Firefighter Dust Masks

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. 

More than an outfit. More thought than one leg at a time. Putting on the uniform is not just an ordinary daily task, but a habitual part of preparing for the unexpected. Yes, a firefighter’s uniform is more than an outfit. Think about who is wearing it and the risks they are exposed to on a daily basis. The firefighter comes from a long line of heroes, a brotherhood and sisterhood, with traditions to uphold and a reputation to maintain. Their uniform is no different. Its historical navy-blue threads. Classic, professional appearance. Tactical features. Technology-driven fabric. Over time, the uniform’s engineering has needed to adapt with new designs and react to worsened exposures and more dangerous rescue missions. The 21st Century firefighter’s uniform is unique and specific to the job with current trends fixating on the best user experience while future plans focus on preventative and safety measures due to increased societal and architectural risks. Comfortable firefighter uniform So, what does the 21st Century firefighter want? Comfort. Beyond Personal Protective Equipment, it is an overwhelming plea for a more comfortable uniform to wear. This includes garments that are easy “wash and wear” materials that do not require additional ironing. Firefighters do not want to lose the professional appearance or tactical functionality of the uniform The trend calls for lightweight, breathable, cool-weather wear that is less restrictive and offers more give and more stretch so firefighters can perform their job responsibilities more efficiently. However, they do not want to lose the professional appearance or tactical functionality of the uniform. “We need something that looks presentable every time,” said Chief Robert Burdette of Grand Blanc Fire Department, Michigan. Additionally, more firefighters are also starting to wear polo shirts or mesh T-shirts under their Turnout gear, for a lighter weight, more breathable option from the traditional uniform shirt. The trend calls for lightweight, breathable, cool-weather wear that is less restrictive Risk of cancer Unfortunately, comfort is not the only concern firefighters have when it comes to uniforms, or their safety in general. As risky and demanding of a profession the fire service can be, the fires have proven not to be the most hazardous or life threatening. According to the Firefighter Cancer Support Network, “Cancer is the most dangerous threat to firefighter health and safety today.” A study conducted by the National Institute for Occupational Safety and Health (NIOSH) concluded that firefighters have a 9% increased chance of being diagnosed with cancer and a 14% increased chance to die from cancer compared to the general United States population. Chief Dennis Jenkerson of the St. Louis Fire Department in Missouri is one of many chiefs actively fighting these statistics. Responsible for 32 firehouses, Jenkerson has witnessed the reality of this threat with the loss of four of his own and understands the validity of the situation. For the last 18 months, the St. Louis Fire Department has made headway implementing a drastic culture change by evaluating everything from equipment, apparel, lifestyle and more.  Cancer affecting firefighters “It is so prevalent that everything we do anymore has to do with some emphasis on protecting firefighters from getting cancer,” said Chief Mike Ramm of Sylvania Township Fire Department, Ohio. “Cancer is the most dangerous threat to firefighter health and safety today” According to the Firefighter Cancer Support Network, the cancers that have mostly affected firefighters are respiratory (lung, mesothelioma), gastrointestinal (oral cavity, esophageal, large intestine) and kidney. “Testicular cancer is through the roof,” added Jenkerson, who has pushed his firefighters to get tested for cancers earlier than normally necessary. He also explained that the imagery of a firefighter drinking from a fire hydrant can no longer happen. He emphasized the importance of cleaning up instantly after every fire. Think of the simple act of removing grimy gloves after a call – at least one hand has been exposed to the cancerous contaminants if it was accidentally used to take off the other glove. If that unwashed, contaminated hand touches food that goes into the mouth of the firefighter, he/she is essentially eating what may cause esophageal, oral cavity or gastric cancers. Cancer is the most dangerous threat to firefighter health and safety today According to the International Association of Fire Fighters (IAFF) via the Firefighter Cancer Support Network, cancer caused 61% of the career firefighter line-of-duty deaths from January 1, 2002 to March 31, 2017. Additionally, 70% of the line-of-duty deaths for career firefighters were because of cancer in 2016. Unfortunately, this hazard is not going away any time soon. The new building materials and new house furnishings have become the culprit for this major concern. These materials are man-made and are not of natural resources. When burned, they create deadly carcinogens that the firefighters are getting exposed to firsthand. Immediate decontamination process Jenkerson’s implementation of a culture change includes an immediate decontamination process following a fire, which involves getting hosed with water, cleansing wipes for all soft tissue areas of the body and an immediate shower back at the station. “Any place you can get a five degree rise in skin temperature, the absorption level goes up 10 times,” Jenkerson warned. His firefighters are instructed to remove their bunker gear, uniform, helmet and all other equipment right away that get immediately washed once they have returned to the station. Hems, collars, cuffs and cargo pockets are areas of the uniform where toxins get caught He also restricts all firefighters and EMTs from going on a second run until they have showered and have put on a new, clean set of clothes, all the way down to their underwear. “There are no two-runs. We have to get this stuff off [of them].” Uniform manufacturers are tasked with finding a solution to help facilitate Jenkerson’s and other Fire Chiefs’ visions by designing a uniform with as little gaps and fold-over materials as possible. “Everything needs to be sealed tight,” Jenkerson explained. Hems, collars, cuffs and cargo pockets are all areas of the uniform where toxins get caught. A lightweight shirt option that offers a crew collar with a two to three button placket and a lightweight, ventilated hidden cargo pant could be the future of fire uniforms. “There isn’t another profession that has the thousands of dangers that we have every day,” Ramm explained. Additional and ongoing efforts currently underway according to the NFPA Journal, include those by the Firefighter Cancer Support Network, the Congressional Firefighter Cancer Registry, the Fire Protection Research Foundation, the FPRF Campaign for Fire Service Contamination Control, and the International Association of Firefighters. Active shooter emergency response Firefighters and EMTs increasingly need to wear bullet proof vests with the surge in active shooter calls An additional and unfortunate trend that is also sweeping the nation is the need for firefighters and EMTs to wear bullet proof vests. Departments are trying their best to arm their men and women with this protection along with ballistic helmets in certain regions due to the surge in active shooter calls. “In areas that have a lot of gang-related activity, [bullet proof vests] would be beneficial,” said Jason Reyes of Allen Fire Department, Texas. “Sometimes you go on calls when the city doesn’t have enough police to respond to calls, which creates a situation that leaves firefighters unprotected and vulnerable.” Currently the market has ballistic vests available that can either be worn over or under a firefighter’s uniform and under their bunker gear. Uniform manufacturers also offer an external vest carrier option that is worn over a firefighter’s uniform to look like part of the uniform shirt to maintain a professional appearance. Distinguishing firefighters from law enforcement “Firefighters find themselves becoming targets more and more these days,” added Deputy Chief of Operations Dwayne Jamison of Bartow County Fire Department, Georgia. “Many departments, including my own, are looking to outfit their firefighters with bullet proof vests.” Although this trend has not affected every region, industry experts can see the need becoming more widespread if threats continue to increase the way they have been. Along the same lines, firefighters want to be identified as firefighters and not mistaken for law enforcement. “We don’t want to look like police,” Jenkerson said. “We want to be identified as firefighters. Even if it takes a different stripe.” When it comes to uniform trends for firefighters, it is clear there is more to focus on than the technical details. For many fire departments, future trends could serve as a tool to prevent deadly toxins from being absorbed and from lethal bullets puncturing unprotected firefighters and EMTs. The uniform is more than an outfit. With a larger purpose than to shield a body, the uniform goes beyond the navy-blue threads, professional appearance and tactical features to one day supporting what could be a lifesaving concept. Sources Firefighter Cancer Support Network, Preventing Cancer in the Fire Service National Fire Protection Association,  Firefighters and Cancer NFPA Journal, Fast Track: Some of the national efforts underway to fight cancer in the fire service; Roman, Jesse; 2017 

