Wildfires aren't just part of the climate crisis, they're a public health problem
When wildfires fill the air with heat and smoke, the danger isn't just outside. A new study in PLOS Climate finds that when people move indoors en masse, it creates ideal conditions for viruses like flu, RSV and COVID-19 to spread more easily.
Severe weather events, including wildfires, are becoming more frequent as the planet warms. To stay safe during these emergencies, people often seek safety inside -- but that response comes with its own risks, according to the study. Close quarters, poor ventilation and extended time in shared spaces make it easier for viruses to pass from person to person.
During wildfires, smoke can travel far beyond the fire zone, affecting air quality across entire regions. In 2020, counties in Oregon and Washington recorded sustained Air Quality Index levels above 150, the threshold for unhealthy air. The researchers found that in response to the poor air quality, indoor activity in those areas increased between 10.8% and 14.3%, respectively. Urban areas, such as Portland, saw an 11% jump in indoor activity, while Seattle's increase reached 16%.
Even for viruses that spread less easily, and in communities with relatively high immunity, more time spent indoors led to noticeable spikes in viral transmission.
"Places with greater density have worse problems," Giulia Pullano, a Georgetown University researcher and one of the study's authors, explained to ABC News.

While the physical dangers of climate change -- such as extreme heat, wildfire smoke, or poor air quality -- often draw the most attention, Pullano said the indirect effects, like how people behave in response to those threats, also shape public health in meaningful ways.
The PLOS Climate researchers used mobile device data to track indoor versus outdoor activity, comparing wildfire-affected counties with similar counties that had no air quality alerts. They then used computer data to model how this behavior change could affect the spread of respiratory viruses, using different scenarios based on virus characteristics and population immunity.
The study also highlighted one practical way to mitigate the increased disease risk associated with spending more time indoors. Modeling predicted that if 10% of people wore masks indoors during wildfire events, virus spread could be curtailed substantially. If half the population wore masks indoors, infection curve peaks could be flattened.
As climate-amplified disasters become more common, Pullan told ABC News that, "Understanding disruptions of behavior during natural disasters will be critical to protecting public health."
-Board-certified family physician and ABC News medical unit's Dr. Ilan Kokotek







