NFPA Journal - Fall 2023 - 38

Perspectives
about these firefighters' work history of
exposures. This will be used to evaluate
how those work factors relate to cancer
outcomes over time and help answer
the questions that remain about firefighters'
cancer risk.
How many firefighters are you
hoping will participate in this
project, and how many do you
need to participate to draw
meaningful conclusions?
That's a great question. Our goal is to
enroll 200,000 firefighters over the
next several years, but we really want
all firefighters in the United States to
enroll-and that's about a million firefighters.
Most firefighters will enroll
through our open enrollment routes
via our web portal, but we will also be
reaching out to specific fire departments
to do more targeted enrollment.
The targeted enrollment creates a
sample population that is less vulnerable
to some of the selection biases we
might get through the portal. It gets
really complicated, but by doing the
targeted enrollment, we actually won't
need quite as many firefighters to draw
some of those statistical conclusions.
But ultimately we want as many firefighters
as we can get.
How will you track these exposures
and what is required of firefighters
once they sign up?
Part of the enrollment process is a
questionnaire that collects information
about firefighters' work history.
This includes information about what
they've done over their career, what
fire departments they've worked at, an
estimate of how many fire responses
they've had, etc. That will serve as a
kind of jumping-off point to understand
exposures. Then we will have
optional follow-up questionnaires
later, where we'll try to capture some
longitudinal information over time on
their exposures. We're also interested
in trying to capture incident records
from fire departments so we can better
understand what firefighters in the
registry are doing at their departments.
Eventually, with the National Fire
Incident Reporting System (NFIRS)
being updated by the United States Fire
Administration (USFA), we may be able
to collaborate with USFA to capture
some of that exposure and response
information through NFIRS.
If you were able to get data directly
from NFIRS, would the data collection
be more or less automated?
Yes, and probably more reliable, too.
Collecting self-reported information
from firefighters has some limitations,
especially when you're looking
Studies have shown
that fireground events
can expose firefighters
to an array of toxins,
including carcinogens.
38 | NFPA JOURNAL * FALL 2023
DAVID L. RYAN/THE BOSTON GLOBE VIA GETTY IMAGES

NFPA Journal - Fall 2023

Table of Contents for the Digital Edition of NFPA Journal - Fall 2023

Contents
NFPA Journal - Fall 2023 - Cover1
NFPA Journal - Fall 2023 - Cover2
NFPA Journal - Fall 2023 - 1
NFPA Journal - Fall 2023 - 2
NFPA Journal - Fall 2023 - 3
NFPA Journal - Fall 2023 - 4
NFPA Journal - Fall 2023 - 5
NFPA Journal - Fall 2023 - Contents
NFPA Journal - Fall 2023 - 7
NFPA Journal - Fall 2023 - 8
NFPA Journal - Fall 2023 - 9
NFPA Journal - Fall 2023 - 10
NFPA Journal - Fall 2023 - 11
NFPA Journal - Fall 2023 - 12
NFPA Journal - Fall 2023 - 13
NFPA Journal - Fall 2023 - 14
NFPA Journal - Fall 2023 - 15
NFPA Journal - Fall 2023 - 16
NFPA Journal - Fall 2023 - 17
NFPA Journal - Fall 2023 - 18
NFPA Journal - Fall 2023 - 19
NFPA Journal - Fall 2023 - 20
NFPA Journal - Fall 2023 - 21
NFPA Journal - Fall 2023 - 22
NFPA Journal - Fall 2023 - 23
NFPA Journal - Fall 2023 - 24
NFPA Journal - Fall 2023 - 25
NFPA Journal - Fall 2023 - 26
NFPA Journal - Fall 2023 - 27
NFPA Journal - Fall 2023 - 28
NFPA Journal - Fall 2023 - 29
NFPA Journal - Fall 2023 - 30
NFPA Journal - Fall 2023 - 31
NFPA Journal - Fall 2023 - 32
NFPA Journal - Fall 2023 - 33
NFPA Journal - Fall 2023 - 34
NFPA Journal - Fall 2023 - 35
NFPA Journal - Fall 2023 - 36
NFPA Journal - Fall 2023 - 37
NFPA Journal - Fall 2023 - 38
NFPA Journal - Fall 2023 - 39
NFPA Journal - Fall 2023 - 40
NFPA Journal - Fall 2023 - 41
NFPA Journal - Fall 2023 - 42
NFPA Journal - Fall 2023 - 43
NFPA Journal - Fall 2023 - 44
NFPA Journal - Fall 2023 - 45
NFPA Journal - Fall 2023 - 46
NFPA Journal - Fall 2023 - 47
NFPA Journal - Fall 2023 - 48
NFPA Journal - Fall 2023 - 49
NFPA Journal - Fall 2023 - 50
NFPA Journal - Fall 2023 - 51
NFPA Journal - Fall 2023 - 52
NFPA Journal - Fall 2023 - 53
NFPA Journal - Fall 2023 - 54
NFPA Journal - Fall 2023 - 55
NFPA Journal - Fall 2023 - 56
NFPA Journal - Fall 2023 - 57
NFPA Journal - Fall 2023 - 58
NFPA Journal - Fall 2023 - 59
NFPA Journal - Fall 2023 - 60
NFPA Journal - Fall 2023 - 61
NFPA Journal - Fall 2023 - 62
NFPA Journal - Fall 2023 - 63
NFPA Journal - Fall 2023 - 64
NFPA Journal - Fall 2023 - 65
NFPA Journal - Fall 2023 - 66
NFPA Journal - Fall 2023 - 67
NFPA Journal - Fall 2023 - 68
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NFPA Journal - Fall 2023 - 70
NFPA Journal - Fall 2023 - 71
NFPA Journal - Fall 2023 - 72
NFPA Journal - Fall 2023 - 73
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NFPA Journal - Fall 2023 - 75
NFPA Journal - Fall 2023 - 76
NFPA Journal - Fall 2023 - 77
NFPA Journal - Fall 2023 - 78
NFPA Journal - Fall 2023 - 79
NFPA Journal - Fall 2023 - 80
NFPA Journal - Fall 2023 - Cover3
NFPA Journal - Fall 2023 - Cover4
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