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HomeMy WebLinkAbout2020-01-28 - Council Meeting - Fort Worth Fire Department Cancer Reduction Efforts - Final Draft for 09-24-19 work session.pptx Chief Jim Davis, Fort Worth Fire Department Cancer Reduction Efforts& Human ResourcesFort Worth Fire Department DivisionCity of Fort Worth Human Resources, Risk Management Barta, Mark Cancer in the Fire Service 2 2005 Valley Solvent Fire–issue Type of facility also impacts the •cars, dumpsters, etc. Several other fires a day from •day. 20 a -are 19Motor Vehicle Accidents (MVAs) •day.3 a -2leaks/spills are fuel , chemical spills, and Mat-Haz•day.3 a -•Fire Call Background Cancer in the Fire Service 3 National Fire Protection Administration (2018)–Source •STRUCTURAL FIRES-THE SMOKE ASSOCIATED WITH ALL FIRES INCLUDING STRUCURAL AND NONTHESE CHEMICALS HAVE BEEN ASSOCIATED WITH CANCER AND FOUND IN TESTS COMPLETED ON •Hydrocarbons•AromaticsPolycyclic •Sulfur Dioxide•Nitrogen Dioxide•Hydrogen Cyanide•Hydrogen Chloride•Benzene•Aldehyde•that contribute to cancerChemicals Texas Legislative Changes to fire fighting activities so that they can be added to the above list.Research is critical to determine if additional cancers can be attributed 4 malignant melanoma; and (e) renal cell carcinoma. Hodgkin’s lymphoma; (c) multiple myeloma; (d) -testis or brain, (b) nonCancer that originates at the (a) Stomach, colon, rectum, skin, prostate, Current Law to Add New Cancers:Modifies Firefighter and EMT Disease PresumptionS.B. 2551 (Sen. Hinojosa/Rep. Burrows) Legislative Session th 86 Fort Worth Fire for 27 different personnel presumptive cancer claims paid out to date related to total of $689,067 has been A•past decadetrending upward over the Claim payments have been •Fire Presumption Cancer Claims Paid by Year 201920182017201620152014201320122011Pre-2011 $250,000 $200,000 $150,000 $100,000 $50,000 $-5 Workman’s Compensation History–Department Cancer in the Fire Service 6 measures can be developedcancers that specifically impact firefighters so proactive conversations on the topic, and encourage more research on Reinforces the need to provide training, offer forums for •receiving a cancer diagnosisFear is an issue as FF’s see peers deal with the anxiety of potentially •data pointsneed time to gather & validate retiree –Unknown number of retirees •time.at this remission currently firefighters in either treatment or 32•with the diagnosis of cancer. $700,000.00 claims for the Fire Department associated -2019 YTD •Cancer Statistics Fort Worth Fire Departmental Fort Worth Fire Department 7 a culture of health and wellness within the fire serviceProactively train firefighters on the risk of cancer, and build –GOAL•or into other peoples homes and businessesLeave the fire at the fire and not take it back to the firehouse -GOAL •Complete a review of current agreements to determine change opportunities•care.involves full spectrum approach to behavioral, cardiac, and cancer Build a comprehensive health and wellness program that -GOAL•care, and a survivorship program.proven methods for education, prevention, detection, pathway to Partner with community leaders and use scientifically -GOAL•Goals-Cancer Reduction Program Fort Worth Fire Department 8 Annual Physical Exam–Texas Health Resources –Huguley•IAFF Local 440•University of Miami Comprehensive Cancer Center•BartaMark –Risk Management •Dr. Argenbright–University of Texas Southwestern (UTSW) •Cancer Reduction Community Resource Partners Fort Worth Fire Department 9 engagement support and -focused the existing cancer committee to peer-Re•Provided education to recruits and firefighters•physical screening tool.Worked with Texas Health Resources (THR) on changes to the •Still waiting on response from the review board•Supported research grant with UTSW Moncrief Cancer Center•Actions taken to raise awareness and reduce cancer risk Fort Worth Fire Department 10 Supplied wipes to firefighters to clean off after fire exposures•Started to provide sunscreen and hats •Instituted a gear cleaning program•Fire gear cleaning protocols •Required physicals•Fire gear in stations•address policy changes, including: Established a Fire Chief Labor Management Committee to •Actions taken to raise awareness and reduce cancer risk Fort Worth Fire Department 11 wornExposure to neck and groin areas even with fire gear properly being •5 sizes -87% are within 4•$3,500.00 a set–Costs associated with second set of gear •Exposure to Diesel and UV rays damages gear•In 2020 that increase to twice annually creating logistical issues•and cleaning FWFD is required to clean gear after every fire and minimum annual inspection •History of wearing it for all types of emergencies and into peoples homes•Goal is to get them out of this gear except for structure fires•Challenges presented by fire gear and exposure points Fort Worth Fire Department causing elements by purchasing fire gear and gear cleaning equipment-potential cancerFire’s cancer reduction budget request focuses on protecting fire fighters from exposure to 12$1,275,000-Proposed Cancer Reduction Budget Fort Worth Fire Department 13 funding opportunities to assist with this initiative. further research on cancer in the fire service, and proactively seek Continue to actively build and develop relationships that will enhance •become increasingly aggressive with screening and education efforts Note: There is a chance that the number of firefighters diagnosed will go up as we •costs associated with the treatmentdetermine the impact that these strategies have on diagnosis and the Risk Management to measure the outcome data to Collaborate with •of the new equipment and procedures in place to reduce risk with the assistance Put policies •the FY20 budget to purchase fire gear and fire gear cleaning systemsWork with Budget and Risk Management to institute a spending plan for •Cancer Reduction Proposed Next Steps Questions?