Contamination Control Campaign Workshop Introduction and Overview

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Welcome and Call to Order Presenters: Casey C. Grant, Research Foundation Ned Pettus, Columbus Safety Director 2 Introduction / Opening Remarks Workshop Agenda Casey Grant, Executive Director Fire Protection Research Foundation Meeting logistics Ned Pettus, Columbus Safety Director Former Chief, Columbus Fire Department Former Member, NFPA Board of Directors Welcome 3 4 Project Overview Project Coordination DHS AFG R&D Grant 1 year project Project Partners Fire Industry Education Resource Organization (F.I.E.R.O.) International Personnel Protection, Inc. Peg Paul & Associates http://www.nfpa.org/news-and-research/resources/fireprotection-research-foundation/currentprojects/campaign-for-fire-service-contamination-control 5 Oversight, creation of panel Workshop logistics and compilation of feedback Development of campaign elements and key content Creation of theme and promotional materials 6 Fire Protection Research Foundation 1

Project Approach Project Objective Workshop planning / Information development Workshop execution / Participant feedback Finalize elements / Implement campaign To develop and facilitate the outreach of an educational campaign to control the spread of harmful fire ground contaminants, ultimately in support of improved fire fighter long-term health. This will be accomplished by identifying and addressing stakeholder gaps for the control of contaminants adversely impacting fire fighter health through a process of generating, clarifying and prioritizing specific recommended best practices. 7 8 Participant Questionnaires Intended to capture key feedback during workshop Some questions integrated into presentations Selected questions will be used to facilitate group discussion Questions have codes and numbers related to presentation topic and overall order Overview of Fire Service Contamination Issues Presenter: Jeffrey O. Stull, International Personnel Protection, Inc. 9 10 Original Project Scope Review published literature Establish information hierarchy Identify gaps in standards Examine practices in related industries Review past and current research Generate proposed intervention strategies Fire Service Contamination Control Report Findings Best Practices October 2017 Adopted Project Philosophy Position information to evolve and be updated Permit utility by a wide range of individuals within and outside the fire service Establish accessibility through a range of forums Provide information in an actionable form and create opportunities for increased awareness and adoption of standard practices 11 12 Fire Protection Research Foundation 2

New Project Outputs Proposed Dissemination 1. Overview of fire service contamination issues 2. Interactive, searchable research and literature database 3. Standards resource database 4. Synthesized suggested fire service best practices 5. Descriptions of contamination control practices in parallel, related industries 6. Question / answer forum 7. Glossary of terms 13 Related Industries Best Practices White Paper Central Website Standards Resources Literature Database Proposed platform Website Other outreach Q&A Forum Glossary Social media Establish to allow updates and evolve to meet fire service needs 14 Understanding Contamination Exposure likelihood Method of exposure Persistency Chemical: volatility Biological: viability Relative hazard Acute Chronic Ease of detection Types Missions Locations Equipment Mitigation Scope: Contamination Types Products of Combustion Asbestos Chemicals Blood and potentially infectious body fluids Infectious bacteria, viruses, and spores 15 16 Scope: Fire Service Missions Scope: Exposure Locations Structural Fires HazMat Response EMS Wildland Fires Technical Rescue 17 On Fireground Inside Apparatus At Fire Station 18 Fire Protection Research Foundation 3

Scope: Equipment Scope: Mitigation Methods Turnout Gear Fire Hose Tools 19 On Scene Gross Decontamination Laundering of Turnout Gear Source Capture of Apparatus Diesel Exhaust 20 Case Study: PCB Transformer Fire Transformers caught fire in basement of state office building Dioxins in smoke produced by burning of PCB-containing oil spread throughout building Firefighters responded in normal turnout gear; bodies covered with contaminated soot Case Study: PPE Storage New firefighter gear stored at water treatment facility Exposed to low levels of chlorine and other chemicals Firefighter claims skin and neurological issues 21 22 Case Study: Gas Station Fire Case Study: MRSA Outbreak Protracted gas station fire and explosion; heavy smoke Veteran firefighter of moderate size department Some ensemble items not cleaned after event Suffers early onset Alzheimer's and encephalopathy 23 Over dozen probational firefighters at large metropolitan fire department diagnosed with MRSA Fire department believed outbreak due to poor cleaning of turnout gear Associated with knee wounds cause by training New washing and modified training procedures instituted 24 Fire Protection Research Foundation 4

Other Unique or Illustrative Cases? Your Experiences? 25 Proposed White Paper Purpose: raise awareness of fire service on contamination issues Overall length: 6 to 8 pages Key points: Broad contamination hazards exist throughout the fire service (more than just cancer concern) Gaps in addressing contamination: not all missions, locations, and equipment are being addressed Comprehensive approaches are needed to limit exposure to contamination and limit transfer 26 White Paper Elements White Paper Elements (continued) The contamination problem in the fire service Examples of contamination and how firefighters are being exposed Development of contamination control program and application of best practices Recognition of contamination sources Protective measures Isolation of contaminated items Post exposure cleaning and decontamination Maintenance of hygiene for firefighters, apparatus, stations 27 State of research in contamination control Current gaps in controlling contamination Available resources References 28 White Paper Use & Accessibility Utility for organizations Awareness for fire service Justification of instituting change in specific departments Identification of industry needs Available forms Print / Downloadable PDF PowerPoint Presentation Video Other? 29 White Paper Questions WP1 Does proposed white paper contain appropriate level of detail? WP2 Do you feel that firefighters face broader issues than increased rates of cancer? WP3 Was the information presented for the white paper useful to you? WP4 Will you be able to use information [in white paper] to affect change in your organization? 30 Fire Protection Research Foundation 5

White Paper Questions (continued) WP5 What categories/resources/information could be included in the white paper to help you take action/ affect change? WP6 Who do you think are the principal audiences for the white paper? WP7 How do you expect to access the white paper? 31 Fire Protection Research Foundation 6