This document is a transcript of a virtual presentation by John Lord, discussing cancer-related issues affecting firefighters and the importance of research and support in this area.

Introduction to the Worshipful Company of Firefighters

The Worshipful Company of Firefighters is a City of London Livery Company, along with our Charitable Trust. Closely associated with, but operating as a separate entity from the Worshipful Company of Firefighters, the Charitable Trust is a registered charity (number 1182241) with ten Trustees who are responsible for all aspects of its operation and are all members of the Worshipful Company.

The Charitable Trust realises that the world of the Fire Industry and the Fire and Rescue Service, like many sectors, is changing at a considerable pace. We also consider what else we can do in the youth and young persons sector. This draws on one of the “Aims and Objectives” of the Company and the Charitable Trust in providing opportunities to promote responsible and good citizenship for future generations.

  • Peter Holland introduces himself as the Upper Warden of the Worshipful Company of Firefighters.
  • The organisation has been active since 1988 and became a livery company in 2001. 
  • The company aims to enhance continuous professional development through events and talks. 

John Lord's Background and Contributions

John Lord, a retired firefighter, has dedicated his post-retirement life to raising awareness about cancer risks faced by firefighters.

  • John served for 32 years in the fire service and has a personal connection to cancer issues.
  • He has organised significant conferences, including one at Cranfield University with 140 delegates and another at the Lowry Hotel with 240 delegates.
  • His work emphasises the importance of research and awareness regarding cancer in the firefighting community.

The Importance of Awareness and Change

The talk aims to raise awareness about emerging cancer risks in firefighting and the need for proactive measures. 

  • John emphasises the need for awareness and understanding of cancer risks associated with firefighting.
  • He highlights the importance of funding and support for implementing changes in practices.
  • The presentation aims to encourage open-mindedness and personal research into cancer risks.

Personal Experiences with Cancer

John shares his personal journey with cancer, highlighting the mental and physical challenges he faced.

  • He and his wife are both cancer survivors, having dealt with multiple tumours and surgeries.
  • John stresses the mental health impact of a cancer diagnosis and the importance of support systems.
  • He encourages individuals to seek professional medical advice rather than relying on online information.

Emerging Risks and Cancer Classifications

The International Agency for Research on Cancer has classified firefighting as a Class 1 cancer risk profession, highlighting the need for increased awareness and screening. 

  • In June 2022, firefighting was reclassified as a Class 1 cancer risk based on extensive research. 
  • There is a growing concern about various cancers, including prostate and bladder cancer, among firefighters. 
  • The need for improved screening and awareness is emphasised to prevent late-stage diagnoses.

Survey Insights on Cancer Awareness

A survey conducted among firefighters reveals significant concerns and the need for better support and screening.

  • Nearly 600 responses were collected, indicating a strong belief in the benefits of early screening.
  • 93% of respondents expressed a need for mental health support related to cancer diagnoses.
  • The survey highlights the importance of organisational support in addressing cancer-related issues.

Recommendations for Prevention and Support

John advocates for practical measures to prevent cancer and improve support for firefighters and their families.

  • Simple hygiene practices, such as washing hands after incidents, can help reduce cancer risks.
  • There is a call for better integration of support for retired firefighters and their families.
  • John emphasises the need for awareness and education among GPs regarding firefighter-specific health risks.

Importance of SNOMED Codes for Treatment

The SNOMED codes play a crucial role in fast-tracking treatment for individuals, particularly in the context of occupational health.

  • Many individuals reported positive outcomes from using SNOMED codes, leading to expedited treatment and MRIs. 
  • There is a call for government recognition of the second SNOMED code related to occupational exposure to toxic agents. 
  • The discussion includes the need for protection for paramedics, police officers, and military veterans under these codes.
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  • Occupational exposure to toxic agents - 16090571000119109

Cancer Risks Among Firefighters

Firefighters face significantly higher cancer risks compared to the general population, with various types of cancer being prevalent.

  • Prostate cancer rates in firefighters are approximately 4 times higher than in the general public.
  • Female firefighters in San Francisco have breast cancer rates 6 times higher than their non-firefighter counterparts.
  • Over 260 types of cancer are associated with firefighting, and benign tumours can also be dangerous.

Mental Health Challenges in Firefighting

Mental health issues are prevalent among firefighters, with significant support needed for those affected.

  • John Lord shares personal experiences with stress incontinence and mental health struggles, emphasising the importance of support. 
  • The Firefighters Charity provided crucial mental health support when NHS services were unavailable.
  • There is a need for improved mental health provisions within fire services across the UK.

Occupational Hazards and Toxic Exposures

Firefighters are exposed to various toxic agents that can lead to long-term health issues, including cancers and neurological disorders.

  • New evidence suggests that low-level carbon monoxide exposure may trigger conditions like dementia and muscular dystrophy. 
  • Prolonged exposure to soot and chemicals can increase absorption through the skin, raising health risks.
  • Awareness of the dangers associated with fire scenes and cleaning procedures is essential for safety.

Research and Awareness in Firefighting Health

Ongoing research is critical to understanding the health risks faced by firefighters and improving safety measures.

  • Studies indicate that children of firefighters may develop childhood cancers at rates 27 times higher than those of non-firefighters. ​
  • John Lord highlights the importance of being proactive about health risks and the need for better research and awareness.
  • New tests, such as the PSE test, may offer more reliable cancer screening options compared to traditional methods.

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