Title: Firefighter Cancer Assessment and Prevention Study (CAPS) (2021-2023)

Funding: Federal Emergency Management Agency (FEMA) (EMW-2019-FP-00517, PI: Graber and EMW-2015-FP-00213, PI: Burgess), the National Heart, Lung, And Blood Institute of the National Institutes of Health (F31HL160196, PI: Shah), the Pilot Projects Research Training Program of the NY and NJ Education and Research Center, National Institute for Occupational Safety and Health (T42 OH 008422, PI: Shah), and a grant from Robert Wood Johnson Barnabas Health and the Rutgers Cancer Institute of New Jersey (PI: Graber)

Goal:

To characterize cancer risk and prevention activities in volunteer firefighters in order to inform long-term risk reduction.

Specific Aims

1. To characterize and assess firefighting experiences and behavioral cancer-related exposures among volunteer firefighters and compare their exposure experiences to those of career firefighters

2. To quantify environmental exposures in volunteer firefighters that may increase cancer risk.

3. To adapt and apply the innovative FFCCS developing framework for departments to self-enroll in cohort studies.

Outcomes

CAPS (2021-2023) increased the involvement and engagement of volunteer firefighters in research, raised awareness among researchers about the importance of including volunteer firefighters in studies of firefighters’ health, and developed a methodology to include volunteer firefighters in research. As a result of the findings from CAPS (2021-2023), CAPS (2022-2025; FEMA EMW-2021-FP-00416) was created to continue research on and increase cancer prevention knowledge and practices among volunteer firefighters.

Publications

Graber JM, Shah NN, Berezniak JG, Black TM, Black K, Lu SE, Laumbach RJ, Edwards DL, Koeppel MDH, Jahnke SA, Austin E, Steinberg MB, Calkins MM, Caban-Martinez AJ, Hinton K, Lubina KA, Metlitz SP, Grant C, Osgood RF, Gulotta J, Kubiel BS, Burgess JL. Cancer-Related Behavioral Risk Factors Among Volunteer and Career Firefighters Enrolled in the Cancer Assessment and Prevention Study (CAPS) and the Fire Fighter Cancer Cohort Study (FFCCS). Int Fire Serv J Leadersh Manag. 2024;18:22-36. PMID: 40162371; PMCID: PMC11951304.

Shah NN, Steinberg MB, Calkins MM, Caban-Martinez AJ, Burgess JL, Austin E, Hollerbach BS, Edwards DL, Black TM, Black K, Hinton KM, Kubiel BS, Graber JM. Prevalence and predictors of colon and prostate cancer screening among volunteer firefighters: The United States Firefighter Cancer Assessment and Prevention Study. Am J Ind Med. 2024 May;67(5):483-495. doi: 10.1002/ajim.23582. Epub 2024 Mar 26. PMID: 38530105; PMCID: PMC11022136. https://pubmed.ncbi.nlm.nih.gov/38530105/

 

Shah NN, Steinberg MB, Caban-Martinez AJ, Austin E, Burgess JL, Hollerbach BS, Edwards DL, Black TM, Black K, Hinton KM, Kubiel BS, Graber JM. Prevalence and predictors of skin cancer screening among a sample of US volunteer firefighters. Am J Ind Med. 2023 Oct;66(10):897-903. doi: 10.1002/ajim.23524. Epub 2023 Aug 12. PMID: 37573478; PMCID: PMC10528674. https://pubmed.ncbi.nlm.nih.gov/37573478/

 

Graber JM, Black TM, Shah NN, Caban-Martinez AJ, Lu S, Brancard TE, Ho CH, Turyk MB, Burgess JL, Black KG, Steinberg MB, Black K, Fan Z, Burgess JL. Prevalence and predictors of per- and polyfluoroalkyl sub-stances (PFAS) serum levels among members of a suburban US volunteer fire department. Int. J. Environ. Res. Public Health. 2021 ;18(7):3730. PMID: 33918459 https://pubmed.ncbi.nlm.nih.gov/33918459/