Contributed by Nicholas E. Blonien, D.O.

We started the year with Firefighter Cancer Awareness Month – an important reminder that despite protective gear and other safety measures that firefighters take while on the job, they are still at a higher risk for cancer than the general public.

Due to exposure to carcinogenic compounds and other harmful toxins, those in the fire service community have a 9% increased risk of a cancer diagnosis and 14% higher risk of dying from cancer compared to those in other professions.

Therefore, it’s especially important for firefighters to prioritize healthy lifestyle choices and habits to combat the unavoidable risks they already face. Keeping overall health top of mind is critical as research shows the general public is struggling in some ways to do so.

Research shows top health risks are lifestyle-driven

A study published by the American Cancer Society examining the number of cancer cases and deaths in the general public pointed to modifiable lifestyle factors that could curb these statistics. With cigarette smoking, excess body weight, alcohol consumption, UV radiation and physical inactivity rounding out the top five risk factors for disease and death in this study – smart and consistent lifestyle choices could make a big difference in changing current outcomes.

In July 2024, the American Cancer Society also published an analysis of cancer burden (excluding skin cancers) attributable to modifiable risk factors in the United States general population. Researchers found that up to 40% of cancer cases and deaths were linked to unhealthy behavior and largely preventable infection.

Health tips and resources for firefighters

So even with occupational exposure to dangerous fumes minimized as much as possible but never completely eliminated for firefighters, what can they do to help neutralize their increased cancer risk overall?

On a personal level, firefighters can focus on good sleep habits, eliminate tobacco use, minimize alcohol consumption, exercise frequently and eat a minimally processed diet high in plants and fiber to try and keep cancer at bay. And while it’s highly encouraged to live as healthy of a lifestyle as possible, at some point it’s hard to avoid illness or injury, and MnFIRE is here to support firefighters at these stages.

MnFIRE and the Hometown Heroes Assistance Program

From a professional and operational standpoint, MnFIRE offers no-cost trainings that focus on firefighter occupational health risks including cancer, cardiac and emotional wellness, plus deep-dive trainings on sleep, nutrition and fitness. Click here to learn more and register your department for a training session.

One of the offerings through MnFIRE’s Hometown Heroes Assistance Program is a critical illness insurance policy covering diagnoses related to a heart attack, cancer, post-traumatic stress injury (PTSI) or other critical illnesses. This program provides a lump-sum cash payment of up to $20,000 per diagnosis to assist with expenses. In 2024, 196 claims were paid to firefighters, totaling $1,911,000.

The impact has been significant, with the fire chief for the City of Rosemount recently battling an unexpected cancer diagnosis. He was grateful for the financial support through this program. Read more about his experience.

35 years ago, Kip Springer planned to become a police officer. In hopes of gaining work experience while he earned his law enforcement degree, he became a volunteer firefighter at Eden Prairie Fire Department – and it lit a spark.

“Anybody who starts in the fire service will tell you that there’s just this passion that kicks in,” said Springer. “And that’s where I wanted to be. I was really, really happy being a firefighter.”

He continued as a paid-on-call firefighter with the Eden Prairie Fire Department for 20 years, eventually leaving his construction job in the private sector to become a full-time firefighter. After rising through the ranks during stints at the Plymouth Fire Department and the Eagan Fire Department, he is now Fire Chief for the City of Rosemount.

It was this professional journey through leadership development that led him to his thyroid cancer diagnosis. A vendor at a 2015 Fire Chiefs conference in Colorado was showcasing an artery scanner and Springer gave the new technology a try. While he received a clean bill of health there, the technician noted nodules on Springer’s thyroid and suggested he have them checked by his primary doctor back home.

“My doctor emphasized that a lot of people have these, and it’s usually nothing,” said Springer. “But they put me on a monitoring plan, getting ultrasounds every five years to keep an eye out for any changes.”

On one of those routine visits, it was immediately clear to Springer that the ultrasound technician noticed something different.

“She said, ‘We’ll pass everything on to the doctor and they’ll follow up with you.’ I knew right there something wasn’t right. And unfortunately with [digital charts] nowadays, you can see everything they enter into the system. And so, I knew before the doctor even called me.”

Springer was diagnosed with thyroid cancer. Despite being detected early, it was a blow to his family, as his wife had successfully completed breast cancer treatment just six years prior.

“We knew that life. We had to work through those struggles and the financial impacts of my wife not being able to work,” recalled Springer. “We were just digging ourselves out of a hole from the last [diagnosis], and then you get another cancer diagnosis in your family and you just worry so badly about the impact that’ll have.”

Having helped bring MnFIRE training to his fire department, Springer was aware of MnFIRE and the Hometown Heroes Assistance Program (HHAP) resources. But he wasn’t familiar with the logistics of filing a critical illness claim. Bolstered by the encouragement of a firefighter friend, he made the call, and received the full benefit of $20,000. It was a prescription for peace of mind.

“With my wife’s cancer, we were digging into savings and cashing out other investments to help cover costs. This time, I didn’t have to worry about that. I could focus on my health. I could focus on my family.”

