North Carolina
Firefighters and supporters are pushing hard for PFAS-free turnout gear
Firefighting is an occupation that comes with inherent dangers.
Along with the bodily calls for, there are additionally well being dangers related to the job. As an example, the speed at which firefighters develop most cancers outpaces the overall inhabitants by 9 p.c, and their threat of dying from most cancers is 14 p.c increased, in response to a research printed by the Nationwide Institute for Occupational Security and Well being (NIOSH).
It seems, although, that a few of the tools used to maintain firefighters protected additionally places them in danger.
Firefighters depend on turnout gear and different private protecting tools, resembling a respiration equipment, to maintain them protected when battling flames, excessive temperatures, smoke and different parts related to firefighting.
Firefighting turnout gear is manufactured with fluorine, one of many compounds that makes the gear heat-resistant and waterproof. When fluorine is mixed with carbon compounds the union creates “ceaselessly chemical compounds.”
These chemical compounds pose environmental and human well being dangers. They’re the identical chemical compounds which have been discovered to be fouling the Cape Concern River basin and have been implicated in tainted water on the Marine’s Camp Lejeune in Onslow County.
North Carolina fireplace officers wish to push down these most cancers numbers for the greater than 50,000 volunteer and profession firefighters in North Carolina’s greater than 1,200 fireplace departments.
“I wish to see a regulation in place that claims, ‘North Carolina firefighters will likely be in PFAS-free gear by 2025,’” mentioned firefighter Scott Mullins, president of Skilled Firefighters and Paramedics of North Carolina. “I believe we’ve received to begin cranking up the strain on these gear producers.”
‘Should you contact it as soon as, you’re uncovered’
This 12 months’s North Carolina Affiliation of Hearth Chiefs (NCAFC) 2022 Most cancers Survey, which 15 p.c of departments accomplished, revealed that roughly 44 p.c of respondents mentioned that there are folks throughout the unit who’ve most cancers. Prostate, pores and skin, colon and mind cancers are the commonest cited within the survey, mentioned Wesley Hutchins, government director of the NCAFC.
Globally, 75 p.c of firefighters whose names appeared on the Worldwide Firefighters Affiliation’s (IAFF) Memorial Wall between 2015-2020, died of most cancers, in response to the IAFF.
Analysis exhibits that firefighters’ most cancers dangers are associated, partly, to prolonged publicity to per- and polyfluoroalkyl (PFAS) compounds, often known as ceaselessly chemical compounds due to their lasting presence within the setting. Because the Nineteen Forties, PFAS have been used within the manufacturing of oil and water resistant merchandise, in addition to merchandise that resist warmth and cut back friction.
There are greater than 12,000 totally different PFAS compounds utilized in merchandise resembling non-stick cookware, cleansing merchandise, water resistant clothes and firefighting foam together with firefighting turnout gear.
Final month the IAFF and the Metropolitan Hearth Chiefs Affiliation (Metro Chiefs) launched a joint assertion, warning firefighters of the risks related to sporting firefighting turnout gear and inspiring members to solely put on the gear in emergency conditions.
“That is the problem of our era, and if we don’t act, will probably be the problem of our kids’s era,” mentioned IAFF Normal President Edward A. Kelly. “We will’t simply salute in entrance of the church and battle for higher advantages. We have to fight what’s killing us.
“I’m dedicated to creating certain we do every part we will to extinguish most cancers from the hearth service. That begins with eradicating PFAS from our turnout gear and, till PFAS-free choices exist, decreasing our publicity as finest we will.”
Mullins mentioned he was happy to listen to Kelly’s feedback. He additionally mentioned that he and his colleagues welcome the chance to put on PFAS-free gear once they’re concerned in non-firefighting duties resembling group engagement actions.
“If [we’re] doing occasions with the children, we don’t must be getting in our gear, or we don’t must be having the children stepping into the gear or touching the gear, as a result of we’ve seen that in case you contact it as soon as, you’re uncovered.”
To deal with this difficulty, the state Normal Meeting handed the Firefighters Combating Most cancers Act of 2021 (HB 535) which gives supplemental insurance coverage for firefighters who obtain a most cancers prognosis “on or after January 1, 2022.”
Mullins and his colleagues pushed for the laws for years.
“We’re very happy with the Firefighters Combating Most cancers Act,” Mullins mentioned. “We predict it’s the most effective items of laws … within the nation.”
Aqueous film-forming foam additionally on its means out
Extra consideration goes to the environmental impression and human well being dangers related to aqueous film-forming foam (AFFF), utilized by firefighters, airport and navy personnel to fight chemical fires. Some AFFF foams comprise PFAS, which may seep into groundwater and contaminate wells in areas the place it’s used repeatedly, resembling firefighting coaching services.
Firefighting foams are a few of the sources of the Camp Lejeune contamination.
