Respiratory symptoms after coalmine fire and pandemic: A longitudinal analysis of the Hazelwood Health Study adult cohort.

The aim of this study was to determine whether the effects of extreme but discrete PM2.5 exposure from a coal mine fire on respiratory symptoms abated, persisted, or worsened over time, and whether they were exacerbated by COVID-19. We analysed longitudinal survey data from a cohort residing near a...

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Main Authors: Tyler J Lane, Matthew Carroll, Brigitte M Borg, Tracy A McCaffrey, Catherine L Smith, Caroline X Gao, David Brown, Amanda Johnson, David Poland, Shantelle Allgood, Jillian Ikin, Michael J Abramson
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2025-01-01
Series:PLOS Global Public Health
Online Access:https://doi.org/10.1371/journal.pgph.0004186
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author Tyler J Lane
Matthew Carroll
Brigitte M Borg
Tracy A McCaffrey
Catherine L Smith
Caroline X Gao
David Brown
Amanda Johnson
David Poland
Shantelle Allgood
Jillian Ikin
Michael J Abramson
author_facet Tyler J Lane
Matthew Carroll
Brigitte M Borg
Tracy A McCaffrey
Catherine L Smith
Caroline X Gao
David Brown
Amanda Johnson
David Poland
Shantelle Allgood
Jillian Ikin
Michael J Abramson
author_sort Tyler J Lane
collection DOAJ
description The aim of this study was to determine whether the effects of extreme but discrete PM2.5 exposure from a coal mine fire on respiratory symptoms abated, persisted, or worsened over time, and whether they were exacerbated by COVID-19. We analysed longitudinal survey data from a cohort residing near a 2014 coalmine fire in regional Australia. A 2016/2017 survey included 4,056 participants, of whom 612 were followed-up in 2022. Items included respiratory symptoms, history of COVID-19, and time-location diaries from the mine fire period, which were combined with geospatial and temporal models of fire-related PM2.5. Longitudinal effects of fire-related PM2.5 were examined using a mixed-effects logistic regression model. Exacerbation due to COVID-19 was examined using a logistic regression model. PM2.5 exposure was associated with chronic cough and possibly current wheeze, chest tightness, and current nasal symptoms 2-3 years post-fire, and chronic cough and current wheeze 8.5-9 years post-fire. Further, the association between PM2.5 and chronic cough and possibly current wheeze appeared to increase between the survey periods. While there were no detectable interactions between PM2.5 and COVID-19, PM2.5 exposure was associated with additional respiratory symptoms among participants who reported a history of COVID-19. In summary, medium-duration exposure to extreme levels of fire-related PM2.5 may have increased the long-term risk of chronic cough and current wheeze. While the COVID-19 pandemic started several years after the mine fire, contracting this illness may have exacerbated the effect of fire-related PM2.5 through development of additional respiratory symptoms.
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spelling doaj-art-b37a0e9aa139495ab1074fe9b94686632025-01-29T05:47:49ZengPublic Library of Science (PLoS)PLOS Global Public Health2767-33752025-01-0151e000418610.1371/journal.pgph.0004186Respiratory symptoms after coalmine fire and pandemic: A longitudinal analysis of the Hazelwood Health Study adult cohort.Tyler J LaneMatthew CarrollBrigitte M BorgTracy A McCaffreyCatherine L SmithCaroline X GaoDavid BrownAmanda JohnsonDavid PolandShantelle AllgoodJillian IkinMichael J AbramsonThe aim of this study was to determine whether the effects of extreme but discrete PM2.5 exposure from a coal mine fire on respiratory symptoms abated, persisted, or worsened over time, and whether they were exacerbated by COVID-19. We analysed longitudinal survey data from a cohort residing near a 2014 coalmine fire in regional Australia. A 2016/2017 survey included 4,056 participants, of whom 612 were followed-up in 2022. Items included respiratory symptoms, history of COVID-19, and time-location diaries from the mine fire period, which were combined with geospatial and temporal models of fire-related PM2.5. Longitudinal effects of fire-related PM2.5 were examined using a mixed-effects logistic regression model. Exacerbation due to COVID-19 was examined using a logistic regression model. PM2.5 exposure was associated with chronic cough and possibly current wheeze, chest tightness, and current nasal symptoms 2-3 years post-fire, and chronic cough and current wheeze 8.5-9 years post-fire. Further, the association between PM2.5 and chronic cough and possibly current wheeze appeared to increase between the survey periods. While there were no detectable interactions between PM2.5 and COVID-19, PM2.5 exposure was associated with additional respiratory symptoms among participants who reported a history of COVID-19. In summary, medium-duration exposure to extreme levels of fire-related PM2.5 may have increased the long-term risk of chronic cough and current wheeze. While the COVID-19 pandemic started several years after the mine fire, contracting this illness may have exacerbated the effect of fire-related PM2.5 through development of additional respiratory symptoms.https://doi.org/10.1371/journal.pgph.0004186
spellingShingle Tyler J Lane
Matthew Carroll
Brigitte M Borg
Tracy A McCaffrey
Catherine L Smith
Caroline X Gao
David Brown
Amanda Johnson
David Poland
Shantelle Allgood
Jillian Ikin
Michael J Abramson
Respiratory symptoms after coalmine fire and pandemic: A longitudinal analysis of the Hazelwood Health Study adult cohort.
PLOS Global Public Health
title Respiratory symptoms after coalmine fire and pandemic: A longitudinal analysis of the Hazelwood Health Study adult cohort.
title_full Respiratory symptoms after coalmine fire and pandemic: A longitudinal analysis of the Hazelwood Health Study adult cohort.
title_fullStr Respiratory symptoms after coalmine fire and pandemic: A longitudinal analysis of the Hazelwood Health Study adult cohort.
title_full_unstemmed Respiratory symptoms after coalmine fire and pandemic: A longitudinal analysis of the Hazelwood Health Study adult cohort.
title_short Respiratory symptoms after coalmine fire and pandemic: A longitudinal analysis of the Hazelwood Health Study adult cohort.
title_sort respiratory symptoms after coalmine fire and pandemic a longitudinal analysis of the hazelwood health study adult cohort
url https://doi.org/10.1371/journal.pgph.0004186
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