Firefighters have an elevated risk of cancer, which is suspected to be caused by occupational and environmental exposure to fire smoke. Among many substances from fire smoke contaminants, one potential source of toxic exposure is polycyclic aromatic hydrocarbons (PAH). The goal of this paper is to identify the association between PAH exposure levels and contributing risk factors to derive best estimates of the effects of exposure on structural firefighters’ working environment in fire. We surveyed four databases (Embase, Medline, Scopus, and Web of Science) for this systematic literature review. Generic inverse variance method for random effects meta-analysis was applied for two exposure routes—dermal and inhalation. In dermal, the neck showed the highest dermal exposure increased after the fire activity. In inhalation, the meta-regression confirmed statistically significant increases in PAH concentrations for longer durations. We also summarized the scientific knowledge on occupational exposures to PAH in fire suppression activities. More research into uncontrolled emergency fires is needed with regard to newer chemical classes of fire smoke retardant and occupational exposure pathways. Evidence-based PAH exposure assessments are critical for determining exposure–dose relationships in large epidemiological studies of occupational risk factors.

In 2017, more than 60,000 firefighters and oilfield-workers injuries and fatalities occurred while they were working under various thermal hazards such as flame, radiant heat, steam, etc., or due to their significant heat stress related discomfort. The majority of these burn injuries and fatalities results from an inadequate protection and comfort provided by firefighters’ and oilfield-workers’ fire protective polymeric textile materials used in their workwear. Hence, both the thermal protective and thermo-physiological comfort performance of fabrics used in workwear significantly contribute to limit firefighters’ and oilfield-workers’ skin burns and heat stress. Considering this, previous studies have focused on characterizing and developing empirical models to predict the protective and comfort performance based on physical properties of the fabrics. However, there are still some technical knowledge gaps in the existing literature related to this. This paper critically reviewed the literature on characterization and modeling of thermal protective and thermo-physiological comfort performance of fire protective textile fabric materials. The key issues in this field have been indicated in order to provide direction for the future research and advance this scientific field for better protection and comfort of the firefighters and oilfield-workers.

Quick drying is one of the most crucial factors in the comfort and performance of active sportswear clothing. It helps to keep the wearer dry and comfortable by effectively wicking away sweat and moisture from the body. In the light of this, a substantial number of previous researchers have identified fabric properties and types that have a significant impact on fabric drying performance. Studies have also been conducted to examine the impact of fabric drying on human physiology during sports-related activities. However, there are still some technical knowledge gaps in the existing literature related to the drying performance of active sportswear fabrics. This review article provides a critical analysis of the literature on the impact of various fabric attributes as well as the physiological and environmental factors on moisture management and drying performance. The key issues in this field are determined so that future research can be directed and this scientific field can advance in order to improve the overall performance of active sportswear fabrics.

As wildfire risks have elevated due to climate change, the health risks that toxicants from fire smoke pose to wildland firefighters have been exacerbated. Recently, the International Agency for Research on Cancer (IARC) has reclassified wildland firefighters' occupational exposure as carcinogenic to humans (Group 1). Wildfire smoke contributes to an increased risk of cancer and cardiovascular disease, yet wildland firefighters have inadequate respiratory protection. The economic cost of wildland fires has risen concurrently, as illustrated by the appropriation of $45 billion for wildfire management over FYs 2011-2020 by the U.S. Congress. Occupational epidemiological studies of wildland firefighters are crucial for minimizing health risks; however, they must account for the mixture of exposures in wildfire smoke. This review focuses on four aspects of wildland firefighters' health risks at the wildland-urban interface: 1) economic costs and health impact, 2) respiratory protection, 3) multipollutant mixtures, and 4) proactive management of wildfires.

Firefighters are intermittently exposed to complex, mixed pollutants in random settings. Of those pollutants, PAHs (polycyclic aromatic hydrocarbons) are the most commonly studied and best understood. PAH exposure can occur via multiple routes; therefore, the levels of hydroxylated metabolites of PAHs in urine have been used as a biomonitoring tool for risk assessment. We performed a systematic review and meta-analysis of the literature to estimate the levels of urinary hydroxylated PAH (OHPAH) among firefighters, determine risk attributions, and, finally, evaluate the scope of preventive efforts and their utility as diagnostic tools. The meta-regression confirmed increases in OHPAH concentrations after fire activities by up to 1.71-times (p-values: <0.0001). Samples collected at a time point of 2–4 h after a fire suppression showed a consistent, statistically significant pattern as compared with baseline samples. The National Fire Protection Association (NFPA) standard 1582 Standard on Comprehensive Occupational Medical Program for Fire Departments lists various health examinations, including a urinalysis for occupational chemical exposure if indicated and medical screening for cancers and cardiovascular diseases. Biomonitoring is a valuable screening tool for assessing occupational exposure and the results of this meta-analysis support their inclusion in regular health screenings for firefighters.

Most of the fatalities and injuries of oilfield workers result from inadequate protection and comfort by their clothing under various work hazards and ambient environments. Both the thermal protective performance and thermo-physiological comfort performance of textile fabrics used in clothing significantly contribute to the mitigation of workers’ skin burns and heat-stress-related deaths. This study aimed to apply the ANN modeling approach to analyze clothing performance considering the wearers’ sweat moisture and the microclimate air gap that is generated in between their body and clothing. Firstly, thermal protective and thermo-physiological comfort performance of fire protective textiles used in oilfield workers’ clothing were characterized. Different fabric properties (e.g., thickness, weight, fabric count), thermal protective performance, and thermo-physiological comfort performance were measured. The key fabric property that affects thermal protective and thermo-physiological performance was identified as thickness by statistical analysis. The ANN modeling approach could be successfully implemented to analyze the performance of fabrics in order to predict the performance more conveniently based on the fabric properties. It is expected that the developed models could inform on-duty oilfield workers about protective and thermo-physiological comfort performance and provide them with occupational health and safety.