Evidence map›Paper›PMID 40205082›Full record

SynthesisInternational archives of occupational and environmental health2025

Non-respiratory health risks and mortality associated with fighting bushfires (wildfires): a systematic review.

Asmare Gelaw, Win Wah, Deborah C Glass, Malcolm R Sim, Ryan Hoy, Janneke Berecki-Gisolf, Karen Walker-Bone

Abstract readSystematic Review
In one paragraph

Synthesis in International archives of occupational and environmental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors.

Asmare GelawMonash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Win WahMonash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.ORCID 0000-0002-4242-5651
Deborah C GlassMonash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Malcolm R SimMonash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Ryan HoyMonash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Janneke Berecki-GisolfMonash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia.
Karen Walker-BoneMonash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Faculty of Medicine, Nursing and Health Sciences, Monash University, 553 St Kilda Road, Melbourne, VIC, 3004, Australia. Karen.Walker-Bone@monash.edu.

Funding

National Health and Medical Research Council 1201353
6 · The paper itself

Abstract

backgroundBushfires (also known as wildland or forest fires) expose emergency responders to occupational hazards under exceptional circumstances. Whilst the health impacts of structural firefighting have been studied, less is known about the non-respiratory health impacts or risk of mortality amongst bush firefighters, who can be volunteers. More information about health risks is needed to generate effective prevention strategies.

objectiveTo critically evaluate and synthesise the published evidence about the non-respiratory health risks and risk of mortality associated with bushfire fighting.

methodsA systematic literature search was conducted in Medline, Scopus, and Embase to identify studies evaluating morbidity or mortality or associated risk factors among bushfire fighters. The quality of included studies was evaluated twice independently using a specific quality assessment tool.

resultsTwenty-seven studies were included. 11(41%) were assessed as moderate quality and 16(59%) as low quality. There is a growing body of evidence for adverse short-term impacts of bushfire fighting on mental health and injuries. Linkage studies showed that volunteer firefighters had lower mortality and cancer risk in their late forties compared to the general population.

conclusionMost studies relied on cross-sectional and retrospective designs without comparison groups, limiting the ability to draw robust conclusions. It is essential to conduct higher-quality research using prospective designs and longer-term follow-up to better understand the health outcomes of bushfire fighting, particularly given the anticipated increase in the frequency and severity of bushfires.

Indexed as

FirefightersFiresOccupational DiseasesOccupational ExposureWildfiresHumansNeoplasmsRisk FactorsBushfireFirefightersHealth outcomesInjuryMental healthMorbidityMortalityMusculoskeletal injurySystematic reviewWildfire

Identifiers

PMID40205082
PMCPMC12238121

What Socratic holds

Textmetadata
LicenceCC BY
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.