As an organization advocating for firefighter health, MnFIRE extends its support for the joint statement regarding PFAS in PPE issued by the International Association of Fire Fighters (IAFF) and Metropolitan Fire Chiefs Association.

The two national organizations presented the statement at the 2023 International Firefighter Cancer Symposium in late February to notify members of the adverse health risks from firefighter turnout gear.

According to the statement, recent studies have shown that all three layers of firefighter turnout gear contain Per and Polyfluoroalkyl Substances (PFAS), a class of fluorinated chemicals known as “forever chemicals” which have been linked to cancer and other serious health effects.

The IAFF and Metro Chiefs ask firefighters to reduce exposure to PFAS in turnout gear by using the following precautions:

• Turnout gear should NOT be taken into firehouse living areas.
• When transporting gear in personal vehicles, it should be in a sealed container or bag, and preferably NOT transported in the passenger compartment.
• Apparatus cabs should be cleaned regularly and after every fire.
• Wash your hands after handling turnout gear.
• Legacy turnout gear should be replaced as new PFAS-free technologies become available.
• Do not wear turnout gear on responses where this level of protection is not necessary.

Cancer is now the leading cause of death among firefighters nationwide. Firefighters have a 9% higher risk of being diagnosed with cancer and a 14% higher risk of dying from cancer than the general U.S. population.

All of us at MnFIRE join the IAFF and Metro Chiefs as we work together to rid the fire service of occupational cancer.

To learn more about cancer risks and mitigation, all Minnesota fire departments are eligible to sign up for no-cost MnFIRE training here.

Contributed by Dr. Nick Blonien, Occupational & Environmental Medicine

Poor sleep quality is a public health epidemic, and a problem estimated to burden nearly half of American adults. Decreased physical and cognitive performance, adverse health outcomes, decreased safety and lost productivity are some of the consequences seen in individuals who are underslept. And as we know all too well, the fire service is disproportionately impacted.

Traumatic experiences and hazardous exposures from firefighting contribute independently to increased risk of cardiovascular disease, emotional trauma and cancer. Quality sleep is a necessary component of firefighter resilience against these inherent threats. Unfortunately, shift work and nighttime disruptions prevent most firefighters, both career and non-career, from getting adequate sleep on a consistent basis. Such chronic sleep deprivation is likely to accelerate the development of illnesses that are already all too prevalent in the fire service.

In honor of Sleep Awareness Week, we’re sharing how crucial sleep is to your health and well-being, and steps you can take to promote better sleep.

Consistent poor sleep could be as harmful as the carcinogens you’re exposed to on the scene

Since 2019, the International Agency for Research on Cancer (IARC) has recognized night shift work as a group 2A carcinogen, meaning probably carcinogenic. Sleep disorders are also widely underdiagnosed across the fire service, and lead to 2-3 times higher odds of motor vehicle crash, work injury, diabetes, heart disease and mental illness.

In adults, at least 7 hours of quality sleep per night is deemed sufficient, but getting quality sleep in the fire service can be difficult. Anticipation of a call at night prevents restful sleep. Then a call comes in, and the sympathetic “fight-or-flight” response is activated. This sharpens focus and primes the body for action, but makes it incredibly difficult to fall back asleep once the run is complete. Plus, firehouses often have shared sleeping quarters, which limits the ability to personalize the sleep environment when time for sleep is available. At home, firefighters tend to prioritize time with family and other personal obligations over resolving “sleep debt” accrued from a busy night on duty.

The power of a good night’s sleep

Sleep is the most restorative and rejuvenating element of human life. During sleep, the body clears waste products of metabolism and cellular function, and builds neural networks in the brain that are responsible for learning and memory. Sleep replenishes the immune system, balances hormones and repairs the body so that it is primed for work and activity upon waking the following morning. There may not be a single biological function that doesn’t benefit from a good night’s sleep. Sleep quality is optimized when:

1. Circadian rhythms – the 24-hour cycles that are part of the body’s internal clock, running in the background to carry out essential functions and processes like the sleep-wake cycle – are synchronized with light/darkness and other rhythmic cues.
2. Homeostatic sleep drive – or tiredness – is high.
3. Environmental conditions are favorable.

