By Todd LeDuc
经过将近30年的服务，升职以担任助理和副消防局长职位，现在是我从布劳沃德县（FL）消防局退休的时候了。这一天本身是在正式的退休仪式上，带有“黑珍珠管和鼓”，布劳沃德荣誉卫队，以及首席消防官退休仪式的故事传统，充满了混杂的情绪。当我开始下一章和第二职业的旅程时，我接受了一个要约加入生活扫描健康中心，担任首席战略官和执行团队成员。这是一个简单的决定，因为生命扫描健康提供了早期检测的全面NFPA 1582在美国20多个州的全美大约40,000名消防员和执法人员的身体上，与我对消防员健康，健康和生存的热情和倡导保持一致。
我的新角色并与许多退休的同事互动，他们参加了我的退休仪式，并分享了“消防服务后的生活”，我开始思考我们的义务在他们的服务结束后继续监控退休成员的健康和福祉。不幸的是，在这批消防员人群中没有进行足够的基于证据的研究。已经进行了一些研究，以进一步了解退休消防员的独特健康风险，尤其是在职业癌症和行为健康领域。但是，我们知道，声称我们的现役消防员的三种最可预防的职业疾病是癌症，心血管疾病和行为健康疾病的三合会（药物依赖和成瘾，睡眠障碍，压力，创伤后应激障碍和自杀）。
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It stands to reason that if firefighters have documented occupational health risks then some of those same disease processes may follow us into our retirement years. Years of toxic exposures to a plethora of carcinogenic-linked chemicals and particulate surely may contribute to ongoing manifestations with certain types of cancers. This may be exacerbated by the stressful conditions that firefighters operate in and the toll that lifestyle behaviors may take over many years of service. One of the starkest examples of this is the number of 9/11 first responders that we continue to lose from cancers some nearly two decades after that horrific day. It also stands to reason that, given the tight-knit culture of the fire service, retired members who are more distanced from the camaraderie of active duty may become disassociated and isolated. This could prove deleterious to these retired members’ behavioral health and mental wellness. Along with the natural aging process, there may also be cardiovascular effects that come from repeated exposure to extreme conditions, poor lifestyle coping choices, and repeated exposures to numerous toxins.
一位退休的朋友和同事最近问：“首席，他们不应该成为退休消防员医疗监视的国家标准吗？”我以前曾撰写过详细介绍国际消防局长协会的努力，以确定美国有多少消防员没有接受适当的年度体检。该调查研究的结果证实，我们仍然有很多工作要做，以确保美国的每位消防员都可以使用并接受特定于职业的体检。当然，如果我们还没有为现役消防员而到处，那么我们正在为退休人员提供早期发现做什么？我很自豪地说，我的前部布劳沃德县（Broward County）提供了自愿进入人寿扫描健康中心NFPA 1582/1583全面和综合的身体，包括行为筛查。挑战是要记住我们消防服务社区的退休成员。我们退休的消防员应该得到进一步的职业健康研究，医疗监测和及早检测的机会。
Our retired fire service members served their communities—America’s communities- large and small, paid and volunteer—and we owe them a debt for their service. Much as with our nation’s veterans, we as a fire service should be responsible to look after our retirees’ ongoing health risks.
托德·J·莱德克（Todd J. Leduc），MS，CFO，Fifire，在佛罗里达州布劳沃德县的助理消防局长近30年后退休，internationally accredited career metro department. He is Secretary of the International Association of Fire Chief’s Safety, Health & Survival Board. He is the Chief Strategy Officer for Life Scan Wellness Centers, one of the nation’s leading providers of firefighter physicals. He is also editor in chief of Surviving the Fire Service and is sought after as an international speaker. He can be reached attodd.leduc@lifescanwellness.com。
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