Today, the IAFC and the IAFF released joint statements condemning the recent report from National League of Cities/TriData,
“Assessing State Firefighter Cancer Presumption Laws.” Read the
IAFC statement here and the
IAFF statement here.
In case you’ve been without an Internet connection for the past two weeks, this report—contrary to widely accepted beliefs and proven statistics—stated that conclusive evidence is “lacking to demonstrate a causal relationship between firefighting and cancer.” The IAFC/IAFF’s swift reaction is an indication of how important the issue is. This afternoon, I had the opportunity to talk with Chief Billy Goldfeder, chair of the
IAFC’s Safety, Health & Survival Section, who’s been a very vocal protestor of the NLC/TriData report since it was released.
“I think we were all shocked when we saw the report,” Goldfeder said. “Running through my head were the names of a dozen firefighters I’ve been close to who have died in the last couple years following battles with firefighting-related cancers. It’s clear the goal of the NLC/TriData was to stall, slow down or turn around the cancer presumption movement that is appropriately, although slowly, being recognized by good elected officials.” For those unfamiliar with legal mumbo-jumbo, “presumption” refers to legislation that allows firefighters with cancer to collect workers' compensation without having to first prove that they contracted the disease as a result of their job.
Goldfeder believes the report was done with a prejudged conclusion in mind, to give city managers and elected officials leverage to fight presumption legislation. But he doesn’t think their tactics were successful. “I would think that even those who do not necessarily support presumption raised their eyebrows when they saw the recklessness and carelessness of this report,” he says. “All NLC/TriData have done is further motivate us to look out for firefighters, fire officers and issues related to firefighting and cancer.”
IAFC/IAFF Steps In
The report released yesterday was the result of a joint effort by the IAFC and the IAFF to fight the conclusions drawn by the NLC/TriData. The
IAFC Safety, Health and Survival Section convened a panel of academic, medical and fire and emergency service health experts to review the NLC/TriData report. That information was then reviewed by the IAFF and the IAFF information was reviewed by the IAFC to ensure fair and balanced evaluation. Their assessment is pretty damning. Some highlights:
· The NLC report uses a subjective and highly questionable methodology to review the literature on cancer among firefighters. They “hand select” which articles to review; some studies were excluded simply because they were conducted before 1995.
· The report relies on narrative review methods, which are particularly prone to bias and are widely considered inferior to quantitative review methods.
· The NLC report is reminiscent of the strategy and spin once used by the tobacco industry, which denied for years that smoking causes lung disease and that nicotine is addictive. The NLC’s paper is just as intellectually dishonest today as those cigarette company claims were back then.
· The study spends an inordinate amount of discussion on the potential “cost” of presumptive laws involving cancer, yet the authors provide no cost data to back up their claims.
This quick, emphatic, coordinated response by the IAFC and the IAFF has been immensely satisfying to watch. “I couldn’t be more proud of the way the IAFF and the IAFC came together to address this issue, and following today’s report, many other fire service organizations have indicated that they will endorse the findings,” Goldfeder notes. “But it’s a bittersweet win, because it’s atrocious that we even had to deal with this. ”
Goldefeder echoed the words of IAFF General President Harold Schaitberger in his address to FDIC attendees last week, when he said that as a result of the report, the IAFF is more determined to fight than ever. “It’s my personal opinion that this was a grave, grave mistake by the NLC/TriData, and one that will not be forgotten any time soon,” Goldfeder said. “City governments have a responsibility to take care of and protect their firefighters when their firefighters are exposed to a known environment that potentially leads to cancer.”
Bottom Line: Don’t Believe It
In this snarl of politics, of they said/we said, what’s the line firefighter to conclude? Goldfeder was adamant: “Don’t let this NLC/TriData report do anything to make you think that firefighters are not at a higher and greater risk to cancer exposure,” he said. “Nothing is further from the truth. There’s a direct correlation, there’s evidence—and the IAFF and the IAFC have the clear, factual information to educate all members of the fire service.
“Most of the stuff that’s burning inside a building these days is petroleum based, and it off-gases nasty, nasty stuff,” Goldfeder continued. “For a firefighter at any level to think that because NLC/TriData says it’s ok to breathe, it must be, is just wrong. Do not trust the smoke you’re running into, wear your PPE, don’t breath that crap, and if you get the soot on you, clean it off as soon as possible. Clean your PPE regularly to ensure it’s functioning at the most effective level. Don’t give any credibility to that report, because it was done for political motivations, and it appears that the last thing the NLC/TriData was concerned with is the facts related to the realities of cancer and firefighter safety, health and survival.”
Shannon Pieper is managing editor for FireRescue
magazine.
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