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计算极端丛林大火给急救人员造成的伤病代价。

Counting the costs of injury and disease to first responders as a result of extreme bushfires.

作者信息

Berecki-Gisolf Janneke, Wah Win, Collie Alex, Glass Deborah C, Hoy Ryan F, Sim Malcolm R, Driscoll Tim, Walker-Bone Karen

机构信息

Monash Centre for Occupational and Environmental Health, School of Public Health and Preventive Medicine, Monash University, Melbourne, VIC, Australia.

Victorian Injury Surveillance Unit, Monash University Accident Research Centre, Monash University, Victoria, Australia.

出版信息

Sci Rep. 2025 Jul 1;15(1):20769. doi: 10.1038/s41598-025-08886-3.

DOI:10.1038/s41598-025-08886-3
PMID:40596722
Abstract

Extreme bushfires are devastating and costly and are predicted to increase in frequency. This project investigated emergency responders' (ER) compensable injury/disease costs associated with extreme bushfire periods compared with the general workforce. Workers' compensation claims data for Victoria, Australia, were sourced for ER and controls (10% of the general workforce) from January 2005 to April 2021 (encompassing two extreme bushfires). Using generalised linear models, claims from ambulance officers, career firefighters, police, and controls were compared across extreme bushfires, other summers, and all other periods. In total, ER made 749/24,008 (3.1%) claims in extreme bushfire periods, compared to 1254/49,484 (2.5%) in the controls. The study group overall (including both ER and the general workforce control group) experienced significantly higher income compensation costs/claims during extreme bushfire periods, with a 31% increase. ER' costs/claims were highest for mental illness, burns and cancer. After accounting for bushfire impacts on the general workforce, total claims costs were increased by 67% among firefighters in extreme bushfire periods, largely attributable to fatality payments (other non-medical expenses). These results highlight the need for targeted injury prevention for fatal and non-fatal injuries among ERs and measures that address the broader socio-economic impacts on ERs and the general workforce.

摘要

极端森林大火具有毁灭性且代价高昂,预计其发生频率还会增加。本项目调查了与极端森林大火时期相关的应急响应人员(ER)可补偿的伤害/疾病成本,并与普通劳动力进行了比较。从澳大利亚维多利亚州的工伤赔偿申请数据中,获取了2005年1月至2021年4月期间(涵盖两场极端森林大火)应急响应人员和对照组(普通劳动力的10%)的数据。使用广义线性模型,对急救人员、职业消防员、警察和对照组在极端森林大火时期、其他夏季以及所有其他时期的索赔情况进行了比较。在极端森林大火时期,应急响应人员总共提出了749/24008(3.1%)的索赔,而对照组为1254/49484(2.5%)。整个研究组(包括应急响应人员和普通劳动力对照组)在极端森林大火时期的收入补偿成本/索赔显著更高,增加了31%。应急响应人员因精神疾病、烧伤和癌症产生的成本/索赔最高。在考虑森林大火对普通劳动力的影响后,极端森林大火时期消防员的总索赔成本增加了67%,主要归因于死亡抚恤金(其他非医疗费用)。这些结果凸显了对应急响应人员致命和非致命伤害进行有针对性预防的必要性,以及应对森林大火对应急响应人员和普通劳动力更广泛社会经济影响的措施。

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本文引用的文献

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Non-respiratory health risks and mortality associated with fighting bushfires (wildfires): a systematic review.与扑救森林大火(野火)相关的非呼吸系统健康风险和死亡率:一项系统综述。
Int Arch Occup Environ Health. 2025 Jul;98(4-5):343-367. doi: 10.1007/s00420-025-02138-7. Epub 2025 Apr 9.
2
Impact of extreme bushfire seasons on rates of occupational injury and disease compensation claims in first responders.极端丛林火灾季节对急救人员职业伤害和疾病赔偿索赔率的影响。
Int Arch Occup Environ Health. 2024 Dec;97(10):1037-1049. doi: 10.1007/s00420-024-02103-w. Epub 2024 Nov 6.
3
First responders' occupational injury and disease associated with periods of extreme bushfires.
第一响应者在极端丛林火灾期间与职业伤害和疾病相关联。
Sci Rep. 2024 Oct 7;14(1):23305. doi: 10.1038/s41598-024-73886-8.
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Systematic review of impacts of occupational exposure to wildfire smoke on respiratory function, symptoms, measures and diseases.职业性接触野火烟雾对呼吸功能、症状、检测指标及疾病影响的系统评价
Int J Hyg Environ Health. 2025 Jan;263:114463. doi: 10.1016/j.ijheh.2024.114463. Epub 2024 Sep 26.
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Respiratory Diseases Associated With Wildfire Exposure in Outdoor Workers.与户外工作者暴露于野火相关的呼吸系统疾病。
J Allergy Clin Immunol Pract. 2024 Aug;12(8):1989-1996. doi: 10.1016/j.jaip.2024.03.033. Epub 2024 Mar 26.
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Pandemic impacts and experiences after disaster in Australia: qualitative study of compound impacts following the Black Summer bushfires.澳大利亚灾难后的大流行影响与经历:对黑色夏日丛林大火后复合影响的定性研究
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