Purpose of Review: Increasing wildfire size and severity across the western United States has created an environmental and social crisis that must be approached from a transdisciplinary perspective. Climate change and more than a century of fire exclusion and wildfire suppression have led to contemporary wildfires with more severe environmental impacts and human smoke exposure. Wildfires increase smoke exposure for broad swaths of the US population, though outdoor workers and socially disadvantaged groups with limited adaptive capacity can be disproportionally exposed. Exposure to wildfire smoke is associated with a range of health impacts in children and adults, including exacerbation of existing respiratory diseases such as asthma and chronic obstructive pulmonary disease, worse birth outcomes, and cardiovascular events. Seasonally dry forests in Washington, Oregon, and California can benefit from ecological restoration as a way to adapt forests to climate change and reduce smoke impacts on affected communities.Recent Findings: Each wildfire season, large smoke events, and their adverse impacts on human health receive considerable attention from both the public and policymakers. The severity of recent wildfire seasons has state and federal governments outlining budgets and prioritizing policies to combat the worsening crisis. This surging attention provides an opportunity to outline the actions needed now to advance research and practice on conservation, economic, environmental justice, and public health interests, as well as the trade-offs that must be considered.Summary: Scientists, planners, foresters and fire managers, fire safety, air quality, and public health practitioners must collaboratively work together. This article is the result of a series of transdisciplinary conversations to find common ground and subsequently provide a holistic view of how forest and fire management intersect with human health through the impacts of smoke and articulate the need for an integrated approach to both planning and practice.

Increases in wildfire activity across the Western US pose a significant public health threat. While there is evidence that wildfire smoke is detrimental for respiratory health, the impacts on cardiovascular health remain unclear. This study evaluates the association between fine particulate matter (PM_2.5) from wildfire smoke and unscheduled cardiorespiratory hospital visits in California during the 2004–2009 wildfire seasons. We estimate daily mean wildfire‐specific PM_2.5 with Goddard Earth Observing System‐Chem, a global three‐dimensional model of atmospheric chemistry, with wildfire emissions estimates from the Global Fire Emissions Database. We defined a “smoke event day” as cumulative 0‐1‐day lag wildfire‐specific PM_2.5 ≥ 98th percentile of cumulative 0–1 lag day wildfire PM_2.5. Associations between exposure and outcomes are estimated using negative binomial regression. Results indicate that smoke event days are associated with a 3.3% (95% CI: [0.4%, 6.3%]) increase in visits for all respiratory diseases and a 10.3% (95% CI: [2.3%, 19.0%]) increase for asthma specifically. Stratifying by age, we found the largest effect for asthma among children ages 0–5 years. We observed no significant association between exposure and overall cardiovascular disease, but stratified analyses revealed increases in visits for all cardiovascular, ischemic heart disease, and heart failure among non‐Hispanic white individuals and those older than 65 years. Further, we found a significant interaction between smoke event days and daily average temperature for all cardiovascular disease visits, suggesting that days with high wildfire PM_2.5 concentrations and high temperatures may pose greater risk for cardiovascular disease. These results suggest substantial increases in adverse outcomes from wildfire smoke exposure and indicate the need for improved prevention strategies and adaptations to protect vulnerable populations.

The recent availability of freely and openly available satellite remote sensing products has enabled the implementation of global surface water monitoring at a level not previously possible. Here we present a global set of satellite-derived time series of surface water storage variations for lakes and reservoirs for a period that covers the satellite altimetry era. Our goals are to promote the use of satellite-derived products for the study of large inland water bodies and to set the stage for the expected availability of products from the Surface Water and Ocean Topography (SWOT) mission, which will vastly expand the spatial coverage of such products, expected from 2021 on. Our general strategy is to estimate global surface water storage changes (ΔV) in large lakes and reservoirs using a combination of paired water surface elevation (WSE) and water surface area (WSA) extent products. Specifically, we use data produced by multiple satellite altimetry missions (TOPEX/Poseidon, Jason-1, Jason-2, Jason-3, and Envisat) from 1992 on, with surface extent estimated from Terra/Aqua Moderate Resolution Imaging Spectroradiometer (MODIS) from 2000 on. We leverage relationships between elevation and surface area (i.e., hypsometry) to produce estimates of ΔV even during periods when either of the variables was not available. This approach is successful provided that there are strong relationships between the two variables during an overlapping period. Our target is to produce time series of ΔV as well as of WSE and WSA for a set of 347 lakes and reservoirs globally for the 1992–2018 period. The data sets presented and their respective algorithm theoretical basis documents are publicly available and distributed via the Physical Oceanography Distributed Active Archive Center (PO DAAC; https://podaac.jpl.nasa.gov/, last access: 13 May 2020) of NASA's Jet Propulsion Laboratory. Specifically, the WSE data set is available at https://doi.org/10.5067/UCLRS-GREV2 (Birkett et al., 2019), the WSA data set is available at https://doi.org/10.5067/UCLRS-AREV2 (Khandelwal and Kumar, 2019), and the ΔV data set is available at https://doi.org/10.5067/UCLRS-STOV2 (Tortini et al., 2019). The records we describe represent the most complete global surface water time series available from the launch of TOPEX/Poseidon in 1992 (beginning of the satellite altimetry era) to the near present. The production of long-term, consistent, and calibrated records of surface water cycle variables such as in the data set presented here is of fundamental importance to baseline future SWOT products.

In California, wildfire risk and severity have grown substantially in the last several decades. Research has characterized extensive adverse health impacts from exposure to wildfire-attributable fine particulate matter (PM _2.5 ), but few studies have quantified long-term outcomes, and none have used a wildfire-specific chronic dose-response mortality coefficient. Here, we quantified the mortality burden for PM _2.5 exposure from California fires from 2008 to 2018 using Community Multiscale Air Quality modeling system wildland fire PM _2.5 estimates. We used a concentration-response function for PM _2.5 , applying ZIP code–level mortality data and an estimated wildfire-specific dose-response coefficient accounting for the likely toxicity of wildfire smoke. We estimate a total of 52,480 to 55,710 premature deaths are attributable to wildland fire PM _2.5 over the 11-year period with respect to two exposure scenarios, equating to an economic impact of $432 to $456 billion. These findings extend evidence on climate-related health impacts, suggesting that wildfires account for a greater mortality and economic burden than indicated by earlier studies.

Extreme heat and wildfire smoke events are increasingly co-occurring in the context of climate change, especially in California. Extreme heat and wildfire smoke may have synergistic effects on population health that vary over space. We leveraged high-resolution satellite and monitoring data to quantify spatially varying compound exposures to extreme heat and wildfire smoke in California (2006–2019) at ZIP Code Tabulation Area (ZCTA) level. We found synergistic effects between extreme heat and wildfire smoke on daily cardiorespiratory hospitalizations at the state level. We also found spatial heterogeneity in such synergistic effects across ZCTAs. Communities with lower education attainment, lower health insurance coverage, lower income, lower proportion of automobile ownership, lower tree canopy coverage, higher population density, and higher proportions of racial/ethnic minorities experienced higher synergistic effects. This study highlights the need to incorporate compound hazards and environmental justice considerations into evidence-based policy development to protect populations from increasingly prevalent compound hazards.