Associations between respiratory health outcomes and coal mine fire PM2.5 smoke exposure: a cross-sectional study
ABSTRACTRationalIn 2014, local wildfires ignited a fire in the Morwell open cut coal mine, in south-eastern Australia, which burned for six weeks. Limited research was available regarding the respiratory health effects of coal mine fire-related PM2.5 smoke exposure.ObjectiveThis study examined associations between self-reported respiratory outcomes in adults and mine fire-related PM2.5 smoke exposure.ParticipantsEligible participants were adult residents of Morwell, identified using the Victorian electoral roll.Main outcome measuresSelf-reported data were collected as part of the Hazelwood Health Study Adult Survey.Mine fire-related PM2.5 concentrations were retrospectively modelled by the Commonwealth Scientific and Industrial Research Organisation Oceans & Atmosphere Flagship. Personalised mean 24-h and peak 12-h mine fire-related PM2.5 exposures were estimated for each participant. Data were analysed by multivariate logistic regression.ResultsThere was some evidence of a dose-response relationship between respiratory outcomes and mine fire PM2.5 concentrations. Chronic cough was associated with an Odds Ratio (OR) of 1.13 (95% Confidence Interval 1.03 to 1.23; p-value 0.007) per 10 μg/m3 increment in mean PM2.5 and 1.07 (1.02 to 1.12; 0.004) per 100 μg/m3 increment in peak PM2.5. Current wheeze was associated with peak PM2.5, OR=1.06 (1.02 to 1.11; 0.004) and chronic phlegm with mean PM2.5 OR=1.10 (1.00 to 1.20; 0.052). Males, participants 18-64 years and those residing in homes constructed from non-brick/concrete materials or homes with tin/metal roofs had higher estimated ORs.ConclusionsThese findings contribute to the formation of public health policy responses in the event of future major pollution episodes.Key MessagesWhat is the key question?Was there an association between mine fire-related PM2.5 smoke exposure and self-reported respiratory health outcomes for adult residents of Morwell, approximately 2.5 years after the mine fire?What is the bottom line?There was some evidence of a dose-response relationship between respiratory outcomes and mine fire-related PM2.5 concentrations.Why read on?There is limited research regarding the health effects of coal mine fire-related PM2.5 smoke exposure and to the best of our knowledge, this is the first study to examine self-reported respiratory symptoms associated with smoke exposure from a coal mine fire.