True or false: Poison oak produces poisonous smoke when burned? Lenya Quinn-Davidson takes a dive into the research on a quest to find out. Credit: David Dennis shared via Flickr Creative Commons

Science Thursday: Poison Oak, Poison Smoke?

By: Lenya Quinn-Davidson

Topic: Fuels treatment / Prescribed fire

Type: Research Synthesis

I came out of last week looking like someone who’d just been released from a hard labor camp. My hands were covered in blisters from digging soil pits for a research project, and my arms were covered in bruises from hauling t-posts and hog panels to those same research sites. (So many bruises, in fact, that I’ve been too embarrassed to wear short sleeves for the last five days.) To add insult to injury, I had “White bites” from my fire boots on the fronts of both ankles, and I was dehydrated and sore from two full days of burning and hiking across hundreds of acres in Humboldt County’s steep coastal rangelands. In short, I felt amazing. There’s no better feeling than being truly tired and sated — body and soul — after a week of inspiring work.

Lenya at a prescribed fire

Credit: Thomas Stratton, University of California Cooperative Extension

Saturday morning brought an added (and less welcome) complication. I brushed a hand across my arm and felt a familiar pattern before I saw it: an invisible line of small bumps that eagerly jumped at my touch, excited to be itched. Poison oak.

I had been musing over poison oak only a few weeks prior, as my co-worker and I were putting the final touches on our burn units. Both units are in coastal rangelands encroached by coyote brush, poison oak and Himalayan blackberry, and after many decades without fire, those three shrubs had formed an impenetrable thicket, dense and unpleasant enough that ranchers use it like a cattle fence. The poison oak was roughly 15 feet tall — thick, ropy vines whose oily leaves were just showing the first tints of fall. Poison oak, with its electric pinks and oranges, happens to be one of my favorite fall plants, but I appreciate it like I would a mountain lion or a rattlesnake: with great respect for its power and beauty, but no desire to be more intimate.

Recall that poison oak, Toxicodendron diversilobum, is in the same genus as poison ivy (T. radicans) and poison sumac (T. vernix), and all of them are in the larger plant family Anacardiaceae, along with mangoes, cashews, ginkgo and many other species. Plants in this family contain varying amounts of urushiol, a highly allergenic compound to which only humans and a few other primates are sensitive (Gladman 2006). Contact with urushiol can cause contact dermatitis, which at its best looks something like what I have (small itchy bumps) and at its worst can result in painful, weeping sores and even infection (Lee and Arriola, 1999, PDF, 698KB). A majority of people in the United States are clinically sensitive to urushiol, but many people, especially in urban areas, never have the opportunity to realize their sensitivity.

In the fire field, the effects of Toxicodendron dermatitis are very real. Research shows that urushiol-caused dermatitis is responsible for 10 percent of USDA Forest Service lost-time injuries, and treatment has, in some years, absorbed 1 percent of California’s workers’ compensation budget (Gladman 2006).

When I was younger, I thought that I was in the 10–15 percent of people who are genetically tolerant of urushiol. I grew up in an area where it abounded, and the longer I went without getting the rash, the more brazen I became. I’d walk through it, move it out of the way for people, and do other things that, in hindsight, seem a bit unwise. At 22, I clumsily moved a cut vine, and it swung around and broke the skin on my back. Turns out, I’m not in the top 10 percent when it comes to poison oak! And now I forewarn other emboldened people: literature shows that for some people (like me), sensitivity only shows itself after many repeated exposures — sometimes after years or decades. Also, children are more tolerant than adults, so not getting it as a kid doesn’t mean you’re in the clear for adulthood.

Like many parts of rural life, poison oak has an almost mythical quality. People have strong beliefs about how it spreads, how to prevent it, and how it affects them personally. Some people swear that by itching their rash, it can spread it to other body parts, or to other people. Others brag that they are not susceptible at all, presumably because they are genetically superior, or perhaps because they have built up resistance by eating poison oak buds in the early spring or otherwise inoculating themselves. And other people avoid it at all costs, insisting that even looking at poison oak will cause them to break out. (Note: these claims have mostly been proven wrong, with the exception of poison oak inoculation, which remains unproven and contentious.)

Close up of green poison oak

Credit: sfbaywalk shared via Flickr Creative Commons 2

Last week before we burned, I received a call from a woman who’d read my prescribed fire press release. She was inquiring about the likelihood of our burns producing urushiol-laden smoke that would affect her where she lives, nearly 15 miles away. I have to admit that made me chuckle, because my co-worker and I had just been saying that stories about poison oak smoke are like urban (or rural) myths: everyone has heard of someone else who’s been affected by poison oak smoke, but it’s hard to find firsthand accounts of smoke-induced dermatitis, especially ones that aren’t confounded by physical contact with the plant.

So when Sunday morning came and my thighs, back and arms were covered in a light but irritating poison oak rash, I had to wonder. I had been wearing boots, gloves, long pants and a long-sleeve shirt under my Nomex, so how did this rash come to be?

Sometimes in science, you find a point that is well referenced in the literature, but its citation trail seems to lead nowhere. That’s how my review of the effects of poison oak smoke has been. I can find any number of papers claiming that inhalation of poison oak (or ivy or sumac) smoke can cause systemic dermatitis, but the citations are sketchy. For example, a paper in the International Journal of Vaccines and Vaccination (PDF, 626KB) claims “a severe reaction may happen if a sensitive person inhales this smoke, or even death.” Wow! That’s certainly cause for alarm, until you check their reference and see that they’ve simply referenced the scientific name of the plant — no scientific literature whatsoever.

