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Table of Contents
- Introduction
- The Reality of Firefighter Cancer
- The Increasing Risk of Cancer in the Fire Service
- The Impact of Modern Fires on Firefighter Health
- The Link Between Firefighter Cancer and Carcinogens
- Taking Action: The Importance of Decontamination
- Changing the Fire Service Culture
- The Decontamination Process
- The Role of Incident Command in Decon Area Establishment
- The Driver Engineer's Responsibilities in Setting up the Decon Line
- Step-by-Step Procedure for Decontamination
- Proper Gear Cleaning and Maintenance
- The Role of Proper Hand Hygiene and Glove Use
- Bagging and Storing Gear to Minimize Exposure
- Cleaning Tools and Equipment on the Scene
- The Importance of Showering After a Fire
- Conclusion
- Frequently Asked Questions (FAQs)
Introduction
Firefighting is a noble profession that exposes brave men and women to immense risks on a daily basis. One such risk that every firefighter must be aware of is the prevalence of cancer within the fire service. This article aims to shed light on the alarming rate of firefighter cancer, the reasons behind its rise, and the steps that can be taken to mitigate this risk and protect the health of firefighters.
The Reality of Firefighter Cancer
In the tight-knit community of firefighters, it is not uncommon to personally know a colleague who has either battled cancer or tragically lost their life to the disease. These cancers tend to be more aggressive and occur at a younger age compared to the general population. The harsh reality is that modern fires have become increasingly volatile and hazardous, exposing firefighters to a higher risk of cancer than ever before.
The Increasing Risk of Cancer in the Fire Service
Scientific research has irrefutably proven that the materials that burn in fires today contain carcinogens directly linked to firefighter cancer. The fires of today put firefighters at a significantly greater risk compared to those twenty years ago. It is our collective responsibility to take action and prevent further loss of lives within our firefighting community.
The Impact of Modern Fires on Firefighter Health
The evolution of construction materials and the presence of synthetic chemicals in our daily lives have made contemporary fires more toxic than ever. The synthetic compounds released during combustion adhere to firefighters' gear, infiltrating their clothes, trucks, and firehouses. Unfortunately, many firefighters unknowingly bring these carcinogens home to their families, perpetuating the cycle of exposure.
The Link Between Firefighter Cancer and Carcinogens
Extensive research conducted by the Sylvester Comprehensive Cancer Center since 2015 has consistently highlighted the harmful effects of exposure to carcinogens in the fire service. The findings reveal that firefighters inadvertently transport cancer-causing agents from the fire scene back to their living spaces, subjecting themselves and their loved ones to continued risk.
Taking Action: The Importance of Decontamination
In light of the findings by the Firefighter Cancer Initiative, it has become imperative to reevaluate and modify our decontamination practices. While seemingly mundane, regular and consistent decon processes have been shown to significantly reduce the risk and exposure levels faced by firefighters. Through simple cleaning practices, we can protect ourselves and those around us.
Changing the Fire Service Culture
Similar to the transformative shift witnessed in the late 1980s regarding communicable diseases, the fire service culture must adapt to combat firefighter cancer effectively. Firefighters and paramedics were once regularly exposed to blood and bodily fluids without taking adequate precautions. Today, such practices are unthinkable. We face a similar challenge in addressing firefighter cancer and changing our mindset to safeguard our lives.
The Decontamination Process
To effectively reduce exposure to harmful substances, firefighters must adhere to a thorough decontamination process after every fire incident. This process involves several necessary steps and the coordinated efforts of all personnel involved.
Incident Commander's Role in Decon Area Establishment
The incident commander holds the responsibility of ensuring the establishment of a designated decon area. This area should be strategically placed to facilitate easy access and efficient decontamination procedures.
The Driver Engineer's Responsibilities in Setting up the Decon Line
The driver engineer plays a crucial role in setting up the decon line. They are responsible for connecting the hose to a clean water source, flaking it out, attaching the nozzle, and supplying the line with idle pressure.
Step-by-Step Procedure for Decontamination
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Preparation
- The firefighter should loosen the straps of their SCBA on their way to the decontamination area.
- Stay on air while heading to decon and avoid going to rehab until after decontamination.
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Outer Gear Decon
- Decon should start with the firefighter with the least amount of air.
- The PPE should be tightened, paying attention to areas where water can enter.
