'The lost summer’: the emotional and spiritual toll of the smoke apocalypse

Anxiety, fear and grief: what experts are learning about the mental health effects of wildfire haze.

Headlines declared it “terrifying.” Edmonton was dubbed an “apocalyptic ghost town.” The Star declared, “It’s not the end of the world. It just looks that way.”

As it turns out, there’s little disagreement when it comes to wildfire smoke: it’s alarming.

Residents of the western provinces have been choking on smoke in recent weeks, as smoke from the more than 550 wildfires burning in B.C. drifts around the country. Special air quality alerts have been issued in Vancouver, Victoria, Prince George, Salmon Arm, Edmonton, Calgary, Regina, the Battlefords and even Manitoba — and the list goes on.

Air quality alerts are issued to warn residents about the dangers of fine particulate matter present in wildfire smoke, which can cause numerous health effects including everything from sinus irritation to heart attacks.  

But it’s not just breathing difficulties and watery eyes that impact people living in smoke-affected areas.

For many, it’s the unsettling feeling of living under a thick cloak of smoke, one that obscures the sun, wipes out the blue sky and hides the landscape in a disconcerting brown-grey veil.


Little research has been done to quantify the psychological effects of widespread and persistent wildfire smoke, though researchers have found ties to feelings of hopelessness, irritability, depression, fear, isolation, change of sleep patterns and lethargy. The research is scarce, in part because prolonged and widespread smoke is “a relatively new phenomenon in North America,” according to Dr. Sarah Henderson, senior environmental health scientist at the B.C. Centre for Disease Control.

Increasingly though, experts are concerned about the mental health effects of our new reality: weeks of seemingly unending smoke wafting across the western provinces each summer.

“It’s very oppressive to live under smoky conditions,” Henderson said. “A couple of days of it is more tolerable than a couple of weeks of it.”

‘The Lost Summer’

One of the few studies examining the mental health effects of prolonged periods of wildfire smoke was published last year in the Canadian Journal of Public Health. It looked at the impact of wildfire smoke in the Yellowknife area during the 2014 fire season, which saw significant smoke. The study found “a direct connection between the wildfires and smoke and a decrease in [people’s] mental and emotional health.”

When widespread smoke moves into a community, residents are often advised to stay indoors and close their windows, or to spend more time indoors with air conditioning. The study found that this leads to significantly less time spent outside, or socializing.

When smoke persists, closing your windows is no longer enough for many people. If a person doesn’t have an air filtration system, indoor air quality can eventually mirror the dangerous air quality outside.

“There’s a sense of not being able to get away,” said Dr. Warren Dodd, assistant professor at the School of Public Health and Health Systems at the University of Waterloo, and the lead researcher on the study. “Where do you go? There’s smoke everywhere.”


“One of the strongest emotions that people felt was isolation,” Dodd said. “This extended period of smoke meant that they weren’t able to leave their houses for the summer. People felt like they were isolated from the neighbours and from their community.”

First Nations participants reported an inability to take part in traditional activities, from hunting and fishing to berry harvesting. Other residents noted they were unable to work in their gardens, ride their bikes or take their kids outside to play.

Dr. Courtney Howard, board president of the Canadian Association of Physicians for the Environment, was also a researcher on the Yellowknife study. She recalls the dangers of isolation and inactivity due to wildfire smoke.

“Physicians are increasingly giving prescriptions of exercise to people — whether it’s heart disease or anxiety or depression.” Howard said. “So not only do people have the smoke impacting their health, they’re losing the activity that was the treatment of their disease.”

“People don’t realize the health benefits they’re getting even from just walking to work, until they can’t do that anymore.”

This feeling of isolation and inactivity has resonated for many people this summer, too. Smoke has already forced people to re-evaluate their summer plans, from community events to outdoor activities.

In Edmonton, events at the annual marathon were postponed due to poor air quality. Flights were halted from parts of B.C.’s interior. Kamloops cancelled an annual celebration that typically draws 10,000 people, triathlons were cancelled in Penticton and Kelowna, and in Calgary, the annual Ride to Conquer Cancer was cancelled halfway through, with 1,900 cyclists picked up just a few hours into the event.

As one participant from Yellowknife told researchers for the summer of smoke study: “It was the lost summer… it takes a deep, emotional toll, if not a spiritual toll.”

‘Homesick when you’re still at home’

There’s something larger at play for many people when they wake up to dim, smoky skies.

Dodd points to the concept of solastalgia to explain the gloom people feel when the smoke rolls in — and sticks around for weeks or months.

