WTC 9-11

Grenfell Firefighters – Serious Health Disorders Resulting From Smoke Inhalation Both Inside & Outside The Tower. Does Anybody Care ?!?!?

Posted by CJ Walsh

2025-01-10:  DOES Anybody Care ?  AHJ’s ?  Fire Service Administrations ?  Civil Society ?

Frontline Firefighters (and their long-term Health) are severely ill-treated as a disposable asset in far too many societies around the world … a shameful reality … completely and utterly unacceptable !!

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Sustainable Fire Engineering (SFE) facilitates the realization of a Safe, Resilient & Sustainable Built Environment for ALL

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Resilience: The ability to function reliably during normal conditions, to withstand, adapt to or absorb unusual disturbance, disruption or damage, and thereafter to quickly return to an enhanced state of function.

Does it not make the utmost sense, therefore … if there is a Fire in a #Building or #Facility … that healthy, disciplined, expertly trained … and properly equipped, protected and resourced (under competent leadership and management) … #Firefighters would arrive quickly at the #FireScene and effectively extinguish the #Fire before it causes too much damage to property and harm to people … thus enabling the rapid and economically-efficient re-commencement of that building’s / facility’s functioning ??

Firefighters are an Invaluable Social Asset in a Resilient Built Environment !

Firefighter Safety Must Urgently be Included as a Functional Requirement in ALL Building Fire Codes

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THE GRENFELL TOWER FRONTLINE FIREFIGHTERS

In its January 2025 issue, the Journal of Occupational & Environmental Medicine (JOEM) published the following Paper :

Grenfell Tower Fire – Toxic Effluents and Assessment of Firefighters’ Health Impacts

by Anna A. Stec, PhD ; David A. Purser, PhD ; and T. Richard Hull, PhD.

[ Click Title Above – PDF File, 175 Kb ]

Objective: This study assesses the health symptoms and longer-term health outcomes of Firefighters who attended the Grenfell Tower Fire in June 2017.

Methods: All available data sources were analysed, including databases published by the Grenfell Tower Public Inquiry, the Firefighter Cancer and Disease Registry, incident logs, and sickness reports up to 3 years post-fire.

Results: More than three times as many firefighters who reported exposure to smoke during the fire also reported digestive and respiratory diseases following the fire, compared with those not reporting exposure to smoke.  Other more complex relationships are reported among smoke exposure, immediate health symptoms, and longer-term health outcomes.

Conclusions: The incident’s urgency led many professional firefighters to operate without Respiratory Protection Equipment (RPE), resulting in debilitating health effects.

Paper Introduction …

Recently, the World Health Organization’s International Agency for Research on Cancer ( https://www.iarc.who.int ) classified the firefighting occupation as Carcinogenic to Humans – Group 1.  Studies show that the incidence and mortality of cancers and other diseases among firefighters are higher compared with the population they serve.  Recent data from UK Studies revealed that more than 4% of surveyed firefighters have received a cancer diagnosis.

Furthermore, the age-specific cancer rate was up to 323% higher for firefighters aged 35 to 39 years, when compared with the general population.

Firefighter exposure to fire effluents occurs through different phases of fire intervention (e.g. attack, knockdown) and in firefighters’ work environments, such as fire stations, vehicles, and firefighter turnout gear.  These residues may be inhaled or ingested via hand-to-mouth contact, depending on hygiene practices after firefighting.  Moreover, they have been detected on firefighters’ skin due to gear penetration, contact with contaminated gear, or contact with exposed skin areas such as the face and neck.

With the exception of the Fire Department of New York World Trade Centre Health Programme ( https://www.fdnywtcprogram.org ), there is no data on firefighters’ health symptoms from major building fires.  In this investigation, relationships have been identified between various long-term exposures to toxicants from fire and different health disorders.  For instance, exposure to fire effluents such as benzene, polycyclic aromatic hydrocarbons, 1,3-butadiene, ethylene oxide, and formaldehyde has been linked to myeloid leukaemia.  Similarly, prostate cancer has been associated with exposure to benzene and styrene.

Inhaling fire effluents such as carbon monoxide and hydrogen cyanide results in hypoxic stress, forcing the heart to exert extra effort during firefighters’ physical stress.  Also, inhalation and absorption into the bloodstream of ultra-fine soot particles enhance atherosclerosis and thrombosis.  Both effects can lead to cardiovascular diseases.  Exposure to asbestos, silica, and inorganic dust through inhalation is also believed to contribute to firefighters’ heightened risk of pulmonary diseases.

There is mounting evidence from both human and animal studies indicating that inhalation of air pollutants (carbon monoxide, particulate matter, nitrogen oxides, etc.) can also increase the risk of neurological diseases including neurodegenerative health and cognitive impairment.  Furthermore, nitrogen dioxide, sulphur dioxide, carbon monoxide, and particulate matter have been linked to adverse respiratory outcomes.  The combined effects of frequent dehydration and chronic exposure to fire effluents may also synergistically damage the kidneys.  Certain metals such as cadmium, chromium, copper, and lead can adversely affect multiple bodily systems, including the gastrointestinal tract; haematopoietic, cardiovascular, central and peripheral nervous systems; kidneys; and immune and reproductive systems, potentially leading to cancers.