One of the most detailed descriptions of the effects of poison oak smoke is in a Pacific Northwest (PNW) Extension paper (PDF, 293KB), which states:

“Smoke from burning poison ivy and poison oak has poisoned people who were otherwise immune. Inhalation of such smoke causes lung poisoning that can require hospitalization and intensive care. The oil is not volatile at bonfire temperatures. Any transmission in smoke is by droplets on particles of dust and ash in the smoke, rather than from vapors.” (Burrill et al., 1994)

This publication provides no references. Another dead-end street.

Oddly enough, some of the only original research I found came out of India, where researchers looked at urushiol-caused dermatitis resulting from ceremonial traditions that involve burning the seeds of Semecarpus anacardium, another plant in the poison oak family (Bhatia et al., 2014, PDF, 626KB). In some parts of India, these seeds are used to purge the curse of the “evil eye,” a malevolent expression that can cause injury or misfortune to others. Those who were treated with smoke from the burning seeds consistently developed dermatitis on their hands, arms and faces — areas in close proximity to the smoke and to the burning seeds.

In writing this blog, I’m not claiming that smoke can’t cause a poison oak rash; in fact, I’m sure many of you have stories to share. However, I am noting that even the peer-reviewed literature on the topic is in some ways furthering the mythical status of the plant and its family. And for good reason! Urushiol — this ever-powerful and internationally feared oil — is mostly invisible. You never quite know if you were exposed, partly because you can’t see the oil, but also because the plant tissue has to be injured for the oils to be released, so lightly brushing vines or leaves can be OK (Gladman 2006). Likewise, if you are exposed, you can’t really tell if you were able to wash it off in time, or if it’s still on your boots and clothes (urushiol can persist indefinitely in a dry state!). And its smoke is even more elusive. In my case, did I breathe poison oak smoke and have a systemic reaction, or was it on my clothes when I undressed that evening? Or maybe it was all over Millie, the cute cattle dog that I cuddled on the fireline? There’s no sure way to know, and in some ways, I like that. Poison oak keeps us in check, humbled. Even the cockiest person may be just one exposure away from cleansing their curse.

References:

Burrill, L. C., Callihan, R. H. and Parker, R. (1994). Poison Oak and Poison Ivy. Pacific Northwest Extension.

Bhatia, K., Kataria, R., Singh, A., Safderi, Z. H. and Kumar, R. (2014). Allergic Contact Dermatitis by Semecarpus anacardium for Evil Eye: A Prospective Study from Central India. Indian Journal of Basic and Applied Medical Research3, 122-127.

Derraik, J. G. (2007). Heracleum mantegazzianum and Toxicodendron succedaneum: Plants of Human Health Significance in New Zealand and the National Pest Plant Accord. The New Zealand Medical Journal (Online)120(1259).

Gladman, A. C. (2006). Toxicodendron Dermatitis: Poison Ivy, Oak and Sumac. Wilderness and Environmental Medicine17(2), 120-128.

Lee, N. P. and Arriola, E. R. (1999). Poison Ivy, Oak and Sumac Dermatitis. Western Journal of Medicine171(5-6), 354.

Pekovic, D. D. (2016). Vaccine Against Poison Ivy Induced Contact Dermatitis, A Lingering Scientific Challenge. International Journal of Vaccines and Vaccination2(1), 00023.

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5 thoughts on “Science Thursday: Poison Oak, Poison Smoke?”

  1. Your last line made me chuckle and made me think you are evil. 😉 I, too, thought I was immune, until I wasn’t. Looks like a PHD candidate ought to take this up and settle it once and for all. But I’m leaning towards believing a systematic reaction occurs from smoke inhalation of an aerosol version of poison oak simply because other substances (like nicotine) can travel (and affect us) via smoke.

  2. Dawn Engler says:

    Yep, when I was young camping with my family, my Dad was burning HUGE poison oak “trees” in the campfire. I walked through the smoke. The next day we walked into the emergency room with the side of my face and eye swollen shut. Poison Oak.

  3. Arne Johanson says:

    I had the first hand experience with poison oak smoke. Three high school friends and I were hired to clear brush on Mt Toro, just outside of Salinas California. This was in 1965 or about then. We cut and hauled making a big pile. One day the oldest guy decided to burn the pile. Fortunately for me I wasn’t there that day. I lost two friends that day when they inhaled smoke and died.

  4. Lenya Quinn-Davidson says:

    Arne, I am so sorry to hear your story. How terrible. I’ve been thinking about the lack of research on this and it makes sense that not much has been done. How could we ask anyone to participate in a research project that involves those types of risks? Sometimes anecdotal evidence is all we have, and in this case, it’s clearly something to take very seriously. I’m so sorry for your loss.

  5. Dr Dorothy L Robinson says:

    Conventional wood stove smoke can also cause skin allergies as well as respiratory diseases. In the Growing up in New Zealand study, 71% of kids received treatment for skin allergies in the heating season, mainly for atopic dermatitis treatments, including topical corticosteroids (42%) and barrier creams and emollients (29%).

    Compared with the kids in the lowest 25% for exposure to domestic heater smoke (nearly all burning wood, with but small fraction using coal), kids in the next 25%, the following 25% and the top 25% had respectively 8%, 13% and 27% increased risk of needing medications for skin allergies. So it makes sense to take care when exposed to any form of wood smoke.

    Journal reference: onlinelibrary.wiley.com/doi/pdf/10.1111/all.13615
    Lay description: http://www.scoop.co.nz/stories/GE1810/S00095/domestic-fires-can-affect-more-than-just-kids-breathing.htm

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