We write to you today with critical information regarding the potential health impacts following your heroic response to the recent devastating fires affecting many of our communities. As your healthcare partners, we want to ensure that you have comprehensive information about all potential health risks and the support services available to you at all times.

Our medical team recently was called to conducted comprehensive OSHA Respirator
Examinations for all safety personnel at NASA’s Jet Propulsion Laboratory (JPL) in response to
deteriorating air quality conditions. This proactive measure underscores the widespread impact of the fires on our community and reinforces the importance of proper respiratory protection for all personnel working in affected areas.

The intense smoke exposure from the fires poses several immediate and long term health risks that we are actively monitoring. Some of the possible medical complications include:

IMMEDIATE/SHORT-TERM LONG-TERM
RESPIRATORY EFFECTS
– Shortness of breath
– Wheezing and bronchial constriction
– Irritation and inflammation of airways
– Excessive coughing and throat irritation
– Increased mucus production
– Acute bronchitis

RESPIRATORY EFFECTS
– Reduced lung function and capacity
– Development or worsening of asthma
– Increased susceptibility to respiratory infections
– Scarring of lung tissue (Pulmonary Fibrosis)
– Chronic bronchitis

CARDIOVASCULAR EFFECTS
– Increased heart rate and blood pressure
– Chest pain or tightness
– Irregular heartbeat
– Increased risk of heart attacks in vulnerable individuals
– Reduced blood oxygen levels
CARDIOVASCULAR EFFECTS
– Increased risk of chronic heart disease
– Development of arrhythmias
– Acceleration of atherosclerosis
– Higher risk of stroke
– Chronic inflammation of blood vessels
EYE AND SINUS EFFECTS
– Burning or stinging eyes
– Excessive tearing
– Sinus inflammation and congestion
– Runny nose and headaches
– Irritation of mucous membranes
– Chemical conjunctivitis
CANCER AND SYSTEMIC EFFECTS
– Increased risk of lung cancer from
carcinogenic particles
– Potential DNA damage from toxic compounds
– Compromised immune system function
– Chronic inflammation throughout the body
– Potential neurological effects

In response to the increased health risk imposed on the public from the extensive fires, we have expanded our walk-in respiratory assessments, on-site pulmonary function testing and OSHA-
compliant respirator fit testing and physicals.

Long-term Monitoring Programs to consider include quarterly health assessments, respiratory function tracking, mental health evaluations, and annual OSHA Respirator Physical recertifications.

Preventive measures that we strongly recommend include:

  • Regular medical check-ups
  • Proper use of PPE during cleanup operations
  • Immediate reporting of new symptoms
  • Utilizing mental health services proactively
  • Ensuring respirator fit testing is current and appropriate for your duties

We stand ready to support you and your families through this challenging time. Your health and well-being are our top priority, and we are committed to providing comprehensive care for both the immediate and long-term impacts of this event.