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.

摘要 每年约有34,000名男女参加荒地灭火活动和 处方药烧伤。轮班时间很长，而且往往是在崎岖的地形上。荒野消防员(WFFS)常规和 反复接触颗粒物、一氧化碳、氮氧化物、苯、 二氧化硅和多环芳烃，以及噪音、高温、体力消耗、情绪压力和 打乱了睡眠。虽然研究已经调查了结构性灭火的长期影响，但几乎没有工作 探索WFFS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)。目标：我们将检查医疗筛查和 12年来收集的就业数据，以调查两国之间的横向和纵向关系 职业性野外灭火暴露与心血管和呼吸健康以及听力的标志 在内政部医疗标准计划(DOI MSP)的医疗筛查中进行评估 2004年至2011年和2014年至2016年之间的考试。我们将强调具体、客观的措施 和与心血管疾病(CVD)相关的生物标记物，也是NIOSH公共安全部门的优先事项 在这些WFFS人群中，听力损失和肺功能。部门和跨部门优先事项：我们的 拟议的工作，利用现有的数据源来确定与荒地灭火相关的健康风险，是 直接响应《国家公共安全法》提出的野地消防战略目标 部门计划。通过我们对医疗筛查数据的评估和开发一种方法 适用于更广泛的监控工作，我们将解决监控跨部门计划的优先事项。 通过加深对荒地灭火对心血管疾病的贡献的了解，我们还将解决 癌症、生殖和心血管疾病跨部门计划的目标。从研究到实践：DOI MSP和 美国林业局合作伙伴一直密切参与研究需求确定和项目设计 这个应用程序。与这些合作伙伴以及NIOSH调查人员的持续合作将促进 翻译调查结果，以改进世界卫生组织的筛查和监测。合作伙伴将参与 向利益攸关方和更广泛的职业健康和安全社区传播调查结果。 结果：我们将创建医疗筛查和职业史数据库，在数据库上进行筛查和 监测工作可以建立和扩大关于WFFS中重要的特定卫生端点的知识。