Work Exposome and Related Disorders of Firefighters: An Overview of
Systematized Reviews

Work Exposome and Related Disorders of Firefighters: An Overview of
Systematized Reviews

cancer
firefighter
occupational
public health
systematic

Firefighters experience many exposures associated with negative health outcomes. Because
of this, there are many studies on the subject. Our objective here was to conduct an umbrella review of
systematized reviews to identify firefighting activities and related exposures associated with negative
health outcomes.
Methods: A comprehensive search of the PubMed, Web of Science, and Scopus (Health) was conducted
using all firefighter systematized reviews. We extracted the country and date of the review, type of
firefighter, types of exposure, and related health outcomes. Risk of bias was based on AMSTAR-2
checklist.
Results: In 1130 studies, 47 systematized reviews were included, mostly in the last 5 years and from
North America and Australia. The topics were diverse, ranging from general aspects to specific exposures,
such as polycyclic aromatic hydrocarbons, wildland fires, organizational, traumatic, or psychological
stress exposure, and from prevention or surveillance to specific health effects (e.g., cancer, mental health,
musculoskeletal disorders, cardiovascular, and pulmonary health, etc.). The risk of bias assessment using
the selection grid shows a significant heterogeneity, though some studies were of very high quality.
Discussion: This umbrella review provides a comprehensive description of systematized reviews
describing populations of firefighters, including information on exposure, health outcomes, and illness/
injury prevention

Alexis Descatha 1,2,*,q, Hugues Dousseau 1,q, Sabrina Pitet 1
, Francis Magnolini 3
,
Neil McMillan 4
, Neil Mangelsdorf 5
, Rick Swan 6
, Jean-Marie Steve 7
, Didier Pourret 3
,
Marc Fadel

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1Univ Angers, CHU Angers, Univ Rennes, Inserm, EHESP, Irset (Institut de recherche en santé, environnement et travail) - UMR_S 1085, SFR ICAT, centre
antipoison, Prevention, Angers, France
2 Epidemiology and Prevention, Donald and Barbara Zucker School of Medicine, Hofstra Univ Northwell Health, USA
3Direction Générale de la Sécurité Civile et de la Gestion des Crises (DGSCGC), Ministère de l’intérieur, Paris, France 4 International Association of Fire Fighters, Washington D.C, USA/Ottawa, Ontario, Canada
5United Firefighters Union of Australia, Fitzroy, Victoria, Australia 6 The Wildfire Conservancy Inc., Sacramento, CA, United States 7 Ecole Nationale des Officiers de Sapeurs-Pompiers, Aix en Provence, France

23 April 2025

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