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<front>
<journal-meta>
<journal-id journal-id-type="publisher-id">Front. Public Health</journal-id>
<journal-title>Frontiers in Public Health</journal-title>
<abbrev-journal-title abbrev-type="pubmed">Front. Public Health</abbrev-journal-title>
<issn pub-type="epub">2296-2565</issn>
<publisher>
<publisher-name>Frontiers Media S.A.</publisher-name>
</publisher>
</journal-meta>
<article-meta>
<article-id pub-id-type="doi">10.3389/fpubh.2025.1532865</article-id>
<article-categories>
<subj-group subj-group-type="heading">
<subject>Public Health</subject>
<subj-group>
<subject>Opinion</subject>
</subj-group>
</subj-group>
</article-categories>
<title-group>
<article-title>Addressing the impact of forest fires in Quito on youth health</article-title>
</title-group>
<contrib-group>
<contrib contrib-type="author" corresp="yes">
<name><surname>L&#x000F3;pez-Gil</surname> <given-names>Jos&#x000E9; Francisco</given-names></name>
<xref ref-type="corresp" rid="c001"><sup>&#x0002A;</sup></xref>
<uri xlink:href="http://loop.frontiersin.org/people/1181230/overview"/>
<role content-type="https://credit.niso.org/contributor-roles/conceptualization/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-original-draft/"/>
<role content-type="https://credit.niso.org/contributor-roles/writing-review-editing/"/>
</contrib>
</contrib-group>
<aff><institution>One Health Research Group, Universidad de las Am&#x000E9;ricas</institution>, <addr-line>Quito</addr-line>, <country>Ecuador</country></aff>
<author-notes>
<fn fn-type="edited-by"><p>Edited by: Diego Augusto Santos Silva, Federal University of Santa Catarina, Brazil</p></fn>
<fn fn-type="edited-by"><p>Reviewed by: Ivan Gee, Liverpool John Moores University, United Kingdom</p>
<p>Luz Huntington-Moskos, University of Louisville, United States</p></fn>
<corresp id="c001">&#x0002A;Correspondence: Jos&#x000E9; Francisco L&#x000F3;pez-Gil <email>josefranciscolopezgil&#x00040;gmail.com</email></corresp>
</author-notes>
<pub-date pub-type="epub">
<day>21</day>
<month>01</month>
<year>2025</year>
</pub-date>
<pub-date pub-type="collection">
<year>2025</year>
</pub-date>
<volume>13</volume>
<elocation-id>1532865</elocation-id>
<history>
<date date-type="received">
<day>22</day>
<month>11</month>
<year>2024</year>
</date>
<date date-type="accepted">
<day>06</day>
<month>01</month>
<year>2025</year>
</date>
</history>
<permissions>
<copyright-statement>Copyright &#x000A9; 2025 L&#x000F3;pez-Gil.</copyright-statement>
<copyright-year>2025</copyright-year>
<copyright-holder>L&#x000F3;pez-Gil</copyright-holder>
<license xlink:href="http://creativecommons.org/licenses/by/4.0/"><p>This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) and the copyright owner(s) are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.</p></license>
</permissions>
<kwd-group>
<kwd>air quality</kwd>
<kwd>wildfires</kwd>
<kwd>health risks</kwd>
<kwd>children</kwd>
<kwd>adolescents</kwd>
<kwd>community response</kwd>
</kwd-group>
<counts>
<fig-count count="0"/>
<table-count count="0"/>
<equation-count count="0"/>
<ref-count count="36"/>
<page-count count="3"/>
<word-count count="2371"/>
</counts>
<custom-meta-wrap>
<custom-meta>
<meta-name>section-at-acceptance</meta-name>
<meta-value>Children and Health</meta-value>
</custom-meta>
</custom-meta-wrap>
</article-meta>
</front>
<body>
<p>The ongoing forest fires in Quito (Ecuador) have brought to light a pressing environmental and public health crisis (<xref ref-type="bibr" rid="B1">1</xref>). As the fires rage on, we are witnessing the detrimental effects on air quality, which is rapidly deteriorating due to prolonged droughts. These fires, much like those experienced in certain countries (e.g., United States, Australia, and Portugal) in recent years, pose a serious threat to vulnerable populations (<xref ref-type="bibr" rid="B2">2</xref>), particularly children and adolescents (<xref ref-type="bibr" rid="B3">3</xref>).</p>
<p>We know from past studies that exposure to poor air quality, as seen during wildfire seasons, can lead to significant health issues (<xref ref-type="bibr" rid="B4">4</xref>), especially respiratory problems in children (<xref ref-type="bibr" rid="B5">5</xref>). However, beyond the immediate health risks, these environmental disasters also limit opportunities for physical activity, which is crucial for the healthy development of young people (<xref ref-type="bibr" rid="B6">6</xref>, <xref ref-type="bibr" rid="B7">7</xref>). For instance, research on the Australian bushfires, for example, demonstrated a sharp decline in physical activity levels among children only when air quality exceeded critical hazardous levels (<xref ref-type="bibr" rid="B6">6</xref>).</p>
