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Hazmat firefighters: medical and incident surveillance.

Authors
Kales-SN
Source
NIOSH 1999 Jul; :1-39
Link
NIOSHTIC No.
20023610
Abstract
This contract investigated hazardous materials incidents to determine what chemicals were involved, who the associated victims were and what were their exposures, and what were the results of these exposures. Also investigated was causation together with the industries/activites involved. The chemicals most frequently involved were various hydrocarbons and corrosive materials. Chlorine derivatives were found to be a significant exposure while respiratory symptoms were important. Accidents included explosions, fires, spills, and leaks among others. Also, a cohort of 340 firefighters was studied. Various physical, medical and laboratory examinations were performed and fitness for duty was assessed. Endpoints included blood pressure, visual acuity, audiometry and spirometry. Due to potential exposure to cholinesterase inhibitors, medical surveillance included determination of red blood cell cholinesterase (AChE). Age was also studied in detail as related to AChE. Another important endpoint was the determination of body mass index and correlation with blood pressure, forced vital capacity, alanine aminotransferase, aspartate aminotransferase, serum cholesterol, and overall morbidity scores. Measures of predicted coronary heart disease risk (CHD) were also developed. National Fire Protection Association (NFPA) guidelines were also considered for several study components.
Keywords
Emergency-responders; Emergency-response; Fire-fighters; Fire-fighting; Fire-safety; Medical-screening; Medical-examinations; Medical-monitoring; Blood-pressure; Cholinesterase-inhibitors; Hazardous-materials; Audiometry; Spirometry; Age-factors; Visual-motor-performance; Visual-motility; Laboratory-testing; Respiratory-function-tests; Respiratory-system-disorders; Pulmonary-function-tests; Pulmonary-function; Epidemiology; Chlorine-compounds; Hydrocarbons; Heart
Contact
Stefanos N. Kales, MD, MPH, Occupational Medicine, Department of Medicine, The Cambridge Hospital, 1493 Cambridge Street, Cambridge, MA 02139
Publication Date
19990729
Document Type
Final Grant Report
Email Address
stefokali@aol.com
Funding Amount
150000
Funding Type
Grant
Fiscal Year
1999
NTIS Accession No.
PB2005-105201
NTIS Price
A04
Identifying No.
Grant-Number-K01-OH-000156
NIOSH Division
OEP
Source Name
National Institute for Occupational Safety and Health
State
MA
Performing Organization
Occupational Medicine, Cambridge Hospital, Cambridge, Massachusetts
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