Longitudinally-assessed health impacts of wildland firefighting

荒地消防对健康的纵向评估

• 批准号: 9298855
• 负责人: Curtis William Noonan
• 金额: $ 21.89万
• 依托单位: UNIVERSITY OF MONTANA
• 依托单位国家: 美国
• 财政年份: 2018
• 资助国家: 美国
• 起止时间: 2018-09-01 至 2020-08-31
• 项目状态: 已结题
• 来源: https://reporter.nih.gov/project-details/9298855
• 关键词: Longitudinally; assessed; health; impacts; wildland

ABSTRACT Each year approximately 34,000 men and women participate in wildland fire suppression activities and prescribed burns. Shifts are long and often in rough terrain. Wildland firefighters (WFFs) routinely and repeatedly encounter exposures including particulate matter, carbon monoxide, nitrogen oxides, benzene, silica, and polycyclic aromatic hydrocarbons as well as noise, heat, physical exertion, emotional stress, and disrupted sleep. While studies have investigated the long-term impacts of structural firefighting, little work has explored long-term health in WFFs, a population of particular interest for the NIOSH Public Safety Sector Program's National Occupational Research Agenda (NORA). Aims: We will examine medical screening and employment data collected over 12 years to investigate cross-sectional and longitudinal relationships between occupational wildland firefighting exposure and markers of cardiovascular and respiratory health, and hearing assessed in Department of the Interior Medical Standards Program (DOI MSP) medical screening examinations between 2004 and 2011 and 2014 and 2016. We will emphasize specific, objective measures and biomarkers related to cardiovascular disease (CVD), a priority for the NIOSH Public Safety Sector, as well as hearing loss and pulmonary function in this population of WFFs. Sector and cross sector priorities: Our proposed work, leveraging existing data sources to identify health risks associated with wildland firefighting, is directly responsive to the strategic goals for wildland firefighting put forth in the NORA for the Public Safety Sector Program. Through our assessment of medical screening data and development of a methodology applicable to more extensive surveillance efforts, we will address Surveillance Cross-Sector program priorities. By increasing understanding of the contribution of wildland firefighting to CVD, we also will address an objective of the Cancer, Reproductive, and CVD Cross-Sector Program. Research to Practice: DOI MSP and US Forest Service partners have been closely involved in research needs identification and project design for this application. Continued collaboration with these partners as well as with NIOSH investigators will facilitate translation of findings for improved WFF screening and surveillance. Partners will participate in the dissemination of findings to stakeholders and the broader occupational health and safety community. Outcomes: We will create medical screening and occupational history databases on which screening and surveillance efforts can build and expand knowledge on specific health endpoints of importance in WFFs.

抽象的 每年大约有34,000名男女参加野外火灾抑制活动， 规定的烧伤。轮班很长，经常在粗糙的地形中。野地消防员（WFF）常规 反复遇到包括颗粒物，一氧化碳，氮氧化物，苯，苯， 二氧化硅和多环子芳烃以及噪声，热量，身体劳累，情绪压力和 睡眠中断。尽管研究调查了结构性消防的长期影响，但工作很少 探索了WFF的长期健康，这是NIOSH公共安全部门特别感兴趣的人群 计划的国家职业研究议程（NORA）。目的：我们将检查医疗筛查和 就业数据在12年内收集了研究，以研究 职业野外消防暴露和心血管和呼吸健康的标志，听力 在内部医疗标准计划（DOI MSP）医疗筛查部门评估 2004年至2014年和2014年和2016年之间的考试。我们将强调特定的客观措施 以及与心血管疾病（CVD）相关的生物标志物（NIOSH公共安全部门的优先事项） 作为听力损失和肺功能在这一群体中。部门和跨部门的优先事项：我们的 提议的工作，利用现有数据来源来确定与野外消防相关的健康风险，是 直接响应野外消防的战略目标，为公共安全提供了 部门计划。通过评估医学筛查数据和方法的开发 适用于更广泛的监视工作，我们将介绍监视跨部门计划的优先事项。 通过对野外消防对CVD的贡献的了解，我们还将解决 癌症，生殖和CVD跨部门计划的目标。实践研究：doi MSP和 美国森林服务伙伴一直在研究需求识别和项目设计中 此应用程序。与这些合作伙伴以及NIOSH调查人员继续合作将有助于 调查结果的翻译，以改善WFF筛查和监视。合作伙伴将参加 向利益相关者以及更广泛的职业健康与安全社区传播发现。 结果：我们将创建医疗筛查和职业历史记录数据库 监视工作可以建立和扩大有关WFF中重要健康终点的知识。