“It’s basically the feeling of being homesick when you’re still at home,” he explained of the feeling people get when their community is shrouded in smoke. “It’s really this concept of stress and anxiety about environmental change that’s happening in a place that is very familiar or at home.”

For many people, Dodd said, wildfire smoke is particularly frightening because it feels emblematic of larger environmental issues. “It’s connected to things that might happen in the future.”

Howard echoes the theory. “Increasingly, people are having anxiety about what’s to come, sadness about what’s to come, and even depression around the climate-related state of the world,” she said. These feelings have come to be known as “ecological grief.”

Dr. Ashlee Cunsolo, director of the Labrador Institute of Memorial University, wrote about ecological grief in article published in the journal Nature earlier this year. She and her coauthor defined the concept of ecological grief as “the grief felt in relation to experienced or anticipated ecological losses, including the loss of species, ecosystems, and meaningful landscapes due to acute or chronic environmental change.”

“Once we published [the article] we were inundated with people from all over the world saying  ‘this is exactly how I feel but I never had a word for it,’ ” she told The Narwhal.


For many people, Cunsolo said, there is a close connection between people, place and identity. When the landscape changes — even if the change is temporary, like with wildfire smoke — people may begin to feel a sense of alienation.

“Land connection is so much a part of who people are, that when it’s disrupted through things like climate-induced wildfires, or loss of sea ice or severe storms that are increasing then people’s sense of identity shifts with that sense of place,” she said.

“People love the landscape and it’s a place of solace, so when that landscape changes, their sense of identity and connection also shifts.”

For many people, widespread wildfire smoke is off-putting to say the least. For others, there’s a sense of foreboding.

“People called it a smoke apocalypse and it felt like that,” said Howard of the particularly smoky summer in Yellowknife, where she works as an emergency physician. “It becomes a real marker of ‘whoa, nature is powerful and it can change and we are small and this is big.’”

“It reorders our sense of place in the world.”

Grief as a ‘motivating force’

Howard says part of the problem for many people is “the feeling that this might be the new norm.”

When the streetlights come on in the middle of the day, ash rains down from the sky and the smoke blocks out the midnight sun, people begin to wonder if this might become more common. Cunsolo calls this “anticipatory grief.”
“People are starting to think this is a permanent shift,” said Cunsolo. “With that permanent shift comes the potential for a permanent loss of things that are important to them.”

As wildfire smoke continues to blanket much of the West, Cunsolo is adamant that the feeling of ecological grief can also be a force for good.

“People use grief to come together, to support each other and to protest,” she said. “It becomes this really resistant form of mourning where you take it public and it mobilizes you.

“Grief can actually be a very motivating force.”

 

This article originally appeared on thenarwhal.ca and was written by Sharon J Riley

Drinking Enough Water is Life Changing

Has it occurred to you today that you are thirsty? Guess what – by the time you experience the sensation of the thirst, you are already dehydrated. That thirst is your body calling for re-hydration.

So, really, what does this mean? Why should we drink more water?

Your body is composed of roughly 60% water1. That means when we are dehydrated – and most of us spend our days constantly dehydrated to some degree – we are affecting the performance of the majority of our body. Nearly all of our systems do not function as well without the proper water intake.

  1. If you don’t drink water, you will die. It's that important. Depending on our environment, we can live only a few days without water - maybe a week. We can live much longer without food. For most of us, we should prioritize the consumption of water far more than we currently do.
  2. Prevent cancer. Yes, that’s right – various research says staying hydrated can reduce risk of colon cancer by 45%5, bladder cancer by 50%6, and possibly reduce breast cancer risk as well.7
  3. Be less cranky. Research says dehydration can affect your mood and make you grumpy and confused.3 Think clearer and be happier by drinking more water.
  4. Perform better. Proper hydration contributes to increased athletic performance. Water composes 75% of our muscle tissue!4 Dehydration can lead to weakness, fatigue, dizziness, and electrolyte imbalance.
  5. Lose weight. Sometimes we think we are hungry, when actually we are thirsty. Our body just starts turning on all the alarms when we ignore it. For those of you trying to drop some pounds, staying hydrated can serve as an appetite suppressant and help with weight loss.
  6. Have less joint pain. Drinking water can reduce pain in your joints by keeping the cartilage soft and hydrated. This is actually how glucosamine helps reduce joint pain, by aiding in cartilage’s absorption of water.
  7. Flush out waste and bacteria. Our digestive system needs water to function properly. Waste is flushed out in the form of urine and sweat. If we don't drink water, we don't flush out waste and it collects in our body causing a myriad of problems. Also combined with fiber, water can cure constipation.
  8. Prevent headaches. Sometimes headaches can be caused by dehydration, so drinking water can prevent or alleviate that nasty head pain. Next time your head hurts, try drinking water.
  9. Make your skin glow. Our skin is the largest organ in our body. Regular and plentiful water consumption can improve the color and texture of your skin by keeping it building new cells properly. Drinking water also helps the skin do it's job of regulating the body's temperature through sweating.2
  10. Feed your body. Water is essential for the proper circulation of nutrients in the body. Water serves at the body’s transportation system and when we are dehydrated things just can’t get around as well.

