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National Fallen Firefighters Foundation -Metro Chiefs UPDATE- Chief Ron Siarnicki April 12, 2017
National Fallen Firefighters Foundation Created by the United States Congress in 1992 Our mission is to honor and remember America's fallen fire heroes, to provide resources to assist their survivors in rebuilding their lives, and work within the fire service community to reduce firefighter deaths and injuries.
National Fallen Firefighters Foundation A total of 3, 961 firefighters have died in the line of duty from 1981 to 2016. On average, one firefighter dies in the LOD every 78 hours in the United States.
National Fallen Firefighters Foundation • Memorial Weekend Support, 112 honored last year • Transportation, lodging, meals, small group sessions • Fire Service Survivors’ Network provides peer support • Hal Bruno Camp for Kids • Annual Fire Service Survivors’ Conference • Workshops, including Building Resiliency, Wellness, Life Skills, Stress Management, Financial Planning, Home Repair • Networking with other survivors
National Fallen Firefighters Foundation • Pre-1981 Line of Duty Deaths • • • Special area within the Walk of Honor Dedicated last June Designated section for each state Arizona, Oklahoma, Maryland CDF State Association Program has been established
National Fallen Firefighters Foundation In 2004, the NFFF expanded its mission to include the prevention of firefighter injuries and line-of-duty deaths through the Everyone Goes Home® program and the 16 Firefighter Life Safety Initiatives. •
TAMPA 2 Focus greater attention on firefighter illnesses and diseases
What is the scope of the problem? Initial results indicate that there is a correlation between firefighting and the incidence of specific cancers. More research is needed to identify all of the cultural, occupational, and exposure risk factors that impact firefighters, and to identify appropriate and effective interventions.
Fire Service Occupational Cancer Alliance The Vision—To create a permanent Fire Service Occupational Cancer Alliance composed of: • • • Fire service leaders Constituency organization representatives Research scientists (academic, private, and government) Occupational medicine specialists Corporate representatives Other stakeholders
ALLIANCE PARTNERS Representing Government Centers for Disease Control, National Institute of Occupational Health Congressional Fire Services Institute National Cancer Institute, National Institutes of Health FEMA USDA Forest Service United States Fire Administration Fire Service and Allied Organizations Fire Engineering Common Voices FIERO Firehouse Fire Department Safety Officers Institution of Fire Engineers
ALLIANCE PARTNERS Fire Service and Allied Organizations (continued) IFSTA/Fire Protection Publications International Association of Arson Investigators International Association of Black Professional Fire Fighters International Association of Women in the Fire & Emergency Services Maryland Fire and Rescue Institute National Association of State Fire Marshals National Fallen Firefighters Foundation National Fire Protection Association National Fire Sprinkler Association National Volunteer Fire Council North American Fire Training Directors Safety, Health & Survival Section, IAFC VCOS—International Association of Fire Chiefs
ALLIANCE PARTNERS Loudon County (VA) Fire/Rescue Loveland-Symms (OH) Fire Dept. Philadelphia Firefighters & Paramedics Union Fire Departments & Associations Phoenix Fire Department Boston Fire Department Phoenix Fire Fighters Boston Firefighters Association Chicago Fire Department Prince William County (VA) Chicago Firefighters Union Fire/Rescue Fairfax County (VA) Fire & Rescue Richmond Fire and Emergency FDNY Fireman’s Association of New York Services, (VA) San Francisco Fire Department Last Call Foundation San Francisco Firefighters-IAFF Cancer Specific – Fire Service Firefighter Cancer Foundation Firefighter Cancer Support Network
ALLIANCE PARTNERS Private Industry Honeywell First Responder Products Lion Motorola Solutions Foundation Plymovent Scott Safety TYCO VFIS Representing Academia Johns Hopkins University of Arizona Leadership Dennis Compton, Chair, Board/NFFF US Fire Administrator, USFA Ronald Siarnicki, Executive Director, NFFF
Objective #1 Learn what science can tell us about cancer in firefighters. Three research reports are critical here. The Nordic Study The Australian Study NIOSH Study
Scope Of The Cancer Problem In The Fire Service Studies have demonstrated higher rates of multiple types of cancers in firefighters compared to the general American population including: – Testicular cancer (2. 02 times greater risk) – Multiple myeloma (1. 53 times greater risk) – Non-Hodgkins lymphoma (1. 51 times greater risk) – Skin cancer (1. 39 times greater risk)
Scope Of The Cancer Problem In The Fire Service – Brain cancer (1. 31 times greater risk) – Malignant melanoma (1. 31 times greater risk) – Prostate cancer (1. 28 times greater risk) – Colon cancer (1. 21 times greater risk) – Leukemia (1. 14 times greater risk) – Breast cancer in women (preliminary study results from the San Francisco Fire Department)
Objective #2 Identify what we think we know, but needs further research. Objective #3 Review what has been done, and what needs to be done.
