Why research into ‘forever chemicals’ includes firefighters

PFAS make pans nonstick, clothes waterproof and furniture stain resistant. They're so ubiquitous, they're even inside of us. Now, researchers are looking for more insights in firefighters' blood. See pcm.adswizz.com https://pcm.adswizz.com for information about our collection and use of personal data for sponsorship and to manage your podcast sponsorship preferences. NPR Privacy Policy https://www.npr.org/about-npr/179878450/privacy-policy

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• 0:00Speaker 00

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• 0:18Regina Barber?

  You're listening to Short Wave from NPR.

• 0:24Regina Barber?

  100 years ago, we didn't have nonstick pans. We didn't have Teflon. We didn't have Gore-Tex to make clothes waterproof. Until scientists discovered a special family of chemicals, PFAS, chemicals that repelled stains and dirt and water and oil that at first seemed like a miracle.

• 0:43Speaker 02

  So PFAS stands for per- and polyfluorale alkyl substances. There are, at last count, over 10,000 different individual types of PFAS. They started to become widespread in industrial use sometime, I think, in the 1940s.

• 1:01Regina Barber?

  That's Melissa Furlong. She's an assistant professor of environmental health sciences at the University of Arizona. She's also an environmental epidemiologist. And because PFAS chemicals have all of these useful properties, she says we put them in a lot of different things.

• 1:16Speaker 02

  Applications that basically need to repel both oil and water. So like if you've got some stain-resistant furniture or stain-resistant carpet, there's a good chance it was treated with PFAS.

• 1:27Regina Barber?

  You might find them on your cooking pans, raincoats, some pesticides, maybe in your makeup and in you.

• 1:35Speaker 02

  If you are cooking with a nonstick Teflon pan, right? It's not like all of it is sticking to the pan. Some of the PFAS is coming off onto the food, and then you're exposed that way. If the PFAS has been applied to your carpet or if it's been applied to your furniture, then all of that sort of sheds into your environment.

• 1:54Regina Barber?

  And once they get into our bodies, They're hard to get rid of.

• 1:58Speaker 02

  Instead of being excreted like normal environmental toxicants would be, they just get recirculated by the body.

• 2:05Regina Barber?

  Because these chemicals don't break down easily in the environment or in the human body, PFAS are known as forever chemicals.

• 2:13Speaker 02

  Almost everybody has detectable levels of at least one or two of the different common PFAS species. Exposure is fairly constant. It's everywhere. And it also appears to be pretty toxic.

• 2:25Regina Barber?

  The body of research on PFAS is still growing. We don't totally understand all the effects these chemicals might have on our health. So one place Melissa and her colleagues are looking for answers is in a group that's historically had some of the highest levels of PFAS: firefighters. So today on the show, what PFAS levels in firefighters tell us about these forever chemicals and how the average person can think about limiting their exposure to them. I'm Regina Barber, and you're listening to Shorewave, the science podcast from NPR.

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• 4:23Regina Barber?

  Melissa, you've been looking into like different ways firefighters could have gotten PFAS into their body. Let's start with their occupation. Where are the PFAS coming from on the job?

• 4:35Speaker 02

  Okay, so that's actually a really hard question. We're not 100% sure where the PFAS are coming from. So there are some things that we suspect firefighters might have increased exposure to. So PFAS is intentionally added to firefighter gear because it has oil-repelling, water-repelling, and heat-repelling properties, right? So it's a very good protection for firefighters as they're entering the fires. However, there's a possibility, and many people have hypothesized, that firefighters might be experiencing increased PFAS exposure directly from their gear. So the gear that's supposed to be protecting them, is it actually increasing their PFAS? And then the other source

• 5:18Speaker 02

  is that PFAS used to be an essential component of a certain type of firefighting foam that was pretty commonly used. Ever since they figured out that maybe PFAS isn't that great for you, they've started to phase PFAS out of those foams. They're still in some foams, but they're used a lot less. And we do actually see that firefighters who have a history of using these types of foams have higher levels of PFAS. So we do think that the foams themselves were probably a significant contributor to the PFAS. So there are several different potential sources where firefighters could be exposed. And the only occupational one where we're pretty sure is the source are the foams.

• 6:01Regina Barber?

  And in your study, when you're like analyzing how PFAS might be getting into the firefighters, how are you doing that investigation? How are you getting this data?

• 6:09Speaker 02

  Yeah, so it's really hard. Ideally, you'd like to be able to follow firefighters around to all the fires and have a standardized...

• 6:19Speaker 02

  Behavioral recorder who records everything. But that's just not possible because we have, there's about 8,000 firefighters in our study. And so we rely, for the most part, on self-report. So we have a fairly extensive survey. We ask the firefighters to fill it out when they enroll in the survey. We ask them to fill out an annual update. And then sometimes at like, high exposure events, we'll come back and get new samples and ask them to fill out more surveys. We also ask department liaisons to fill out surveys about how their stations are structured or whether they provide their firefighters with certain types of access to different hygiene equipment. And then for the PFAS, we just measure it in their blood.

