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.
Collaborative Guides Supporting Firefighting Health & Wellness
One series, three audiences.
The Collaborative Guides Supporting Firefighting Health & Wellness give each person in the decision the guide written for them.
For providers
Provider's Guide
Screening considerations for primary care providers, plus a letter for firefighters to bring along.
View guide >For OB/GYNs
OB/GYN Health Resource Guide
Considerations for OB/GYNs making decisions about firefighter clearance for duty.
View guide >You are here · For elected officials
Elected Officials Guide
How elected officials can support annual medical evaluations for firefighters.