Quick rules of thumb for drinking water:

  • Drink half your bodyweight in ounces of water (if you weight 160lbs, drink 80oz of water each day).
  • Carry a bottle everywhere with you as a reminder to keep drinking.
  • Eat raw fruits and vegetables – they are dense in water. You can get water from food, not just from beverages.
  • Drink water and other fluids until you urinate frequently and with light color.

This article originally appeared on breakingmuscle.com

Illustration: Owlturd

Good health begins in the gut

UAlberta scientists and clinicians explore how gut bacteria may be key to a healthy life.

For the germaphobes among us, the mere thought of bacteria can be gut-wrenching. But as it turns out, the bacteria in our guts is a key factor to good health.

Scientists at the University of Alberta’s Faculty of Medicine & Dentistry are among Canada’s leading experts on the microbiome—the bacteria residing in our digestive tract. Together they are broadening the understanding of how these micro-organisms in our gut influence our health throughout life, impacting our likelihood of developing allergies, obesity and other serious conditions.

A groundbreaking U of A study shows that babies from families with pets had higher levels of two types of microbes associated with lower risks of allergic disease and obesity.

“There’s definitely a critical window of time when gut immunity and microbes co-develop, and when disruptions to the process result in changes to gut immunity,” said Anita Kozyrskyj, a U of A pediatric epidemiologist and one of the world’s leading researchers on gut microbes.

The study expands on two decades of research that show children who grow up with dogs have lower rates of asthma. According to Kozyrskyj, the findings may one day lead to the pharmaceutical industry creating a “dog in a pill” as a preventative tool for allergies and obesity.

While Kozyrskyj focuses on the early influences affecting gut bacteria in life, other U of A experts like gastroenterologist Dina Kao are making their own mark on the quickly expanding field of microbiome research. Kao’s work focuses on correcting unhealthy gut bacteria.


Could poop be the new scoop?

Kao is one of just a few clinicians across Canada performing fecal transplants to remedy the effects of a compromised microbiome. She has discovered that altered gut bacteria—often caused by the unnecessary use of antibiotics—can lead to serious conditions such as recurrent Clostridium difficile infection. Her research has proven that a fecal transplant from a healthy donor can replenish the microbiome of C. difficile patients with healthy bacteria, and is far more effective than conventional treatments.

“Currently no effective conventional therapy exists for recurrent Clostridium difficile infection,” says Kao. “But fecal transplant can provide a permanent cure for over 90 per cent of patients. You can see the changes in them right before your eyes. It is amazing.”

While the study of gut bacteria is still in its infancy, giant strides are being made at the U of A and beyond. And Kao firmly believes the best is yet to come.

“It’s an open book. And it has tremendous potential.”

Learn more about this topic at the Festival of Health

Register here for your free ticket

ECHA 2-490 1:00-5:00 p.m.
Edmonton Clinic Health Academy,
North Campus, University of Alberta

Today’s most critical health topics
delivered in rapid doses
by U of A’s leading health experts
1-2 p.m.

Hands-on Health
Interactive displays
2 - 3 p.m. & 3:45 - 4:45 p.m.

Ask the Doctors
What have you always wanted to know but never dared to ask?
3 - 3:45 p.m.

More information available at  uab.ca/healthfest.

This article originally appeared on ualberta.ca and was written by Ross Neitz.

More than half your body is not human

More than half of your body is not human, say scientists.

Human cells make up only 43% of the body's total cell count. The rest are microscopic colonists.

Understanding this hidden half of ourselves - our microbiome - is rapidly transforming understanding of diseases from allergy to Parkinson's.

The field is even asking questions of what it means to be "human" and is leading to new innovative treatments as a result.

"They are essential to your health," says Prof Ruth Ley, the director of the department of microbiome science at the Max Planck Institute, "your body isn't just you".

