Cancer caused 66 percent of the career firefighter line-of-duty deaths from 2002 to 2019, according to data from the International Association of Fire Fighters (IAFF). Heart disease caused 18 percent of career LODDs for the same period.

Cancer caused 70 percent of the line-of-duty deaths for career firefighters in 2016.

Firefighters have a 9 percent higher risk of being diagnosed with cancer and a 14 percent higher risk of dying from cancer than the general U.S. population, according to research by the CDC/National Institute for Occupational Health and Safety (NIOSH).

testicular cancer – 2.02 times the risk (again: 100% = double = 2 times);

mesothelioma – 2.0 times greater risk;

multiple myeloma -1.53 times greater risk;

non-Hodgkin’s lymphoma – 1.51 times greater risk;

skin cancer – 1.39 times greater risk;

malignant melanoma – 1.31 times 
greater risk;

brain cancer -1.31 times greater risk;

prostate cancer – 1.28 times greater risk;

colon cancer -1.21 times great risk; and

leukemia – 1.14 times greater risk.

The 2017 Blais University of Ottawa study examined chemical exposure occurring during emergency, on-shift fire suppression. The researchers found firefighters absorb harmful chemicals, including polycyclic aromatic hydrocarbons (PAHs), through their skin. Firefighters had from three to more than five times the amount of by-products of PAHs in their urine after a fire compared to before the fire.

The 2013 Daniels NIOSH study (phase 1) is the largest study of U.S. firefighters to date. It examined mortality patterns and cancer incidence for 30,000 firefighters. The NIOSH study, which began in 2010, found statistically significant mortality and incidence rates of all cancers and cancers of the esophagus, intestine, lung, kidney, and oral cavity, as well as increased mesothelioma for firefighters compared with the general population. The NIOSH study found excess risk of bladder and prostate cancers at younger ages. The NIOSH study also is significant because it spanned geographical distance (San Francisco, Chicago, Philadelphia) and decades (1950-2009). It is one of the few studies to date that has included women and non-white firefighters.

The 2015 Daniels NIOSH study (phase 2) examined firefighters’ work histories and variables such as fire runs, use of personal protective equipment (PPE), and use of diesel exhaust control systems. It compared the cancer risk for firefighters with higher exposures to carcinogens with those who had lower exposures. In this phase, researchers found that lung cancer and leukemia risk increased with exposure.

The 2014 Pukkala Nordic study of 16,422 firefighters from five Nordic countries found an increased risk for all cancers combined among firefighters, similar to the NIOSH phase 1 study. It found significant increases in melanoma and non-melanoma skin cancer; lung cancer; and prostate cancer from 1961 to 2005.

The 2008 Kang Massachusetts study compared cancer incidence among Massachusetts firefighters with that of Massachusetts police officers and other occupations. When compared with police officers, firefighters were found to have increased cancer risks. This study found the firefighters had a 90 percent higher risk for brain cancer and an 81 percent higher risk for Hodgkin’s lymphoma. Researchers examined data from 1987-2003.

The 2006 LeMasters meta-analysis reviewed data from 32 studies of firefighters for 20 different types of cancer. Risks for 10 types of cancer were “significantly increased” in firefighters. Risks for the other 10 types were increased, although not to the same extent.

The 2006 Fangchao Ma Florida study compared Florida firefighters’ cancer incidence rates (rather than mortality) with those of the general Florida population. It was the first such study to include women. Florida researchers examined data for 34,796 male and 2,017 female firefighters and found 1,032 total cases of cancer (970 male & 52 female). The top cancers for male firefighters were prostate (13.7 percent), skin (8.4 percent), colon (7.1 percent), bladder (6.9 percent), and testicular (5.5 percent). The most prominent cancers for female firefighters in Florida were breast (27.8 percent) skin (7.6 percent), thyroid (5.6 percent) and lung (4.6 percent).

“…the risk of cancer in firefighters is 250% greater than in people not in our line of work.”

“In all, researchers found that more than two-thirds of firefighters–68 percent–develop cancer, compared to about 22 percent for the general population…”

“Firefighters…have a 68% higher risk of being diagnosed with cancer than the general population.”

“Research is showing 68% of firefighters will come down with cancer on average.”

“…More than two-thirds of firefighters are diagnosed with with…cancer.”

“…63% of all firefighters will get cancer.”

“…[Researchers] found that firefighters are twice as likely to be diagnosed with cancer…”

“…[F]irefighters are 50 percent more likely to be diagnosed with cancer than the…U.S. population.”

“A firefighter has a 29% higher risk of contracting cancer than the rest of our population.”