Objective #4 Address whether or not anyone is being left behind on the issue of firefighter cancer—are there specific populations who are not being studied or have been left out of the discussion?
Potential Future Research • • • Pump operators and others who are exposed to smoke Fire investigators – private and public Volunteer firefighters Families, especially studying birth defects in children of firefighters Women and minority firefighters Wildland firefighters Gender-specific cancers Retirees Current firefighters who are being treated for cancer and those who are survivors.
Objective #5 Identify what organizations and corporate entities can be counted on as partners. • Representatives from major fire service organizations and key researchers have attended all of the meetigns to date and have committed support to the continuing efforts related to occupational cancer in the fire service. • Additional partnership opportunities include working with national cancer organizations and the insurance industry.
Objective #6 Discuss the Zadroga Act and its implications at the national, state, and local levels.
• The Zadroga Act established the World Trade Center Health Program providing 9/11 responders with annual medical monitoring and treatment for WTCcovered conditions. • It was enacted in 2010; implemented in 2011. Image: NY Daily News
Objective #7 Review model state presumptive laws and strategies to push legislation in every state, including implications on workers’ compensation and pension systems.
Presumptive Legislation 35 out of 50 states have some type of presumptive legislation: • Laws vary widely between states • Latency issues regarding cancer complicate coverage • There is no guarantee a firefighter will be covered
Objective #8 Discuss implications on the Line-of-Duty Death criteria, including those on workers’ compensation and death benefits.
• NFFF does not generally include firefighter cancer deaths on the National Fallen Firefighter Memorial. • USFA and NFPA do not include firefighter cancer deaths in their annual reports on firefighter on-duty fatalities. • IAFF includes firefighter cancer deaths on their Memorial in Colorado Springs.
• Firefighter cancer deaths are not covered routinely by the Public Safety Officers Benefits Program (PSOB). • The work of the World Trade Center Disease Health Care Programs have changed the process • Dr. John Howard, NIOSH is certifying cancers • 24 names were added to the NFFF memorial (2016) • 68 Post 911 WTCD have been approved for PSOB
CFSI Resolution RESOLUTION IN SUPPORT OF FEDERAL LEGISLATION, FUNDING AND POLICIES TO ADDRESS FIREFIIGHTER OCCUPATIONAL CANCER Offered by: National Fallen Firefighters Foundation International Fire Service Training Association International Association of Arson Investigators International Association of Black Professional Fire Fighters International Association of Fire Chiefs International Association of Fire Fighters National Fire Protection Association National Volunteer Fire Council North American Fire Training Directors
CFSI Resolution • An inclusive national statistical cancer reporting system for firefighters • Funding for research to reduce the instances of occupational cancer to firefighters and the development of more effective treatments • Public recognition of firefighter line-of-duty deaths resulting from certain cancers identified through scientific research
CFSI Resolution • Federal presumptive line-of-duty death benefits, including the Public Safety Officers’ Benefits (PSOB) program, that cover firefighters who die from certain cancers identified through scientific research • Implementation of the work of the Fire Service Occupational Cancer Alliance as they continue their unified efforts to address myriad issues relating to cancer in firefighters.
