Fire fighting and coronary heart disease.

Dibbs, E; JrU, Thomas He; Weiss, Scott T.; Sparrow, David

doi:10.1161/01.cir.65.5.943

Cited by 30 publications

(13 citation statements)

References 10 publications

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“…Recent studies suggest that mortality is about that expected (13,27,44,46,96,122), although some studies have suggested elevations of 50% (99). There is ergonomic evidence that some firefighters may be stressed to the limit during the exertions of their work.…”

Section: Cardiovascular Diseasementioning

confidence: 99%

“…Dibbs et al (27) examined a similarly "healthy" group of 171 firefighters in Boston enrolled in a cohort study on aging effects. They found a distribution of risk factors similar to that seen by Barnard and coworkers, but the incidence of detectable coronary heart disease and its complications over ten years of observation was no different than that for nonfirefighters of the same age in the study.…”

Section: Cardiovascular Diseasementioning

confidence: 99%

See 1 more Smart Citation

Occupational Health Concerns of Firefighting

Guidotti¹,

Clough²

1992

Annu. Rev. Public Health

101

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Section: Cardiovascular Diseasementioning

confidence: 99%

Section: Cardiovascular Diseasementioning

confidence: 99%

Occupational Health Concerns of Firefighting

Guidotti¹,

Clough²

1992

Annu. Rev. Public Health

101

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“…For example, Dibbs et al [1982] found that the overall rate of smoking among firefighters who were screened for participation in the Normative Aging Study (which was based out of the Veterans Administration clinic in Boston, MA) was approximately 51.3%. Large et al [1990] found that smokers represented 42% of their sample of firefighters from one municipal department.…”

Section: Introductionmentioning

confidence: 99%

Tobacco use among firefighters in the central United States

Haddock¹,

Jitnarin²,

Poston³

et al. 2011

American J Industrial Med

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Background This study provides a comprehensive, population-based examination of tobacco use among both career and volunteer firefighters. Methods Data are from a population-based cohort study of randomly selected career (N = 11) and volunteer (N = 13) departments comprised of 677 male firefighters. Results Unadjusted rates of smoking were 13.6% and 17.4% for career and volunteer firefighters, respectively. Smoking rates were less than a comparable occupational group (military personnel) and adult males in the states represented. Smokers were more likely to have been diagnosed with an anxiety disorder (OR = 5.8; P = 0.010), have an elevated CAGE alcohol problem score (OR = 2.9; P = 0.040), and more likely to report driving after drinking too much (OR = 4.5; P = 0.020) compared to never-smokers. Large percentages of career (18.4%) and volunteer (16.8%) firefighters used smokeless tobacco. Conclusions Smoking among firefighters is associated with other significant health and safety risks. High rates of smokeless tobacco use suggest that the fire service is an important target for intervention. Thus, despite strong statements against smoking by the fire service, the need to maintain high levels of health and fitness and relatively low smoking rates, a significant proportion of firefighters continue to use tobacco products.

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“…Apart from injuries, it is mainly concerned with toxic air contaminants,' the effect on pulmonary function,2 and coronary artery disease. 3 Davis and colleagues, reviewing the fitness of fire fighters, mentioned only burns when referring to effects on the skin.4 Professional firemen's journals have devoted much thought to protective clothing.5…”

Section: Discussionmentioning

confidence: 99%

Effects of radiant heat in fire fighting instructors.

Stevenson¹

1985

Occupational and Environmental Medicine

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upon Tyne, Newcastle upon Tyne, UKIn 1974 a purpose built establishment was set up on Tyneside in the United Kingdom to train Merchant Navy personnel in fire fighting. It is staffed by six instructors and an assistant divisional officer seconded from the Tyne and Wear Metropolitan Fire Brigade. Courses are run with emphasis on the practicalities of search and rescue techniques as well as fire fighting in realistic heat and smoke conditions. As part of an investigation into the possible long term effects on health of the working environment effects on the skin were studied. Working conditionsBefore each exercise men were instructed in the use of compressed air breathing apparatus. They were issued with standard fire fighters' uniform including protective gloves. The face was partially covered by the breathing mask but the ears were uncovered to facilitate hearing.Men were instructed in the layout of a large steel "tank," referred to by the nickname of M V Superheat, simulating part of a ship. It measured roughly 9 x 4 m and was 8 m in height. The building was divided into four main compartments with subcompartments and communication was effected by steel ladders.Within this system of compartments were two fires, fuelled by wood from crates and pallets, emitting dense smoke and heat throughout the tank. The heat was intense with visibility nil except near the fires, and communication was by sound and touch. The tank could be entered by various routes according to the design of the exercise but exit was at ground level.After the exercise the trainees showered to remove the yellow staining of their skin caused by deposits of a tarry substance from the burning wood. The smell of this on the scalp persisted despite showering.The instructors trained men in the tank in batches InvestigationOn site the conditions were investigated at first hand and later the six men were examined in detail, especially from the dermatological point of view, having completed a questionnaire concerning their health and especially their reaction to hot conditions and to sunshine in the past. Results of a full blood count and urine analysis were normal. The health record of the six men was excellent. One man, however, had psoriasis which he said had improved since he had worked as a fire fighting instructor. Another man, aged 31, had, before joining the fire service, worked in Africa, where he developed an epithelioma of the lip, presumably due to sun exposure. He noted that the reddening of his skin after working in the tank lasted for up to a week. FindingsAll six men had noted discoloration of the skin by smoke and said that they developed redness and swelling of the ears or neck or both, sometimes with blistering. These changes were followed if pronounced by peeling of the skin resembling the effect of sunburn. These skin changes lasted about 48 hours. Periodically men would notice a singed feeling in the ears when working in the tanks.Examination confirmed the presence of redness and swelling of the exposed skin on emerging from a perio...

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Fire fighting and coronary heart disease.

Cited by 30 publications

References 10 publications

Occupational Health Concerns of Firefighting

Occupational Health Concerns of Firefighting

Tobacco use among firefighters in the central United States

Effects of radiant heat in fire fighting instructors.

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