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Respiratory Diseases and the Fire Service - IAFF

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4<br />

Introduction<br />

In recognition of <strong>the</strong> causal relationship of <strong>the</strong> fire fighting occupation<br />

<strong>and</strong> respiratory disease, 41 states <strong>and</strong> 7 provinces have adopted some type of<br />

presumptive disease law to afford protection to fire fighters with <strong>the</strong>se conditions.<br />

The states <strong>and</strong> provinces that have occupational disease presumptive laws are<br />

identified in Table 1. Similar legislation is currently being addressed in <strong>the</strong> US<br />

Congress to provide <strong>the</strong> same protection for federal fire fighters.<br />

Table 1: State <strong>and</strong> Provincial Presumptive Disability Laws<br />

All of <strong>the</strong>se laws presume, in <strong>the</strong> case of fire fighters, that heart, respiratory,<br />

<strong>and</strong> infectious diseases, as well as cancer are occupationally related.<br />

Consequently, <strong>the</strong>ir provisions rightfully place <strong>the</strong> burden of proof to deny<br />

worker compensation <strong>and</strong>/or retirement benefits on <strong>the</strong> fire fighter’s employer.<br />

Additionally, many pension <strong>and</strong> workers’ compensation boards in <strong>the</strong><br />

United States <strong>and</strong> Canada have established a history of identifying heart,<br />

respiratory <strong>and</strong> infectious diseases <strong>and</strong> cancer in fire fighters as employment-

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