Posts Tagged firefighter cancer

Cancer message for firefighters (more)

Excerpts from the ColumbusDispatch.com:

Mark Rine no longer runs into burning buildings or performs emergency medical procedures.

Instead, the Columbus firefighter spends his days standing in front of other firefighters and warning them about a danger he knew nothing about until Sept. 11, 2012. That was the day a doctor told him he had melanoma. He had asked a dermatologist to look at a spot on his back. The doctor said it was four other spots that concerned him.

Two weeks later, Rine underwent his first surgery. Another followed. But by that point, the cancer had spread, and he was told it could not be stopped.

“Let my example be your reason for change,” Rine, 33, of Granville said last week while addressing a dozen Violet Township firefighters.

Rine used to work at Station 8 on the Near East Side. Because of the cancer, he can no longer do the job. He tried going back to the station after surgery and while on chemotherapy, but the work aggravated the tumor at the base of his spine, which affected his mobility.

“Out of all the things that still to this day get me emotional to talk about, that would draw tears, it’s not being at Station 8 doing my job. I miss it,” he said.

When he learned he had cancer, he had no idea that firefighters are at greater risk than others. While surfing the internet one sleepless night, he stumbled upon a 2006 study by researchers at the University of Cincinnati that found that firefighters had a higher rate of cancers, including melanomas.

“I was like, ‘Wow. Really? How do I not know this?’??” Rine said.

Grace LeMasters, an epidemiologist and one of the lead researchers on the study, said firefighters face an increased risk for at least 10 cancers. She said firefighters should wear their masks, even during cleanup after a fire. And when they return to the station, they should scrub down to make sure they don’t leave anything on their skin. The same goes for their gear, LeMasters said.

“They are exposed to a soup of cancer-causing agents,” including soot, diesel exhaust, benzene and formaldehyde, LeMasters said.

Rine said he spreads the word because too many firefighters haven’t heard the message. During his presentation, he lists cancers that can affect firefighters as well as several safety procedures that could help lower the risk. He estimates that he has made 100 presentations to about 1,000 firefighters across the state in the past six months.

“You know who you are dealing with, and it’s not an easy audience,” Rine said.

Although he can’t fight fires, he is not on leave. Rine is executive assistant to the president of the International Association of Fire Fighters Local 67 in Columbus. The job allows him to travel to various departments.

Mike Little, chief of the Violet Township Fire Department, said he is working to get a second set of gear for firefighters and is pushing them to scrub themselves and their equipment after working at fire scenes.

“Cancer is an epidemic in the fire service, and we don’t want to be a part of it,” Little said.

Rine also wants the state to recognize that some cancers are caused by the job, which would allow firefighters to collect workers’ compensation and be eligible for pension funds. A bill has been introduced in the Ohio House to address the issue.

“My five children and my wife will have to go on,” Rine said. “That’s who this bill is for.”

Mark Rine said he simply wants firefighters to have a chance to retire. “I don’t want them to have to do what I do,” he said.

More articles relating to cancer in the fire service can be viewed by clicking HERE

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NIOSH report on firefighter cancer … SF, Philly, Chicago

From CDC.gov

Structural/Vehicle Fires – Cancer

Cancer is a continuing concern among many workers. NIOSH is studying whether fire fighters are at risk as a result of exposure to chemicals and materials while doing their job. Learn more about our fire fighter cancer study. This page also lists our other publications that relate to cancer among fire fighters.

 

From a recent study: Exposure–response relationships for select cancer and non-cancer health outcomes in a cohort of US firefighters from San Francisco, Chicago and Philadelphia 1950–2009

ABSTRACT
Objectives: To examine exposure–response relationships between surrogates of firefighting exposure and select outcomes among previously studied US career firefighters.

Methods: Eight cancer and four non-cancer outcomes were examined using conditional logistic regression. Incidence density sampling was used to match each case to 200 controls on attained age. Days accrued in firefighting assignments (exposed-days), run totals (fire- runs) and run times (fire-hours) were used as exposure surrogates. HRs comparing 75th and 25th centiles of lagged cumulative exposures were calculated using loglinear, linear, log-quadratic, power and restricted cubic spline general relative risk models. Piecewise constant models were used to examine risk differences by time since exposure, age at exposure and calendar period.

Results: Among 19 309 male firefighters eligible for the study, there were 1333 cancer deaths and 2609 cancer incidence cases. Significant positive associations between fire-hours and lung cancer mortality and incidence were evident. A similar relation between leukaemia mortality and fire-runs was also found. The lung cancer associations were nearly linear in cumulative exposure, while the association with leukaemia mortality was attenuated at higher exposure levels and greater for recent exposures. Significant negative associations were evident for the exposure surrogates and colorectal and prostate cancers, suggesting a healthy worker survivor effect possibly enhanced by medical screening.

Conclusions: Lung cancer and leukaemia mortality risks were modestly increasing with firefighter exposures. These findings add to evidence of a causal association between firefighting and cancer. Nevertheless, small effects merit cautious interpretation. We plan to continue to follow the occurrence of disease and injury in this cohort.

The full report can be found at this link: Exposure–response relationships for select cancer and non-cancer health outcomes in a cohort of US firefighters from San Francisco, Chicago and Philadelphia 1950–2009 Adobe PDF file* (2015) [PDF 662 KB, 9 pages]

thanks Dan

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