“AFFF will get into the groundwater and all of us drink it, which North Carolina is painfully delicate to [water contamination] lately,” mentioned Graham Peaslee, professor of physics on the College of Notre Dame. “Each time you set a five-gallon bucket of [AFFF] to work, you’ve simply contaminated 400 Olympic-sized swimming swimming pools, and that’s on the 70 components per trillion, in order that’s simply terrifying.”
At present, there are at the least 15 states the place AFFF is banned. The U.S. navy is predicted to cease utilizing AFFF at its services by 2024, in response to a report printed within the Nationwide Hearth Safety Affiliation Journal (NFPA).
Touring particles
Because the lead creator of a research printed in 2020, Peaslee and his colleagues discovered that along with aqueous film-forming foam (AFFF), turnout gear is a pathway to PFAS publicity.
The research revealed that PFAS compounds can degrade over time and shed or type mud and might switch from the turnout gear to arms and pores and skin when dealt with by firefighters. That is true for each new and used turnout gear.
Peaslee describes how he and his graduate college students found that PFAS particles can shed and switch.
“One of many graduate college students mentioned, ‘Hey, once I contact the gear with my gloves, my gloves get coated with fluorine.’ And I requested him to reveal it. And it’s true—a clean glove has no fluorine on it, and he rubs his hand on the gear, and his glove has fluorine. We mentioned, ‘okay, gloves for everybody.’”
Time to alter requirements
Turnout gear producers are able to producing PFAS-free gear, in response to researchers and firefighters. Nevertheless, the innermost a part of the turnout gear is designed to maintain moisture from getting in and including weight to the gear. This is a crucial characteristic, as a result of firefighters work in environments the place temperatures can attain into the triple digits.
Since 2006, these moisture obstacles have been made with Teflon, a light-weight materials manufactured with PFAS, in response to Peaslee. Previous to Teflon, the moisture barrier was product of polyurethane, which is PFAS-free.
However there was an issue.
Based on Peaslee, across the time that Teflon changed polyurethane because the trade’s alternative materials for the moisture barrier layer, an ultraviolet mild take a look at for turnout gear was developed by a scientist. To move the take a look at, the fabric needed to face up to direct publicity to the ultraviolet mild for quarter-hour with out cracking.
Teflon was the one materials that handed the take a look at.
The puzzling a part of this take a look at for researchers and firefighters is that the one a part of the gear subjected to the take a look at is the moisture barrier.
“If you concentrate on it, that is the undergarment of the jacket and pants that’s lined with Teflon. It by no means sees UV mild, it’s not being uncovered to daylight,” mentioned Peaslee. “These firefighters, I guarantee you, don’t glow mild.
“So why is that this take a look at there? It’s solely as a result of the producer discovered a technique to make this the popular merchandise.”
Jason Burns spoke on the Third Nationwide PFAS Assembly, held earlier this summer season in Wilmington, in regards to the lack of firefighters as a result of most cancers. He was part of a bunch that submitted a decision throughout the 2021 IAFF conference.
“We mentioned, ‘we wish to break all relationships with these [manufacturers], all sponsorships—we don’t desire a dime from them—so long as they’re making a product that’s contributing to the loss of life of our firefighters,’” Burns mentioned. He famous that just about three-quarters of firefighter deaths are most cancers associated.
There may be hypothesis that new laws relating to moisture barrier necessities have been drafted by the Nationwide Hearth Safety Affiliation (NFPA) and can eradicate PFAS from turnout gear. The up to date laws are anticipated to be printed quickly.
This might be the second that researchers, firefighters and activists have spent years working towards.
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North Carolina Well being Information is an unbiased, non-partisan, not-for-profit, statewide information group devoted to masking all issues well being care in North Carolina. Go to NCHN at northcarolinahealthnews.org. (on the net, this may be hyperlinked)
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North Carolina Gov. Roy Cooper has informed Kamala Harris’ presidential campaign that he does not want to be under consideration in her search for a vice presidential candidate, the governor said Monday night.
Cooper said in a statement explaining his decision that although he was taking himself out of consideration for the role, he’s still backing Harris’ candidacy.
“I strongly support Vice President Harris’ campaign for President,” Cooper said. “I know she’s going to win and I was honored to be considered for this role. This just wasn’t the right time for North Carolina and for me to potentially be on a national ticket.”
“As I’ve said from the beginning, she has an outstanding list of people from which to choose, and we’ll all work to make sure she wins,” he added.
The New York Times first reported that Cooper was withdrawing his name from consideration.
One source directly involved in Harris’ search for a running mate said Cooper took himself out of the mix because he wants to run for the U.S. Senate in 2026. The source said Cooper never indicated to the campaign that he wanted to be vice president and told Harris aides that he did not want to be considered.
NBC News previously reported that interviews with some Democratic insiders pointed to Cooper, along with Sen. Mark Kelly of Arizona and Gov. Josh Shapiro of Pennsylvania, as top contenders to join Harris on the Democratic ticket.