No matter how well you wash, nearly every nook and cranny of your body is covered in microscopic creatures.

This includes bacteria, viruses, fungi and archaea (organisms originally misclassified as bacteria). The greatest concentration of this microscopic life is in the dark murky depths of our oxygen-deprived bowels.

Prof Rob Knight, from University of California San Diego, told the BBC: "You're more microbe than you are human."

Originally it was thought our cells were outnumbered 10 to one.

"That's been refined much closer to one-to-one, so the current estimate is you're about 43% human if you're counting up all the cells," he says.

But genetically we're even more outgunned.

The human genome - the full set of genetic instructions for a human being - is made up of 20,000 instructions called genes.

But add all the genes in our microbiome together and the figure comes out between two and 20 million microbial genes.

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Prof Sarkis Mazmanian, a microbiologist from Caltech, argues: "We don't have just one genome, the genes of our microbiome present essentially a second genome which augment the activity of our own.

"What makes us human is, in my opinion, the combination of our own DNA, plus the DNA of our gut microbes."

Listen to The Second Genome on BBC Radio 4.

Airs 11:00 BST Tuesday April 10, repeated 21:00 BST Monday April 16 and on the BBC iPlayer

It would be naive to think we carry around so much microbial material without it interacting or having any effect on our bodies at all.

Science is rapidly uncovering the role the microbiome plays in digestion, regulating the immune system, protecting against disease and manufacturing vital vitamins.

Prof Knight said: "We're finding ways that these tiny creatures totally transform our health in ways we never imagined until recently."

It is a new way of thinking about the microbial world. To date, our relationship with microbes has largely been one of warfare.

Microbial battleground

Antibiotics and vaccines have been the weapons unleashed against the likes of smallpox, Mycobacterium tuberculosis or MRSA.

That's been a good thing and has saved large numbers of lives.

But some researchers are concerned that our assault on the bad guys has done untold damage to our "good bacteria".

Prof Ley told me: "We have over the past 50 years done a terrific job of eliminating infectious disease.

"But we have seen an enormous and terrifying increase in autoimmune disease and in allergy.

"Where work on the microbiome comes in is seeing how changes in the microbiome, that happened as a result of the success we've had fighting pathogens, have now contributed to a whole new set of diseases that we have to deal with."

The microbiome is also being linked to diseases including inflammatory bowel disease, Parkinson's, whether cancer drugs work and even depression and autism.

Obesity is another example. Family history and lifestyle choices clearly play a role, but what about your gut microbes?

This is where it might get confusing.

A diet of burgers and chocolate will affect both your risk of obesity and the type of microbes that grow in your digestive tract.

So how do you know if it is a bad mix of bacteria metabolising your food in such a way, that contributes to obesity?

Prof Knight has performed experiments on mice that were born in the most sanitised world imaginable.

Their entire existence is completely free of microbes.

He says: "We were able to show that if you take lean and obese humans and take their faeces and transplant the bacteria into mice you can make the mouse thinner or fatter depending on whose microbiome it got."

Topping up obese with lean bacteria also helped the mice lose weight.

"This is pretty amazing right, but the question now is will this be translatable to humans"

This is the big hope for the field, that microbes could be a new form of medicine. It is known as using "bugs as drugs".

Goldmine of information

I met Dr Trevor Lawley at the Wellcome Trust Sanger Institute, where he is trying to grow the whole microbiome from healthy patients and those who are ill.

"In a diseased state there could be bugs missing, for example, the concept is to reintroduce those."

Dr Lawley says there's growing evidence that repairing someone's microbiome "can actually lead to remission" in diseases such as ulcerative colitis, a type of inflammatory bowel disease.

And he added: "I think for a lot of diseases we study it's going to be defined mixtures of bugs, maybe 10 or 15 that are going into a patient."

Microbial medicine is in its early stages, but some researchers think that monitoring our microbiome will soon become a daily event that provides a brown goldmine of information about our health.

Prof Knight said: "It's incredible to think each teaspoon of your stool contains more data in the DNA of those microbes than it would take literally a tonne of DVDs to store.

"At the moment every time you're taking one of those data dumps as it were, you're just flushing that information away.

"Part of our vision is, in the not too distant future, where as soon as you flush it'll do some kind of instant read-out and tells you are you going in a good direction or a bad direction.

"That I think is going to be really transformative."

This article originally appeared on bbc.com and was written by James Gallagher

Illustrations: Katie Horwich