Tuesday, July 9, 2024

MASSACHUSSETTS DFS: VIGILANT CANCER SCREENING SUPPORT OF THE FIRE SERVICE


“Firefighters risk their lives and safety to protect their communities from danger. But the leading cause of death in the fire service isn’t fires or explosions – it’s occupational cancer. Our administration proudly supports the Department of Fire Services’ work to promote cancer awareness, prevention and early detection among Massachusetts firefighters. We are deeply grateful to our partners in the fire service and medical community for raising awareness of this life-or-death issue, and to our partners in the Legislature for supporting the funding that makes our screening programs, safety equipment grants, and other initiatives possible.”
- Governor Maura Healey of Massachusetts  7/26/2024

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VIDEO EXTRA:
Chief Russ Osgood (FCSN) introduces the National FF Skin Cancer Screening Initiative under a partnership with the American Academy of Dermatology


The Firefighter Cancer Support Network in partnership with the American Academy dermatologist is providing skin cancer screenings nationwide. Co-coordinator Chief Russ Osgood credits the fine work of Dr. Christine Kannler in the Massachusetts Fire Service and beyond. Dr. Kannler has also been involved with a training program that the Firefighter Cancer Support Network has developed which included free skin cancer screening. This task force is made possible by AFG grants and the US Fire Administration.  
(Complete interview & feature story)


MASSACHUSETTS DEPT. OF FIRE SERVICE DRIVES CANCER SCREENING TO ALL FIRST RESPONDERS

On June 9, 2024, DermScan News and HealthTech Reporter continued their review of the national joint skin cancer screening task force by the AAD and the Firefighters Cancer Support Network. We earned new insight on the foundation of Dr. Christine Kannler's crusade with an interview with MR. JAKE WARK, public information officer for the Massachusetts Department of Fire Services (DFS).  

Mr. Wark described his agency's commitment to the Massachusetts fire service which includes the municipal fire departments and those fire departments on military bases across the Commonwealth of Massachusetts. "We do that in a few different ways; through hazardous materials response, operational support at major fire and emergency scenes, firefighter training and operational capabilities including the Firefighter Cancer Awareness Prevention and Early Detection program." 

Source: facebook.com/MassDFS

Our publishers honor the Mass. DFS and its leaders as true role models for a national blueprint for all states when it comes to prevention and early detection for ALL fire service personnel.  According to Dr. Robert Bard, medical diagnostic advisor for the Firefighters Against Cancer & Exposures and NYC radiologist, "Studying their cancer awareness and screening programs earmark a most well thought-out set of initiatives for monitoring their members' health (from the critical nature of occupational hazards) both during their service and after.  To have municipal and governmental bodies collaborate and partner with outside medical professionals like Dr. Kannler, you're (finally) getting the best strategies and proper care for the firefighters.  All states can learn from this model.  In a word, Massachusetts DFS is doing it RIGHT!"


Part 2: FROM THE DFS INTERVIEW: by Jake Wark


The DFS was created in 1996 to bring several fire service functions under one roof (some going back almost 130 years) The state fire marshal's office was created in the 1890s to support with fire investigation. Under the same roof, we have the Massachusetts Firefighting Academy which trains firefighters for most of the cities and towns in Massachusetts. Our recruit programs serve career, call, and volunteer firefighters. (In Massachusetts, about 70% of our cities and towns are served, at least in part by call and volunteer firefighters.)


The Fire Academy also provides in-service training for veteran and experienced firefighters up to and including chief officers. We provide, coordinate and deploy the hazmat teams that serve the entire state from six different regions. The cancer Firefighter Cancer Awareness Prevention and Early Detection program has really grown over the past several years- since around 2018, when we started partnering with Dr. Kannler. 

The cancer program really started with skin cancer and a partnership with Dr. Kannler whose primary focus is on skin cancer (understandably) because she's a dermatologist. But cancer in many forms is much more common among firefighters than the general public that they protect. Many of us think of the fact that products of combustion today, the smoke and the toxins that are contained in that smoke are very different than they were 20, 30, 40 years ago.  We used to see natural materials like wood and cotton burning in house fires, but today, it's plastics, it's synthetics... and those all release toxic and carcinogenic chemicals when they burn. 

Since inception, our cancer program has really expanded through the years to the point where we began offering oral cancer screenings, chest CT scans and PSA blood tests.  In the past year, we began offering mammograms and ultrasounds through contracted vendors. We're really trying to support firefighters with the services that are most appropriate to them. One of the reasons that this is important is that municipal firefighters (in many cases) will not have insurance coverage for those screenings. We want to offer screenings as early as possible because they are more likely to receive an early cancer diagnosis but less likely to have screening covered by their insurance at the appropriate age. Unfortunately, firefighters are more likely to be diagnosed with these cancers much earlier than the public that they protect.

These screenings are offered at no cost to the firefighter or the fire department. These are funded through the very generous support of the Massachusetts legislature, supported by Governor Maura Healy and her administration alongside the Executive Office of Public Safety here in Massachusetts. We are really lucky to have that support in state government. Our screenings are also available to retired Massachusetts firefighters as well as those on active duty.  We recognize that in many cases, firefighters are retiring after a lifetime of service, during which they've responded to some very dangerous calls. They were exposed for many years to the hazardous products of combustion and our programs remain available to them as well. 

