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Residents are feeling the sting, including Fátima Silva, a 60-year-old farmer in the Amazonian town of Labrea.

“I am not well. I am feeling short of breath, my throat hurts, my eyes need eye drops, I can’t go out on the street, I can’t go anywhere because everything is white with smoke,� Silva told The Associated Press in a voice note, adding that her grandchildren are coughing so much they can hardly sleep.

“My grandchildren, my children, everyone is getting sick. Today it got even worse. No one can stand it,� she said.

Fires are traditionally used for deforestation and for managing pastures, and those man-made blazes are largely responsible for igniting the wildfires.

In the Amazon, there have been 53,620 fire spots between Jan. 1 and Aug. 27, an 83% increase from the same period last year, according to the National Institute for Space Research, a federal agency.

Across the Amazon, many areas were classified as having “very bad� or “terrible� air pollution Wednesday, according to the the State University of Amazonas' environmental monitoring system.

In cases of wildfires and due to the resulting smoke, Amazonas state's civil defense authority has recommended staying hydrated and remaining indoors.

But street vendors, garbage collectors, crossing guards and other workers have to be out and about. That means they can’t avoid the smoke. Even worse, because they have to work harder to breathe in those conditions they inhale more of the dangerous particles into their lungs, according to Jesem Orellana, a resident of Manaus, the biggest city in the Amazon, and an epidemiologist and researcher at the state-run Fiocruz Institute.

Residents of Manaus have come to expect “the smoke of death� in mid-September and October when fires and deforestation approximately peak, but this year the smoke became a problem much earlier, he added.

“That means that we are exposed to this toxic smoke for an even longer period of time, which has direct implications for the health of the population,� Orellana told the AP by phone. And the smoke’s impact goes beyond physical health, he said, causing anxiety which can impact sleep quality.

Maria Soledade Barros Silva, who lives in the Ponta Negra neighborhood of Manaus, said the nearby riverside beach where people normally bike, skate, rollerblade and jetski is clouded with thick smog. Navigation of waterways that residents depend on has become more complicated, too.

“It’s not normal. I’ve lived here for 40 years. We didn’t have this before,� Barros said.

Silva, who lives farther up the Purus River in Labrea, also said she had never seen anything like this before.

“I think this is the worst place in the world. We are asking for help, because we can’t live like this anymore,� she said.

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