<p>In Quito, we must be proactive in ensuring that the physical and mental wellbeing of our youth is protected during these times of crisis. In light of the ongoing fires, I would like to offer some evidence-based recommendations to help mitigate the risks to children&#x00027;s health:</p>
<list list-type="simple">
<list-item><p>- Monitor air quality closely: families should regularly check local air quality levels, especially when wildfires are present. Tools like mobile applications or websites can provide real-time data (<xref ref-type="bibr" rid="B8">8</xref>, <xref ref-type="bibr" rid="B9">9</xref>). For instance, Google Maps and Apple Maps now include Air Quality Index (AQI) indicators in the lower corner of the map when searching for locations. Additionally, dedicated apps like AirVisual, Air Quality Index China Network (AQICN), IQAir, or government platforms (e.g., Ecuador&#x00027;s Ministry of Environment, Water and Ecological Transition) often provide accurate air quality updates. By using these tools, parents can decide when it is safe for their children to be outdoors. On days when air quality is poor, outdoor physical activities should be avoided to prevent inhalation of harmful particles (<xref ref-type="bibr" rid="B10">10</xref>).</p></list-item>
<list-item><p>- Promote safe indoor physical activity: it is essential to maintain children&#x00027;s physical activity levels, even indoors (<xref ref-type="bibr" rid="B11">11</xref>). Parents can encourage simple, low-cost activities that require minimal equipment, such as dancing to music, creating obstacle courses with household items (e.g., pillows, chairs, or boxes), or playing traditional games like hopscotch or hide-and-seek indoors. Additionally, free online resources, such as YouTube videos offering kid-friendly exercise routines or yoga sessions, can be a great way to keep children active without financial investment. These activities help maintain their physical health, particularly during extended periods indoors (<xref ref-type="bibr" rid="B12">12</xref>).</p></list-item>
<list-item><p>- Manage sedentary behavior: with reduced opportunities for outdoor play, children often resort to screen-based activities for entertainment (<xref ref-type="bibr" rid="B13">13</xref>). It is important to establish daily routines that balance screen time with physical movement (<xref ref-type="bibr" rid="B12">12</xref>). For instance, short indoor activities, like stretching or light exercises, can break up long periods of sitting. Additionally, if air quality permits, walking indoors or in well-ventilated areas can be a simple yet effective way to promote physical activity. Walking not only helps reduce sedentary behavior but also serves as a natural stress reliever (<xref ref-type="bibr" rid="B14">14</xref>), lowering depression and anxiety levels (<xref ref-type="bibr" rid="B15">15</xref>) and increasing psychological well-being (<xref ref-type="bibr" rid="B16">16</xref>). Encouraging brief family walks, even in small spaces or hallways, could foster both physical and mental well-being.</p></list-item>
<list-item><p>- Prioritize sleep: poor air quality (<xref ref-type="bibr" rid="B7">7</xref>) and increased screen time (<xref ref-type="bibr" rid="B17">17</xref>) could negatively affect sleep, which is vital for both physical and mental health (<xref ref-type="bibr" rid="B18">18</xref>). Parents should ensure that children have a consistent bedtime routine, limit screen exposure before bed, and create a quiet, comfortable environment for sleep (<xref ref-type="bibr" rid="B19">19</xref>). Maintaining regular sleep schedules, even on weekends, helps regulate children&#x00027;s internal body clocks and promotes restorative sleep (<xref ref-type="bibr" rid="B20">20</xref>). Additionally, incorporating relaxing pre-sleep activities such as reading (<xref ref-type="bibr" rid="B21">21</xref>) or listening to calming music (<xref ref-type="bibr" rid="B22">22</xref>) could further improve sleep quality and prepare children for a restful night.</p></list-item>
