Burn Pit Exposure Is Associated With Increased Sinonasal Disease

Hill, Christopher J.; Meyer, Charles; McLean, James E.; Anderson, Danielle C.; Lin, Feng‐Chang; Kimple, Adam J.; Capra, Gregory

doi:10.1097/jom.0000000000002551

Cited by 7 publications

(3 citation statements)

References 33 publications

(66 reference statements)

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“…Dyspnea is one of the most reported symptoms in exposure-related pathologies. Constrictive bronchiolitis (44), sinonasal disease (45), other lung diseases (46), and lung fibrosis (47) have all been linked to burn pit emission exposure and all of which are commonly referred to as DRRDs. This spectrum of symptoms is related to a broad range of lung diseases, not limited to COPD, asthma, lung cancer, and chronic rhinosinusitis (48).…”

Section: Potential Lung Diseases From Burn Pitsmentioning

confidence: 99%

Burn pit exposure in military personnel and the potential resulting lung and neurological pathologies

Penuelas,

2024

Front. Environ. Health

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IntroductionMilitary personnel and local civilians at various deployment locations are plagued with serious health conditions. Evidence points to burn pit emissions as the cause of these pathologies; however, similar diseases are also caused by environmental exposures, smoking, genetic predispositions, or other comorbidities. Burn pits, which are large smoldering piles of refuse ignited with jet or diesel fuel, contain human and medical waste as well as paint, plastics, ammunition, and other materials—each of which can be attributed to health concerns in other industrial settings. Here we compare various pathologies attributable to toxic aerosol exposures and discuss distinct pathologies that may be linked to burn pit exposures.ObjectivesWe performed a literature review where we provide information on toxic exposures that may pose relevance to burn pit exposure and furthermore, highlight what is already known about burn pit exposures and what steps need to be taken to diagnose and correlate certain respiratory pathologies to chronic exposure from overseas burn pits.Data sourcesWe conducted searches through PubMed and Google Scholar to determine where gaps in our knowledge of burn pit exposure lie. Thorough review on jet-fuel properties and particulate matter were performed as supporting evidence of potential toxins from burn pit emissions.ResultsTo date, studies on burn pit emissions consist mainly of systematic reviews and discussions to address the problem, with very few acute-exposure studies and little to no chronic-exposure studies. We found that symptoms range from respiratory pathologies to neurological deficits, but treatment has been limited as medical facilities, such as the Veterans Administration (VA), require proof that a condition is service-connected.ConclusionsTo determine the effects of burn pit exposure on humans, chronic exposure to mimicked burn pit emissions is necessary to draw definitive conclusions between phenotypic differences in pathologies linked to exposure. By determining phenotypic differences, conclusions can be made about the pathologic origins, potentially leading to future diagnoses and treatments for veterans and affected civilians.

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Section: Potential Lung Diseases From Burn Pitsmentioning

confidence: 99%

Burn pit exposure in military personnel and the potential resulting lung and neurological pathologies

Penuelas,

2024

Front. Environ. Health

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“…Increasing media attention as well as the recently enacted PACT Act (Promise to Address Comprehensive Toxics Act of 2022) 3 have expanded public awareness and health care benefits to veterans living with the consequence of exposure to BPs. Within this burgeoning field, the findings of a recent retrospective cross-sectional study 4 suggest that exposure of active-duty service members to BPs was associated with worsening patient-reported sinonasal outcome measures and endoscopic imaging scores. With potentially mil-lions of exposed US military and civilian personnel, the findings of this study 4 are important because it is, to our knowledge, among the first to evaluate the association of deploymentrelated exposures with sinonasal health.…”

mentioning

confidence: 99%

“…Within this burgeoning field, the findings of a recent retrospective cross-sectional study 4 suggest that exposure of active-duty service members to BPs was associated with worsening patient-reported sinonasal outcome measures and endoscopic imaging scores. With potentially mil-lions of exposed US military and civilian personnel, the findings of this study 4 are important because it is, to our knowledge, among the first to evaluate the association of deploymentrelated exposures with sinonasal health. Perhaps the most comprehensive example of empirical environmental exposure with a prospective longitudinal follow-up of patients is the aftermath of the terrorist attacks on the World Trade Center (WTC) on September 11, 2001 (9/11).…”

mentioning

confidence: 99%

Associations of Long-Term Environmental Exposures With Chronic Rhinosinusitis—Tilting at Windmills

Riley

Ramanathan

2023

JAMA Otolaryngol Head Neck Surg

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Future prospective observational studies using well-defined inclusion and exclusion criteria and healthy control populations are imperative to a better understanding of the role that long-term environmental exposures play in the pathogenesis of CRS.Until local, national, and global policies are developed and implemented, we will continue "tilting at windmills," as Miguel de Cervantes wrote in his famed novel Don Quixote, fighting invisible enemies that pose public health threats.

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The Impact of Ambient and Wildfire Air Pollution on Rhinosinusitis and Olfactory Dysfunction

Yu,

Athni,

Mitchell

et al. 2023

Curr Allergy Asthma Rep

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Burn Pit Exposure Is Associated With Increased Sinonasal Disease

Cited by 7 publications

References 33 publications

Burn pit exposure in military personnel and the potential resulting lung and neurological pathologies

Burn pit exposure in military personnel and the potential resulting lung and neurological pathologies

Associations of Long-Term Environmental Exposures With Chronic Rhinosinusitis—Tilting at Windmills

The Impact of Ambient and Wildfire Air Pollution on Rhinosinusitis and Olfactory Dysfunction

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