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British Journal of Industrial Medicine logoLink to British Journal of Industrial Medicine
. 1990 Dec;47(12):805–809. doi: 10.1136/oem.47.12.805

A cohort study on the mortality of firefighters.

E S Hansen 1
PMCID: PMC1035284  PMID: 2271386

Abstract

This study was set up to investigate the effect of exposure to combustion effluents on the chronic health of firefighters. A cohort of firefighters was followed up through 10 years with regard to cause specific mortality. Comparisons were made with another cohort of civil servants and salaried employees in physically demanding jobs. After a latency of five years, an excess mortality from cancer was seen for persons aged 30 to 74 (standardised mortality ratio (SMR) 173, 95% confidence interval (95% CI) 104-270). A significant increase in lung cancer was seen in the group aged 60 to 74 (SMR 317, 95% CI 117-691), whereas non-pulmonary cancer was significantly increased in the group aged 30 to 49 (SMR 575, 95% CI 187-1341). It is concluded that inhalation of carcinogenic and toxic compounds during firefighting may constitute an occupational cancer risk. An extended use of respiratory protective equipment is advocated.

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Selected References

These references are in PubMed. This may not be the complete list of references from this article.

  1. Barnard R. J., Gardner G. W., Diaco N. V. "Ischemic" heart disease in fire fighters with normal coronary arteries. J Occup Med. 1976 Dec;18(12):818–820. doi: 10.1097/00043764-197612000-00009. [DOI] [PubMed] [Google Scholar]
  2. Barnard R. J., Gardner G. W., Diaco N. V., Kattus A. A. Near-maximal ECG stress testing and coronary artery disease risk factor analysis in Los Angeles City fire fighters. J Occup Med. 1975 Nov;17(11):693–695. [PubMed] [Google Scholar]
  3. Bates J. T. Coronary artery disease deaths in the Toronto Fire Department. J Occup Med. 1987 Feb;29(2):132–135. [PubMed] [Google Scholar]
  4. Brandt-Rauf P. W., Cosman B., Fallon L. F., Jr, Tarantini T., Idema C. Health hazards of firefighters: acute pulmonary effects after toxic exposures. Br J Ind Med. 1989 Mar;46(3):209–211. doi: 10.1136/oem.46.3.209. [DOI] [PMC free article] [PubMed] [Google Scholar]
  5. Brandt-Rauf P. W., Fallon L. F., Jr, Tarantini T., Idema C., Andrews L. Health hazards of fire fighters: exposure assessment. Br J Ind Med. 1988 Sep;45(9):606–612. doi: 10.1136/oem.45.9.606. [DOI] [PMC free article] [PubMed] [Google Scholar]
  6. Decoufle P., Lloyd J. W., Salvin L. G. Mortality by cause among stationary engineers and stationary firemen. J Occup Med. 1977 Oct;19(10):679–682. doi: 10.1097/00043764-197710000-00010. [DOI] [PubMed] [Google Scholar]
  7. Dibbs E., Thomas HE JrU, Weiss S. T., Sparrow D. Fire fighting and coronary heart disease. Circulation. 1982 May;65(5):943–946. doi: 10.1161/01.cir.65.5.943. [DOI] [PubMed] [Google Scholar]
  8. Doll R., Vessey M. P., Beasley R. W., Buckley A. R., Fear E. C., Fisher R. E., Gammon E. J., Gunn W., Hughes G. O., Lee K. Mortality of gasworkers - final report of a prospective study. Br J Ind Med. 1972 Oct;29(4):394–406. doi: 10.1136/oem.29.4.394. [DOI] [PMC free article] [PubMed] [Google Scholar]
  9. Douglas D. B., Douglas R. B., Oakes D., Scott G. Pulmonary function of London firemen. Br J Ind Med. 1985 Jan;42(1):55–58. doi: 10.1136/oem.42.1.55. [DOI] [PMC free article] [PubMed] [Google Scholar]
  10. Eliopulos E., Armstrong B. K., Spickett J. T., Heyworth F. Mortality of fire fighters in Western Australia. Br J Ind Med. 1984 May;41(2):183–187. doi: 10.1136/oem.41.2.183. [DOI] [PMC free article] [PubMed] [Google Scholar]
  11. Feuer E., Rosenman K. Mortality in police and firefighters in New Jersey. Am J Ind Med. 1986;9(6):517–527. doi: 10.1002/ajim.4700090603. [DOI] [PubMed] [Google Scholar]
  12. Gold A., Burgess W. A., Clougherty E. V. Exposure of firefighters to toxic air contaminants. Am Ind Hyg Assoc J. 1978 Jul;39(7):534–539. doi: 10.1080/0002889778507805. [DOI] [PubMed] [Google Scholar]
  13. Gori G. B. Summary of the Workshop on Carbon Monoxide and Cardiovascular Disease, Berlin, October 10--12, 1978. Prev Med. 1979 May;8(3):404–406. doi: 10.1016/0091-7435(79)90017-3. [DOI] [PubMed] [Google Scholar]
