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The COVID-19 pandemic has presented new health challenges for firefighters, but it is far from the first major health concern in the fire service. For example, the risk of various cancers is up to twice as high among firefighters, and cancer causes 61 percent of line-of-duty deaths for firefighters. There are other health and safety concerns, too, from nutrition and fitness to vehicle safety and seat belt usage, from wellness to stress and trauma (and consequent issues of addiction). Supporting fire services Cultural issues are a driving force in managing the gamut of health and safety concerns for firefighters. Changing the mindset of firefighters about safety issues is critical to meaningful progress. It starts with awareness. COVID-19 may be the newest and most recent health concern, and addressing it has been a high priority. However, even long-term and well-known health threats in the fire service are not being adequately addressed. Dräger found that some 84% of respondents admitted they were concerned about the risk of cancer Medical and safety technology provider Dräger, based in Lübeck, Germany, has launched a ‘Health for the Firefighter’ campaign to raise awareness and to support fire services in driving the necessary cultural changes to protect firefighter health. In a survey of United Kingdom firefighters, Dräger found that some 84% of respondents admitted they were concerned about the risk of cancer, which can be caused by embedded carcinogens in any equipment that can be absorbed by men and women using it. Robust hygiene processes “The COVID-19 pandemic, and ongoing fears over cancer, have highlighted the critical importance of hygiene, and a significant cultural change is required,” says Brian Hesler, a consultant and specialist advisor at Dräger Safety UK and a former chief fire officer. “We need to move away from firefighters wearing dirty kit like a badge of honor that proves their hard work and value, to understand that clean and well-maintained kit supported by detailed and robust hygiene processes are essential to mitigate every contact with contaminants.” Dräger’s Health for the Firefighter campaign will support the fire services in communicating and providing training on the importance of detailed hygiene processes, from handling and storage of masks and breathing apparatus (BA) equipment through to the subsequent cleaning of the kit after an incident has occurred. Enabling fire services Manual cleaning of equipment is still generally the norm within UK fire services. In the Dräger survey, 80% agreed that a result of the COVID-19 pandemic is more emphasis on cleaning equipment and hygiene control, although only 23% said the pandemic significantly changes their approach to cleaning equipment. Dräger has launched solutions for cleaning breathing apparatus, respiratory masks and PPE equipment Consistency is often a problem with manual cleaning, and Dräger has launched solutions for cleaning breathing apparatus, respiratory masks and PPE equipment that reduce the risk of carcinogen contamination within emergency teams. The equipment is provided in partnership with Harstra Instruments, a Dutch manufacturer of cleaning and drying equipment. The Dräger package of solutions comprises cleaning products, logistical support and consultancy services to enable fire services to mitigate firefighters’ exposure to carcinogens. Equipment handling operations Washing machines clean using high-pressure water, drying cabinets are available in various shapes and sizes, and testing facilities ensure products are decontaminated. “Employers owe their employees a duty of care and are therefore looking to provide additional protection during training, post-incident and in day-to-day equipment handling operations,” says Andy Taylor, UK Marketing Manager for Engineered Solutions at Dräger. Cleaning equipment is just one of many ways fire departments can address the health challenges for firefighters. Departments depend on regulations and policies designed to ensure the highest degrees of personal health and safety. For departments, prevention and reduction of accidents, injuries and occupational illnesses should be a way of life. The ‘Health for the Firefighter’ campaign can serve as a reminder of the importance of creating a culture of good health for firefighters.
The importance of firefighter health has received increased media attention in recent times, and rightly so. Following Covid-19 more emphasis is now being placed on hygiene and disinfection, which I believe will be one positive outcome of this pandemic. A significant cultural change has been a long time coming to take us away from firefighters wearing dirty kit as a badge of honor that proves their hard work and value, to understanding that clean and well maintained kit supported by detailed and robust hygiene processes that mitigate every contact with contaminants are essential. Firefighters’ exposure to carcinogens Prior to Covid-19, the media were also reporting more regularly on the very real issue of firefighters’ exposure to carcinogens, an issue when embedded in equipment and absorbed. Cancer has been highlighted in some scientific reports to be the leading cause of death among firefighters, with the International Association of Firefighters (IAFF) reporting that cancer caused nearly two out of three (61%) firefighter line-of-duty deaths between 2002 and 2017. The National Institute for Occupational Health and Safety (NIOSH) also found that in the US, firefighters had a 14 percent higher chance of dying of cancer compared to the general population. The results of these reports need to be underpinned by robust medical research to reflect the landscape, culture, current standards and operational practices for Fire Services in the UK. Cancer caused nearly two out of three (61%) firefighter line-of-duty deaths between 2002 and 2017 While these shocking statistics are relatively well known, not enough has been done to force a change. Manufacturers of medical and safety technology products have a responsibility to innovate solutions that support change. To this end, Dräger’s Health for the Firefighter campaign complements our training programmes and communicates the importance of detailed hygiene processes; from the handling and storage of masks and breathing apparatus equipment through to the subsequent cleaning of the kit after an incident has occurred. Training is the first and crucial step in guiding a cultural shift, and ultimately protecting the health and well-being of our firefighters. Using technology, research and innovation It’s important that training programmes reflect the fact that fire services are the experts – they have the experience and understand what solutions are practical. It is therefore our role to use technology, research and innovation to ensure we work together as partners with applied training helping to create a robust consistency in approach as well as providing a safe environment to train. Dräger’s training is typically split into three areas: Training systems - these encompass mobile or fixed training facilities that enable state-of-the-art training so firefighters can experience real fires or extrication scenarios in a safe environment including compartment fire behavior training (CFBT). At Dräger they include a vast portfolio of potential fire and rescue environments, including petrochemical plants, hospitals, schools, high-rise