Strategies for Attacking the Silent Killer…Cancer Chief Maurice Kemp Chief Dave Downey
Strategies A joint Labor/Management initiative A comprehensive plan to reduce cancer exposures through; Medical screening PPE cleaning and exchange Vehicle exhaust removal Air quality testing
What We’re Doing A total workforce involvement Deliver training and education Initially train on the awareness Identify the risks Discuss risk reduction techniques Ongoing focus on prevention
What We’re Doing UM Sylvester Comprehensive Cancer Center Goal Focus Funded through the State of Florida Incorporates as many F/R agencies as possible Goal To reduce and then prevent the risks Focus Track the risk Measure the exposure Understand the culture and work environment
Firefighter Cancer Initiative Annual Survey and Blood Draw Link to Cancer Registry DOUSE Study Determining Occupational Uncertainty in Source Exposure Collect objective data Personal Exposure Reporting (PER) System Re-Flash Knowledge, Concerns, Behaviors AERIAL Focus on the retiree’s
City of Miami Evaluated adequacy of PPE Evaluated adequacy of maintenance and cleaning of PPE Revised procedures Distributed a 2nd hood for all members Replaced gear determined to be out of date and or non-compliant
City of Miami Implement early cancer prevention and protection (Life Scan) Implemented negative pressure systems for PPE storage OR; Installation of storage pods Exhaust removal Passive Direct-capture Exhaust filtration (vehicles older than 2006)
Storage Pods Inexpensive solution Power Lighting Ventilation Takes up only one parking spot!
Exhaust Removal/Storage
City of Miami PPE extractor and dryer in each station Washer and dryer in each station for uniforms Maintain a cache of PPE for immediate issuance
City of Miami Ongoing initiatives Establish an in-house gear cleaning and maintenance program Issue a 2nd set of PPE to each member Install CO detectors in station living quarters Provide continuing education focused on prevention
Seperate the Gear!
Personal Protective Equipment This stuff is killing us It’s not YOUR gear!
Personal Protective Equipment
Miami-Dade Fire Rescue Change the culture! It’s NOT YOUR gear! On scene gross decon On scene hood swap On scene general cleaning Handwashing and wipes PPE cleaning Exhaust removal/Air quality testing
The Future Isolate the contamination Decontamination of the vehicles On scene gear exchange Cleaning of all PPE including SCBA’s Decontamination of the vehicles Develop research driven initiatives
Thank You