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Living here/30 June 2026/3 min read

Bushfire smoke, dust and your lungs.

Smoke seasons and dust are part of life in the Upper Hunter. Who feels it most, what actually helps indoors, and when a cough has gone past waiting it out.

Written for patients of Muswellbrook Doctors, Muswellbrook Fair.

Living in the Upper Hunter means living with air that is not always clear. Bushfire smoke can settle in the valley for days and sit there; hazard reduction burns arrive with less warning than people expect; and dust is a routine part of both agriculture and mining. On the worst days you can taste it.

Why fine particles matter

The health concern is not the visible haze so much as the fine particles suspended in it. The smallest fraction is small enough to travel past the body's usual defences and deep into the lungs, and some of it crosses into the bloodstream.

That is why the effects are not confined to the chest. Poor air quality irritates eyes, nose and throat, triggers asthma and COPD flare-ups, and also places strain on the heart — which is why people with existing heart disease are on the list of those who need to take it seriously.

Who feels it first

Healthy adults will generally get a sore throat, itchy eyes and a cough on a bad day and be fine afterwards. The groups above can move from uncomfortable to unwell considerably faster.

What actually helps

Indoors

Staying inside is the single most effective thing, provided the inside air is better than the outside air — which requires a bit of effort.

Masks

Cloth and surgical masks are designed for droplets, not fine particles, and they do very little here. A P2 or N95 respirator filters fine particles — but only if it seals against your face, which means no beard in the seal area and a proper fit.

P2 and N95 respirators are not manufactured to fit children, and a mask that does not seal does very little — for children, reducing time outdoors and cleaning the indoor air are the levers that work.

They also make breathing harder. If you have heart or lung disease, ask before relying on one, and if you feel dizzy or breathless in it, take it off and get out of the smoke instead.

If you have asthma or COPD

When to make an appointment

When it is an emergency

Severe breathlessness, difficulty speaking in full sentences, blue lips, chest pain, or an asthma attack that is not responding to your reliever — call 000.

On bad days, checking the air quality forecast before planning outdoor work is a reasonable habit, particularly if someone in the house is on the list above.

The short version
  • Fine particles are the problem — they travel deep into the lungs.
  • People with asthma or COPD, children, older people, pregnant women and anyone with heart disease feel it first.
  • Closing up the house and recirculating the air conditioning helps more than most things.
  • Cloth and surgical masks do very little for fine particles. A properly fitted P2 does more.
  • A cough lasting more than three weeks, or coughing blood, needs an appointment.

If you can smell smoke indoors, the particles are indoors too.

Smell is a reasonable rough guide to whether your house is actually sealed.
If you need help now
  • In an emergency, or if someone's life is at risk, call 000.
  • Health advice around the clock — healthdirect on 1800 022 222.
  • Outside our hours — Muswellbrook Hospital, 36 Brentwood Street, (02) 6542 2000.

General information only. This article is general health information for anyone who finds it useful. It is not advice about your own situation and it does not replace a consultation with a doctor who knows you. If you are worried about a symptom, book an appointment or call us on (02) 6530 7404. Last reviewed 30 June 2026.

A cough that has outstayed its welcome.

If a cough has lasted more than three weeks, or your usual reliever is not holding, book an appointment. Spirometry is done here, so it can often be arranged at the same visit.

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