Other governors, including Kentucky’s Andy Beshear and Minnesota’s Tim Walz, and Transportation Secretary Pete Buttigieg are among those who have also been floated as potential running mates.
The Harris campaign previously said she plans to select a running mate by Aug. 7.
North Carolina
Feds approve Cooper plan to relieve up to $4B in NC medical debt, as Harris weighs in
A plan unveiled at the beginning of this month by Democratic Gov. Roy Cooper to leverage Medicaid funds to help North Carolinians struggling with medical debt has been approved by the federal government.
On Friday, the U.S. Centers for Medicare and Medicaid Services (CMS) approved a plan that has the potential to relieve $4 billion in existing hospital medical debt for people in the state, according to a news release. In order for the plan to take effect, hospitals would need to sign on.
“Unlike most other debts, medical debt is not intentional because people don’t choose to get seriously ill or have an accident,” Cooper said, according to the news release.
“Medical debts are often beyond people’s ability to pay, ruining their credit, keeping them from getting credit cards, loans and jobs and sometimes driving them into bankruptcy. That’s why we’re working with hospitals and federal partners to help relieve the burden of medical debt for North Carolina families,” he said.
Vice President Kamala Harris — who appears set to become the Democratic presidential nominee for the November election, and has been considering Cooper as a possible running mate — has been “coordinating” with state officials on the medical debt plan, The Washington Post reported.
“No one should be denied access to economic opportunity simply because they experienced a medical emergency,” Harris said in a statement sent as part of a news release Monday.
“Yet today, more than 100 million Americans struggle with medical debt — making it more difficult for them to be approved for a car loan, a home loan, or a small-business loan, which makes it more difficult for them to just get by, much less get ahead.”
“I applaud North Carolina for setting an example that other states can follow by advancing a plan that has the potential to relieve $4 billion in medical debt for two million individuals and families. This critical step also strengthens financial assistance for emergency medical procedures moving forward,” Harris said.
Harris wrote that over $650 million in medical debt had been forgiven through the American Rescue Plan, which was passed under the Biden administration.
The News & Observer has contacted several hospitals and the North Carolina Healthcare Association, which represents hospitals, regarding their stances on the plan.
UNC Health “continues to have discussions with state and federal officials,” UNC Health spokesperson Alan Wolf said in an email.
“We support efforts to reduce medical debt and we expect to receive more details on the approved plan soon,” he said.
Medical debt relief provided
According to Cooper’s news release, hospitals that opt in to the plan must implement the following to be eligible for enhanced payments offered under the plan:
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For those on Medicaid, relieve all unpaid medical debt dating back to Jan. 1, 2014.
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Relieve all unpaid medical debt that has become virtually impossible to collect dating back to Jan. 1, 2014, for people not enrolled in Medicaid whose income is at or below at least 350% of the federal poverty level (FPL) or whose total debt exceeds 5% of their annual income. A family of two at 350% of the FPL makes about $71,000 a year.
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Provide discounts on medical bills for people at or below 300% FPL.
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Automatically enroll people into financial assistance, known as charity care.
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Not sell medical debt of people making below 300% FPL to debt collectors.
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Not report debt covered by policies laid out in the plan to a credit reporting agency.
Patients of participating hospitals will not need to take any actions to benefit from medical debt relief, according to the news release.
Plan to leverage Medicaid funds
When the state expanded Medicaid in December, it implemented a mechanism that allowed hospitals to receive higher federal reimbursements in return for paying the state’s share of costs under the expansion bill.
The federal government covers 90% of Medicaid coverage costs for the expansion population, while the state covers 10%. This funding mechanism was called the Healthcare Access and Stabilization Program.
The medical debt relief plan further leverages federal funds by providing higher HASP payments to hospitals that choose to implement the plan.
Hospitals often only collect a small fraction of the medical debt they are owed, Cooper said during a press conference announcing the plan on July 1.
However, large debts that remain on the books can prevent people from buying a home or getting a credit card and sometimes can lead people into homelessness and bankruptcy, he said.
North Carolina has one of the highest percentages — 13.4% — of adults with medical debt, according to KFF, a health policy organization. About 20 million people — or nearly 1 in 12 adults — owe a combined total of at least $220 billion in medical debt in the United States, KFF says.
NORTH CAROLINA (WTVD) — A North Carolina river is deemed ‘too dirty’ to swim in.
People are advised to refrain from swimming in the French Broad River near Asheville for 24 to 48 hours, or until the water is less muddy.
Samples showed high levels of bacteria, including e-coli from recirculating water. According to officials, it’s because of the recent heavy rains.
“What we recommend for folks to do is…find somewhere else to go swim,” Anna Alsobrook, the watershed science and policy manager at MountainTrue, said. “We’ve seen everything from ear infections to GI issues (to) sinus infections.”
Officials are also telling people to avoid ingesting any water until the quality level improves, which could be in a matter of days.
French Broad River flows from North Carolina into Tennessee.
SEE ALSO | NC farmer losing crop because of unsafe levels of chemicals in water
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