  14. Gustavsson P., Gustavsson A., Hogstedt C. Excess mortality among Swedish chimney sweeps. Br J Ind Med. 1987 Nov;44(11):738–743. doi: 10.1136/oem.44.11.738. [DOI] [PMC free article] [PubMed] [Google Scholar]
  15. Hansen E. S. Mortality from cancer and ischemic heart disease in Danish chimney sweeps: a five-year follow-up. Am J Epidemiol. 1983 Feb;117(2):160–164. doi: 10.1093/oxfordjournals.aje.a113526. [DOI] [PubMed] [Google Scholar]
  16. Hernberg S. "Negative" results in cohort studies--how to recognize fallacies. Scand J Work Environ Health. 1981;7 (Suppl 4):121–126. [PubMed] [Google Scholar]
  17. Hogstedt C., Andersson K., Frenning B., Gustavsson A. A cohort study on mortality among long-time employed Swedish chimney sweeps. Scand J Work Environ Health. 1982;8 (Suppl 1):72–78. [PubMed] [Google Scholar]
  18. Horsfield K., Cooper F. M., Buckman M. P., Guyatt A. R., Cumming G. Respiratory symptoms in West Sussex firemen. Br J Ind Med. 1988 Apr;45(4):251–255. doi: 10.1136/oem.45.4.251. [DOI] [PMC free article] [PubMed] [Google Scholar]
  19. MASTROMATTEO E. Mortality in city firemen. II. A study of mortality in firemen of a city fire department. AMA Arch Ind Health. 1959 Sep;20:227–233. [PubMed] [Google Scholar]
  20. Minty B. D., Royston D., Jones J. G., Smith D. J., Searing C. S., Beeley M. Changes in permeability of the alveolar-capillary barrier in firefighters. Br J Ind Med. 1985 Sep;42(9):631–634. doi: 10.1136/oem.42.9.631. [DOI] [PMC free article] [PubMed] [Google Scholar]
  21. Musk A. W., Monson R. R., Peters J. M., Peters R. K. Mortality among Boston firefighters, 1915--1975. Br J Ind Med. 1978 May;35(2):104–108. doi: 10.1136/oem.35.2.104. [DOI] [PMC free article] [PubMed] [Google Scholar]
  22. Peters J. M., Theriault G. P., Fine L. J., Wegman D. H. Chronic effect of fire fighting on pulmonary function. N Engl J Med. 1974 Dec 19;291(25):1320–1322. doi: 10.1056/NEJM197412192912502. [DOI] [PubMed] [Google Scholar]
  23. Rappe C., Nygren M., Marklund S., Keller L. O., Bergqvist P. A., Hansson M. Assessment of human exposure to polychlorinated dibenzofurans and dioxins. Environ Health Perspect. 1985 May;60:303–304. doi: 10.1289/ehp.8560303. [DOI] [PMC free article] [PubMed] [Google Scholar]
  24. Sheppard D., Distefano S., Morse L., Becker C. Acute effects of routine firefighting on lung function. Am J Ind Med. 1986;9(4):333–340. doi: 10.1002/ajim.4700090404. [DOI] [PubMed] [Google Scholar]
  25. Sidor R., Peters J. M. Fire fighting and pulmonary function. An epidemiologic study. Am Rev Respir Dis. 1974 Feb;109(2):249–254. doi: 10.1164/arrd.1974.109.2.249. [DOI] [PubMed] [Google Scholar]
  26. Sidor R., Peters J. M. Prevalence rates of chronic non-specific respiratory disease in fire fighters. Am Rev Respir Dis. 1974 Feb;109(2):255–261. doi: 10.1164/arrd.1974.109.2.255. [DOI] [PubMed] [Google Scholar]
  27. Soter N. A., Wasserman S. I., Austen K. F. Cold urticaria: release into the circulation of histamine and eosinophil chemotactic factor of anaphylaxis during cold challenge. N Engl J Med. 1976 Mar 25;294(13):687–690. doi: 10.1056/NEJM197603252941302. [DOI] [PubMed] [Google Scholar]
  28. Sparrow D., Bossé R., Rosner B., Weiss S. T. The effect of occupational exposure on pulmonary function: a longitudinal evaluation of fire fighters and nonfire fighters. Am Rev Respir Dis. 1982 Mar;125(3):319–322. doi: 10.1164/arrd.1982.125.3.319. [DOI] [PubMed] [Google Scholar]
  29. Unger K. M., Snow R. M., Mestas J. M., Miller W. C. Smoke inhalation in firemen. Thorax. 1980 Nov;35(11):838–842. doi: 10.1136/thx.35.11.838. [DOI] [PMC free article] [PubMed] [Google Scholar]
  30. Weir F. W., Fabiano V. L. Re-evaluation of the role of carbon monoxide in production or aggravation of cardiovascular disease processes. J Occup Med. 1982 Jul;24(7):519–525. [PubMed] [Google Scholar]
  31. Zahm S. H., Brownson R. C., Chang J. C., Davis J. R. Study of lung cancer histologic types, occupation, and smoking in Missouri. Am J Ind Med. 1989;15(5):565–578. doi: 10.1002/ajim.4700150509. [DOI] [PubMed] [Google Scholar]

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