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Study suggests firefighters face increased mortality rates for several cancers

It’s estimated that more than 15 million firefighters protect the inhabitants of 60 countries worldwide. Though the hazardous exposures encountered by firefighters vary, potential exposures include several known or suspected carcinogens. After more than thirty years of follow-up, a new study released by ACS researchers on July 28, found that firefighters are at an increased risk of mortality from skin, kidney, and other types of cancer. This research follows a 2022 review by the International Agency for Research on Cancer (IARC) that found sufficient evidence that occupation as a firefighter causes mesothelioma and bladder cancer, but limited or inadequate evidence for causation for all other cancer types. The ACS study was published in the International Journal of Epidemiology.

“Our findings support the growing body of research linking firefighter exposures to cancer risk,” said Dr. Lauren Teras, senior scientific director, epidemiology research at ACS and lead author of the study. “The associations with skin, kidney, prostate, and colorectal cancer notably help to fill gaps for cancers that were considered to have limited or inadequate evidence in the previous IARC review.”

Because cancers often take many years to develop, the authors note this research highlights the advantages of studies like the ACS Cancer Prevention Study-II that follow participants for decades and can account for other factors like smoking and socioeconomic status. The higher risk of dying from lung cancer was only clear after studying participants for 30 years. The study also calls attention to the importance of proper personal protective equipment for the skin, as the rates of fatal skin cancers were higher among firefighters in this study population.

“Although this isn’t favorable news, this study shines a spotlight on the long-term risks firefighters face beyond the immediate dangers of fighting a fire. Continued efforts to safeguard the health of firefighters by increasing access to cancer screening, early detection, and prevention are paramount,” Dr. Teras added. “This population plays a crucial role in our communities as first responders and protectors of life and property.”

Other ACS researchers contributing to the study include Dr. Ryan DiverDr. Robert Smith, Dr. William Dahut, Ellen Mitchell, James Hodge, Emily Deubler, and senior author Dr. Alpa Patel.

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