Socially vulnerable communities face disproportionate exposure and susceptibility to U.S. wildfire and prescribed burn smoke

Abstract While air pollution from most U.S. sources has decreased, emissions from wildland fires have risen. Here, we use an integrated assessment model to estimate that wildfire and prescribed burn smoke caused $200 billion in health damages in 2017, associated with 20,000 premature deaths. Nearly half of this damage came from wildfires, predominantly in the West, with the remainder from prescribed burns, mostly in the Southeast. Our analysis reveals positive correlations between smoke exposure and various social vulnerability measures; however, when also considering smoke susceptibility, these disparities are systematically influenced by age. Senior citizens, who are disproportionately White, represented 16% of the population but incurred 75% of the damages. Nonetheless, within most age groups, Native American and Black communities experienced the greatest damages per capita. Our work highlights the extraordinary and disproportionate effects of the growing threat of fire smoke and calls for targeted, equitable policy solutions for a healthier future.