It’s difficult for firefighters to get routine quality sleep on top of increased risk for adverse health outcomes due to work in extreme environments. So, here are five simple ways to improve your sleep as a firefighter:

1. Build a sleep sanctuary: The ideal sleep environment is cool, dark and quiet. Aim to set the temperature somewhere between 60-67° Avoiding screen use for two hours before bed is incredibly important, as the light emitted from electronic screens has a powerful impact on the body’s internal clock. Fans and other “white noise” may be helpful in creating a restful environment in an otherwise noisy firehouse or family home. Consider using light bulbs with red or dimmer light in sleeping quarters that are less stimulating to the eyes.
2. Develop a bedtime routine: The brain needs to associate the bed with sleep only. Common techniques to help calm the body and recruit the parasympathetic “rest and digest” system include warm showers, gentle stretching, meditation and structured breathing. Consider a pre-bed routine that starts with taking a hot shower, followed by some reading under dim light on a non-electronic source, then 5-10 minutes of “cyclic sighing” in bed (4-second deep nasal inhale, 8-second slow oral exhale). These behaviors can calm the nervous system and set the stage for sleep.
3. Nap strategically: Napping can improve daytime alertness and help resolve sleep debt, but it has to be done properly. Napping at the wrong time of day or for too long can compromise nighttime sleep quality. Naps for less than 30 minutes in the early afternoon are best, when the body’s circadian rhythm yields a natural dip in arousal. But only nap if needed, because oversleeping is also harmful to overall health.
4. Live an active and healthy life: Daily exercise leads to the increased accumulation of adenosine, the primary molecule responsible for tiredness. Exercise will also help with weight loss, which can prevent development of sleep disorders like obstructive sleep apnea (OSA). Limit caffeine intake to the morning (less than 400 mg daily is ideal), and aim for minimal alcohol intake as well. A drink is less disruptive to sleep if had earlier in the day versus evening. Meal timing can also affect the body’s internal clock, so avoiding eating for the first 1-2 hours after waking and 2-3 hours before bed can be helpful.
5. Promote a pro-sleep culture: The machismo “I’ll sleep when I’m dead” mentality needs to end. Address fatigue and sleep status often (perhaps daily), discuss it with other firefighters and make sleep a priority off duty.

It will always be challenging for career and volunteer firefighters to get sufficient sleep on a routine basis. But with a culture that prioritizes quality sleep and these techniques, firefighters can minimize the effects of insufficient sleep on performance and overall health, keeping them healthier for their families, colleagues and the public they proudly serve.

Put your department on a path to more ZZZs

We’re excited to announce we’ll be offering a new MnFIRE training session on the topic of sleep. If you’re interested in hosting a sleep training for your department soon, register here.

While all systems of the body are important, the heart is the epicenter of it all. That’s why cardiac health is important to consider at all times of the year; however, it becomes even more prevalent during February, which is deemed American Heart Month by the American Heart Association.

There is good reason to raise awareness of heart issues such as heart attack, stroke and cardiac arrest. According to the Centers for Disease Control and Prevention, heart disease is the leading cause of death for both men and women. And in the fire service the No. 1 death by injury according to the National Fire Protection Association is cardiac arrest, which doesn’t only affect people with heart disease. Cardiac arrest is also the cause of death for about 436,000 Americans each year.

MnFIRE’s own executive director, Wayne Kewitsch, knows all too well about cardiac arrest and the importance of heart health. Within a seven-month span in 2020, Kewitsch experienced three cardiac arrest incidents, which ended his 25-year career in the fire service.

“I don’t want that to happen to any other firefighters,” said Kewitsch, who is the former Richfield Fire Department Chief.

Two of his cardiac arrests happened about one month apart. The first one, Kewitsch’s wife, Ruth, watched as their son, Jack, performed CPR on Kewitsch in the family’s home before seven Edina paramedics arrived and stepped in. The second incident happened while Kewitsch and Ruth were driving north on Highway 169 for a weekend with friends on Crosslake.

After making a recovery and having surgery to implant a heart defibrillator, Kewitsch is thankful for all the people who helped him. Now he’s helping other firefighters in Minnesota get through or reduce the number of cardiac, emotional trauma or cancer diagnoses through his MnFIRE role.