Springer underwent a thyroidectomy to remove the cancer. He is now cancer free taking medicine daily and receiving annual monitoring checks. His wife is also healthy and received the “all clear” after several scans showed her cancer has remained in remission.

While he appreciated the privacy granted through the HHAP, Springer now feels compelled to share his story with his fellow firefighters, all who face greater occupational health risks such as cancer, cardiac disease and mental health struggles.

“Firefighters need to know these resources are out there for them,” said Springer. “This program can help you so that if the day ever comes, you are not panicking trying to figure out what to do. You already know who to call to get that help.”

Critical Illness Program details

As part of the Hometown Heroes Assistance Program, all Minnesota firefighters are automatically enrolled in a statewide Critical Illness insurance policy which covers diagnoses of cancer, cardiac or other critical illnesses, and provides a lump-sum cash payment up to $20,000 to assist with expenses like medical bills and travel costs to and from specialist visits. Qualified claims for diagnosed illnesses from August 1, 2021, and on are eligible. The firefighter has one year from the date of diagnosis to file the claim. For more information or to file a claim, call 888-784-6634 or visit securian.com/mnfire-insurance.

Every year since 2011, hundreds of people have gathered on the grounds of the State Capitol on the last Sunday of September for a solemn ceremony to remember the Minnesota firefighters who have died in the line of duty.

Yesterday, MnFIRE representatives joined others in the fire service, dignitaries including Lt. Gov. Peggy Flanagan, family members and the public once again as part of the 2024 Minnesota Fallen Firefighter Memorial Service.

MnFIRE board members Ken Bence and Ed Hoffman participated in the reading of the honor roll, and Hoffman also led the ceremonial releasing of the doves. MnFIRE board president George Esbensen spoke about the history of MnFIRE, and how the Hometown Heroes Assistance Program is charting a way forward to improve firefighter health.

“I began attending funerals for fallen firefighters and noticed a pattern: cancer, cardiac issues and emotional trauma were consistently primarily responsible for these losses,” Esbensen said in his remarks. “It struck me that what’s predictable is preventable. Could we apply successful fire prevention approaches to firefighter health and well-being?”

According to Esbensen, firefighters of all types across Minnesota are receiving help daily through the Hometown Heroes Assistance Program. Eighty percent of fire departments statewide have received free training on the physical and mental risks of firefighting and strategies for prevention and mitigation. A network of over 1,000 trauma-informed mental health providers has been created, aiming to have support within an hour’s drive of any firefighter or family member in Minnesota.

He also described the thriving peer support network and how every firefighter in the state is automatically enrolled in a critical illness program, providing up to $20,000 in life-changing funds when diagnosed with cancer, cardiac issues, emotional trauma or other qualifying conditions.

“By identifying and addressing the root causes of many of the illnesses and deaths in the Minnesota fire service, we can reduce preventable job-related tragedies among our selfless servants,” Esbensen said.

Since 1881, 249 Minnesota firefighters have died in the line of duty. Their names have been inscribed on columns throughout the nationally recognized memorial, located on the south side of the Capitol grounds. Columns were unveiled Sunday honoring Adam Finseth of the Burnsville Fire Department, who died February 18, 2024; Kayla Giefer of the Courtland Fire Department, who died July 13, 2023; Thomas McDonough, Jr., of the St. Paul Fire Department, who died Aug. 24, 2020; Lloyd Conley, Sr., of the MN State Fire Marshal’s Office, who died Nov. 2, 1921; and Arthur Clark, Sr., also of the MN State Fire Marshal’s Office, who died Aug. 29, 1913.

It was 22 years ago when Ellen Kling decided to join the fire department in Ceylon. Her husband Larry had been active at the department since high school, and she was drawn to the comradery she had seen in the fire service.

“You don’t have to like each other, but yet when you get to a fire, you have each other’s backs,” said Ellen.

When Ellen isn’t volunteering as a training officer and EMT, she manages an excavating and scrap iron business with her husband.

With retirement on the horizon, Ellen was startled to find out she had a spot on her lung. After reviewing her shoulder X-ray results in her online portal back in December 2022, Ellen messaged her provider for further review. After several scans and tests, she found out it was cancerous.

Most lung cancers do not cause any symptoms until they have spread, so Ellen was lucky to catch it early. Ellen’s experience isn’t uncommon – after all, 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, according to research by the CDC and National Institute for Occupational Health and Safety (NIOSH). But her story is a perfect reminder of the importance of advocating for yourself as a patient.

In March 2023, Ellen underwent surgery at Mayo Clinic in Rochester to remove the cancerous lung nodules. Fortunately, she is now cancer free and is following up with testing and appointments every six months.

As a training officer for Ceylon Fire, Ellen was already aware of MnFIRE and the Hometown Heroes Assistance Program (HHAP) resources when she was diagnosed with lung cancer. She’s the one who coordinated the MnFIRE trainings for her department and even learned about the increased cancer risks facing firefighters. But after her diagnosis, her thoughts weren’t on any programs MnFIRE had. She wasn’t thinking about anything but the next appointment – as is typical when facing a serious illness.

