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International Journal of Wildland Fire International Journal of Wildland Fire Society
Journal of the International Association of Wildland Fire
RESEARCH ARTICLE (Open Access)

Fighting fire and fumes: risk awareness and protective practices among Western Australian firefighters

Kiam Padamsey A * , Ruth Wallace A , Adelle Liebenberg A , Martyn Cross A and Jacques Oosthuizen A
+ Author Affiliations
- Author Affiliations

A School of Medical and Health Sciences, Edith Cowan University, WA, Australia.

* Correspondence to: k.padamsey@ecu.edu.au

International Journal of Wildland Fire 33, WF23147 https://doi.org/10.1071/WF23147
Submitted: 7 September 2023  Accepted: 5 April 2024  Published: 24 April 2024

© 2024 The Author(s) (or their employer(s)). Published by CSIRO Publishing on behalf of IAWF. This is an open access article distributed under the Creative Commons Attribution-NonCommercial-NoDerivatives 4.0 International License (CC BY-NC-ND)

Abstract

Background

In Western Australia, the issue of bushfires (wildfires) poses a persistent health risk to both volunteer and career forestry firefighters, populations that have been historically understudied.

Aims

This descriptive qualitative study aimed to examine firefighters’ level of understanding concerning hazardous exposures, their Personal Protective Equipment (PPE) protocols and their decontamination practices.

Methods

Guided by the socioecological model, 23 semi-structured interviews were conducted with firefighters representing both volunteer and forestry sectors.

Key results

Results indicate a gap in knowledge regarding the health risks associated with bushfire-generated smoke and contaminants among volunteer firefighters. Forestry firefighters, conversely, showed a greater awareness of these risks. Social dynamics, such as peer pressure, were identified as historical deterrents to PPE use, although recent trends indicate positive change. Forestry firefighters also highlighted systemic shortcomings, including inadequate provision of respiratory protection and lack of decontamination facilities for cleaning themselves and their PPE.

Conclusion

This study underscores the critical need for educational initiatives to address these gaps in understanding, along with organisational reforms to promote a culture encouraging PPE use and to provide essential resources for effective decontamination.

Implications

This research emphasises that a multi-level approach is essential for safeguarding the health of firefighters in bushfire-prone environments.

Keywords: Australia, bushfire, decontamination, forestry firefighter, personal protective equipment (PPE), smoke exposure, social dynamics, socioecological model, volunteer firefighter, Western Australia, wildfire.

References

Alves CA, Gonçalves C, Evtyugina M, Pio CA, Mirante F, Puxbaum H (2010) Particulate organic compounds emitted from experimental wildland fires in a Mediterranean ecosystem. Atmospheric Environment 44(23), 2750-2759.
| Crossref | Google Scholar |

Australasian Fire and Emergency Services Authorities Council (AFAC) (2021) ‘Selection of appropriate Respiratory Protective Devices (RPD) during bushfires (AFAC Publication No. 3055).’ (AFAC Ltd: East Melbourne, Vic., Australia)

Afzal N (2022) Independent Culture Review of London Fire Brigade. Independent Culture, London, UK.

Baird WM, Hooven LA, Mahadevan B (2005) Carcinogenic polycyclic aromatic hydrocarbon–DNA adducts and mechanism of action. Environmental and Molecular Mutagenesis 45(2–3), 106-114.
| Crossref | Google Scholar | PubMed |

Banks APW, Thai P, Engelsman M, Wang X, Osorio AF, Mueller JF (2021) Characterising the exposure of Australian firefighters to polycyclic aromatic hydrocarbons generated in simulated compartment fires. International Journal of Hygiene and Environmental Health 231, 113637.
| Crossref | Google Scholar | PubMed |

Boyce C, Neale P (2006) ‘Conducting in-depth interviews: A guide for designing and conducting in-depth interviews for evaluation input. Vol. 2.’ (Pathfinder International: Watertown, MA, USA)

Braun V, Clarke V (2006) Using thematic analysis in psychology. Qualitative Research in Psychology 3(2), 77-101.
| Crossref | Google Scholar |

Bronfenbrenner U (1994) Ecological models of human development. In 'International Encyclopedia of Education'. Vol. 3, 2nd edn (Elsevier: Oxford, UK)

Busetto L, Wick W, Gumbinger C (2020) How to use and assess qualitative research methods. Neurological Research and Practice 2, 14.
| Crossref | Google Scholar |

Creswell JW, Clark VLP (2017) ‘Designing and conducting mixed methods research.’ (Sage Publications)

