1 No Smoke, No Fire, No Hazard Firefighters Perspective on the Hazards of Fire Overhaul and How to Protect Against Them Dawn Bolstad-Johnson, MPH, CIH, CSP
2 Overview The insults of smoke and fire are well known. There are many carcinogenic hazards that remain after the fire is extinguished. January 2013
3 Introduction Fire Suppression Firefighters are in a defensive mode. Firefighting is accomplished with large amounts of water and foam. Fire Overhaul Fire is under control and/or extinguished. Firefighters are in the structure looking for hidden fire above ceilings, in between walls or in other obscure areas. January 2013
4 Current types of respiratory protection for each fire phase Fire Suppression Self Contained Breathing Apparatus (SCBA) Fire Overhaul Much of fire overhaul is done without respiratory protection. Previously, CO levels were measured. 35 ppm CO firefighters considered atmosphere to be safe. SCBA units were removed
5 Carbon Monoxide Metering Why 35 ppm? NIOSH = 35 PPM OSHA = 50 PPM ACGIH = 25 PPM These are all 8 HOUR AVERAGE EXPOSURES Ceiling value for CO = 200 ppm Overhaul lasts about 60 minutes 60 min x 150 ppm/ 480 minutes = ppm
6 Objectives of 1998 Phoenix Fire Study Characterization of the fire overhaul environment to select appropriate Respiratory Protection. Determine if CO can be used as an indicator for other contaminants in the fire overhaul environmental.
7 Contaminants of Concern Personal Sampling Aldehyde Profile BTEX Hydrochloric Acid Polynuclear Aromatic Hydrocarbons (PAH) Respirable Dust CO, HCN, NO 2 and SO 2
8 Contaminants of Concern Area Sampling Asbestos Total Dust Metals Cadmium Chromium Lead
9 Methods Development of Sampling Scheme Minimum number of pumps Determination of how firefighters are going to wear all of the sampling equipment Minimum sampling time. Training of Firefighters to become IH assistants Simplification of IH sampling train. Development of sampling protocols and procedures.
10 Methods Logistics Arrival at an incident within minutes. Notification of fire incidents Available personnel to be monitored to implement monitoring Determine how to manage IH sampling trains at a fire incident power issues for area pumps overall time limitations onc at the scene Overhaul typically lasts in duration about 20 minutes or so.
11 Results Monitoring was accomplished at 26 fires from June 13 - September 25, Four individuals were monitored at each fire. Area of origin Other adjacent area
12 Results The following analytes were not determined in concentrations above LOD ethyl benzene toluene xylene cadmium chromium
13 August 2010 Results The following analytes were determined in concentrations above STEL/Ceiling values Acrolein Benzene Carbon Monoxide Formaldehyde Glutaraldehyde NO 2 and SO 2
14 Results The following analytes were determined in low concentrations Respirable Dust Hydrochloric Acid HCN (NIOSH Method) Asbestos
15 TABLE IV August 2010 Summary Data For Non-Particulate Samples Analyte Number of Sampl es Collected Number of Sampl es above LO D Ave Sampl e Conc. STD DEV MIN MAX Acetaldehyde ppm Acrolein ppm Benzaldehyde ppm Formaldehyde ppm Glutaraldehyde ppm Iso valeraldehy de ppm Benzene ppm ppm ppm ppm ppm ppm ppm ppm ppm ppm 0.13 ppm ppm ppm 0.16 ppm ppm Hy dro chloric Acid Hydrogen Cy anide mg/m mg/m mg/m * * Above analytical limit of detection but below quantification limit. All samples were less than 1.0 mg/m Exceeded NIOSH Lowest Feasible Concentration 2. Exceeded ACGIH CEILING 0.1 ppm 3. Exceeded NIOSH CEILING 0.1 ppm; Exceeded ACGIH CEILING 0.3 ppm 4. Exceeded ACGIH CEILING 0.05 ppm 5. Exceeded NIOSH STEL 1 ppm
16 TABLE V Summary Data For PNA Samples Analyte Number of Samples above LOD Ave Sample Conc. Fg/M 3 STD DEV MIN Fg/M 3 MAX Fg/M 3 Acenaphthene Acenaphthylene ,440 Anthracene Benz(a) anthracene Benzo(a)pyrene Benzo(b)fluoranthene Benzo(ghi)perylene Benzo(k)fluoranthene Chrysene Dibenz(a,h)anthracene Fluoranthene Fluorene Indeno(1,2,3-cd)pyrene Naphthalene Phenanthrene Pyrene Total =88 PNA samples collected
17 Results A logistic regression was performed using the direct read data to test for correlations to other identified products of combustion. Benzene Acetaldehyde Formaldehyde Hydrochloric Acid
18 Results SO 2 concentrations obtained during the first 10 minutes of overhaul explained 54.9 % of the variability of acetaldehyde; and 48.4 % of the variability of formaldehyde
19 Results HCN was eliminated from the regression analysis. CO was not correlated to any of the contaminants measured. None of the direct read sensors could predict HCL concentrations.
20 Discussion Due to interference from temperature and humidity extremes, the HCN readings obtained from the direct read instrument were considered to be invalid. The results from the NIOSH method for HCN included only four samples which were above the LOD of 1 ug but below the Quantification Limit of 10 ug.
21 Discussion Based on the findings of this study, firefighters should use respiratory protection during fire overhaul.
22 August 2010 N95 Mask Probably one of the most MISUSED forms of PPE by Emergency Responders. Protects against particulates and droplets like TB DOES NOTHING for CHEMICAL Exposures
23 Where do we go from here? This study has not determined the point in time (if any) in which it is safe to enter an after fire environment without any type of respiratory protection. Other professionals may be unknowingly exposed. Arson investigators Homocide investigators/crime Lab technicians Red Cross Personnel
24 Where do we go from here? Other issues that require further investigation include toxicology studies regarding synergism, potentiation, and cancellation of the identified products of combustion.
