Firefighters are exposed to several potentially carcinogenic fireground contaminants. The current NFPA 1851 washing procedures are less effective in cleaning due to the limited intensity of the washing conditions that are used. The 2020 edition of NFPA 1851 has added limited specialized cleaning for higher efficacy. The liquid carbon dioxide (CO2) laundering technique has gained popularity in recent years due to its availability to remove contaminants and its eco-friendliness. The primary aim of this study is to address the firefighter questions regarding the efficacy of cleaning with liquid CO2 and to compare it with the conventional washing technique. The unused turnout jackets were contaminated with a mixture of fireground contaminants. These turnout jackets were cleaned with conventional NFPA 1851-appoved aqueous washing and a commercially available liquid CO2 method. Post-cleaning samples were analyzed for contamination using pressurized solvent extraction and GC-MS. The liquid CO2 technique demonstrated considerable improvement in washing efficiency compared to the conventional washing.

The term “firefighter” and “cancer” have become so intertwined in the past decade that they are now nearly inseparable. Occupational exposure of firefighters to carcinogenic chemicals may increase their risk of developing different types of cancer. PFAS are one of the major classes of carcinogenic chemicals that firefighters are exposed to as occupational hazard. Elevated levels of PFAS have been observed in firefighters’ blood serum in recent studies. Possible sources of occupational exposure to PFAS include turnout gear, aqueous film-forming foam, and air and dust at both the fire scene and fire station. Preliminary discussion on PFAS includes definition, classification, and chemical structure. The review is then followed by identifying the sources of PFAS that firefighters may encounter as an occupational hazard. The structural properties of the PFAS used in identified sources, their degradation, and exposure pathways are reviewed. The elevated level of PFAS in the blood serum and how this might associate with an increased risk of cancer is discussed. Our review shows a significant amount of PFAS on turnout gear and their migration to untreated layers, and how turnout gear itself might be a potential source of PFAS exposure. PFAS from aqueous film-forming foams (AFFF), air, and dust of fire stations have been already established as potential exposure sources. Studies on firefighters’ cancer suggest that firefighters have a higher cancer risk compared to the general population. This review suggests that increased exposure to PFAS as an occupational hazard could be a potential cancer risk for firefighters.

The concern for firefighters’ occupational exposure to harmful contaminants is growing due to the increase in health issues in the firefighting community. At such times, effective decontamination of personnel and equipment is an essential component of a hazard mitigation strategy. The current decontamination practices used for firefighter protective clothing have been shown to not be very effective. Hence, the scientific community is looking for several alternatives to conventional washing procedures. Liquid carbon dioxide (CO2) has been used in laundering and has distinct advantages over conventional dry-cleaning solvents such as perchloroethylene. The following study is aimed to assess how different washing procedures affect the durability of the turnout material. The study includes using three washing procedures on different samples: 1) conventional washing procedure, 2) liquid CO2 washing procedure, and 3) a high-temperature washing procedure. Samples for durability testing were constructed from a common aramid fabric used in firefighter turnout ensembles. These swatches were subjected to different washing techniques. The durability assessment was performed for physical testing of the samples, visual inspection, water repellency, and quantifying color changes using spectrophotometric analysis. The conventional wash and high-temperature washing affected the durability of the outer shell material in a significant manner. The liquid CO2 process did not affect the samples’ water repellency or physical strength. In contrast, conventional and high-temperature washing significantly affected the durability of the outer shell material. However, all samples met the criteria for tearing strength outlined in the NFPA 1971 standard subsection 7.1.11.