The Risk of Prostate Cancer from Occupational Exposures in Male Firefighters

Authors

  • Zing-Wae Wong
  • James Gomes

DOI:

https://doi.org/10.18192/riss-ijhs.v2i1.1524

Keywords:

Firefighting, occupational exposure, prostate neoplasm

Abstract

Prostate cancer is the most commonly diagnosed cancer among men. Since prostate cancer is a slow developing cancer, mortality can be prevented if the tumour is detected and treated in its early stages. There is proof that environmental exposures can increase the risk of prostate cancer. Many papers have performed data analyses on prostate cancer levels in firefighters. There has been some research on firefighter prostate cancer levels but few reviews on the topic. This paper focuses on finding whether there is a correlation between firefighting occupation and levels of prostate cancer. As well, this paper notes potential carcinogens within the firefighting occupation. Five papers were included in this review; these papers used different methods to obtain the cases and cohorts for the study. The papers also used different controls for comparison. Nevertheless, the papers found in the search supported a positive correlation between exposures in firefighting occupations and the level of prostate cancer. The two chemicals that were suspected carcinogens in these studies were Polyaromatic hydrocarbons (PAH) and fire smoke. However, future research can be more rigorous in calculations of prostate cancer levels by including lifestyle factors, other confounders such as smoking, and estimated length of exposure. 

References

Austin, C. C., Wang, D., Ecobichon, D. J., & Dussault, G. (2001). Characterization of volatile organic compounds in smoke at municipal structural fires. Journal of Toxicology and Environmental Health Part A, 63(6), 437-458. doi: 10.1080/152873901300343470

Bates, M. N. (2007). Registry-based case-control study of cancer in California firefighters. American Journal of Industrial Medicine, 50, 339-344. doi: 10.1002/ajim.20446

Bolstad-Johnson, D. M., Burgess, J. L., Crutchfield, C. D., Storment, S., Gerkin, R., & Winston, J. R. (2000). Characterization of firefighter exposures during fire overhaul. American Industrial Hygiene Association, 61, 636- 641.

Brandt-Rauf, P. W., Fallon, L. F., Tarantini, C. I., & Andrews, L. (1988). Health hazards of fire fighters: exposure assessment. British Journal of Industrial Medicine, 45, 606-612. Retrieved from http://www.jstor.org/ stable/27726658

Cancel-Tassin, G., & Cussenot, O. (2005). Prostate cancer genetics. The Italian Journal of Urology and Nephrology, 57(4), 289-300. Retrieved from http://europepmc.org/ abstract/MED/16247350

Coca, A., Williams, W. J., Roberge, R. J., & Powell, J.B. (2010). Effects of fire fighter protective ensembles on mobility and performance. Applied Ergonomics, 41, 636-641. doi: 10.1016/j.apergo.2010.01.001

Demers, P. A., Checkoway, H., Vaughan, T. L., Weiss, N. S., Heyer, N. J., & Rosenstock, L. (1994). Cancer incidence among firefighters in Seattle and Tacoma, Washington (United States). Cancer Causes and Control, 5(2), 129-135.

Fabian, T. Z., Borgerson, J. L., Gandhi, P. D., Baxter, C. S., Ross, C., Lockey, J. E., & Dalton, J. M. (2011). Characterization of firefighter smoke exposure. Fire Technology, 1- 27. doi: 10.1007/s10694-011-0212-2

Flinton, D. B. & Walters, N. J. (2005). Occupational activity and risk of prostate cancer in Ireland. Journal of Radiotherapy in Practice, 4, 102-106. Retrieved from http://dx.doi.org/10.1017/S1460396905000142

Golden, A. L., Markowitz, S. B., & Landrigan, P. J. (1995). The risk of cancer in firefighters. Occupational Medicine, 10(4), 803-820.

Guidotti, T. L. (1995) Occupational mortality among fire-fighters: Assessing the association. Occupational Mortality among Firefighters, 37(12), 1348-1356.

Guidotti, T. L. (2007). Evaluating causality for occupational cancers: the example of firefighters. Occupational Medicine, 57, 466-471. doi: 10.1093/occmed/kqm031

Haas, G. P., & Sakr, W. A. (1997). Epidemiology of prostate cancer. A Cancer Journal for Clinicians, 47(5), 273-287

Hassig, R. A. (1999, Fall). Evidence-based medicine [Newsletter]. Retrieved from http://library.uchc.edu/libpub/fall99.PDF

Hsing, A. W., & Chokkanlingam, A. P. (2006). Prostate cancer epidemiology. Frontiers in Bioscience: A Journal and Virtual Library, 1(11), 1388-1413.

Jankovic, J., Jones, W., Burkhar, J., & Noonan, G. (1991). Environmental study of firefighters. The Annals of Occupational Hygiene, 35(6), 581-602. doi: 10.1093/annhyg/35.6.581

Kang, D., Davis, L. K., Hung, P., & Kriebel, D. (2008). Cancer incidence among male Massachusetts firefighters, 1987-2003. American Journal of Industrial Medicine, 51, 329- 335. doi: 10.1002/ajim.20549

Krstev, S., Baris, D., Stewart, P., Dosemeci, M., Swanson, G. M., Greenberg, R. S.,...Hayes, R. B. (1998a). Occupational risk factors and prostate cancer in U.S. Blacks and Whites. American Journal of Industrial Medicine, 34(5), 421-430. doi: 10.1002/(SICI)1097-0274(199811) 34:5<421::AID-AJIM2>3.0.CO;2-T

Krstev, S., Baris, D., Stewart, P. A., Hayes, R. B., Blair, A. Dosemeci, M. (1998b). Risk for prostate cancer by occupation and industry: A 24-state death certificate study. American Journal of Industrial Medicine, 34(5), 413-420. doi: 10.1002/(SICI)1097-0274(199811) 34:5<413::AIDAJIM1>3.0.CO;2-R

LeMasters, G. K., Genaidy, A. M., Succop, P., Deddens, J., Sobeih, T., Barriera-Viruet, H.,... Lockey, J. (2006). Cancer risk among firefighters: a review and meta-analysis of 32 studies. Journal of Occupational & Environmental Medicine, 48(11), 1189-1202. doi: 10.1097/01.jom.0000246229.68697.90

Ma, F., Lee, D. J., Fleming, L. E., & Dosemeci, M. (1998). Race-specific cancer mortality in US firefighters: 1984-1993. Journal of Occupational and Environmental Medicine, 40(12), 1134-1138.

Prostate Cancer Canada. (2009). Statistics. Retrieved from http://www.prostatecancer.ca/

Pukkala, E., Martinsen, J. I., Lynge, E., Gunnarsdottir, H. K., Sparén, P., Tryggvadottir, L.,...Kjaerheim, K. (2009). Occupation and cancer – follow-up of 15 million people in five Nordic countries. Acta Oncologica, 48(5), 646-790. doi: 10.1080/0284186090291354

Youakim, S. (2006). Risk of cancer among firefighters: A quantitative review of selected malignancies. Archive of Environmental & Occupational Health, 61(5), 223-231. doi: 10.3200/AEOH.61.5.223-231

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Published

2016-03-10

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