Shoalhaven Hospital Group general manager Craig Hamer encouraged residents to monitor the local fire situation and be aware of any smoke that may cause breathing difficulties.

“Smoke particles are known to affect the human respiratory system, causing many health problems like itchy or burning eyes, throat irritation, runny nose and illnesses such as bronchitis,” Mr Hamer said.

While most of the smoke has cleared around the Bomaderry/North Nowra area after the West Cambewarra Road fire, there are still pockets of smoke visible. Most of Bomaderry was also heavily blanketed by the thick smoke during Wednesday’s emergency.

Read more: The latest on the Shoalhaven fire emergencies

Further south and lots of smoke still surrounds the Milton and Ulladulla areas.

While firefighters have welcome the calmer conditions down south this morning, is does mean that the smoke seems to be hanging in the air rather being blown away on the winds.

Earlier this morning the smoke was particularly dense within the Ulladulla township but a slight breeze has alleviated some of that smoke as the morning has progressed.

“Smoke particles can also aggravate existing lung conditions, such as chronic bronchitis, Chronic Obstructive Pulmonary Disease (COPD) and asthma,” Mr Hamer said.

“Symptoms can occur for several days after smoke is inhaled, so people with the above conditions need to be vigilant with their treatment programs.

“If you have asthma or a lung condition and you develop symptoms such as shortness of breath, coughing or wheezing, follow your asthma or COPD action plan.

“Carry your reliever, such as Ventolin or Asmol with you at all times. If symptoms do not settle, seek urgent medical advice.

“If you are on home oxygen treatment, continue as prescribed. If breathlessness worsens, contact your doctor as a matter of urgency, or visit your local hospital.”

He said healthy adults generally find that any symptoms they have developed during a bushfire event clear after the smoke disappears.

“If your symptoms do not settle, seek medical advice,” he said.

The following precautions can help you minimise adverse effects of bushfire smoke -

Stay indoors, with windows and doors closed, or stay in air-conditioned premises, if possible.

Avoid outdoor vigorous exercise, especially if you have asthma or a lung condition.

Further information can be found on the NSW Health website: www.health.nsw.gov.au/environment/air/Pages/simple-steps.aspx