Canadian wildfire smoke descended into the Upper Midwest again on Monday, heightening the risk of physical health impacts.

The Canadian wildfires are expected to track east and south, expanding in Michigan as Sunday goes on and additional smoke is expected Monday.

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Poor air quality in Michigan and Maine prompted officials to tell people to keep an eye out for symptoms such as coughing.

The cough often worsens at night or early morning and may accompany wheezing, chest tightness, and breathing difficulty.

If asthma symptoms, such as chest tightness, wheezing, coughing or difficulty breathing, worsen or are not relieved by the blue inhaler, patients are advised to seek urgent medical help.