The latest personal protection equipment (PPE) are being designed to meet new regulatory standards Marine firefighting encompasses activities to extinguish any type of fire in a marine environment. For many years, this meant dealing with fires on seagoing vessels, or more specifically, shipping. In this article, Richard Cranham, International Sales Manager at Bristol Uniforms, sheds light on the various fire hazards at sea and the latest protection outfits designed to meet new regulatory standards.   Nature of marine fire hazards At one time, marine fire risks were primarily associated with shipping and the vessels or their cargoes. In the 21st century, however, the seas and oceans are increasingly becoming sites for static structures. Many of these are associated with oil, gas and other mineral exploration and harvesting. Clearly the range of fire hazards associated with these different activities varies widely. In some situations, firefighters will be able to work onboard, depending on the severity of the fire, but, following a blow out or explosion aboard an oil rig or gas production platform, fighting the ensuing fire may only be possible from firefighting vessels. Also, the characteristics of the fires facing firefighters will reflect the volatility and flammability of the materials involved in the conflagration. Some materials burn much hotter than others. Some will throw off burning shards or molten materials, some can be unpredictable either due to the composition of the flammable materials involved (in particular hydrocarbons and chemicals) or prevailing weather conditions. Wind speed and direction can be particularly variable out at sea and can cause rapid changes in the levels of hazard experienced by firefighters. Personal protection equipment (PPE) to suit the conditions As with land-based firefighting, the type of personal protection equipment required is increasingly being designed to protect against the specific nature of the fire hazards most commonly encountered. New marine firefighting standards introduced for use throughout Europe equate the hazards, if not the conditions, associated with typical shipping fires with those commonly experienced in structural fires. This has led to the new Marine Equipment Directive (MarED) standards, enshrined in EU Commission Directive 2010/68/EU, to adopt EN 469 (2005) as its benchmark for basic protective clothing for firefighting (A.1/3.3). This means that, throughout the EU, local fire & rescue authorities can deal with ship-board fires occurring in rivers, docks and coastal waters wearing their regular structural fire kit. As with all PPE, compatibility is important and appropriately matched helmets, boots and gloves should be supplied For parts of the world outside the EU, a new international standard has recently been developed. The new standard, BS ISO 22488:2011 [Ships and marine technology – shipboard firefighters’ outfits (protective clothing, gloves, boots and helmet)], has drawn substantially on the work undertaken for the recently issued European Standard. Close proximity firefighting involving gas and oil fires requires protection from the intense heat and flames produced in such ‘hot fires’ and call for quite different types of protective clothing. In some circumstances this type of firefighting will require PPE satisfying ISO 15538 (2001) - Protective clothing with a reflective outer surface (A.1/3.3). New PPE designs to meet new standards Yellow outerlayer on marine firefighting garments signify its use by emergency incident crews battling different types of fires at sea. Garments meeting EN 469 (2005), as used by European municipal firefighters, can also be deployed by them when dealing with shipping fires on river estuaries, in ports and docks and in coastal waters. For fighting fires involving shipping at sea, and for other marine fire emergencies, an alternative is the new design fleet suits which are being introduced to coincide with the implementation of the new EU Commission Directive. As with all PPE, compatibility is important and appropriately matched helmet, boots and gloves should be supplied. In Europe, these should be to MarED approved standards, and include firefighting helmet to EN 443, gloves to EN 659 and firefighter boots to EN 15090 whilst the new international standard, BS ISO 22488:2011, when introduced, may be adopted in other parts of the world.   Richard CranhamInternational Sales ManagerBristol Uniforms