The Grenfell Tower Inquiry ( https://www.grenfelltowerinquiry.org.uk ) was instructed to examine evidence relating to the circumstances in which 72 Victims lost their lives.  It was not instructed to consider any short and long-term health effects of the firefighters / other emergency responders, survivors of the fire who escaped from the Tower … or residents who lived, or still live, within the vicinity of the Tower.  The aim of this study was to collect and evaluate all available data from the Grenfell Fire, assessing firefighters’ self-reported exposure to fire smoke and heat, and physiological and toxicological health symptoms and outcomes related to their activities and the use of respiratory protective equipment (RPE) during the first 20 hours of the Fire.

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POST-FIRE CONTAMINATED SOIL AROUND GRENFELL TOWER

Part-Map of London, in colour, showing the location of Grenfell Tower between Notting Hill, Shepherd's Bush and Ladbroke Grove ... and a very lightly shaded area, in red, within a deep red circle approximately 1 Km from the Tower ... which indicates where soil has been found to be contaminated by toxic effluents from the Fire back in 2017. At the bottom of this map, on the right, can be found a scale for distance: 0.5 Km relative to 0.5 Mile ... and, on the left, a thumbnail map of the whole city showing the area of concern.
Click to enlarge.

For Local Residents, especially Vulnerable Residents – What are the Short and Long-Term Adverse Health Effects Resulting from the Fire in June 2017 ?   It is now 2025 !

Does Anybody Care ?!?!?

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‘Forever Chemicals’ … PFAS CONTAMINATION – HIGH PRIORITY JOINT PRESENTATION

Large portions of this joint Presentation are concerned with Firefighter #Safety, Firefighter #PPE, and Firefighting #Foams …

U.S.A. National Institute for Occupational Safety & Health – 21 April 2023

Overview of Per and PolyFluoroalkyl Substances (PFAS) Activities and Considerations

by Miriam Calkins, PhD, MS, Research Industrial Hygienist – CDC / NIOSH / DFSE / FRB

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NIOSH Research, Technical Support & Strategies

by Susan Moore, PhD, Associate Director for Science, Co-Coordinator Public Safety Sector, Co-Coordinator Personal Protective Technology – CDC / NIOSH / NPPTL

[ Click Either Title Above – PDF File, 7.03 Mb ]

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OTHER INFORMATION SOURCES

  • New York City WTC 9-11 Health Registry.  Established in 2002 to monitor the health (physical, mental, psychological) of any person directly exposed to the WTC 9-11 Fires & Building Collapses … https://www.nyc.gov/site/911health/index.page

 

  • World Health Organization / International Agency for Research on Cancer (IARC).  Monograph Volume 132 – Occupational Exposure As A Firefighter … https://publications.iarc.fr/615
Click to enlarge.

WHO / IARC Monograph Volume 132 – Occupational Exposure As A Firefighter

 

Click to enlarge.

NIOSH (USA) Graphic Breakdown of Firefighter Safety

AND … Better Design of Buildings & Facilities for Firefighter Safety ?!?!?

In Addition to ‘Access’ … Firefighter Safety Must Urgently be Included as a Functional Requirement in ALL Building #FireCodes

 

  • Findings from a 2010-2015 NIOSH (USA) Study of Cancer among nearly 30,000 Firefighters active between 1950 and 2009.  Published July 2016.  Download PDF File (118 Kb).

 

  • Lancet Oncology Editorial: ‘Fire and Their Smouldering Health Effects’.  February 2025.  Includes many important Links.  Download PDF File (153 Kb).

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#SFE #SustainableFireEngineering #Reality #Reliability #Redundancy #Resilience #Safety #FFsafety #Health #FFhealth #Welfare #FFwelfare #GrenfellTowerFire #GrenfellTowerInquiry #SmokeInhalation #RPE #SCBA #ToxicEffluents #WHO #IARC #WTC911 #FDNY #WTChealthProgram #LocalResidents #VulnerablePeople #FireSafety4ALL #HarmfulHealthImpacts #PFAS #ForeverChemicals #Cancer #FirefighterTurnoutGear #FirefightingFoams #JOEM #TheLancet #Oncology #AHJ #FireServiceAdministrations #CivilSociety #Sustainability #SIA #SustainabilityImpactAssessment #SocialWellbeing4ALL

Sustainable Fire Engineering – Recent Dublin Presentations !

Posted by CJ Walsh

2019-03-19:  Two Conference & Exhibition Events were recently held in Dublin’s City West Convention Centre …

2019 City West Summits, Dublin – Colour photograph showing the view over the Exhibition Hall.  Click to enlarge.

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I was very pleased to make a Presentation at both events, adapted to suit an Irish context, on … ‘Sustainable Fire Engineering – Necessary Professional Transformation For The 21st Century’ … which continues to evolve.

Sustainable Fire Engineering:  The creative, person-centred and ethical Fire Engineering response, in resilient built form and smart systems, to the concept of Sustainable Human and Social Development … the many aspects of which must receive synchronous and balanced consideration !