25 Fire Investigators How to protect the arson investigator? They are on the fire scene the longest. They dig through debris What type of respiratory protection is appropriate?
26 Background No published data exists which identifies toxic exposures of arson investigators. This study was conducted as a hazard assessment to determine appropriate respiratory use for fire investigators.
27 No support for Fire Investigators Once the fire is out and the fire companies pack up and leave, so do all the support trucks. If a fire investigator chose to wear an SCBA, there is no resource to refill his bottle. This makes the use of SCBA for fire investigators impractical.
28 Review of Previous Overhaul Studies 1998 Overhaul Study (Bolstad-Johnson, DM et al) 26 fires in Phoenix Sampled 17 analytes 1999 Overhaul Study (Burgess,JL et al) 10 Fires in Phoenix 10 Fires in Tucson Biological Monitoring (pre and post fire)
29 1998 Overhaul Study The following analytes exceeded published ceiling values: Acrolein 0.1 ppm (at one fire) CO ppm (at five fires) Formaldehyde ppm (at twenty-two fires) Glutaraldehyde ppm (at five fires)
30 Arson Investigator Study January May independent fire investigations were monitored. Focus of sampling was based on previous overhaul study results. One investigator wore two personal sampling pumps at each event. Analytes included aldehyde profile, respirable dust and HCN. Aldehyde sampling media was changed every 30 min.
32 Summary of Fires The following table summarizes characteristics of each fire as well as time of dispatch and time monitoring began and ended. The fire investigator estimated damage to the structure from fire and damage to the structure from smoke damage based on an estimated percentage (%) of the entire structure. This was done to look for predictors that could be applied to future fire investigations.
33 Summary of Fires Date Fire FD SD Structure SF DT MS ME Ald Notes 1/9/09 Fire #1 10% 20% House Kitchen fire, smoke damage throughout house, not a lot of contents 1/12/09 Fire #2 10% 75% House Bedroom/Fatality. Burned completely through roof of bedroom, Full contents 1/28/09 Fire #3 5% 40% Apartment Living Room Fire, Contents and carpeting involved. Not a large fire. 4/14/09 Fire #4 20% 40% Apartment yes Food on stove fire that extended to kitchen cabinents. Lighting involved plastic covers. 4/15/09 Fire #5 15% 25% House yes Laundry room fire. Fire extended to the house/attic. Laundry room, clothes, storage W/D involved. 4/16/09 Fire #6 10% 25% House Back porch extended to house. Digging through back porch. 5/13/09 Fire #7 30% 75% Garage/House yes Garage extened to house. 2 vehicles in garage. Mostly garage contents involved. 5/19/09 Fire #8 50% 100% Mobile Home yes Couch, heavy contents. 6/14/09 Fire #9 40% 100% Town House yes Candle fire, heavy contents. 7/5/09 Fire #10 75% 90% House *7/8/09 yes Theater room, 20 leather sofa chairs. Heavy contents. House boarded up for several days before investigation. 11/16/09 Fire #11 100% 100% Town House Cigarette in the sofa. Burned sofa chairs, lots of O2 tanks, O2 generating machine 11/24/09 Fire #12 10% 25% House NO CONTENTS. Attic fire.. 11/24/09 Fire #13 25% 100% Apartment Candle fire on plastic crate. Clothes closet involved. 1/18/10 Fire #14 15% 25% House yes Electrical fire involved mattress. Total room involvement. 4/2/10 Fire #15 20% 75% Apartment yes Bedroom fire, sampled in bedroom total room involvement 4/14/10 Fire #16 20% 75% House Bedroom fire, sampled in bedroom total room involvement
37 Results Summary Detectable levels of aldehydes at eight fires. Formaldehyde over the ceiling value of 0.1 ppm at two fires. Below LOD - HCN and Respirable dust
38 Results Summary Fire 4 (1) Acetaldehyde ppm Formaldehyde ppm Glutaraldehyde ppm Fire 4 (2) Acetaldehyde ppm Formaldehyde ppm Glutaraldehyde ppm Fire 5 (1) Glutaraldehyde ppm Formaldehyde ppm Fire 5 (2) Formaldehyde ppm
39 What we know Typical house fires are not identified as potential toxic hazards by firefighters or by fire investigators.
40 All Fires should be treated as HAZMAT Incidents Contents of the typical house has changed dramatically since the 1998 and 1999 overhaul studies. The plastic load in the house has increased dramatically. Examples: TV casings, appliances, furniture, carpeting, computers, printers, digital cameras, scanners, home offices, toys
41 Challenges for First Responders Identifying the hazard allows the responder to select appropriate hazard controls. There is not direct read instrumentation available to identify all toxic hazards present on the fire scene.
42 Conclusions Fire scenes present complicated toxic soup type of exposures. Formaldehyde again is under estimated in the areas we found it in quantifiable concentrations as the peaks were not identified.
43 Conclusions SCBA provides the best respiratory protection for all unknown chemical insults on the fire ground. However they are not practical for detailed tasks such as arson investigations.
44 Recommendations for Arson Investigators SCBA for the first hour of investigation Full face cartridge respirators equipped with CBRN canisters should be used for the duration of the investigation.
45 Studies going on now Breast milk study with City of Phoenix Fire Fighters. Dr. Jeff Burgess and Dr. Eric Lutz are repeating the study using biomarkers with CBRN cannisters.
46 Contact Information Dawn Bolstad-Johnson, MPH, CIH, CSP PHI Air Medical cell
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