1. Strategies for Attacking the Silent Killer…Cancer
Chief Maurice Kemp
Chief Dave Downey

2. 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

3. 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

4. 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

5. 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

6. 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Replaced gear determined to be out of date and or non-compliant

7. 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)

8. Storage Pods Inexpensive solution Power
Lighting
Ventilation
Takes up only one parking spot!

9. Exhaust Removal/Storage

10. 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

11. 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

12. Seperate the Gear!

13. Personal Protective Equipment
This stuff is killing us
It’s not YOUR gear!

14. Personal Protective Equipment

15. 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

16. 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

17. Thank You