440 deaths in LA were likely an indirect result of the January wildfires

Publicly released:
Pacific; International
Photo by Venti Views on Unsplash
Photo by Venti Views on Unsplash

30 people were killed when wildfires swept through Los Angeles in January 2025, but international researchers say a further 440 deaths that month can also be attributed to the fires. The researchers used data on deaths in Los Angeles County to estimate how many more deaths there were than expected from January 5 to February. They say these 440 excess deaths were likely a result of a combination of healthcare delays and exposure to poor air quality. Two other international papers released at the same time investigate the health impacts of the 2023 Maui wildfires in Hawaii, with researchers finding increased suicide and overdose deaths in the aftermath of the fires, and a link between a lack of social support and poor mental health outcomes.

Media release

From: JAMA

About The Studies: JAMA and JAMA Network Open are publishing studies examining the health impact of wildfires in Los Angeles County in January 2025 and in Maui in August 2023. Among the findings:

Excess Deaths Attributable to the Los Angeles Wildfires

While there were only 30 direct fatalities from the Los Angeles wildfires, this study estimates that 440 deaths from January 5 to February 1, 2025, were attributable to the wildfires. These additional deaths likely reflect a combination of factors, including increased exposure to poor air quality and health care delays and interruptions.

Increases in Suicides and Overdoses During the 2023 Wildfires in Maui

The results of this study show that the 2023 Maui wildfires had immediate effects on suicide and overdose deaths in Maui and across the Hawaiian Islands broadly. The latter finding suggests that direct exposure to the wildfires may have increased risk of suicide and overdose death among Maui residents who migrated to neighboring islands during or after the fires.

Health and Social Support in the Aftermath of the Maui Wildfires

In this cohort study of adults affected by the Maui wildfires, substantial midterm cardiopulmonary and psychological health burdens were observed. Higher social support was associated with improved mental health outcomes but did not appear to buffer physiological outcomes such as reduced lung function. These findings highlight the need for disaster response models that integrate clinical surveillance, targeted mental health interventions, and culturally anchored community-based support. As climate-driven disasters intensify, proactive strategies to monitor and mitigate their long-term health effects will be essential to protect vulnerable populations and enhance resilience.

Attachments

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Research JAMA, Web page Paper 1. The URL will go live after the embargo ends
Research JAMA, Web page Paper 2. The URL will go live after the embargo ends
Research JAMA, Web page Paper 3. The URL will go live after the embargo ends
Editorial / Opinion JAMA, Web page The URL will go live after the embargo ends
Journal/
conference:
JAMA, JAMA Network Open
Organisation/s: Paper 1: University of Helsinki, Finland. Paper 2: New York University, USA. Paper 3: University of Hawaii, USA
Funder: Paper 1: None reported. Paper 2: The National Institute on Minority Health and Health Disparities of the National Institutes of Health under award number R61MD019939 supported research reported in this article. Paper 3: This studywas made possible through the generous financial support of the Hawaii Community Foundation (Maui Strong Fund), Kaiser Permanente, the State of Hawaii, and grant R61MD019793 from the NIH.
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