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Original Articles

Firefighter hood contamination: Efficiency of laundering to remove PAHs and FRs

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Abstract

Firefighters are occupationally exposed to products of combustion containing polycyclic aromatic hydrocarbons (PAHs) and flame retardants (FRs), potentially contributing to their increased risk for certain cancers. Personal protective equipment (PPE), including firefighter hoods, helps to reduce firefighters’ exposure to toxic substances during fire responses by providing a layer of material on which contaminants deposit prior to reaching the firefighters skin. However, over time hoods that retain some contamination may actually contribute to firefighters’ systemic dose. We investigated the effectiveness of laundering to reduce or remove contamination on the hoods, specifically PAHs and three classes of FRs: polybrominated diphenyl ethers (PBDEs), non-PBDE flame retardants (NPBFRs), and organophosphate flame retardants (OPFRs). Participants in the study were grouped into crews of 12 firefighters who worked in pairs by job assignment while responding to controlled fires in a single-family residential structure. For each pair of firefighters, one hood was laundered after every scenario and one was not. Bulk samples of the routinely laundered and unlaundered hoods from five pairs of firefighters were collected and analyzed. Residual levels of OPFRs, NPBFRs, and PAHs were lower in the routinely laundered hoods, with total levels of each class of chemicals being 56–81% lower, on average, than the unlaundered hoods. PBDEs, on average, were 43% higher in the laundered hoods, most likely from cross contamination. After this initial testing, four of the five unlaundered exposed hoods were subsequently laundered with other heavily exposed (unlaundered) and unexposed (new) hoods. Post-laundering evaluation of these hoods revealed increased levels of PBDEs, NPBFRs, and OPFRs in both previously exposed and unexposed hoods, indicating cross contamination. For PAHs, there was little evidence of cross contamination and the exposed hoods were significantly less contaminated after laundering (76% reduction; p = 0.011). Further research is needed to understand how residual contamination on hoods could contribute to firefighters’ systemic exposures.

Acknowledgments

We would like to acknowledge the assistance received with this study. We thank Kenneth Sparks and Donald Booher for processing and submitting all hood samples for analysis and Joseph Fernback for microscopy of the fabric samples. Most of all, we thank the firefighters for participating in the larger study, of which the hood analysis was just one component. This study was approved by the Institutional Review Boards at NIOSH and the University of Illinois.

Disclaimer

The findings and conclusions in this report are those of the author(s) and do not necessarily represent the official position of the National Institute for Occupational Safety and Health (NIOSH), Centers for Disease Control and Prevention (CDC). Mention of any company name or product does not constitute endorsement by NIOSH/CDC.

Table 3. Contamination levels of individual NPBFRs in exposed hoods before and after a single laundering (ng/g)A.

Additional information

Funding

This study was funded through a U.S. Department of Homeland Security, Assistance to Firefighters Grant (EMW-2013-FP-00766, EMW-2013-FP-00644, and EMW-2015-FP-00646). This project was also made possible through a partnership with the CDC Foundation. This study was supported in part by an interagency agreement between NIOSH and the National Institute of Environmental Health Sciences (AES15002) as a collaborative National Toxicology Program research activity. This article is contribution #3786 of the Virginia Institute of Marine Science, College of William & Mary.