DeBono NL, Daniels RD, Beane Freeman LE, Graber JM, Hansen J, Teras LR, Driscoll T, Kjaerheim K, Demers PA, Glass DC, Kriebel D, Kirkham TL, Wedekind R, Filho AM, Stayner L, Schubauer-Berigan MK (2023) Firefighting and cancer: a meta-analysis of cohort studies in the context of cancer hazard identification. Safety and Health at Work 14(2), 141-152.
| Crossref | Google Scholar | PubMed |

Demers PA, DeMarini DM, Fent KW, Glass DC, Hansen J, Adetona O, Andersen MH, Freeman LEB, Caban-Martinez AJ, Daniels RD, Driscoll TR, Goodrich JM, Graber JM, Kirkham TL, Kjaerheim K, Kriebel D, Long AS, Main LC, Oliveira M, Peters S, Teras LR, Watkins ER, Burgess JL, Stec AA, White PA, DeBono NL, Benbrahim-Tallaa L, de Conti A, El Ghissassi F, Grosse Y, Stayner LT, Suonio E, Viegas S, Wedekind R, Boucheron P, Hosseini B, Kim J, Zahed H, Mattock H, Madia F, Schubauer-Berigan MK (2022) Carcinogenicity of occupational exposure as a firefighter. The Lancet Oncology 23(8), 985-986.
| Crossref | Google Scholar | PubMed |

Department of Fire and Emergency Services (DFES) (2021) 2020/21 Annual report. Available at https://www.dfes.wa.gov.au/publications/Annual%20Reports/DFES-Annual-Report-2020-21.pdf [verified 30 March 2022]

Dong TTT, Hinwood AL, Callan AC, Stock WD (2020) Emissions of gaseous pollutants from laboratory-based fires of vegetation from five common vegetation types in Western Australia. Atmospheric Pollution Research 11(6), 180-189.
| Crossref | Google Scholar |

Fent KW, Alexander B, Roberts J, Robertson S, Toennis C, Sammons D, Bertke S, Kerber S, Smith D, Horn G (2017) Contamination of firefighter personal protective equipment and skin and the effectiveness of decontamination procedures. Journal of Occupational and Environmental Hygiene 14(10), 801-814.
| Crossref | Google Scholar | PubMed |

Flick U (2013) ‘The SAGE handbook of qualitative data analysis.’ (SAGE Publications: London, UK)

Garg P, Wang S, Oakes JM, Bellini C, Gollner MJ (2023) The effectiveness of filter material for respiratory protection worn by wildland firefighters. Fire Safety Journal 139, 103811.
| Crossref | Google Scholar |

Goldstein M (2008) Carbon monoxide poisoning. Journal of Emergency Nursing 34(6), 538-542.
| Crossref | Google Scholar | PubMed |

Hou X, Orth R (2020) Observational evidence of wildfire-promoting soil moisture anomalies. Scientific Reports 10(1), 11008.
| Crossref | Google Scholar | PubMed |

International Agency for Research on Cancer (IARC) (2023) Occupational exposure as a firefighter. In ‘IARC Monographs on the Identification of Carcinogenic Hazards to humans. Vol. 132’. pp. 1–730. Available at https://publications.iarc.fr/615 [verified 8 August 2023]

Kelly SE (2010) ‘The SAGE Handbook of Qualitative Methods in Health Research.’ (SAGE Publications Ltd) 10.4135/9781446268247

Kolb DA (2014) ‘Experiential learning: Experience as the source of learning and development.’ (FT Press)

Kruger TM, Beilin R (2014) A ‘responsibility for place’ – firefighter deployment, local knowledge and risk. International Journal of Wildland Fire 23(4), 577-584.
| Crossref | Google Scholar |

Krzemińska S, Szewczyńska M (2022) PAH contamination of firefighter protective clothing and cleaning effectiveness. Fire Safety Journal 131, 103610.
| Crossref | Google Scholar |

Li J, Lu S, Liu G, Zhou Y, Lv Y, She J, Fan R (2015) Co-exposure to polycyclic aromatic hydrocarbons, benzene and toluene and their dose–effects on oxidative stress damage in kindergarten-aged children in Guangzhou, China. Science of the Total Environment 524–525, 74-80.
| Crossref | Google Scholar | PubMed |

Lumivero (2020) NVivo (Version 12). Available at www.lumivero.com

Maglio MA, Scott C, Davis AL, Allen J, Taylor JA (2016) Situational pressures that influence firefighters’ decision making about personal protective equipment: a qualitative analysis. American Journal of Health Behavior 40(5), 555-567.
| Crossref | Google Scholar | PubMed |

