Expansion of the Fire Fighter Cancer Cohort Study:
Arson Investigators, Instructors, Volunteers, and
Wildland-Urban Interface Firefighters

A FFCCS FEMA-funded Sub-Project

Live Fire Training Instructors Document (March 7, 2022)

General information:

  • Not all firefighters are exposed to carcinogens equally. Epidemiologic studies on cancer incidence and mortality rates in the U.S. firefighter workforce have been largely limited to retrospective analyses of career firefighters, neglecting the critical workflow and unique exposures of other firefighter subgroups. The purpose of this new 36-month research proposal is to leverage the national Fire Fighter Cancer Cohort Study (FFCCS) infrastructure for expansion of research protocols in biomarker, carcinogenic exposure, and survey data collection to four firefighter subgroups: arson investigators, instructors, volunteers, and wildland-urban interface firefighters.

Research Aims:

  • Project specific aims include:

  1. Expansion of existing FFCCS advisory board

    membership to national leadership from each subgroup;

  2. Adapting existing survey data collection
    instruments for priority cancer prevention and exposure control interventions identified by subgroup

  3. Conduct biological exposure monitoring to identify determinants of exposure and expand the
    job-exposure matrix for each subgroup; and

  4. Collect and analyze biological samples for analysis of
    epigenetic markers of cancer pathway activation.


Study timeline

The FFCCS Expansion firefighters study is an on-going component of the overarching FFCCS research project.  The timeline of this project and the separate study components is shown below:














Anticipated impact

It is beneficial to these firefighter subgroups to provide tailored biomarker, exposure, and health survey data collection tools that are standardized and comparable within and across firefighter subgroups.

This page last updated on 3/7/2022.

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