“Until you have cancer or any disease, you don’t really understand the mentality and the things that go through your head – the tunnel vision that you get,” said Ellen.

Luckily, Ellen’s friend and Dunnell Fire Chief, Al Helmers, reached out to remind Ellen about the free Critical Illness benefit available to her through Hometown Heroes.

“Having that support system, that’s one of the things about the fire service that I like,” said Ellen. “There’s always that firefighter next to you to say, ‘hey, have you checked on this or are you doing ok?’”

“To be honest, I wasn’t worried about the financial. I was thinking straightforward. Am I going to die? How bad is this? Having someone there to say, ‘hey, you know there is a program that is going to take some financial burden off and you’re going to need that’ – that’s great.”

Ellen filed her claim but was skeptical about getting the full $20,000 benefit advertised by MnFIRE. That thought was quickly dashed, and she was excited to discover the critical illness policy provider, Securian Financial, sent a check for the entire amount.

It’s certainly not cheap to have cancer. Ellen was off work for six weeks – a significant amount of time especially when you own your own business. Her treatment also required several stays in Rochester, and she has had to make several trips to Mankato and Fairmont for testing and appointments. Like so many firefighters in Minnesota, Ellen lives in a rural area and sometimes it can be quite the hike to access healthcare services.

“As my husband and I are self-employed,” said Ellen, “the money I received allowed me to have some peace of mind knowing I could spend time healing after surgery and not have to stress about money or rushing back to work too soon.”

Although she’s still in recovery, Ellen’s grateful that her treatment has been effective, and she was able to receive this extra financial support through it all.

“It’s a great program,” said Ellen. “Especially because the majority of firefighters in the state of Minnesota fall under the volunteer status and don’t necessarily have access to career benefits.”

Knowledge is power

When firefighters head out on a call – they’re thinking about putting the fire out. MnFIRE has made great strides so far in creating awareness for the high incidences of heart attacks and cancer facing the fire service, but even more can be done.

“Prior to the MnFIRE training, we didn’t have a gear washer,” said Ellen. “We just kept wearing our turnouts … so the training is valuable to any firefighter.”

Ellen believes MnFIRE trainings have been powerful during her time as a firefighter – and even lifesaving in the long run. Learning about the increased health risks firefighters face and how best to protect yourself can make a huge difference, like making sure you’re putting your hood on, getting a good seal and decontaminating gear as soon as possible.

“The small things, those definitely add up,” said Ellen. “I think MnFIRE has been great in helping firefighters become healthier and make good choices.”

It’s so important to check in on each other often and spread the word about the resources available to all of us firefighters. Knowledge is power – with both cancer prevention and care.

Critical Illness Program details

As part of the Hometown Heroes Assistance Program, all Minnesota firefighters are automatically enrolled in a statewide Critical Illness insurance policy which covers diagnoses of cancer, cardiac or other critical illnesses, and provides a lump-sum cash payment up to $20,000 to assist with expenses like medical bills and travel costs to and from specialist visits. Qualified claims for diagnosed illnesses from August 1, 2021, and on are eligible. The firefighter has one year from the date of diagnosis to file the claim. For more information or to file a claim, call 888-784-6634 or visit securian.com/mnfire-insurance.

In July 2021, the state legislature passed the most comprehensive firefighter well-being legislation in the nation. The bipartisan Hometown Heroes Assistance Program (HHAP) dedicates $4 million per year to ensure that every Minnesota firefighter will have access to the education, prevention and care needed to handle a cardiac, emotional trauma or cancer diagnosis.

We are so thankful to the bipartisan group of legislators and fire service leaders who took action to make this happen. Over the past few months, we have had the privilege of recognizing the legislators who were instrumental in passing the Hometown Heroes Assistance Program with our highest honor – commemorative bronze axes.

A token of our gratitude, these axes commemorate their leadership in the fight for firefighter health and wellness. The legislators awarded with, or soon to be awarded with, commemorative axes include:

• Senate HHAP Co-Author Senator Steve Cwodzinski (D – 48)
• Senator Paul Gazelka (R – 09)
• Senate HHAP Author Senator Jeff Howe (R – 13)
• Senate Majority Leader Jeremy Miller (R – 28)
• House Speaker Melissa Hortman (D – 36B)
• House Public Safety Chair Representative Carlos Mariani (D – 65B)
• House HHAP Author Representative Cheryl Youakim (D – 46B)

Thanks to the generosity of the Minnesota Legislature, 20,000 volunteer, paid-on-call, part-time and full-time firefighters across the state have an opportunity to deeply benefit from these new resources.

This major milestone for firefighter health combines three vital elements: an assistance program with expanded emotional trauma resources, an up-to-$20,000 critical illness policy, and ongoing health and wellness training. All active Minnesota firefighters – volunteer, paid-on-call, part-time and full-time – can access the MnFIRE Assistance Program, are automatically enrolled in the Critical Illness insurance policy and can receive training – all at no cost.

Minnesota firefighters can receive help for a crisis, find out more information or file a claim by calling 888-784-6634 or visiting mnfireinitiative.com/hhap/.