Majid MAA, Othman M, Mohamad SF, Lim SAH, Yusof A (2017) Piloting for interviews in qualitative research: operationalization and lessons learnt. International Journal of Academic Research in Business and Social Sciences 7(4), 1073-1080.
| Crossref | Google Scholar |

McLeroy KR, Bibeau D, Steckler A, Glanz K (1988) An ecological perspective on health promotion programs. Health Education Quarterly 15(4), 351-377.
| Crossref | Google Scholar | PubMed |

Martínez-Fiestas M, Rodríguez-Garzón I, Delgado-Padial A (2020) Firefighter perception of risk: a multinational analysis. Safety Science 123, 104545.
| Crossref | Google Scholar |

Mannick C (2021) Hollywood's constructed hero narrative of wildland firefighters. Doctoral Dissertation, The American University of Paris, France.

McQuerry M, Easter E (2022) Wildland firefighting personal protective clothing cleaning practices in the United States. Fire Technology 58(3), 1667-1688.
| Crossref | Google Scholar |

Navarro K (2020) Working in smoke: wildfire impacts on the health of firefighters and outdoor workers and mitigation strategies. Clinics in Chest Medicine 41(4), 763-769.
| Crossref | Google Scholar | PubMed |

Navarro KM, Fent K, Mayer AC, Brueck SE, Toennis C, Law B, Meadows J, Sammons D, Brown S (2023) Characterization of inhalation exposures at a wildfire incident during the Wildland Firefighter Exposure and Health Effects (WFFEHE) study. Annals of Work Exposures and Health 67(8), 1011-1017.
| Crossref | Google Scholar | PubMed |

NSW Rural Fire Service (2022) Service standard 5.1.5 personal protective equipment and personal protective clothing. Available at https://www.rfs.nsw.gov.au/__data/assets/pdf_file/0004/8977/5.1.5-Personal-Protective-Equipment-and-Personal-Protective-Clothing.pdf [verified 26 June 2023]

Price OF, Rahmani S, Samson S (2023) Particulate levels underneath landscape fire smoke plumes in the Sydney region of Australia. Fire 6(3), 86.
| Crossref | Google Scholar |

Pupulidy I (2020) Self-designing safety culture: a case study in adaptive approaches to creating a safety culture. ACS Chemical Health & Safety 27(1), 24-33.
| Crossref | Google Scholar |

Regli A, Sommerfield A, von Ungern-Sternberg BS (2021) The role of fit testing N95/FFP2/FFP3 masks: a narrative review. Anaesthesia 76(1), 91-100.
| Crossref | Google Scholar | PubMed |

Reisen F, Hansen D, Meyer CP (2011) Exposure to bushfire smoke during prescribed burns and wildfires: firefighters’ exposure risks and options. Environment International 37(2), 314-321.
| Crossref | Google Scholar |

Sadler P, Holgate A, Clancy D (2007) Is a contained fire less risky than a going fire?: career and volunteer firefighters’ perception of risk. The Australian Journal of Emergency Management 22(2), 44-48.
| Google Scholar |

Salihu HM, Wilson RE, King LM, Marty PJ, Whiteman VE (2015) Socio-ecological model as a framework for overcoming barriers and challenges in randomized control trials in minority and underserved communities. International Journal of MCH and AIDS 3(1), 85-95.
| Google Scholar | PubMed |

Sommer M, Njå O (2011) Learning amongst Norwegian firefighters. Journal of Workplace Learning 23(7), 435-455.
| Crossref | Google Scholar |

Stricker K (2023) Reducing Occupational Carcinogen Exposure in Wildland Firefighters: Developing a Theory-Informed Decontamination Intervention. 10.17615/1zrv-yf42

Szmytke E, Brzezińska D, Machnowski W, Kokot S (2022) Firefighters’ clothing contamination in fires of electric vehicle batteries and photovoltaic modules – Literature review and pilot tests results. International Journal of Environmental Research and Public Health 19(19), 12442.
| Crossref | Google Scholar | PubMed |

The National Institute for Occupational Safety and Health (2019) Sulfur dioxide. Available at https://www.cdc.gov/niosh/npg/npgd0575.html [verified 20 January 2023]

Tufford L, Newman P (2012) Bracketing in qualitative research. Qualitative Social Work 11(1), 80-96.
| Crossref | Google Scholar |

Zhang L (2018) ‘Formaldehyde: exposure, toxicity and health effects. Vol. 37.’ (Royal Society of Chemistry)