Viewpoint: Toxic Exposures in Structure Fire Settings Can Endanger Adjusters

After a structure fire, insurance adjusters are often on scene within 24 hours to meet with their insureds, assess the damages, and begin writing their estimates of repairs. However, what most property claims adjusters don’t realize is that fire damaged structures are extremely hazardous environments.

Although the flames have been extinguished, the smoke has cleared, and the fire department removed the yellow caution tape, the fire scene isn’t as safe as one might think. Toxic volatile organic compounds (VOCs) created by the vast array of materials and products, that burned are in a state of off-gassing, saturating the indoor air with poisonous gases and particulate matter. The combination of the lack of ventilation after a board-up and the toxicity of the combustion byproducts created by the fire, classifies this environment as immediately dangerous to life and health (IDLH). The National Institute for Occupational Safety and Health (NIOSH) states that a respiratory hazard exists when a toxic contaminant is present in the air at a sufficient concentration to cause harm when inhaled. The damage may occur immediately, or it may take days, weeks, months, or years for effects to surface.

The types and quantities of materials and products that combust, their chemical reactions, heat, time, and other factors make each and every post-fire environment unique. The vast array of toxic chemicals, VOC’s, and particulates are limitless and exposure to them can have immediate and/or long-term health effects. Firefighters and cause and origin investigators know all too well the dangers of post-fire environments, and many are sickened and die each year from exposure to smoke and soot toxins.

One example of this occurred when a fire chief in California walked through a residential fire to assess the damage. A short time later, as he was returning to the fire station, he became ill and his aide transported him to a local hospital. The hazardous material response team was called to the scene and located several glass containers of a substance later identified as liquid sodium cyanide. The chief was subsequently transported to a medical facility equipped with a hyperbaric chamber for treatment and fully recovered. Physicians and investigators eventually determined that he had inhaled near-lethal doses of sodium cyanide from a jewelry refinishing business that was operated from the home. ⁽¹⁾

Insurance adjusters face similar dangers in post-structure fire settings, where they may spend days documenting the loss, estimating, and inventorying personal property while being completely unaware of the toxic chemicals they are being exposed to or wearing proper personal protective equipment.

Considering that cigarette smoke alone contains over 5,000 chemicals, with 70 identified as cancer causing, the products and materials that burn in a structure fire produce innumerable toxins. These products may include plastics, fiberglass, synthetic fabrics, fire retardants, electronics, pesticides, household cleaning products, automotive fluids, solvents, chemicals used to manufacture illicit drugs and a host of other toxic substances.Currently, the Environmental Protection Agency has more than 85,000 chemicals registered in its inventory of substances that fall under the Toxic Substances Control Act and approximately 2,000 new chemicals are introduced each year. ⁽²⁾ The Chemical Abstracts Service is the world’s authority on chemical information and it has over 100 million registered chemical substances in its registry. ⁽³⁾ These chemicals are combined in more than 7,000,000 mixtures formulations that are found in homes and buildings across the U.S. ⁽⁴⁾ The majority of the chemicals currently in commercial use haven’t been evaluated.⁽⁵⁾

Some of the most toxic chemicals and gasses found in smoke include: hydrogen cyanide, phosgene, dioxins, furans, sulfur dioxide, PCB’s, hydrochloric and sulfuric acid, and arsenic. Other toxins may include benzene, lead, chromium, and other metals, toluene, acrolein, mercury, formaldehyde, phenol, styrene, and polycyclic aromatic hydrocarbons.

To give you an idea of how toxic some of these chemicals are, phosgene and hydrogen cyanide were used in World War I as chemical warfare agents, resulting in thousands of casualties. Both hydrogen cyanide and phosgene arecommonly found in structure fire smoke.

Property adjusters are well aware of common hazardous materials such as asbestos, lead, and mold, but few realize how toxic smoke particulates and soot can be. Dioxins, especially 2,3,7,8-tetrachlorodibenzo-p-dioxin (TCDD) has been called the most toxic man-made compound on Earth. ⁽⁶⁾ Scientists say it is exceeded in toxicity only by radioactive waste.⁽⁷⁾ Certain dioxin-like polychlorinated biphenyls (PCBs) with similar toxic properties are also included under the term dioxins.⁽⁸⁾ A characterization by the National Institute of Standards and Technology of cancer causing potential evaluated dioxin as over 10,000 times more potent than the next highest chemical (diethanol amine), half a million times more than arsenic and a million or more times greater than all others. ⁽⁹⁾TCDD has also been extensively studied for health effects linked to its presence as an ingredient in Agent Orange, which was used as a defoliant during the Vietnam War.⁽¹⁰⁾ Dioxins are formed when products containing carbon and chlorine are burned, such as plastics containing PVC. ⁽¹¹⁾

