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Carcinogen Exposure Risk

Wildfires expose wildland firefighters (WLFFs) to many different types of exposure hazards and risks, including carcinogens (substances that can cause cancer). Common exposures experienced during suppression and prescribed fire operations include smoke, dust, and ash. Additional carcinogenic exposures in the wildland fire environment include diesel exhaust, crystalline silica through work activities performed in ash and soil, asbestos, and radionuclides in certain geographic areas, heavy metals, and sunlight. WLFFs can be exposed to these hazards through inhaling, ingesting, and absorbing through the skin or mucous membranes.

Image
Infographic of IARC Monographs Vol. 132: occupational exposure as a firefighter

 

 

In 2022, the International Agency for Research on Cancer (IARC) determined that “occupational exposure” as a firefighter was classified as “carcinogenic to humans” based on “sufficient” evidence for cancer in humans. This evaluation considered exposure and health studies from structural and wildland firefighters. The magnitude and frequency of exposure to carcinogens in the wildland environment vary, and traditional exposure reduction methods may be difficult to implement. Current recommended mitigation strategies to reduce exposure to carcinogens include:

Reduce exposure to dermal hazards

  • Implement hygiene practices for yourself and your gear and equipment.
  • “Cold trail” only to the extent of what is needed to secure your area.
  • When possible, shower or use a “bath-in-a-bag” to remove residual soot/ash from the skin.
  • Wear clean clothing and when possible, wash your clothing, often. If unable to launder, exchange clothing when on incidents. Clean high-touch surfaces in vehicles and workplaces.
  • Protect your skin from sun exposure. Apply sunscreen to sun-exposed areas (following manufacturer’s instructions).

Reduce exposure to inhalation and ingestion hazards

  • Establish mop-up criteria that allow resources to secure their area based on fire behavior, fuels, and topography.
  • Rotate fire personnel in and out of areas with high unavoidable smoke exposure.
  • Use air resource advisors to monitor and address smoke concerns at fire camps.
  • Locate Incident Command Posts (ICPs) and remote camps where the least smoke impact is practicable.
  • When provided, use the ventilated sleeping trailers.

WLFFs and incident management personnel prioritize health and safety, however, it is important to note that not all mitigation strategies will be applicable in all settings. Understanding your risk and implementing mitigation options where and when possible, may reduce your overall exposure.

Discussion Question:

  • What are specific ways you can minimize your exposure in various work scenarios? Think through shifts when you experienced exposure to carcinogenic hazards and implemented strategies to reduce your risk.
Category
Firefighter Health & First Aid
References
NWCG Incident Response Pocket Guide (IRPG), PMS 461
Interagency Standards for Fire & Fire Aviation Operations (Red Book)
International Agency for Research on Cancer (World Health Organization), Occupa…

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NWCG Latest Announcements

ETC Equipment Bulletin: 25-003 Flame-Resistant Shirt Survey

Date: June 12, 2025
Questions?  Please contact:
Equipment Technology Committee

The U.S. Forest Service National Technology and Development Program (NTDP) is seeking input on the Forest Service-designed flame-resistant (FR) shirt, currently available through the National Interagency Support Cache system and FedMall.

NTDP is conducting a product review to improve future FR shirt designs. As part of this effort, a short survey is now open for federal employees who have worn any of three recent FR shirt models. Feedback will guide design improvements to better meet the needs of wildland firefighters.

To comply with the Paperwork Reduction Act, responses are limited to federal employees. The survey is open through September 12, 2025. 

References:

NWCG Alerts

ETC Equipment Bulletin: 25-003

NEW! S-130, Firefighter Training (Blended) Now Available

Date: June 10, 2025
If you have questions, please visit our FAQ page. 
If your question is not answered there, you can 
submit your question using our Contact Us form. 
 

The S-130, Firefighter Training (Blended), equips new wildland firefighters with essential skills through a mix of online learning and hands-on training. The course features a required online component and an instructor-led exercise, reinforcing online concepts with practical performance-based training.

The course builds competencies in wildland fire operations, safety, and equipment use, applicable across various operational environments. Both the online component and instructor-led field exercise must be completed to receive a certificate of completion. Students are required to finish the prerequisite S-190, Introduction to Wildland Fire Behavior, before enrolling in S-130, Firefighter Training (Blended).

References:

S-130, Firefighter Training (Blended)

S-190, Introduction to Wildland Fire Behavior

Wildland Fire Learning Portal

EMC Memo 25-001: Interim Rapid Extraction Module (REMS) Training and Qualification Requirements

Date: June 3, 2025
Questions?  Please contact:
Emergency Medical Committee

The Emergency Medical Committee has issued interim guidance for Rapid Extraction Module Support (REMS) teams. Until further notice, Type I and II REMS teams must designate a team leader qualified at Firefighter Type 1 Squad Boss (FFT1) or higher. This temporary change replaces the Single Resource Boss (SRB) requirement, which is currently not feasible due to administrative barriers.

This memorandum does not include any other changes to the NWCG Standards for Rapid Extraction Module Support, PMS 552. This interim change takes effect immediately and will remain in place until further notice.

References:

EMC Memo 25-001: Interim Rapid Extraction Module (REMS) Training and Qualification Requirements

NWCG Standards for Rapid Extraction Module Support, PMS 552

Equipment Bulletin 25-002: Chaps, Chain Saw, M-2020, Nonconformities Affecting Use, Appearance, and Serviceability

Date: June 2, 2025
Questions?  Please contact:
Equipment Technology Committee

The Equipment Technology Committee issued Equipment Bulletin: 25-002 to address a manufacturing nonconformity affecting Forest Service specification, 6170-4K Chain Saw Chaps. The issue applies to chaps manufactured in 2024 and 2025 and distributed through FedMall. These chaps may have incorrectly bound edges that expose inner protective layers.

Independent purchasers should inspect all chain saw chaps received from FedMall beginning in 2024, prior to use. Review the full Equipment Bulletin: 25-002 for inspection criteria and recommended actions.

References:

NWCG Alerts

ETC Equipment Bulletin: 25-002