To help you better recognize a heart incident, know the symptoms.

Heart Attack – when blood flow to the heart is blocked:  

• Chest discomfort
• Discomfort in other areas of the upper body such as the arm or shoulder, along with pain in the jaw, neck or back
• Shortness of breath
• Other signs such as breaking out in a cold sweat, nausea or lightheadedness

Stroke – when blood flow to the brain is blocked:

• Face drooping
• Arm weakness or numbness
• Speech difficulty
• Sudden numbness or weakness of the face, arm or leg, especially on one side of the body
• Confusion or trouble speaking
• Trouble seeing in one or both eyes
• Trouble walking, dizziness or loss of balance/coordination
• Severe headache with no known cause

Cardiac Arrest – sudden loss of all heart activity due to an irregular heart rhythm:

• Sudden loss of responsiveness
• Sudden collapse
• No pulse
• No breathing

If you see someone around you experiencing these symptoms, call 911 immediately. For cardiac arrest, performing CPR and using an AED will significantly increase a person’s chance of getting through the incident.

To reduce or potentially even eliminate the chance for a cardiac incident, people can take steps to care for their heart by eating a balanced and nutritious diet, exercising regularly, managing stress in a healthy way and getting enough sleep.

There are MnFIRE resources available for firefighters who have experienced a cardiac incident and those looking to prevent one. As part of the Hometown Heroes Assistance Program (HHAP) through the Critical Illness Program, firefighters who are diagnosed with a cardiac illness or another critical illness can receive up to $20,000 to assist with expenses.

Additionally, the HHAP provides free training for departments to become MnFIRE Aware and dive deeper into topics such as cardiovascular health, cancer, emotional wellness and more. Visit the MnFIRE Training section on the MnFIRE website to learn more and to register for a training.

By Dr. Paul Anderson, occupational and lifestyle medicine, HealthPartners

It’s no secret that being a firefighter takes a toll on your body and your mind.

Physically, firefighters perform intense work from the time they leave the station until they put away their gear at the end of a shift. All that intensity seems manageable when you are young, but as you age, managing the physical work can be increasingly stressful and create injuries. Mentally, firefighters witness traumatic events and perform tasks that would be very emotionally difficult for anyone to process. Over time, the mental effects of witnessing trauma, death, poverty, domestic strife, and chronic illness can leave a firefighter dealing with depression, anxiety, and chronic post-traumatic stress disorder (PTSD). The typical firefighter career story starts out with health, strength and mental resilience but ends with a list of health and emotional problems waiting for the firefighter at retirement.

But the typical story is changing for the better, and the old story doesn’t have to be your story. Even basic attention to healthy habits like diet, exercise, sleep, and stress management can slow or even reverse the health effects of working as a firefighter. Over the course of your career, attention to your body and mind can bring you to retirement with your health intact and the emotional energy to enjoy your next chapter.

So, where to begin? The American College of Lifestyle Medicine (ACLM) identifies 6 pillars of a healthy lifestyle:

1. Healthful eating of whole, plant-based food
2. Increase physical activity
3. Develop strategies to manage stress
4. Avoid risky substances
5. Improve your sleep
6. Form & maintain relationships

Each of these pillars is important by itself and each one of them has profound effects on the other health areas as well. If you are tired of your old health journey and you are interested in finding a new direction for your health journey as a firefighter, take a moment to look over this diagram from ACLM and read a little about the different pillars of a healthy lifestyle. It’s never too late to start building healthier habits for your mind and body. This spring, we’ll take a deep dive on each of these six ares on the MnFIRE blog to help you improve your health.

That’s a wrap on the 2023 Firefighter Health Forum! We appreciate everyone who was able to join us for this important annual conference in central Minnesota filled with meaningful discussions on firefighter health and wellness.

An animated keynote from Dr. Jody Janati shed light on tips and tricks to communicate effectively and with zero drama. And retired Fire Chief Arjuna George shared his personal experience with burnout and his journey to recovery and better self-care during his afternoon keynote.

