstrom T. et al. Exposure to wood smoke increases arterial stiffness and decreases heart rate variability in humans. Part Fibre Toxicol 2013; 10: 20
- 22 Andersen MHG, Saber AT, Pedersen PB. et al. Cardiovascular health effects following exposure of human volunteers during fire extinction exercises. Environ Health 2017; 16: 96
- 23 Painschab MS, Davila-Roman VG, Gilman RH. et al. Chronic exposure to biomass fuel is associated with increased carotid artery intima-media thickness and a higher prevalence of atherosclerotic plaque. Heart 2013; 99: 984-991
- 24 Farina F, Lonati E, Milani C. et al. In vivo comparative study on acute and sub-acute biological effects induced by ultrafine particles of different anthropogenic sources in BALB/c mice. Int J Mol Sci 2019; 20: 2805
- 25 Aragon MJ, Chrobak I, Brower J. et al. Inflammatory and vasoactive effects of serum following inhalation of varied complex mixtures. Cardiovasc Toxicol 2016; 16: 163-171
- 26 United States Environmental Protection Agency (EPA). Wildfire Smoke and Your Patients’ Health: The Air Quality Index (March 2025). Accessed March 26, 2025 at: https://www.epa.gov/wildfire-smoke-course/wildfire-smoke-and-your-patients-health-air-quality-index
- 27 Seale H, Trent M, Marks GB. et al. Exploring the use of masks for protection against the effects of wildfire smoke among people with preexisting respiratory conditions. BMC Public Health 2023; 23: 2330
- 28 Hutchinson JA, Vargo J, Milet M. et al. The San Diego 2007 wildfires and Medi-Cal emergency department presentations, inpatient hospitalizations, and outpatient visits: An observational study of smoke exposure periods and a bidirectional case-crossover analysis. PLoS Med 2018; 15: e1002601
- 29 Kumagai Y, Carroll MS, Cohn P. Coping with interface wildfire as a human event: lessons from the disaster/hazards literature. J For 2004; 102: 28-32
- 30 U.S. Census Bureau: Ortman JM, Velkoff VA, Hogan H. An aging nation: the older population in the United States (May 2014). Accessed March 26, 2025 at: https://www.census.gov/content/dam/Census/library/publications/2014/demo/p25–1140.pdf
- 31 Bowman DM, Balch J, Artaxo P. et al. The human dimension of fire regimes on Earth. J Biogeogr 2011; 38: 2223-2236
- 32 Langrish JP, Li J, Wang S. et al. Reducing particulate air pollution exposure in patients with coronary heart disease improved cardiovascular health. Environ Health Perspect 2012; 120: 367-372