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This year, a record spell of wildfires is blanketing much of the state in smoke. Facing a dual threat of reduced air quality coupled with a coronavirus pandemic, Clarence will have to stay indoors around-the-clock.

“We’re in a pandemic and a heat wave, and we don’t have air conditioning,” said Hudson, who’s based in Oakland, where temperatures are usually mild. “We can’t open up the window, we’re trapped, we’re hot and no one can come over to play.”

Californians across the state are now facing a crisis across multiple fronts. As the coronavirus pandemic drags on, lightning strikes and hot weather have fueled dozens of wildfires. Millions face losing power, and thousands have already been evacuated.  

The health effects could also be dire, according to medical experts. Some fear that people with chronic respiratory conditions will avoid seeking care if their symptoms worsen because they fear exposure to the coronavirus.

Andrew Kornblatt, who lives in the East Bay, has asthma and is recovering from a surgery. He’s doing his best to avoid refreshing websites with maps showing the spreading fire, but his anxiety is off the charts. “I keep thinking about where we would go if things go south,” he said.

Dr. Sachin Gupta, a pulmonologist based in San Francisco, said he expects that it could be a lot more challenging for Bay Area companies to bring people back into work, particularly those with asthma or other respiratory conditions. “If you think about indoor office spaces, patients with chronic lung conditions were likely already nervous with the pandemic,” he said. “But with the air pollution and struggles to ventilate spaces, would they want to go in now?”

There’s also the concern that the air quality, which ranked the worst in the world in Northern California on Wednesday, could make coronavirus symptoms worse. Research from the spring found that patients in areas with high levels of air pollution were more likely to die from the infection than those in less polluted areas.

California has reported more than 640,000 confirmed Covid-19 cases with more than 11,000 deaths.

“With the wildfires, we’re going to see increases in PM 2.5,” said Dr. Neeta Thakur, a pulmonology and critical physician at UC San Francisco, referring to fine particular matter.

“There’s some studies that have suggested an association between increases in particulate matter and severity of Covid-19 infections,” she said. “Although how those are related is less well understood.”

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