In breakout sessions for current peer supporters, fire service leaders, and fire service significant others and spouses, we tackled some of the most critical health issues facing Minnesota’s fire service and their families – from Hometown Heroes Assistance Program resources, to how to have difficult conversations with fellow firefighters and prioritize mental wellness.

The first-ever spouses and significant others track at the forum premiered the brand-new Spouses & Significant Others MnFIRE training curriculum that we’re thrilled to provide to firefighter partners and families this year and beyond! We discussed the tools, skills and perspective needed to make smart decisions about the physical and mental health of the family. Here’s what one attendee said about this new avenue of support:

“From day one, eight years ago, when my husband became a volunteer firefighter, I wanted to learn how to support him on the home front. Spouses had zero resources until now. I am so grateful for all the work MnFIRE is doing to empower firefighters and their families.”

Attendees connected over how to best support the health and well-being of their firefighter loved ones, and we discussed the best ways to navigate potential issues that can arise when you have a firefighter in your family.

Thanks again to everyone who made the 2023 Firefighter Health Forum a success, including our keynote speakers Arjuna George and Dr. Jody Janati, the MnFIRE board, and all of our other health expert partners.

If you’re interested in scheduling a FREE follow-up MnFIRE health and wellness training with your entire department, please see our training page for more information. We’ll soon be rolling out training sessions on new topics including sleep, nutrition, fitness, the session for spouses and significant others mentioned above and more.

Save the date

We’re already looking forward to the 2024 Firefighter Health Forum at Grand Casino Mille Lacs on Saturday, Jan. 20, 2024. We hope to see you there next year!

Austin fire chief prioritizes firefighter health with MnFIRE training

Firefighters are in an others-first career, often focusing on people who need help before tending to their own needs. As a fire chief, Jim McCoy knows it’s part of his job to give the members of his Austin Fire Department resources to make their health a priority. It’s why McCoy had his department complete MnFIRE training.

“This is one thing we can do for us,” said McCoy, who has been in the fire service nearly 24 years. “Our other firefighter training focuses on helping others, but we need (MnFIRE training) to make sure we are healthy, too.”

From these trainings, McCoy and his department became MnFIRE aware and then dove deep into learning about cancer and cardiac diagnoses along with mental health. The trainings helped them find ways to try to avoid these diagnoses and gave them coping mechanisms for getting through them.

McCoy acknowledged that some cancer can be mitigated by changes such as using more advanced gear, taking showers after calls, washing gear properly and wearing gloves amongst many other tactics. While cardiac issues sometimes depend on an individual’s genetic makeup, McCoy said he can encourage his department to eat healthy and work on physical fitness to help keep them heart healthy. For his own overall health, McCoy and his wife watched MnFIRE’s nutrition training videos online led by Chef Marshall O’Brien. Now the couple continuously works together to cook the nutritious recipes they learned from the training videos.

Mental wellbeing is the one area that needs the most improvement in the fire service, McCoy said.

“Mental health is nothing you can see, and it’s so engrained in us to ‘suck it up,’” McCoy said. “In the past, that term ‘suck it up’ was the norm in the fire service. It was almost as if feelings weren’t allowed.”

McCoy is glad that mentality is changing.

“Now it’s OK to talk about it, have feelings and let people know it’s a struggle,” he said. “Through MnFIRE and other programs, we have routes to deal with mental health – to talk to people and become well again.”

The MnFIRE trainings are part of making that change.

“All the trainings have been wonderful and it’s something that needs to continue,” McCoy said. “The more knowledge we have on prevention the better off we are.”

For more information about MnFIRE Training, visit the training tab on our website.

From the anticipation of beginning a new year to adjusting to whatever else life throws at you, the holiday season can be stressful for many people, but for firefighters and first responders especially so thanks to icy road conditions; increased cooking, heating and electrical hazards; and more.

