On October 19, Metro Vancouver Regional District is continuing an Air Quality Advisory for Metro Vancouver and the Fraser Valley that was issued October 14 because of high concentrations of fine particulate matter, primarily due to smoke from wildfires burning in BC and Washington.The region's air continues to be significantly affected by wildfires burning southeast of Chilliwack (near Chilliwack Lake), near Hope, near Harrison Lake, and in Washington. Smoke concentrations may vary widely across the region with changes in wind, temperature and wildfire behaviour. Eastern parts of the Fraser Valley that are closer to many of the wildfires are experiencing greater smoke impacts compared to western parts of Metro Vancouver.Due to stagnant weather conditions, smoke is expected to remain until Friday when a change in weather is anticipated to bring significant improvements in air quality.Fine particulate matter, also known as PM2.5, refers to airborne solid or liquid droplets with a diameter of 2.5 micrometres or less. PM2.5 can easily penetrate indoors because of its small size.Postpone or reduce outdoor physical activity while PM2.5 concentrations are high, especially if breathing feels uncomfortable. Exposure to PM2.5 is particularly a concern for people with underlying conditions such as lung disease, heart disease, chronic obstructive pulmonary disease (COPD), asthma and/or diabetes; individuals with respiratory infections; pregnant women and infants; children; older adults; and outdoor workers (e.g. construction and agricultural workers). Individuals who are socially marginalized may also be at elevated risk (e.g. people who are experiencing homelessness or are underhoused).Indoor spaces with HEPA air filtration and air conditioning can offer relief from both air pollution and heat. Consider setting up a clean air space in your home by running a portable HEPA air cleaner in one or more rooms or visiting a public building with air conditioning (e.g., community centre, library, mall, etc.). If you are experiencing symptoms such as chest discomfort, shortness of breath, coughing or wheezing, seek prompt medical attention. Call 911 in the case of an emergency.Fact sheets on the health effects of wildfire smoke and information on how to reduce exposures, such as using air filtration, can be found at www.bccdc.ca/health-info/prevention-public-health/wildfire-smoke.Metro Vancouver works in cooperation with Environment and Climate Change Canada, Fraser Valley Regional District and BC Ministry of Environment and Climate Change Strategy to look after air quality.Information about real-time air quality readings for Metro Vancouver and Fraser Valley communities and potential health impacts can be found at www.airmap.ca and www.env.gov.bc.ca/epd/bcairquality/readings/find-stations-map.html.To sign up for air quality alerts in your area, go to www.metrovancouver.org/services/air-quality/engagement/mailing-list.