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Abstract Introduction As wildfire smoke events increase in intensity and frequency in the Pacific Northwest, there is a growing need for effective communication on the health risks of smoke exposure. Delivery through a trusted source or intermediary has been shown to improve reception of risk communication messages. This is especially salient in rural and tribal communities who may be hesitant to trust information from state and federal agency sources. This study aims to identify and characterize trusted sources for smoke risk information in the Okanogan River Airshed Emphasis Area (ORAEA), a rural region of North Central Washington state that is heavily impacted by smoke from wildfires and prescribed fire. Methods The research team conducted a qualitative study using data collected through key informant interviews and focus groups to assess the role of various sources and intermediaries in disseminating smoke risk information. We used a consensual coding approach in NVivo Qualitative Analysis Software to sort data into preliminary categories, which were grouped into themes using a thematic analysis approach. We used member checking and iterative feedback processes with local project partners throughout the project to ensure credibility of results. Results Through the analysis, we identified three themes characterizing trusted sources for smoke risk communication in the ORAEA. These themes were: (1) local and tribal sources of information are perceived as more trustworthy than state and federal government sources, (2) trustworthiness is determined by an evaluation of multiple factors, in particular, perceived credibility, quality of information, and relationship with the source, and (3) conservative political ideology and perceived parallels with COVID-19 communication influence perception of trust. Within each theme, we identified several sub-themes, which contributed additional nuance to our analysis. Conclusion This study provides insights into which sources of information are trusted by rural and tribal community members in the ORAEA and why. Results from our study emphasize the importance of relationships and collaboration with local and tribal partners in smoke risk communication. In this paper, we discuss implications for state and federal agency practitioners and present recommendations for how to work with local and tribal partners on smoke risk communication.

Abstract Lahars pose a significant risk to communities, particularly those living near snow-capped volcanoes. Flows of mud and debris, typically but not necessarily triggered by volcanic activity, can have huge impacts, such as those seen at Nevado Del Ruiz, Colombia, in 1985 which led to the loss of over 23,000 lives and destroyed an entire town. We surveyed communities around Mount Rainier, Washington, United States, where over 150,000 people are at risk from lahar impacts. We explored how factors including demographics, social effects such as perceptions of community preparedness, evacuation drills, and cognitive factors such as risk perception and self-efficacy relate to preparedness when living within or nearby a volcanic hazard zone. Key findings include: women have stronger intentions to prepare but see themselves as less prepared than men; those who neither live nor work in a lahar hazard zone were more likely to have an emergency kit and to see themselves as more prepared; those who will need help to evacuate see the risk as lower but feel less prepared; those who think their community and officials are more prepared feel more prepared themselves; and benefits of evacuation drills and testing evacuation routes including stronger intentions to evacuate using an encouraged method and higher self-efficacy. We make a number of recommendations based on these findings including the critical practice of regular evacuation drills and the importance of ongoing messaging that focuses on appropriate ways to evacuate as well as the careful recommendation for residents to identify alternative unofficial evacuation routes.