b'CANCER BEHAVIORAL HEALTHFirefighters have been found to be diagnosed withFirefighters have high rates of depression, cancer at earlier ages than the general population. 4-8 post-traumatic stress, acute stress reactions, anxiety, high rates of suicidal ideation and report frequent binge While firefighters do wear PPE, their gear does notdrinking. 12-18protect them from all carcinogenic exposures on the fire ground and modern fires burn hotter and dirtierConsider screening for behavioral health issues, than ever before. 10 suicidal thoughts, and substance use/abuse such as While studies are evolving to empirically validatebinge drinking.screenings beyond those of the USPSTF forSLEEP DISORDERSfirefighters, experts working with this populationFirefighters are at high risk for sleep disorders strongly suggest considering: (e.g. sleep apnea, insomnia, shift-work disorder, and Discussing pros and cons of tracking PSA annuallyrestless leg syndrome). 13,19starting at age 40Colorectal cancer screening beginning at age 40 Based on the substantially high rate of sleep disorders, experts in firefighter health recommend aggressive Cervical cancer screening every 1-3 years based onscreening and treatment for sleep disorders.risk factorsAnnual mammograms beginning at age 40 LUNG DISEASEAnnual testicular exam and instruction forFirefighters are often exposed to products of self-examination combustion that may lead to acute respiratory issues Annual head-to-toe skin examination and(i.e.: hypoxemia, bronchoconstriction). 20Repeated appropriate dermatology follow-up exposure may cause chronic pulmonary disease and Urinalysis annually for microscopic hematuria abnormal lung function. 21,22Based on risk factors, experts in firefighter health CANCERS found to be recommend considering:increased among Firefighters Baseline Chest X-ray and repeat imaging as clinically indicatedBrain 4,6,7 Colon 8,9 Bladder 5,8,9 Low dose CT for screening of lung cancer in high-risk Non-HodgkinCervical 9 Mesothelioma 4,8,9individualsLymphoma 4,8,9 Prostate 4,6-9 Rectum 4,5,8 Regular spirometry to include FEV1, FVC, and the Leukemia 74,6,8,9 5 absolute FEV1/FVC ratio if clinically indicatedBreast 10Testicular IntestinesMelanoma 6-9Stomach 4 Lung 5Kidney 5,7 Thyroid 6,8 Esophagus 5,7 Sponsored by:Multiple Myeloma 4,7CARCINOGENSfound in smokeCarbon Monoxide Hydrogen CyanideHydrogen Chloride AsbestosSulfur Dioxide FormaldehydePCB Benzene PAH Click here bit.ly/3yX8lfAor Scan the QR code Chloroform Styrene for Screening Tools, Resources & More63'