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Respiratory Diseases and the Fire Service - IAFF

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24 Chapter 1-2 • Occupational Risks of Chest Disease in <strong>Fire</strong> Fighters<br />

Tornling et al 1994: Observed less death related to respiratory disease as<br />

compared to <strong>the</strong> general population. 41<br />

Prezant et al 2002: The first reported series of 332 fire fighters who developed<br />

severe <strong>and</strong> persistent cough, shortness of breath, gastroesophageal reflux,<br />

sinus congestion/drip <strong>and</strong> o<strong>the</strong>r upper/lower respiratory symptoms after<br />

exposure to WTC dust. Evaluation demonstrated that 63% had a bronchodilator<br />

response <strong>and</strong> 24% had bronchial hyperreactivity, both findings consistent<br />

with asthma <strong>and</strong> obstructive airways disease. The clinical <strong>and</strong> physiological<br />

severity was related to <strong>the</strong> intensity of exposure. 29<br />

Ma et al 2005: In <strong>the</strong> most recent study to evaluate mortality in fire fighters<br />

<strong>the</strong>re was a slight but non-significant increase in <strong>the</strong> risk of death from<br />

respiratory disease in female fire fighters as compared to <strong>the</strong> general<br />

population. Decreased risk was seen for <strong>the</strong> male fire fighters. 42<br />

REFERENCES<br />

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Medicine: State of <strong>the</strong> Art Reviews. 1995;10:691-706.<br />

2. Cohen MA, Guzzardi LJ. Inhalation of products of combustion. Ann Emerg<br />

Med. 1983;12:628-632.<br />

3. Bizovi KE, Leilin JD. Smoke inhalation among firefighters. Occupational<br />

Medicine: State of <strong>the</strong> Art Reviews. 1995;10:721-734.<br />

4. Scannell CH, Balmes JR. Pulmonary effects of firefighting. Occupational<br />

Medicine: State of <strong>the</strong> Art Reviews. 1995;10:789-802.<br />

5. Peters JM, Theriault GP, Fine LJ, Wegman DH. Chronic effect of fire fighting<br />

on pulmonary function. N Eng J Med. 1974;291:1320-1322.<br />

6. Musk AW, Peters JM, Wegman DH. Lung function in fire fighters, I: a three<br />

year follow-up of active subjects. Am J Public Health. 1977a;67:626-629.<br />

7. Musk AW, Peters JM, Wegman DH. Lung function in fire fighters II: a five<br />

year follow-up of retirees. Am J Public Health. 1977b;67:630-633.<br />

8. Musk AW, Smith TJ, Peters JM, McLaughlin E. Pulmonary function in<br />

firefighters: acute changes in ventilatory capacity <strong>and</strong> <strong>the</strong>ir correlates.<br />

Br J Ind Med. 1979;36:29-34.<br />

9. Loke J, Matthay RA, Putman CE, Smith GJW. Acute <strong>and</strong> chronic effects of<br />

fire fighting on pulmonary function. Chest. 1980;77:369-373.<br />

10. Musk Aw, Peters JM, Bernstein L, Rubin C, Monroe CB. Pulmonary function<br />

in firefighters: a six-year follow-up in <strong>the</strong> Boston <strong>Fire</strong> Department. Am J<br />

Ind Med. 1982;3:3-9.<br />

11. Sheppard D, Distefano S, Morse L, Becker C. Acute effects of routine<br />

firefighting on lung function. Am J Ind Med. 1986;9:333-340.<br />

12. Horsefield K, Guyatt AR, Cooper FM, Buckman MP, Cumming G. Lung<br />

function in West Sussex firemen: a four year study. Br J Ind Med. 1988;45:116-<br />

121.

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