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Wildfire smoke: how to read the AQHI and decide what to do

Check the AQHI and local alerts before going out. As the index rises, reduce or reschedule outdoor exertion and pay attention to symptoms. (Read more)

MedVibe Editorial TeamPublished July 21, 20263 min read
Reviewed by David Selema
An empty Montréal neighbourhood basketball court sits under pale wildfire haze, with a blue bench and ball suggesting paused outdoor plans.

Smoke from northern Ontario wildfires again worsened air quality across several regions in July, while the federal government reports elevated fire potential in parts of northern Ontario and Quebec. Because conditions can change within hours, the colour of the sky and the smell of smoke are not enough. The Air Quality Health Index, or AQHI, and local advisories provide a more reliable basis for deciding what to do today.

Check the AQHI and local alerts before going out. As the index rises, reduce or reschedule outdoor exertion and pay attention to symptoms. (Read more)

1. Start with the AQHI and local alerts

Canada's AQHI runs from 1 to 10+, with higher numbers indicating greater health risk. During wildfire smoke events, Environment and Climate Change Canada calculates the index using fine particulate matter, or PM2.5, and reports it hourly. Check the national AQHI in Ontario; in Quebec, also check Info-Smog and public-health notices. Use the current value and local forecast rather than an old screenshot or social post.

2. Match outdoor activity to the risk level

At high risk, an AQHI of 7 to 10, federal guidance says to reduce or reschedule strenuous outdoor activity; at 10+, it says to avoid it. Some people may need to adjust earlier because of their health, age, pregnancy, outdoor work or exertion level. The goal is not to panic but to reduce how much smoke you breathe: move the activity, use a cleaner-air space and follow local advice, while making sure a closed indoor space does not become dangerously hot.

3. Take symptoms seriously

Wildfire smoke can irritate the eyes, nose and throat and cause coughing or wheezing. If symptoms develop, reduce exposure, stop exertion and move to cleaner air. Seek timely advice if symptoms persist, worsen or concern you, especially if you already have a heart or lung condition. Significant breathing difficulty, severe chest pain or another emergency requires 911.

4. If smoke disrupts work or school

If exposure or symptoms prevented attendance, record the date, location, AQHI or public advisory, symptoms and steps you took. Then check the requirements directly with your employer or school because they are not uniform. When medical documentation is requested, a clinician can assess whether it is supported by the clinical situation. A note, its content and its duration are never automatic. MedVibe's medical-note form can start that assessment if the service fits your need.

This guide does not replace personalized advice or local emergency, evacuation or public-health instructions. AQHI conditions vary by place and hour, so always check the current value. Indoor measures must also account for heat. In an emergency, call 911; for non-urgent nurse advice in Ontario or Quebec, call 811.

This article is for general information and does not replace an assessment by a qualified clinician. A clinician decides whether a prescription, note, requisition, or treatment plan is appropriate for you.

Can this be handled online?

Online care may be a fit for a routine question, renewal, or document request when you can safely wait for clinician review.

Choose in-person or urgent care if you may need an exam, testing, or immediate treatment. Call 911 for an emergency.

Where this information comes from

  1. 01The Government of Canada provides an update regarding the 2026 wildfire season — July updatePublic Safety Canada
  2. 02Wildfire smoke, air quality and your healthHealth Canada
  3. 03About the Air Quality Health IndexEnvironment and Climate Change Canada
  4. 04Preventing the health effects of exposure to wildfire smokeGovernment of Quebec
  5. 05Wildfire Smoke and Air Quality Health Reference DocumentGovernment of Ontario

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