FSOCA Action Plan 1. 2. 3. 4. Advocate for firefighter cancer research funding Provide awareness and prevention information Develop a unified branding message Develop a Cancer Awareness and Prevention Tool Kit 5. Engage fire accreditation organizations to require prevention efforts 6. Include occupational cancer presentations at all national trade shows
FSOCA Action Plan 7. Develop a physicians’ guide to firefighter occupational cancer 8. Develop a gold standard for exemplary presumptive legislation 9. Utilize the Zadroga Act as an example of federal legislation that recognizes firefighter cancers as an occupational disease 10. Identify the impact of occupational cancer inclusion in PSOB benefits including cost savings related to prevention
Fire Service Occupational Cancer Alliance Accomplishments to date: • Steering Committee • 3 rd National Fire Service Research Agenda • Awareness and Prevention Information • Unified Branding Message
Fire Service Occupational Cancer Alliance 2017/2018 Goals: • Strengthen prevention programs • Advocate for legislation related to the National Firefighter Cancer Registry • Support • Research • Presumptive legislation
NFFF -- FSOCA Relationship In January of 2016, the Board of Directors of the NFFF took steps to address the workload increases that will be required for the NFFF to facilitate and support the recommendations of the Alliance. To achieve this goal without financially competing with the core mission of the NFFF, the Board of Directors approved the creation of an affiliate organization to take on these types of additional responsibilities.
NFFF -- FSOCA Relationship On April 26, 2016 the NFFF chartered the “First Responder Center for Excellence for Reducing Occupational Illness, Injuries and Deaths, Inc. ” The Center is a non-profit affiliate of the NFFF and a Maryland Nonstock Corporation. The Center is up and running, working to address cancer concerns, cardiac issues and behavioral health programs.
Board of Directors Chair Steve Austin, Delaware Fire Service Secretary/Treasurer Troy Markel, VFIS At Large Members John Granby, Lion Chief Charles Hood, San Antonio, TX Deputy Chief Tammy Snow, Wichita, KS
First Responder Center for Excellence for Reducing Occupational Illness, Injuries and Deaths, Inc. The Center has the capability to bring experts together to work on projects that address the examination of best practices, conduct research, create programs and deliver authoritative and practical reports and training materials. As the Center develops, so will its capability to support research, promote technology, create resources for first responders, and assist with funding for efforts consistent with the mission of the Center and the NFFF.
What’s Next? 1. Web site launch. • Firstrespondercenter. org • Consolidated factual information from all sources • Firefighter Cancer Awareness and Prevention Tool Kit modeled after the successful Fire Service-Based EMS Electronic Tool Kit (www. fireserviceems. com). 2. Host a national educational symposium to address all relevant information regarding occupational cancers. • Fire Service Occupational Cancer Symposium Phoenix, AZ – Sept 7 -8, 2017
Fire Service Occupational Cancer Symposium General Sessions: • State of the Science-where we are now • Current Research • Exposures and Cancer Risks • PPE Research and Maintenance • Support after Diagnosis • Presumptive Legislation • The Boston Experience • Dangers of Today’s Fires
Fire Service Occupational Cancer Symposium Workshop Sessions: • FCSN Training • Control Interventions/Best Practices • Cancer Prevention through Cultural Change • Cancer Prevention through a Healthy Lifestyle • Role of the Company/Training/Safety Officer • Exposure Related to Stations/Vehicles • Exposure during Fire Investigation • Role of the Chief Officer
Fire Service Occupational Cancer Symposium For information about the Symposium, go to: • https: //www. firehero. org/event/cancer-symposium 2017/ Look for us on social media: • #FSCancer. Symposium 2107 • #Beat. FFCancer • #Educate. Prevent. Support • @NFFF_News • @EGH_Program
What’s Next? 3. Promote best practice behavioral health programs that include elements such as Stress First Aid and Cognitive Behavioral Therapy. 4. Transition work of the NFFF, Everyone Goes Home Program concerning cardiac related deaths and behavioral health needs to the FRC. 5. Seek partnership and support to reduce deaths and injuries within the First Responder Community.
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National Fallen Firefighters Foundation National Memorial Service October 6, 7, 8, 2017 Emmitsburg, MD NFFF 25 th Anniversary October 5 th, 2017 Washington, DC
THANKS AND BE SAFE