Sustainable Fire Engineering
Internet: www.sfe-fire.eu
Twitter: @sfe2016dublin

Presentation Abstract

Annual Fire Losses, both direct and indirect, amount to a very significant percentage of Gross Domestic Product (#GDP) in all economies, whether they are rich or poor … and result in enormous environmental devastation and social disruption.  Some losses have not yet been fully identified, e.g. environmental impact … while others are not yet capable of being fully quantified, e.g. business interruption, brand and reputation damage.  Globally, fire statistics still remain unreliable.  In all cases, however, the waste of valuable human and natural resources caused by preventable fires is unsustainable and no longer acceptable.

From an entirely different perspective … Sustainable Buildings are presenting every society with an innovative and exciting re-interpretation of how a building functions in response to critical energy, environmental, climate change and planetary capacity pressures … an approach which has left the International Fire Engineering and Firefighting Communities far behind in its wake, struggling to develop the necessary ‘creative’ and ‘sustainable’ fire safety strategies.

The Aim of Sustainable Fire Engineering (#SFE) is to dramatically reduce direct and indirect fire losses in the Human Environment (including the social, built, economic, virtual, and institutional environments) … to protect the Natural Environment … and, within buildings, to ensure that there is an effective level of Fire Safety for All Occupants, not just for Some, over the full building life cycle.

The following Priority Themes for SFE lie outside, or beyond, the constrained and limited fire safety objectives of current fire regulations, codes and standards – objectives which do not properly protect society, a fire engineer’s clients, or the facility manager’s organization:

  1. Fire Safety for ALL, not just for Some.  Nobody left behind !
  2. Firefighter Safety.  Everyone goes home !   It is easy to dramatically improve firefighter safety with building design.  So, why haven’t NIST’s 2005 and 2008 WTC 9-11 Critical Recommendations been properly implemented anywhere ?
  3. Property Protection.  Fire damage and post-fire reconstruction/refurbishment are a huge waste of resources.  On the other hand, protection of an organization’s image/brand/reputation is important … and business continuity is essential.  Heritage fire losses can never be replaced.
  4. Environmental Impact. Prevention of a fire is far better than any cure !   But prevention must also begin by specifying ‘clean’ technologies and products.  Low Pressure Water Mist Systems are not only person/environment-friendly and resource efficient … they are absolutely essential in airtight and hyper energy-efficient building types (e.g. LEED, PassivHaus, BREEAM) in order to achieve an effective level of fire safety for all occupants, and firefighters.    [ Note: Environmental Impact Assessment (#EIA) has been superseded by Sustainability Impact Assessment (#SIA).]
  5. Building Innovation, People and Their Interaction.  Fire engineers and firefighters must begin to understand today’s new design strategies.
  6. Sustainable Design and Engineering. Wake up and smell the coffee !   Legislation can only achieve so much.  Spatial planners, building designers and fire engineers must subscribe to a robust Code of Ethics * which is fit for purpose in the Human Environment of the 21st Century.

Sustainable Fire Engineering Solutions are …

  • Adapted to a local context, i.e. climate change/variability/extremes, social need, geography, economy, and culture, etc ;
  • Reliability-based – lessons from real extreme and hybrid events, e.g. 2001 WTC 9-11 Attack, 2008 Mumbai/2015 Paris/2016 Brussels Hive Attacks and the 2011 Fukushima Nuclear Incident, are applied to frontline practice ;
  • Person-centred – real people are placed at the centre of creative endeavours and due consideration is given to their responsible needs, and their health, safety, welfare and security in the Human Environment ;
  • Resilient – functioning must be reliable during normal conditions, and include the ability to withstand, adapt to and absorb unusual disturbance, disruption or damage, and thereafter to quickly return to an enhanced state of function.

* Refer to the 2016 Dublin Code of Ethics: Design, Engineering, Construction & Operation of a Safe, Resilient & Sustainable Built Environment for All (PDF File, 112 kb).

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Noel Manning – Innovative Fire Researcher !

Posted by CJ Walsh

2019-03-18:  Lest we forget him …

Long before the Rest of the World was introduced to the term Fire-Induced Progressive Damage, in the late afternoon of 11 September 2001 (WTC 9-11), with the collapse of World Trade Center Building No.7 in New York City …

(9-11) WTC Building No.7 – Fire-Induced Progressive Damage !

… decades earlier … Noel Manning had intuitively discovered the same Structural Fire Engineering Concept … and had developed and tested a suite of domestic-scale building systems to deal with this very dynamic aspect of fire behaviour …

Noel C Manning – 2017-11-05 RIP

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The International Fire Engineering Community is still shy about discussing this concept, never mind understanding it … and most importantly, solving it !   Which makes me seriously wonder … is there a deep-seated flaw in International Fire Research ?   Are mainstream Fire Researchers more interested in sourcing funding than in actually solving ‘real’ world fire engineering problems ???

And I also wonder … why have the 2005 and 2008 NIST (USA) WTC 9-11 Recommendations on the WTC Building Collapses still not been properly implemented within the USA … and why have they been ignored everywhere else ?????

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