探索预防和缓解策略，以减少野外消防员和相关人员职业暴露于野火对健康的影响：范围研究方案。

Exploring prevention and mitigation strategies to reduce the health impacts of occupational exposure to wildfires for wildland firefighters and related personnel: protocol of a scoping study.

机构信息

Health Research Institute, University of Northern British Columbia, Prince George, Canada.

Northern Medical Program, University of Northern British Columbia, Prince George, Canada.

出版信息

Syst Rev. 2020 May 29;9(1):119. doi: 10.1186/s13643-020-01381-y.

DOI:10.1186/s13643-020-01381-y

PMID:32466787

原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC7257175/

Abstract

BACKGROUND

With an increase in wildfire activity across the globe and growing numbers of personnel involved each year, it is necessary to explore the health impacts of occupational exposure to wildfires and the practices and policies that can be implemented to mitigate these effects. The aim of this work is to (1) identify the impact occupational exposure to wildfires has on health outcomes including physical, mental, and social wellbeing; (2) examine the characteristics and effectiveness of mitigation strategies or policies to reduce negative health impacts as reported by current literature and reports; and (3) develop a program of research to address and understand the health impacts of occupational exposure to wildfires based on gaps in the literature and stakeholder priorities.

METHODS

This scoping study will be conducted in two phases: (1) scoping literature review and (2) modified Delphi process. The literature review will follow a methodologically rigorous scoping review approach that includes (a) identifying the research question (and protocol development), (b) identifying literature (an iterative process), (c) selecting relevant studies, (d) extracting data into tables, and (e) synthesizing, summarizing, and reporting results. Alongside this, a modified Delphi process will be conducted to define priorities for wildland fire occupational health research. A partnership with the British Columbia (BC) Wildfire Service will enable exploring the appropriateness of identified mitigation strategies and health risks for the BC context.

DISCUSSION

This two-phase approach will provide an in-depth review of the literature of the health impacts of occupational exposure to wildfires and identify mitigation strategies or policies implemented to protect workers and reduce negative health impacts. It is anticipated that these findings may provide recommendations for "quick wins" or initial action that can be implemented within the BC context to reduce negative health outcomes, and inform gaps in context-specific research that needs to be addressed through a strategic, collaborative research program over the next 5 years.

SYSTEMATIC REVIEW REGISTRATION

Open Science Framework osf.io/ugz4.

摘要

背景

随着全球野火活动的增加和每年参与人数的增加，有必要探讨职业暴露于野火对健康的影响，以及可以实施哪些实践和政策来减轻这些影响。本研究的目的是：(1)确定职业暴露于野火对健康结果的影响，包括身体、心理和社会福利；(2)检查减轻负面健康影响的缓解策略或政策的特征和有效性，根据当前文献和报告报道；(3)根据文献中的差距和利益相关者的优先事项，制定一个研究计划，以解决和了解职业暴露于野火的健康影响。

方法

本范围研究将分两个阶段进行：(1)范围文献综述和(2)修改后的德尔菲法。文献综述将遵循一种方法严谨的范围综述方法，包括：(a)确定研究问题(和方案制定)，(b)识别文献(一个迭代过程)，(c)选择相关研究，(d)将数据提取到表格中，以及(e)综合、总结和报告结果。与此同时，将进行修改后的德尔菲法，以确定野地火灾职业健康研究的优先事项。与不列颠哥伦比亚省（BC）野火服务的合作将使我们能够探索所确定的缓解策略和健康风险在 BC 背景下的适用性。