Global Innovation Firefighter Lung Cancer Screening
Roswell Park Comprehensive Cancer Center, New York
Their “First Responder Program” utilizes occupational exposure history to justify Low-Dose Computed Tomography (LDCT) screening for personnel who fall outside the USPSTF age and smoking criteria.
CommonSpirit Health (Mountain Region), Colorado
Specifically launched for those ineligible under national guidelines. Provides no-cost LDCT for firefighters with 10+ years of service.
State of Maryland (James Malone Act), Bill 57
Bill 579 mandates that jurisdictions provide and fund annual cancer screenings for all career and volunteer firefighters, removing age/smoking barriers.
UCSF / San Francisco Fire Department
Conducting a large-scale study (NCT06836414) providing LDCT scans for firefighters starting at age 35 with 10+ years of servic

Research Supporting Age Based Lung Cancer Screening for Firefighters
- 93.9% Detection Accuracy šÆ: Universal age-based screening (40ā85) catches almost all cases at an early, curable stage regardless of smoking status.
- Worsened Wildland Hazards š„: Intense PM2.5 exposure and a lack of respiratory protection mean wildland crews face “worse” risks that standard guidelines ignore.
- Estimated Billions Saved š°: Catching cancer at Stage I instead of Stage IV is estimated to save $24.76 billion in annual treatment costs.
As the US JAMA study did not specifically include wildland firefighters.
We Need šØš¦ Canadian Cancer research wildland firefighters screening criteria


