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 每年约有 34,000 名男女参加荒地灭火活动和 规定烧伤。轮班时间很长，而且经常在崎岖的地形上进行。荒地消防员 (WFF) 经常和 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、热量、体力消耗、情绪压力和 睡眠受到干扰。虽然研究调查了结构消防的长期影响，但很少有工作 探讨了 WFF 的长期健康状况，这是 NIOSH 公共安全部门特别感兴趣的人群 该计划的国家职业研究议程（NORA）。目标：我们将进行医疗筛查并 收集超过 12 年的就业数据，以调查就业之间的横断面和纵向关系 职业性荒地消防暴露以及心血管和呼吸系统健康以及听力的标志 在内政部医疗标准计划 (DOI MSP) 医疗筛查中进行评估 2004年至2011年、2014年至2016年的考试。我们将强调具体、客观的措施 以及与心血管疾病 (CVD) 相关的生物标志物，这也是 NIOSH 公共安全部门的优先事项 该 WFF 人群的听力损失和肺功能。部门和跨部门优先事项：我们的 拟议的工作是利用现有数据源来识别与荒地消防相关的健康风险 直接响应 NORA 公共安全中提出的荒地消防战略目标 部门计划。通过我们对医疗筛查数据的评估和方法的开发 适用于更广泛的监测工作，我们将解决跨部门监测计划的优先事项。 通过加深对荒地消防对 CVD 贡献的了解，我们还将解决一个问题 癌症、生殖和心血管疾病跨部门计划的目标。研究到实践：DOI MSP 和 美国林务局合作伙伴密切参与了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 将研究结果转化为改进 WFF 筛查和监测。合作伙伴将参加 向利益相关者和更广泛的职业健康与安全界传播调查结果。 成果：我们将创建医疗筛查和职业史数据库，在该数据库上进行筛查和 监测工作可以建立和扩展关于 WFF 中重要的特定健康终点的知识。