• 7:01Regina Barber?

  Got it.

• 7:01Speaker 02

  We send it to a lab.

• 7:02Regina Barber?

  And we should say that this paper, it follows a similar paper in Australia where they're looking at levels of these chemicals in firefighters' blood. And they found that firefighters that donated plasma and blood had lower levels of PFAS than ones who didn't. And your study is kind of like a start of that work here in the US. So how does this research compare?

• 7:24Speaker 02

  Yeah. So my colleague Jeff Burgess, who is actually the director of the firefighter cancer cohort study, and I, we put in an application to try to replicate the Australian study, but also extend it to look at health effects. But when we enrolled all the firefighters, we measured their PFAS and we asked them all of these questions. So we wanted to ask them at baseline if they had a history of plasma and blood donation, along with all of these other occupational and lifestyle and behavioral characteristics. And then, and so that's what this paper is. It's not the results of the trial, but it's basically a bunch of information that we got at the very beginning. While we wait to figure out if plasma donation reduces PFAS and has health benefits.

• 8:07Speaker 02

  And one of the things that we see from the baseline is that people who reported a history of plasma donation had much lower levels of PFAS than people who did not report a history of plasma donation. People who donated blood also had lower levels, not as low as the plasma people, but still slightly lower levels. And so that is consistent with what the Australian study saw. And we're hoping that that's what we see at the end of the study.

• 8:35Regina Barber?

  How do you hope all of this research helps firefighters in the future?

• 8:40Speaker 02

  Yeah, so we're hoping that larger organizations, larger firefighter organizations can take the body of literature, not just from this paper, but that we generate across all of our studies and that others who do firefighter research can generate to come up with best practices and recommendations. And so there's an initiative called the Clean Cab Initiative that has already been rolled out across a lot of departments. It's not universally adopted across the United States. We hope it will be. And some of the things they encourage is basically, you know, you leave the fire at the scene. So when the fire is over, you do your on-scene decontamination, you rinse, you soap on-scene, you take your gear off,

• 9:22Speaker 02

  you put it in a gear bag, you don't ever bring it into the cab. And there are some other components of it. But we're hoping that some of this research can basically help firefighters to protect themselves because we don't want firefighters to get sick. We know that firefighters are at increased risk for cancer and we're trying to turn that around. And we're also hoping that we can learn some things that will help the general population.

• 9:45Regina Barber?

  Yeah, I was gonna say, like, if I'm not a firefighter, I know many people aren't, should our listeners be concerned about PFAS levels, like, in their daily life?

• 9:54Speaker 02

  Yeah. Everyone should be concerned about their PFAS levels.

• 9:58Regina Barber?

  Wow.

• 9:58Speaker 02

  Individual people can take a few meaningful steps, but some people take it too far and it causes a lot of anxiety. And they'll just constantly find new exposures for PFAS, right? Or they'll read a new article about microplastics. And it's the anxiety and the stress that can happen are not, they're not beneficial, right?

• 10:19Regina Barber?

  Yeah, those are also bad for your health.

• 10:21Speaker 02

  Those are also bad. Yeah, exactly. So mostly, we want policymakers and, you know, manufacturers to be worried about the PFAS chemicals. And they should be concerned about how they're gonna help reduce PFAS exposure. And then on an individual basis, there are a couple of recommendations.

• 10:42Regina Barber?

  Yeah, yeah. What are these recommendations?

• 10:44Speaker 02

  Yes, yes. So we found that water filtration and bottled water were associated with lower PFAS. And then people who are on a well, actually, tended to have higher levels of PFAS. Generally, I think a lot of people think that because they're on a well, that it's pure water, it's perfect water, right? Because it just like comes from the ground, but they don't realize that there's potentially a lot of groundwater contamination that might be happening from, you know, like the paper mill down the road. And so you can test your water for some sort of common contaminants. You can also install a filter. I do think that anybody who's on a well

• 11:28Speaker 02

  and can afford it and can maintain it should get a filter. I'm on municipal water, and I still use a reverse osmosis water filter. Because, well, the water in Tucson doesn't taste good, first of all.

• 11:46Regina Barber?

  Oh, we're gonna get, we're gonna get mail now.

• 11:48Speaker 02

  But there's also just, you know, there's a lot of chemicals that are flying around and swimming around out there that are not regulated and not tested for. And reverse osmosis is one of the more effective methods of water filtration.

• 12:04Regina Barber?

  Melissa, thank you so much for talking to me about PFAS. I'm a hypochondriac, and you actually made me feel slightly better.

• 12:12Speaker 02

  Oh, good.

• 12:13Regina Barber?

  So thank you so much.

• 12:14Speaker 02

  You're welcome. It was fun to chat.

• 12:18Regina Barber?

  If you liked this episode, follow us on the NPR app or wherever you get your podcasts. Also, you might want to check out our episode on the EPA Rule on Forever Chemicals in Tap Water or The Great Pacific Garbage Patch. We'll link to those episodes in our show notes. I'm Regina Barber. Thank you for listening to Shore Wave from NPR.

• 12:42Speaker 03

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