As you’re celebrating the season with fellow first responders, loved ones and friends, it’s important to stay in touch with how you’re feeling mentally and emotionally, especially after a tough or traumatic call. Here are seven ways to guard yourself against and alleviate potential stressors, during this holiday season and year-round:

1. Be realistic – and optimistic
   You are one person with 24 hours in a day. Avoid putting pressure on yourself to be perfect. Instead, make goals about doing the best you can. Also, look for reasons to be positive. Inviting yourself to take pride in your personal and professional accomplishments, however small they may feel, can go a long way in helping you feel energized and motivated.
2. Set boundaries
   Resist the pressure or urge to make yourself available at all hours for all people. Trying to fit too much into one day can make you less effective and eventually lead to exhaustion. Do what you can to organize your time and tasks, so you’re focusing on the highest priorities first and most. For example, divide errands or chores into “must-do’s,” “could-do’s” and “no-need-to’s” where possible.
3. Take time for yourself
   Make sure to take time for yourself – even if it’s just a few minutes or an hour or two. Also, give yourself permission to decline requests for extra shifts or social invites. Giving yourself downtime to recharge can ultimately help you be more positive and productive overall.
4. Try to limit distractions
   Aim to limit distractions and focus your time and attention on one task at a time. Although it can be difficult to know when the next call will pull you away, dedicating certain hours in the day to one task at a time – such as checking your phone notifications or setting aside time to put on headphones and decompress after a shift – can help you feel more focused and at ease.
5. Take a break
   Relaxation is the natural countermeasure for stress, so do your best to take breaks to help you refresh and recharge. Even short breaks help improve your mood, performance and well-being. Also, schedule in activities you enjoy. When it comes to taking a break, it doesn’t matter what you do, so much as that you do take the opportunity to rejuvenate. If you do feel intensely stressed, consider using relaxation techniques like deep breathing, mediation, yoga or whatever else helps slow your breathing and heart rate to regulate your nervous system and bring you back to equilibrium.
6. Take care of your health
   Even when your schedule heats up, make time for regular exercise, getting enough sleep and eating nutritious foods. All of these can help you be more resilient to stress and feel better overall.
7. Reach out
   Having a solid support system among co-workers and loved ones can help you ultimately feel less stressed and be more productive. In a moment of high stress, having someone to listen to what you’re going through can help calm you down or cool off and reset. Plus, maintaining positive friendships generally correlates to mental health and happiness. That’s because healthy friendships can help keep your spirits up, give you a sense of connection, and improve your self-confidence, among other benefits. Take advantage of peer support and free counseling visits through the Hometown Heroes Assistance Program. Get confidential support and speak to someone who gets it and understands the full experience and challenges of being in the fire service.

For more details or for help, call 888-784-6634 or visit mnfireinitiative.com/hhap/.

Repurposed from MnFIRE Assistance Program partner, Optum

Minnesota’s annual giving holiday is Thursday, Nov. 17, but you don’t have to wait to support your local firefighters! From now through Nov. 17, visit the MnFIRE GiveMN page and make a donation to help protect the health and well-being of firefighters across the state.

Firefighters continue to face alarming rates of cardiovascular disease, emotional trauma and cancer, but there is hope. We’re equipping firefighters and the people who care about them with critical resources to address this growing health crisis. Firefighter futures across the state have been forever changed because of MnFIRE and the Hometown Heroes Assistance Program, and your gift can help us keep the momentum going!

If you give $75 or more this Give to the Max, you will receive a free MnFIRE mug or hat as a thank-you gift from us. And if you give $200 or more, you will receive a free MnFIRE blanket – perfect for cozying up now that winter is here. All of us here at MnFIRE and firefighters across the state appreciate your support!

 

“The support, resources, encouragement and how much they care and stay engaged will be uplifting even in your darkest hours,” Captain William Ewald of the St. Bonifacius Fire Department said about MnFIRE. “It’s a tremendous and valuable resource we all need to use.”

Your gift this week will make a difference in the lives of Minnesota’s 20,000 firefighters – protecting them from cardiac, emotional trauma and cancer by ensuring they receive life-saving services such as free health and wellness trainings, critical illness benefits, mental health provider visits and more. That means happy, healthy and productive lives and careers for firefighters and their families.

Together, let’s continue protecting the health of our hometown heroes! Give at givemn.org/MnFire.

You’re invited! Join us Saturday, Jan. 21 at the Grand Casino Mille Lacs in Onamia to experience meaningful health and wellness training at the second annual Firefighter Health Forum.

