From:  Wildfire smoke exposure and radiation oncology outcomes in rural Manitoba lung cancer patients: a systematic review

 Key challenges and proposed interventions.

ChallengeDescriptionProposed intervention
Treatment disruptionsEvacuations delay radiation schedulesMobile radiation units, telehealth for follow-ups [11, 15].
Exacerbated toxicitiesPM2.5 worsens radiation pneumonitisSubsidizing N95 respirators and portable air cleaners with HEPA filters can mitigate wildfire smoke PM2.5 exposure for vulnerable populations, including those with compromised lung function [2].
Socioeconomic barriersLack of air filtration, low incomeSubsidized air purifiers, community clean air spaces [12, 14].
Indigenous disparitiesCulturally insensitive careCulturally tailored health services, mobile clinics [11].
Mental health impactsAnxiety from wildfires and treatmentGeneral mental health outcomes after wildfires [10].