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Why are active on-duty firefighters likely to experience the adverse health effects Answer

Why are active on-duty firefighters likely to experience the adverse health effects from inhaling 300 ppm of carbon monoxide faster than nonactive off-duty firefighters who inhale the same concentration of the same substance? Explain your answer using the chemicals/process involved.

Answer: The active on-duty firefighters likely to experience the adverse health effects from inhaling 300 ppm of carbon monoxide faster than nonactive off-duty firefighters who inhale the same concentration of the same substance because
Breaths per minute and pulse on someone just finishing a work out are higher than someone with a low and stable system. So the ACTIVE guy will breathe in more, and deeper into the lungs, compared to someone that didn’t. Then the rate of carbon monoxide that enters into the bloodstream will be faster.
A smoke, from simple wood fires, is hazardous and lethal with concentrated inhalation. Smoke is a variable combination of compounds. The toxicity of smoke depends on the fuel, the heat of the fire and whether or how much oxygen is available for combustion. Fire-fighters on the scene of a fire are frequently exposed to carbon monoxide, hydrogen cyanide, nitrogen dioxide, sulphur dioxide, hydrogen chloride, aldehydes and organic compounds such as benzene. Different gas combinations present different degrees of hazard. Only carbon monoxide and hydrogen cyanide are commonly produced in lethal concentrations in building fires.

Carbon monoxide is the most common, characteristic and serious acute hazard of firefighting. Carboxyhaemoglobin accumulates rapidly in the blood with duration of exposure, as a result of the affinity of carbon monoxide for hemoglobin. High levels of carboxyhaemoglobin may result, particularly when heavy exertion increases minute ventilation and therefore delivery to the lung during unprotected firefighting. There is no apparent correlation between the intensity of smoke and the amount of carbon monoxide in the air. Fire-fighters should particularly avoid cigarette smoking during the clean-up phase, when burning material is smouldering and therefore burning incompletely, as this adds to the already elevated levels of carbon monoxide in the blood.

One of the major contributing factors to mortality and morbidity in fires is hypoxia because of oxygen depletion in the affected atmosphere, leading to loss of physical performance, confusion and inability to escape. The constituents of smoke, singly and in combination, are also toxic.

The various health risks that a fire fighter suffers are:

Health Risks

The health risk of firefighting includes trauma, thermal injury and smoke inhalation. The chronic health effects that follow recurrent exposure have not been so clear until recently. The occupational risks of fire-fighters have received a great deal of attention because of their known exposure to toxic agents. There are a number of unusual epidemiological characteristics that influence the interpretation of studies of fire-fighters and their occupational mortality and morbidity. Fire-fighters do not show a strong “healthy worker effect” in most studies.


Lung Cancer

Lung cancer has been the most difficult cancer site to evaluate in epidemiological studies of fire-fighters. A major issue is whether the large-scale introduction of synthetic polymers into building materials and furnishings after about 1950 increased the risk of cancer among fire-fighters because of exposure to the combustion products. Despite the obvious exposure to carcinogens inhaled in smoke, it has been difficult to document an excess in mortality from lung cancer big enough and consistent enough to be compatible with occupational exposure.

There is evidence that work as a fire-fighter contributes to risk of lung cancer. This is seen mostly among fire-fighters who had the highest exposure and who worked the longest time. The added risk may be superimposed on a greater risk from smoking.

Heart Disease

There is no evidence for an increased risk of death overall from heart disease. There is some evidence from clinical studies, to suggest a risk of sudden cardiac decompensation and risk of a heart attack with sudden maximal exertion and following exposure to carbon monoxide. This does not seem to translate into an excess risk of fatal heart attacks later in life, but if a fire-fighter did have a heart attack during or within a day after a fire it would be reasonable to call it work-related. Each case must therefore be interpreted with knowledge of individual characteristics, but the evidence does not suggest a generally elevated risk for all fire-fighters.


Cancer at Other Sites

Cancer at other sites has shown to be more consistently associated with firefighting than lung cancer.

The evidence is strong for genito-urinary cancers, including kidney, ureter and bladder. Except for bladder, these are rather uncommon cancers, and the risk among fire-fighters appears to be high. One might doubt (or rebut) the conclusion in an individual case would be heavy cigarette smoking, prior exposure to occupational carcinogens, schistosomiasis (a parasitic infection-this applies to bladder only), analgesic abuse, cancer chemotherapy and urologic conditions that result in stasis and prolonged residence time of urine in the urinary tract.

Cancer related to brain and central nervous system has shown highly variable findings in the extant literature, but this is not surprising since the numbers of cases in all reports are relatively small. The increased relative risks for lymphatic and hematopoietic cancers appear to be unusually high.

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