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Explora: Environment
            and Resource                                                                    Leaf burning air pollution



              A large study of 1,332,526 cancer deaths in 5,565   3.4. Leaf burning bans, community composting
            Brazilian municipalities estimated that for each 1 µg/m    programs, and benefits of composting
                                                          3
            annual mean increase in wildfire-related PM , there was   Residential leaf burning is common across the world. 2,30,68
                                                2.5
            a significant increase in overall cancer mortality (relative   Leaf burning has been a controversial issue in many parts
            risk [RR] 1.02, 95% confidence interval [CI] 1.01 – 1.03,   of the world for many decades, and many towns, counties,
            P < 0.001).  Increases in wildfire-related PM  were related   states, and countries have passed total or partial bans
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                                               2.5
            to significantly increased risk of many cancers including   on leaf burning. Leaf and landscape burning activities
            the nasopharynx, esophagus, stomach, colon, breast, and   are  totally  banned  in  some  European  Nations  including
            prostate cancers.  Other studies  have linked wildfire   Austria, France, and Ireland, and completely restricted
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            exposure to significantly higher rates of lung cancer.    in Germany with the exception of Bavaria.  Leaf and
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                                                                                                    68
            Moreover, significantly poorer survival among patients   landscape burning is totally banned in a number of U.S.
            already diagnosed with lung cancer. 53
                                                               states including Ohio, New  York, and Massachusetts. 69-71
              A large number of studies have linked wildfire exposure   Many other counties and towns ban leaf burning where
            to significantly increase respiratory and cardiovascular   state or national law does not forbid it.
            hospitalizations and emergency department visits. A 2024   Leaf composting avoids the problems associated with
            meta-analysis reported that wildfire exposures were   burning or landfilling of yard waste. There are many options
            associated with the following adverse health effects: 54,55  to compost leaves through either home- or community-
            (i)  Significantly  increased  respiratory  hospitalizations   based programs, which are administered at minimal cost
               (RR change 0.15, 95% CI 0.09 – 0.42, 10 studies);
            (ii)  Significantly increased cardiovascular hospitalizations   or even for free. Leaf composting is a natural process
                                                               that may be conducted by humans or assisted with either
               (RR change 0.06, 95% CI 0.00 – 0.12, 9 studies);
            (iii)  Significantly  increased  respiratory  emergency  low-  or high-technology methods, including the use of
                                                               windrow piles and systems, which employ frequent turning
               department visits (RR change 0.36, 95% CI 0.19 –   and aeration. 72,73  Such composting produces nutritious and
               0.53, 5 studies).
                                                               well-aerated compost, which can be useful for growing
              Other published studies have linked wildfire exposure   many  edible  and  ornamental  plants  at  the  residential,
            to significantly higher rates of chronic obstructive   park, and farm levels. 72,74-77  Many towns have community-
            pulmonary disease hospitalizations and emergency   level leaf pick-up and composting programs, as well as
            department visits, and to significantly higher rates of   programs to compost food waste. 74-77  Such programs are
            stroke hospitalizations in subjects older than 65 years.    often very cost-efficient in terms of preventing human
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            Other research has also linked wildfire exposure to   disease morbidity and mortality, preventing property fires,
            significantly  increased  risk  of  many  health  problems   and producing useful compost. For example, an economic
            including respiratory infections, mental health problems,   analysis in Cedar Rapids, Iowa, reported that the benefits
            and  adverse  birth  outcomes.  Exposure  to  wildfire  air   of a leaf burning ban and a town-level composting program
            pollution has been associated with significantly higher   would produce a net savings of about $1 million in costs
            infection  rates  from  Coccidioides (“Valley fever” fungi),   over a 10-year period. 78
            Mycobacterium tuberculosis, and two common icosahedral   School-based composting programs for food and
            RNA viruses-influenza and SARS-CoV-2. 56-60  According   yard waste are excellent ways to teach young people
            to a 2021 review of 63 papers, most studies reported that   about nature, efficient use of resources, and the benefits
            wildfire  exposure  was  related  to  significantly  rates  of   of growing edible and ornamental plants.  Some studies
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            depression, anxiety, and post-traumatic stress disorder.    have reported that getting children involved in gardening
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            Wildfire exposure has been associated with significantly   work is associated with significantly higher consumption
            higher rates of completed suicide and significantly higher            80
            use of psychotropic medicine prescriptions. 4,62,63  A 2021   of fruits and vegetables.
            review of eight published studies involving 1,702,252   The use of indoor high-efficiency particulate air (HEPA)
            births reported that wildfire exposure was associated with   filters can significantly reduce PM  exposures to people
                                                                                           2.5
            significantly lower birth weight in six out of seven studies   who stay indoors most of the day. One study reported
            and  pre-term  birth  in  two out of four  studies.   Other   that the use of indoor HEPA filters reduced indoor PM
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                                                                                                            2.5
            research has linked wildfire exposure to significantly higher   exposures by 48 – 78% during wildfire-burning periods.
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            rates of headache-related emergency department visits,    The utilization of indoor HEPA filters may also be a useful
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            significantly higher atopic dermatitis exacerbations,  and   strategy to reduce leaf burning exposures in areas where a
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            significantly increased lupus activity. 67         total leaf burning ban is politically infeasible.
            Volume 1 Issue 1 (2024)                         5                                doi: 10.36922/eer.4040
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