Skip to main content
U.S. flag

An official website of the United States government

Here’s how you know

Dot gov

Official websites use .gov
A .gov website belongs to an official government organization in the United States.

HTTPS

Secure .gov websites use HTTPS
A lock (LockA locked padlock) or https:// means you’ve safely connected to the .gov website. Share sensitive information only on official, secure websites.

    • Environmental Topics
    • Air
    • Bed Bugs
    • Chemicals, Toxics, and Pesticide
    • Emergency Response
    • Environmental Information by Location
    • Health
    • Land, Waste, and Cleanup
    • Lead
    • Mold
    • Radon
    • Research
    • Science Topics
    • Water Topics
    • A-Z Topic Index
    • Laws & Regulations
    • By Business Sector
    • By Topic
    • Compliance
    • Enforcement
    • Guidance
    • Laws and Executive Orders
    • Regulations
    • Report a Violation
    • Environmental Violations
    • Fraud, Waste or Abuse
    • About EPA
    • Our Mission and What We Do
    • Headquarters Offices
    • Regional Offices
    • Labs and Research Centers
    • Planning, Budget, and Results
    • Organization Chart
    • EPA History

Breadcrumb

  1. Home
  2. Wildfire Smoke and Your Patients' Health
  3. Public Health Impacts of Wildlife Smoke Exposure
  4. Health Effects Attributed to Wildfire Smoke

Symptoms of Mental Health Effects from Smoke Exposure

It is common for individuals to become stressed when smoke is in the air. Several factors contribute to stress and can be attributed to smoke, including some health-protective measures such as staying indoors and reducing physical activity (Eisenman and Galway, 2022). Smoke can disrupt plans and lead to worry about personal safety for oneself and loved ones.

During a smoke event, people are faced with making daily, risk-based decisions that add to their stress burden. Some of these decisions include when to go outside, how much to exercise, whether to wear an N95® or P100® respirator, when to open or close windows, etc. Increasingly, studies are showing the presence of smoke is associated with:

  •     Sleep disruption (Rodney et al. 2021; Vincent et al. 2018),
  •     Growing worry about safety and well-being (Humphreys et al. 2022; Mirabelli et al. 2022), and
  •     Feelings of fear, hopelessness, frustration, isolation, loneliness, anxiety and uncertainty (Humphreys et al. 2022; Dodd et al. 2018).

The longer a smoke event lasts, the more people may see a decrease in their mental and emotional health (Dodd et al. 2018).

In Figure 5 below, Eisenman and Galway (2022) propose a model demonstrating how smoke exposure relates to adverse mental health and well-being. The mechanisms operate at several levels that are nested and interactive and range from individual (e.g. sleep disorders, reduced physical activity, perceived risk) to ecological (e.g. loss of nature).

proposed model of how wildfire smoke exposure can affect mental health and sense of well-being. Illustrated through nested circles of types of effects: individual (e.g., sleep disturbance), social and community networks (e.g., isolation), living and working conditions (e.g. evacuation), and ecological (e.g., loss of nature) that can affect the central circle mental health and sense of well-being
Figure 5. Potential pathways between wildfire smoke exposure and mental health and well-being.
Source: Eisenman et al. 2022

For people who have experienced nearby wildfires or who have been evacuated due to a wildfire, seeing smoke, even from a distance, can trigger feelings of fear or concern (Christianson et al. 2019). If the smoke is from a nearby fire, the stress may be heightened by worry about flames or destruction of homes, property and the natural environment.

PREVIOUS    |    NEXT

Wildfire Smoke and Your Patients' Health

  • Wildfire Smoke and Your Patients' Health
  • Public Health Impacts of Wildlife Smoke Exposure
    • Wildfire Smoke and Why it is a Health Concern
      • Wildfire Smoke - A Growing Public Health Concern
      • Wildfire Smoke - A Complex Mixture
      • Why is Smoke a Health Concern
    • Health Effects Attributed to Wildfire Smoke
      • Durations of Smoke Exposure
      • Symptoms of Mental Health Effects from Smoke Exposure
    • Who is at Increased Risk of Health Effects from Wildfire Smoke Exposure
  • Co-exposure to Wildfire Smoke and Heat
  • Protecting Public Health from Smoke
    • Increasing Impacts of Wildfire Smoke
    • Key Components of Reducing Smoke Exposure
    • Importance of Educating Patients and Health Care Professionals Before Smoke is in the Air
    • Wildfire Smoke and Your Patients' Health: The Air Quality Index
      • Communicating Air Quality Conditions - Air Quality Index (AQI)
      • Where to Find Air Quality Smoke Reports - Fire and Smoke Map
      • Where to Find Air Quality Smoke Reports - Air Resource Advisor Smoke Outlooks
      • Using the Air Quality Index (AQI) to Plan Daily Activities
  • Reducing Exposure to Wildfire Smoke and Heat
    • Preparing for Smoke and Heat
    • Strategies to Reduce Exposure to Smoke and Heat
      • Strategies to Reduce Exposure Outdoors
      • Strategies to Reduce Exposure Indoors
      • Cleaner Air Shelters and Spaces
      • Evacuation
  • Resources
  • Compilation of Knowledge Check Questions
  • References
Contact Us About Wildfire Smoke and Your Patients' Health
Contact Us About Wildfire Smoke and Your Patients' Health to ask a question, provide feedback, or report a problem.
Last updated on September 30, 2025
  • Assistance
  • Spanish
  • Arabic
  • Chinese (simplified)
  • Chinese (traditional)
  • French
  • Haitian Creole
  • Korean
  • Portuguese
  • Russian
  • Tagalog
  • Vietnamese
United States Environmental Protection Agency

Discover.

  • Accessibility Statement
  • Budget & Performance
  • Contracting
  • EPA www Web Snapshot
  • Grants
  • No FEAR Act Data
  • Plain Writing
  • Privacy and Security Notice

Connect.

  • Data
  • Inspector General
  • Jobs
  • Newsroom
  • Regulations.gov
  • Subscribe
  • USA.gov
  • White House

Ask.

  • Contact EPA
  • EPA Disclaimers
  • Hotlines
  • FOIA Requests
  • Frequent Questions
  • Site Feedback

Follow.