ELECTED OFFICIALS’ GUIDE TO SUPPORTING
FIREFIGHTER MEDICAL EVALUATIONS

Firefighters face unique occupational risks that few professions encounter: exposure to carcinogens, extreme heat, toxic smoke, intense physical demands, and repeated psychological stress. These hazards significantly increase the risk of cancer, cardiovascular disease, respiratory illness, and behavioral health challenges. As an elected official, your decisions play a critical role in protecting the health and readiness of those who protect your community.

This guide was developed through collaboration between leading fire service, health, and research partners to provide policymakers with clear, evidence-informed guidance on supporting annual firefighter medical evaluations—one of the most effective strategies to reduce preventable injuries, illnesses, and line-of-duty deaths.

By outlining the stakes, the national standards that guide firefighter health programs, and practical policy actions you can take, this resource is designed to help you make informed decisions that strengthen firefighter safety, improve community resilience, and ensure responsible stewardship of public resources.