- Spray water from the collar line down, avoiding saturating the top of the jacket.
- Use a soft bristle brush with a soap mixture to scrub the gear, ensuring to cover all possible collection points.
- Rinse the soap mixture off the gear from the collar line down.
- Clean the boots and switch positions for the other firefighter to decon.
- Both firefighters should stay on air during this process.
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PPE Removal and Personal Hygiene
- Remove the fire gloves first, taking care to avoid skin contact with the exterior.
- Remove the bunker gear and place it in a designated drop zone.
- Use department-provided wipes to clean hands, neck, face, and behind the ears.
- Clean the helmet by scrubbing the outer shell and wiping the inner soft lining.
- Bag gear using department-issued bags, starting with gloves, followed by the coat, pants, boots, and helmet.
- Twist and tape the bag closed, folding over loose ends for added security.
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Cleaning Tools and Equipment
- All tools and equipment used at the incident should be cleaned on-site with a soap-water mixture and a soft bristle brush.
- Bag the cleaned gear and store it in the apparatus for future use.
Proper Gear Cleaning and Maintenance
Ensuring the cleanliness and integrity of firefighting gear is crucial in minimizing exposure to harmful substances. Regular inspections, proper cleaning, and maintenance of gear are vital in preserving its protective properties.
The Role of Proper Hand Hygiene and Glove Use
Effective hand hygiene and proper use of gloves act as an additional barrier against contamination. Firefighters should prioritize hand hygiene and change gloves when necessary to prevent cross-contamination.
Bagging and Storing Gear to Minimize Exposure
Bagging gear after decontamination and sealing it in department-issued bags significantly reduces exposure to off-casting carcinogens. Proper bagging and storage procedures should be followed to maintain the effectiveness of the protective gear.
Cleaning Tools and Equipment on the Scene
In addition to personal gear, tools and equipment used at the fire incident should be thoroughly cleaned on the scene with a soap-water mixture and a soft bristle brush. This step ensures that potential carcinogens are not transferred back to the fire station.
The Importance of Showering After a Fire
Upon returning to the fire station, firefighters should shower within an hour to remove any lingering contaminants. Showering helps eliminate residual toxins and reduces the risk of further exposure.
Conclusion
The increasing prevalence of firefighter cancer is a pressing issue that demands immediate action. By understanding the risks, adopting proper decontamination practices, and creating a culture of safety within the fire service, we can protect the health and well-being of firefighters and their families for generations to come.
Frequently Asked Questions (FAQs)
Q: How does firefighter cancer differ from general population cancer?
A: Firefighter cancer tends to be more aggressive, affecting individuals at a younger age compared to the general population.
Q: What are the primary causes of firefighter cancer?
A: Firefighter cancer is primarily caused by exposure to carcinogens present in contemporary fires and firefighting gear.
Q: What is the role of decontamination in reducing firefighter cancer risks?
A: Decontamination plays a critical role in minimizing exposure to harmful substances by removing carcinogens from firefighters' gear, equipment, and bodies.
Q: Where should firefighting gear be stored after decontamination?
A: Firefighting gear should be securely bagged in department-issued bags and stored in designated areas to minimize exposure to off-casting carcinogens.
Q: How often should firefighters clean their gear?
A: Firefighters should clean their gear regularly after each fire incident to ensure its effectiveness and minimize exposure to carcinogens.
Q: What are the long-term impacts of firefighter cancer on firefighters and their families?
A: Firefighter cancer can have devastating effects on firefighters and their families, leading to physical, emotional, and financial struggles.
Q: Why is it important to change gloves regularly during firefighting operations?
A: Changing gloves regularly prevents cross-contamination and reduces the risk of exposure to carcinogens present on the gloves.
Q: Should firefighters shower immediately after a fire?
A: Yes, firefighters should shower within an hour after a fire to remove any residual contaminants and minimize the risk of further exposure.
Q: What measures can be taken to minimize the risk of occupational cancer in the fire service?
A: Measures such as proper decontamination, regular gear maintenance, and implementing safety protocols can significantly reduce the risk of occupational cancer in the fire service.
Q: Are there any resources available for firefighters regarding firefighter cancer prevention?
A: Yes, firefighters can refer to resources such as the Sylvester Comprehensive Cancer Center for further information and guidance on firefighter cancer prevention and management.
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