Firefighting and melanoma, epidemiological and toxicological associations: a case report

Brinchmann, Bendik Christian; Bugge, Merete; Nordby, Karl-Christian; Alfonso, José Hernán

doi:10.1093/occmed/kqab183

Cited by 4 publications

(1 citation statement)

References 14 publications

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“…Many pollutants generated at disaster sites, including fires, are associated with chronic health outcomes, such as cancer [23,[38][39][40][41]. The emergency decontamination of PPE is very important for firefighters because the dust generated at disaster sites, such as fires, can be absorbed through the respiratory system and skin [23].…”

Section: Efforts Interventions and Implications For Practicing Occupa...mentioning

confidence: 99%

Associations between Recognition and Behaviors Regarding the Use, Washing and Management of Firefighting Protection Suits and Public Health Awareness of Occupational Exposure Risks among Firefighters

Kim,

Ham

2024

Fire

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The firefighting protective suits (FPSs) of firefighters at fire scenes affect their health and safety. However, the association between firefighters’ health awareness of occupational exposure risks and the FPS use, washing and management remains unclear. Therefore, this study aimed to evaluate the association between firefighters’ health awareness of occupational exposure risks and their recognition, behaviors regarding the use, washing and management of FPSs. This study design is a cross-sectional study and used a web-based survey of the Seoul Metropolitan Government’s electronic survey system. The survey was conducted on metropolitan firefighters performing shift work in charge of fire and rescue work for 21 days from 1 to 22 April 2019, with 1097 (40.3%) respondents. Characteristics of FPS use, washing and management and the association between thoughts and behaviors thereof and health awareness of occupational exposure risks were evaluated. Data of 1097 firefighters were analyzed using the SAS 9.4 statistical package, chi-square test and logistic regression analysis. Firefighters’ fire scene awareness rate of possible carcinogens was 94.4%. There was an association between public health thinking of occupational exposure risks and the correct use of an FPS for one’s own safety (AOR 1.97. 95% CI 1.02–3.80). However, no association was shown between correct FPS use (AOR 1.49, 95% CI 0.48–4.59), washing (AOR 2.50, 95% CI 0.93–6.68) and management (AOR 1.38, 95% CI 0.75–2.50) behaviors. This study analyzed the relationship between the use, washing and management of personal protective equipment called firefighting clothing and firefighters perceived occupational exposure risks. This study found an association between the health awareness of occupational exposure risks and recognition of the correct use of FPSs at fire scenes but not between using, washing and managing behaviors of FPSs. This study is the first to analyze the relationship between firefighting clothing and occupational health awareness level. The results confirm that future interventions are required to help firefighters practice desirable behaviors toward FPSs and provided evidenced data for preventing occupational diseases among firefighters. Therefore, this study can be used to develop a firefighter occupational health curriculum and establish health and safety plans from mid- to long-term perspectives for firefighters’ safety against occupational exposure risks.

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Section: Efforts Interventions and Implications For Practicing Occupa...mentioning

confidence: 99%

Associations between Recognition and Behaviors Regarding the Use, Washing and Management of Firefighting Protection Suits and Public Health Awareness of Occupational Exposure Risks among Firefighters

Kim,

Ham

2024

Fire

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A retrospective single‐institute study reveals a vertical gradient of the density of cutaneous melanoma from head to toe

Musicante,

Ferrer,

Lin

et al. 2024

Skin Health and Disease

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BackgroundThe bodily distribution of melanoma is frequently reported without consideration of the skin surface area, which could be misleading in melanoma risk regarding anatomical sites.ObjectivesTo gain insights into the melanoma distribution on the body surface when the body surface area is considered.MethodsCutaneous melanoma data were extracted from a single dermatopathology laboratory, and the relative density from each body site was calculated by taking into consideration the skin surface area. Data from a previous publication were analyzed as a validation. Surveillance, Epidemiology and End Results Program data were also used for comparison.ResultsRelative tumour density (RTD) of melanoma in men and women exhibits a moderate head‐to‐toe linear gradient, with the upper body sites showing higher density than the lower body sites in general. In particular, the ear and face show the highest RTD while the least UVR (ultraviolet radiation)‐exposed buttock, abdomen and groin have the lowest, followed by the thigh and lower legs. The trend is similar in both sexes, but more obvious for men.ConclusionsIt was well documented that the trunk and lower legs are the most frequently diagnosed sites for men and women, respectively. However, when the surface area is considered, the melanoma distribution exhibits a rough head‐to‐toe gradient, which perhaps reflects a combined effect of solar UVR and clothing coverage. UVR protection on the face and ear should be emphasized as these are the sites with the highest RTDs.

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In this issue of Occupational Medicine

Moen

2022

Occupational Medicine

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Firefighting and melanoma, epidemiological and toxicological associations: a case report

Cited by 4 publications

References 14 publications

Associations between Recognition and Behaviors Regarding the Use, Washing and Management of Firefighting Protection Suits and Public Health Awareness of Occupational Exposure Risks among Firefighters

Associations between Recognition and Behaviors Regarding the Use, Washing and Management of Firefighting Protection Suits and Public Health Awareness of Occupational Exposure Risks among Firefighters

A retrospective single‐institute study reveals a vertical gradient of the density of cutaneous melanoma from head to toe

In this issue of Occupational Medicine

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