Even in picograms (parts per trillion) dioxin is associated with severe health damage that can shorten the lives of people exposed to it, and potentially that of their offspring and future generations. The genetic effects may skip a generation and reappear in subsequent generations. ⁽¹²⁾ Ingesting dioxin can also result in congenital malformations and a slow wasting syndrome followed by death similar to the AIDS syndrome. It is strongly suspected of contributing to pathology of the urinary and hematological systems, growths in the colon, gall bladder complications, multiple myeloma, and lung, larynx and prostate cancer. According to researcher Joe Thornton, “Dioxin’s health effects include endocrine disruption, reproductive impairment, infertility, birth defects, impaired neurological development, damage to the kidneys, and metabolic dysfunction…There is no evidence that there is a safe level of dioxin exposure below which none of these effects will occur…” Dioxin is tied to such a large number of diseases because it intensifies cancers which other toxins begin.

Particle exposure leads to around 20,000 premature deaths in America each year. Inhaled particles that are less than 5 microns travel to the lower lung where the gas exchange occurs in the alveoli. The particle size of soot is approximately 2.5 microns or less and to offer some perspective on the size of these particles, a red blood cell is approximately 7 microns in size.

The smallest ultrafine particles are so minute they behave like gases, passing through the lungs and directly into the bloodstream. Ultrafine particles also travel up through the nose and, rather than passing down into the lungs, they are delivered directly into the brain and central nervous system via the olfactory nerve, bypassing the body’s protective blood/brain barrier. Once in the bloodstream, these particles carry toxins around the body where they promote inflammation, disease, and even death.

The importance of wearing proper protective equipment when working in or around fire debris or a fire damaged structure cannot be understated. Adjusters and claim personnel should consider the following safety tips:

• Establish a safety and site assessment protocol to determine what type of PPE should be worn. The highest level of respiratory protection should be considered.
• Have all property claims personnel get fit tested to ensure their respirators function properly.
• Conduct air, VOC, and surface sampling to determine what types and quantities of hazardous chemicals may be present. (See OSHA Regulation 1910.134(d)(1)(iii)
• Obtain a soot and particulate remediation protocol that details the proper steps of cleaning and/or decontamination.
• Ventilate enclosed areas unless doing so will expose others to health hazards.
• If you experience any adverse health symptoms from exposure to smoke odors or soot, seek medical attention immediately.

References:

(1) FIRE SCENE INVESTIGATION: A “CAUSE” FOR CONCERN? http://www.fireengineering.com/articles/print/volume-157/issue-6/features/fire-scene-investigation-a-cause-for-concern.html

(2) It could take centuries for EPA to test all the unregulated chemicals under a new landmark bill By Mark Scialla: https://www.pbs.org/newshour/science/it-could-take-centuries-for-epa-to-test-all-the-unregulated-chemicals-under-a-new-landmark-bill

(3) http://support.cas.org/news/media-releases/100-millionth-substance

(4) Characterization of fire Investigators Exposure During Fire Scene Examination By: Dennis L. Rogers – DuPage County Arson Task Force (page 19)

(5)https://www.aph.gov.au/Parliamentary_Business/Committees/Senate/Education_Employment_and_Workplace_Relations/Completed_inquiries/2010-13/firefighters/report/c02

(6) https://www.ncbi.nlm.nih.gov/pubmed/10794914

(7) Medical Effects: Dioxin and PCB’s From Wood Burning http://burningissues.org/carwww/medical_effects/dioxin.htm

(8) World Health Organization http://www.who.int/mediacentre/factsheets/fs225/en/

(9) A Guide to Living Plasticless http://plasticisrubbish.com/2008/06/03/dioxins-poisons-contamination/

(10) Dioxins and their Effects on Human Health http://www.who.int/mediacentre/factsheets/fs225/en/

(11) Dioxins Produced by Backyard Burning https://www.epa.gov/dioxin/dioxins-produced-backyardburning

and http://www.who.int/mediacentre/factsheets/fs225/en/

(12) The Aspen institute https://www.aspeninstitute.org/programs/agent-orange-in-vietnamprogram/health-effects/