The inaugural Firefighter Health Forum in 2022 was such a success – gathering mental health experts and fire service leaders from across the state, and sparking many important and inspiring firefighter health conversations. We’re excited to bring back this important event to engage with educational and actionable sessions around the most critical health issues facing Minnesota’s fire service, as well as the new Hometown Heroes Assistance Program resources available to every full-time, part-time, paid-on-call and volunteer firefighter.

This year’s Firefighter Health Forum will feature three distinct tracks for fire service leaders, peer supporters and, for the first time, fire service spouses and significant others.

It’s no secret firefighters deal with some very specific issues that can spill over into life at home. For the first time, spouses and significant others of Minnesota firefighters can take part in an educational track expressly designed to give them the tools, skills and perspective needed to make smart decisions about their family’s physical and mental health. Through this track, you’ll learn how to best support the health and well-being of your loved one – and navigate potential issues that can arise when you have a firefighter in your family.

Secure your spot today!

Register for the 2023 Firefighter Health Forum now through Eventbrite. And spread the word! Did you attend an eye-opening session last year? Tell your fellow firefighters, peer supporters and significant others to join you this time around. We look forward to connecting with you at the Forum in January!

Stay tuned to our event page for more details – including session topics, speakers and more. We have also reserved a block of rooms at Grand Casino Mille Lacs for the night of Friday, Jan. 20, 2023, at a rate of $107. A hospitality room will also be available Friday evening for those arriving the night before the Firefighter Health Forum. For booking details, visit our website.

Five tips for dealing with a new diagnosis

Life can bring many stressors, which can deteriorate both physical and mental health. Many people know how to care for their bodies when they are dealing with a physical ailment, but if you are diagnosed with a mental health condition, what happens next?

You may feel a bit lost with this new information, but we want you to know there are ways to help you feel better. For World Mental Health Day Oct. 10, we have compiled a list of five tips of how to deal with a new mental health diagnosis.

Acceptance of your diagnosis

While people have shared more about mental health in recent years, it still sometimes carries a stigma. But we’re here to tell you mental health is just as important as physical health. It’s OK to receive a mental health diagnosis. Here’s the good part – there are care plans out there to help you feel yourself and live a fulfilling life. Take a deep breath, accept your diagnosis and stick to your care plan. You’ve got this!

Find others to support you

Having supportive people to help you through each stage of your diagnosis can make a big difference. If you feel comfortable, open up to family and friends you trust. Writing your thoughts and feelings in journal can also be helpful when you don’t feel like talking. Or if it’s not already in your care plan, consider finding a therapist to assist you sort through all the thoughts in your mind. You don’t have to do this alone.

Learn about your diagnosis

Being able to care for yourself can only be done if you understand what you’re caring for in the first place. Even if you think you know about your diagnosis, do some research and learn about symptoms, treatments, and short- and long-term outcomes. Make sure you look at reliable sources such as government institutes, professional associations and patient advocacy organizations.

Take care of your physical health

Mental and physical health go hand in hand. Your sleep schedule, diet and exercise can impact how your mind feels. You don’t have to be perfect every day but try to get seven to eight hours of sleep each night, eat nutritious and filling foods, and move your body regularly. Taking care of your physical health isn’t a cure for a mental health condition, but your body will at least be ready to handle any physical stressors.

Set realistic expectations

Managing a mental health condition takes time and effort. Sometimes it can take a few tries to find the right medication or a therapist with whom you feel comfortable. Know that this is normal and part of the process. You may also experience setbacks or challenges. Try not to let those get you down. Keep those supportive people around you, take care of yourself and continue moving forward so you can feel like yourself again.

Everyone’s mental health journey is different. Be patient with yourself as you figure out this new diagnosis. If you need support in your mental health journey, we’re here for you. The MnFIRE Assistance Program provides free and confidential help online or over the phone, anytime, for dealing with:

• Traumatic calls
• Relationship problems
• Parenting and family issues
• Stress, anxiety and depression
• Eldercare support
• Substance use and addiction
• Financial guidance
• And more

Experienced specialists trained in the rigors of the fire service will listen to your needs and connect you to the appropriate resources, including mental health counseling. For more details or for help, call 888-784-6634 or visit https://mnfireinitiative.com/hhap/.

Repurposed from MnFIRE Assistance Program partner, Optum