The Department of Fire Services has always been a service and support agency. The crystallization that occupational cancer was something we needed to confront came about in the late 2010's. It became a topic of increased conversation, awareness and concern among the fire departments in Massachusetts and among our PA public safety leaders.


This feature is sponsored by:

In a recent episode of RESPONDER RESILIENCE, Lt. Guiler (female firefighter and breast cancer survivor) promotes female firefighter dolls that are beacons of empowerment for young girls, introducing them to the world of firefighting (featured on Good Morning America, Kelly Clarkson Show, Woman’s World Magazine)  A portion of the proceeds will go to the Triple F Foundation- a 501(c)(3) non-profit charity, to help firefighters who are battling cancer & on the job injuries. 





Brain Health Education and Training for First Responders (Part 1)

BRAIN WELLNESS SUPPLEMENTAL:
By Marilyn Abrahamson, MA,CCC-SLP-CBHC

First responders, including police officers, firefighters, and emergency medical personnel, face high-stress situations every day, putting immense pressure on their mental and physical well-being. The demanding nature of their jobs requires peak cognitive performance and quick decision-making abilities. With this in mind, brain health education and training are critical to ensure their cognitive function remains sharp, and to enable them to cope with their occupational challenges.

It is important to begin by offering instruction on lifestyle options that support a healthy brain. These brain-healthy lifestyle options include:

1) Mediterranean or MIND Diet:  A brain-healthy diet, such as the Mediterranean diet, or the MIND diet, plays a pivotal role in supporting cognitive health. Rich in fruits, vegetables, whole grains, healthy fats, and lean proteins, both diets provide essential nutrients that promote brain function. Omega-3 fatty acids found in fish, for example, have been associated with improved memory and cognitive performance. By adopting such a diet, first responders can properly nourish their brains, and enhance their ability to quickly and accurately process information while under stress.

2) Exercise:  Regular physical activity has profound effects on brain health. Exercise increases blood flow to the brain, delivering essential nutrients and oxygen crucial for optimal cognitive performance. Additionally, it stimulates the release of neurotransmitters like dopamine and endorphins, reducing stress and anxiety while improving mood and overall mental well-being. Incorporating exercise routines into their daily lives can enhance the cognitive resilience of first responders.
3) Sleep: Adequate sleep is vital for memory consolidation and cognitive restoration. The demanding and often irregular schedules of first responders can disrupt their sleep patterns, leading to cognitive fatigue and impaired decision-making. Educating them about the significance of sleep hygiene and stress-reduction techniques can improve their sleep quality, ensuring they remain mentally sharp and attentive during critical situations.

4) Stress Management: High-stress situations are an inherent part of a first responder's profession, leading to increased levels of cortisol and other stress hormones. Chronic stress can negatively impact the brain's structure and function, leading to cognitive decline over time. Implementing stress management techniques like mindfulness, deep breathing, and relaxation exercises can help mitigate the damaging effects of stress on the brain.

5) Lifelong Learning: Encouraging first responders to engage in lifelong learning activities fosters cognitive reserve. Cognitive reserve refers to the brain's ability to adapt and function effectively despite age-related changes or brain injuries. Pursuing continuing education, learning new skills, or engaging in mentally stimulating activities like puzzles, language learning, or music can enhance cognitive flexibility and creativity, making them better equipped to handle complex and unpredictable situations.

6) Brain Training and Compensatory Strategy Education: In addition to brain-healthy lifestyle choices, targeted brain training programs can significantly improve cognitive function among first responders. Cognitive training focuses on enhancing specific cognitive abilities such as attention and memory through structured exercises and techniques.

7) Attention Training: First responders must maintain vigilant attention to assess situations rapidly and accurately. Cognitive training programs can help them develop sustained attention, allowing them to concentrate on critical details for prolonged periods without succumbing to distractions. These programs often include exercises involving visual and auditory stimuli, forcing responders to remain focused amidst external interruptions.

8) Memory Training: Memory lapses during high-pressure situations can have severe consequences. Memory training interventions can help first responders improve their short-term and working memory capacities. Techniques such as visualization, chunking, and mnemonic strategies can be employed to enhance memory encoding and retrieval, ensuring vital information is readily accessible when needed.

9) Compensatory Strategy Education: Cognitive training also involves instruction in compensatory strategies that empower first responders to work around potential cognitive limitations. These strategies include note-taking, time-management techniques, and organization skills. By incorporating these practices into their daily routines, responders can optimize their cognitive abilities and make more informed decisions under pressure.


MARILYN ABRAHAMSON, MA, CCC-SLP : As a Brain Health Education Specialist at Ceresti Health, Marilyn offers initiatives that supports education and empowerment of family caregivers. She also writes for and edits the Ceresti’s monthly newsletter and produces all brain health education and brain-health coaching programs for caregivers.  Marilyn's prior work is as a NJ Licensed Speech-Language Pathologist since 1987 and is an Amen Clinics Certified Brain Health Coach.





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