Annual Cancer Survey/AERIAL | Principal Investigator: Dr. Natasha Schaefer Solle
Using data collected through a survey firefighters will complete annually, investigators are working to understand cancer risks specific to Florida firefighters and create a database of the risks and behaviors of all Florida firefighters. This project now also includes the AERIAL (Advancing Epidemiology of Retired fIrefighters Aging Longitudinally) survey. Originally launched in the initiative’s second year (2016-2017), AERIAL focuses on retired firefighters and seeks to understand what cancers are diagnosed during retirement among previously active combat firefighters and what occupational exposures during active employment and/or hygiene factors led to cancers.
The environmental sampling team is working on monitoring carcinogens and hazardous compounds off-gassing in turnout gear, improving the wristband analysis method developed in year two (2016-2017), and developing wearable technology for monitoring carcinogens and hazardous compounds.
Florida Firefighter Cancer Registry | Principal Investigator: Dr. David Lee
The Florida Firefighter Cancer Registry project established in 2015, will link Fire Marshal certification records to Florida Cancer Data System records to identify cancers disproportionality impacting Florida firefighters. This will serve as an updated analysis of a linkage done in 2006 that demonstrated elevated risks of several cancers, including bladder, testicular, and thyroid among males, and cervical, Hodgkin’s lymphoma, and thyroid among females. Preliminary results from the current linkage indicate that the number of cancers and the magnitude of risk may be increasing for firefighters.
Personal Exposure Reporter (PER) | Principal Investigator: Dr. Barbara Millet and Clay Ewing
The Personal Exposure Reporter's development team has created an application to allow firefighters to keep a digital record of on-the-job exposures that can be used by researchers to find evidence of cancer related to firefighting. This information will help supplement firefighter’s personal health records. Meanwhile, the PER User Experience investigators are working closely with the application’s development team to ensure the tool’s design, functionality, features, content, and overall usability will help meet the project’s objective.
Educational Curriculum | Principal Investigator: Dr. Erin Kobetz
The Educational Curriculum project team will be collaborating with the Gordon Center for Research in Medical Education to develop a curriculum for cancer prevention in the fire service. The knowledge gained during the Health Communication project will also help inform the development of this curriculum.
Access to Care | Principal Investigator: Dr. Erin Kobetz
The Cancer Screening project provides colorectal and cervical cancer screening to eligible active firefighters with the implementation of home-based screening tools.
Tumor Bank | Principal Investigator: Dr. Alberto Caban-Martinez
Improving care for fighters with cancer requires research into the molecular mechanisms of cancer cells. To investigate these mechanisms, fresh tumor specimens are required. This project will establish a tumor bank to make these specimens available to cancer researchers here at Sylvester.
Survivorship | Prinicipal Investigator: Dr. Natasha Schaefer Solle and Dr. Frank Penedo
Investigators are developing cancer survivorship education modules, including videos, for cancer survivors.
Health Communication | Principal Investigator: Dr. Tyler Harrison
The Health Communication project investigators worked to understand firefighter culture, work, and knowledge about cancer. They also designed education and behavior change campaign materials.
PBDE & Thyroid Function | Principal Investigator: Dr. Natasha Schaefer Solle
Investigators examined the association between PBDE levels and thyroid function of active South Florida firefighters. The project worked to describe and characterize the quality and quantity of PBDE present in the blood of firefighters by type of occupational exposure (i.e., years in the fire service, job title, firefighter duties).
Guardrails | Principal Investigator: Wes Smith
In year three of the Firefighter Cancer Initiative (2017-2018), the cancer screening project incorporated the Guardrails project which was initially included as part of the initiative in 2016. The Guardrails Wellness Program used customized nutrition and exercise recommendations to optimize health and combat cancer risk in firefighters.