Firefighter Fatalities linked to Heart Attacks and Crashes

Heart attacks and vehicular crashes are leading causes of firefighter fatalities, according to the annual analysis of deaths of U.S. on-duty firefighters by the National Fire Protection Association (NFPA).

The analysis shows that last year 439 firefighters died, including 340 firefighters from the New York City Fire Department in the World Trade Center attack. The fire department also lost two paramedics and a chaplain in the incident. More full-time career firefighters perished on Sept. 11 than were killed on-duty over the previous 20 years.

While noting the tragic loss of life on that single day, the analysis focuses on the 99 on-duty deaths that occurred elsewhere over the last year. In seven of the last 10 years, fewer than half of firefighters' deaths occurred while they were at fires. A quarter of the deaths happened as firefighters were traveling to or from fires or other emergencies.

The top killer of firefighters in 2001, as it has been in recent years, was overexertion or stress that led to on-the-job heart attacks.

According to the NFPA, heart attacks killed 40 firefighters. In all cases, the heart attacks were attributed to stress or overexertion. Twelve of those heart attacks occurred at a fire.

Twenty-seven firefighters died from being struck by an object or coming in contact with an object. These include 17 in vehicle crashes.

Some 38 firefighters died while fighting a fire, and 24 died while traveling to or from a fire. Twenty-three firefighters died while performing non-emergency duties, such as maintenance.

The NFPA notes that older firefighters were more likely to die than younger ones. Firefighters in their 30s had the lowest death rates, while those in their 50s died at twice the average rate, and those in their 60s at four times the average.

"We all know firefighting is a dangerous profession," says Rita Fahy, Ph.D., manager of fire databases and systems at NFPA. "But some of the biggest dangers occur away from fires. That's why prevention efforts must involve not just training and equipment, but helping firefighters stay in shape and cope with stress. The men and women who protect us deserve no less."

The full report is available in the current issue of NFPA Journal, or in downloadable format (for members only) on NFPA's Web site at

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