<list-item><p>- Mental health support: the anxiety and stress that accompany environmental disasters can have long-lasting effects on the mental health of young people (<xref ref-type="bibr" rid="B23">23</xref>). Parents and educators must be vigilant and provide emotional support (<xref ref-type="bibr" rid="B24">24</xref>), perhaps by creating routines that include relaxing activities like meditation or family games that engage children mentally while keeping them calm. However, effectively monitoring and supporting mental health requires knowledge and training. Providing access to resources, such as workshops on recognizing signs of anxiety and stress, or online modules on youth mental health first aid, can empower parents and educators to respond appropriately. Schools and communities could also establish partnerships with mental health professionals to offer guidance and create a supportive environment for both children and their caregivers. Incorporating measures such as regular check-ins or the use of validated screening tools [e.g., Strengths and Difficulties Questionnaire, SDQ (<xref ref-type="bibr" rid="B25">25</xref>)] could help identify children who might need additional support and ensure timely intervention.</p></list-item>
<list-item><p>- Healthy eating: a balanced diet can help strengthen children&#x00027;s immune systems (<xref ref-type="bibr" rid="B26">26</xref>), particularly during times when physical activity is reduced (<xref ref-type="bibr" rid="B27">27</xref>). Providing access to nutrient-rich foods, such as fruits, vegetables, whole grains, lean proteins, and healthy fats, is essential to ensure children receive the vitamins and minerals needed for growth and resilience against illnesses. Foods rich in antioxidants, like berries and leafy greens, could help combat inflammation caused by poor air quality (<xref ref-type="bibr" rid="B28">28</xref>), while sources of omega-3 fatty acids, such as fish or walnuts, support brain health and emotional well-being (<xref ref-type="bibr" rid="B29">29</xref>). Parents can encourage healthy eating habits by involving children in meal planning and preparation, making it a family activity that fosters positive attitudes toward nutritious foods (<xref ref-type="bibr" rid="B30">30</xref>). Promoting these practices helps reduce the risks associated with decreased physical activity while enhancing mental health and overall well-being.</p></list-item>
<list-item><p>- Prepare household disaster kits: as part of disaster preparedness, families should consider creating or updating their household disaster kits to include resources that support children&#x00027;s physical and mental health (<xref ref-type="bibr" rid="B31">31</xref>). In addition to essentials like water, food, and first aid supplies, kits can include items that keep children engaged and active during crises (<xref ref-type="bibr" rid="B32">32</xref>). Examples include coloring books, puzzles, age-appropriate games, small exercise tools like resistance bands, and calming objects such as stress balls or sensory toys. Encouraging children to help pack these items can also foster a sense of involvement and security, further supporting their resilience in challenging situations (<xref ref-type="bibr" rid="B33">33</xref>). However, although disaster supply kits are widely recommended at a national level, further studies are necessary to better understand their role in enhancing survival rates and resilience after such events (<xref ref-type="bibr" rid="B34">34</xref>).</p></list-item>
</list>
<p>The situation in Quito serves as a reminder of the broader challenges we face with climate change and its impact on public health (<xref ref-type="bibr" rid="B35">35</xref>). Protecting our youth requires swift action, informed strategies, and ongoing community engagement to ensure they emerge from this crisis as healthy and resilient individuals (<xref ref-type="bibr" rid="B36">36</xref>).</p>
</body>
<back>
<sec sec-type="author-contributions" id="s1">
<title>Author contributions</title>
<p>JL-G: Conceptualization, Writing &#x02013; original draft, Writing &#x02013; review &#x00026; editing.</p>
</sec>
<sec sec-type="funding-information" id="s2">
<title>Funding</title>
<p>The author(s) declare that no financial support was received for the research, authorship, and/or publication of this article.</p>
</sec>
<sec sec-type="COI-statement" id="conf1">
<title>Conflict of interest</title>
<p>The author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest.</p>
</sec>
<sec id="s3">
<title>Generative AI statement</title>
<p>The author(s) declare that no Gen AI was used in the creation of this manuscript.</p></sec>
<sec sec-type="disclaimer" id="s4">
<title>Publisher&#x00027;s note</title>
<p>All claims expressed in this article are solely those of the authors and do not necessarily represent those of their affiliated organizations, or those of the publisher, the editors and the reviewers. Any product that may be evaluated in this article, or claim that may be made by its manufacturer, is not guaranteed or endorsed by the publisher.</p>
</sec>
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