buildings, vehicles, aircraft and subway stations; Technical training - providing comprehensive know-how on the maintenance and repair of equipment – from mechanical and electronic components through to cleaning and disinfection; Fitness training – providing equipment to help ensure that firefighters are prepared for the physical challenges that come with the job and can be tested and monitored to improve their safety. The science and behavior of a fire and its contaminants Training has come a long way from when it centred simply around exposure to hot temperatures often referred to as ‘burn to learn’. It is now about much more than protecting a firefighter from becoming burnt, but rather teaching the science and behavior of a fire and its contaminants, not only to support fire and rescue operations, but also to protect the firefighter’s own health. While Covid-19 is driving improvements in this regard, what is more difficult is helping fire services to realize that technical training on the cleaning and hygiene processes related to kit is just as important to firefighter health. Consistent and robust hygiene processes are also about technology. While manual cleaning of equipment is still generally the norm, there are many fire services that are moving towards mechanical washing systems, which provide complete consistency in washing temperatures, the amount of detergent used, speed and temperature of drying – which can all work together to disinfect contaminants and to protect the longevity of the kit. Training and support around these systems encompasses the entire purchasing and use life cycle; from helping to build business cases for procurement and logistical installation support, to advice on the exact processes a firefighter should take when leaving a scene and returning to the station. Support also encompasses the ongoing maintenance of equipment and the quantity of stock required. An international look at hygiene and infection control Consistent and robust hygiene processes are also about technology Despite such advances, the UK is still behind other countries in terms of our hygiene and infection control practices. Netherlands and Sweden, for example, are two European countries leading the way in shifting the mindset and using mechanical washing equipment supported by improved logistics for managing and tracking PPE and RPE more widely. For these countries, stringent hygiene practices are commonplace and are not just about fighting cancer or the current pandemic, but also about protecting firefighters and support staff from more day-to-day illnesses such as flu, common colds, cold sores and other communicable illnesses. Within Dräger, my role includes advising on these best-practice examples and new equipment technologies – working with our UK-based manufacturing facility and R&D departments to ensure they are designed with the firefighter in mind, and working with Fire Services, Government and other key stakeholders to help drive improvements to further protect our crews. Having manufactured advanced technology solutions for the Fire Services for more than 115 years, Dräger has the experience and technological know-how to support this necessary change in how we think about equipment, its cleaning, and ultimately how to apply technology and training to make our firefighters safer.
Dräger has launched a range of solutions for cleaning breathing apparatus, respiratory masks and PPE equipment that reduce the risk of carcinogen contamination within emergency teams as part of its Health for the Firefighter campaign. Dräger have worked in partnership with Harstra instruments, a Dutch manufacturer of cleaning and drying equipment. The launch follows a study undertaken by the National Institute for Occupational Safety and Health (NIOSH) which demonstrated a self-contained breathing apparatus (SCBA) worn and evaluated as fully operational will be contaminated within 25 minutes of use in firefighting situations. Potential hazards for personnel Currently, most masks and SCBA are cleaned by hand, which is a lengthy and inconsistent process. It can also pose potential hazards for personnel. Dräger has therefore developed a package of solutions comprising of cleaning products, logistical support and consultancy services that enable fire services to mitigate firefighters’ exposure to carcinogens through every step of attending an incident. They include: simple-to-use washing machines that clean using high pressure water; drying cabinets in various shapes and sizes to accommodate each fire service’s space and equipment; and testing facilities to ensure products are decontaminated before going back into operation. Providing additional protection The final part of the new solution is an improved logistic and workshop capability to quarantine contaminated kit The final part of the new solution is an improved logistic and workshop capability to quarantine contaminated kit, clean it, and then replenish with sanitized PPE to maintain operational capability. Dräger can design and engineer new infrastructure or work within an existing facility to provide optimum protection and cleaning of equipment. UK marketing manager for Engineered Solutions at Dräger, Andy Taylor said it is now well known that job-related exposures to carcinogens increases the risk of illnesses such as cancer: “Employers owe their employees a duty of care and are therefore looking to provide additional protection during training, post incident and in day-to-day equipment handling operations.” Minimizing the risk of contamination “A new standard operating procedure, which incorporates comprehensive training, must be established by the Fire and Rescue Service including comprehensive training for emergency teams on how to decontaminate themselves following an incident in which exposure was likely.” “Standardizing processes not only minimize the risk of contamination for workshop personnel, but also reduce the exposure of carcinogenic substances for the wearer. The consistency of cleaning also extends the lifetime of PPE.” Within Harstra’s product portfolio are a range of washing and drying solutions. These include The Wash4 and Wash6DR models which can accommodate between four and six SCBA respectively, including cylinders and up to 18 breathing masks. Best possible protection Air Cylinders refilled and the SCBA is ready for operations all using Dräger workshop equipment The Wash4 model provides the user with a choice of cleaning time‘s from 5 minutes wash, 10 minutes or the recommended 22 minutes under pressure. The Wash6DR washes at the same intervals, but without the need for Compressed Air cylinders, instead taking pressure from a high powered air external source. Essential to the process is the requirement that cleaned equipment is dried correctly in a drying cabinet or drying room to remove moisture. The Dräger portfolio is configurable and allows easy transfer of equipment using compatible baskets in the cleaning and drying cycle, for example the Wash9 facemask washer and the M18/45 cabinets. Once these have been clean and dried they can then be checked and tested, Air Cylinders refilled and the SCBA is ready for operations all using Dräger workshop equipment. Whatever the risk, Dräger has ‘Technology for Life’ solutions to ensure employers provide the best possible protection and employees return home at the end of each shift as safely as possible.
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