RECENT NEWS
Statement: We Cannot Support Multi-Cancer Detection (MCD) Blood Biopsy Tests
Proposed by Tony Stefani, Founder and President Approved by the Board of Directors
Firefighters face a heightened cancer risk. Any screening technology used within our profession must be highly accurate, clinically validated, and supported by strong peer-reviewed evidence. Premature reliance on unproven testing methods could result in false reassurance, missed cancers, unnecessary follow-up procedures, or added stress for firefighters and their families.
For these reasons, the San Francisco Firefighters Cancer Prevention Foundation cannot currently support the routine use of commercially available “Multi-Cancer Detection” (MCD) blood biopsy tests (Galleri test, CancerGuard Test, etc.) for firefighter cancer screening. These companies claim they can scan for over 50 types of cancer.
Our Foundation continues to support evidence-based cancer prevention measures, including exposure reduction practices, proper decontamination procedures, adherence to established medical screening guidelines, and participation in research designed to improve early detection for firefighters.
We strongly encourage continued independent scientific research and large-scale validation studies in liquid biopsy technologies. Should future evidence demonstrate consistent accuracy and clinical benefits for firefighter populations, the Foundation will reassess its position accordingly.
Until that time, our commitment remains clear: firefighters deserve screening tools that are proven, reliable, and grounded in the highest standards of medical science.
SFFCPF Launches Cancer Support Groups for Firefighters
Source: SFFCPF Health Navigation Team
Health Navigators: Jeff Malone, Retired SFFD | Judith Lynch, RN BS MAOM | Nick Oxford, Active SFFD | Adam Wood, Retired SFFD
In its work with firefighters and family members, SFFCPF has referred many patients to our vetted Mental Health providers for individual therapy since 2022. In 2024, the providers proposed to partner with the Foundation to offer support groups. The Board overwhelmingly approved sponsoring the groups and the first group was launched in Fall. To date 4 groups of active and retired members have been run.
About the Groups
The Firefighter Cancer Support Group is a closed, 10-week program for active and retired firefighters navigating a cancer diagnosis or life after treatment. Groups are kept small, with five members or fewer, and meet once a week for ninety minutes. Each session is facilitated by two licensed therapists and is designed to balance safety with honest conversation. It is a space where participants can speak openly about the physical, emotional, and relationship issues that can arise after a serious diagnosis.
Over the course of ten weeks, members:
- Build trust and share coping strategies
- Talk about fear, uncertainty, identity, and purpose
- Find relief with people who share the experience of firefighting and cancer
- Learn practical tools for managing stress and family communication
- Hold space for silence, storytelling, grief, and even laughter
What Happens in Sessions
Over the course of ten weeks, members build trust, share coping strategies, and find relief in the company of people who share both the experience of the fire service and the cancer journey. Conversations may include fear, uncertainty, identity, purpose, or life beyond the firehouse. Some sessions focus on practical tools for managing stress or communicating with family, while others simply hold space for whatever is unfolding in the moment. There is room for silence as well as storytelling, for grief as well as laughter.
Additional Resources
Why It Matters
For first responders, whose work is built on resilience and service, the shift into receiving care can be especially challenging. The groups offer a way to navigate those changes in community rather than alone.
Looking Ahead
Plans are underway to extend the groups to partners of firefighters—both those with cancer and those supporting a firefighter with cancer. Learn more about SFFCPF Health Services and Prevention Programs, or explore more SFFCPF News Updates.
Update on California Assembly Bill 1181: Protecting Firefighters from Toxic Gear
Bill Overview
AB 1181 is titled “Firefighters: personal protective equipment.” It amends California’s Labor Code to strengthen protections for firefighters by eliminating the use of harmful chemicals in turnout gear. PFAS, sometimes referred to as “forever chemicals,” have been strongly linked to cancer and other serious health conditions. Flame retardants and fluoropolymers also pose significant risks.
For firefighters, this legislation directly addresses toxic exposures from PPE and aligns with our mission to prevent cancer in the fire service.
Related Coverage
Watch: NBC Bay Area recently covered AB 1181 and its role in eliminating PFAS and other toxic substances from firefighter gear.
Key Provisions
- By July 1, 2026, Cal/OSHA must report to the Governor and Legislature on progress toward safer standards.
- By January 1, 2027, the Cal/OSHA Standards Board must update existing safety orders to eliminate or limit PFAS, flame retardants, and similar hazardous chemicals in firefighter PPE.
Legislative Progress
- Feb 21, 2025 – Introduced in the Assembly by Matt Haney
- Mar 13 & May 23, 2025 – Amended and advanced through Assembly committees with bipartisan support
- Jun 2, 2025 – Passed the Assembly floor (78–0, unanimous)
- Jun 11–12, 2025 – Referred to Senate committees, amended, and re-referred to Appropriations
- Jun 18–30, 2025 – Passed Appropriations Committee with recommendation; placed on Suspense File
- Current (as of Jun 30, 2025) – Awaiting further action in Senate Appropriations
What This Means for Firefighters
AB 1181 has cleared the Assembly and initial Senate reviews with unanimous, bipartisan support. It is now in the Senate Appropriations Committee’s “suspense file,” awaiting the next round of review.
If it advances, the bill will go to a full Senate vote and then to the Governor’s desk for signature. Once enacted, this law will ensure that by 2027, firefighter turnout gear is free from PFAS and other toxic chemicals — a major step in reducing cancer risks for firefighters across California.
SFFCPF’s Commitment
The San Francisco Firefighters Cancer Prevention Foundation strongly supports legislation that reduces firefighter exposure to carcinogens. We will continue to track AB 1181 closely and provide updates as it progresses through the Legislature.
This effort reflects our mission to protect the health of firefighters and their families through research, prevention, detection, and health navigation.
Resources on AB 1181
San Francisco Allocates $500,000 for Firefighter Cancer Screening Pilot
Watch: Mayor Daniel Lurie announces San Francisco’s $500,000 pilot program for firefighter cancer screenings—designed to support early detection and improve health outcomes for those on the front lines.
Announcement Overview
The City of San Francisco has proposed a $500,000 pilot program to provide advanced cancer screenings for active-duty firefighters, as part of Mayor Daniel Lurie’s FY2025–26 budget proposal. The announcement was made on June 20, 2025, and marks a significant step forward in firefighter health and early cancer detection.
The pilot program will offer advanced imaging and diagnostic screening to firefighters over the age of 40 with at least five years of service. These screenings are designed to detect cancer at an earlier stage and would complement existing medical coverage by including tests not typically covered by insurance.
According to the City, the program will be implemented in collaboration with the San Francisco Fire Department, IAFF Local 798, and the San Francisco Firefighters Cancer Prevention Foundation (SFFCPF), whose screening model has helped guide the city’s approach.
“You are the protectors of our city, and now, we’re here to protect you,” Mayor Lurie stated at the program’s unveiling.
The $500,000 allocation is expected to be matched with private funding, contingent on approval by the San Francisco Board of Supervisors later this summer.
🔗 Read the full announcement from the City of San Francisco
🔗 MSN News Coverage of the Cancer Screening Fund
Why It Matters
Firefighters face significantly higher cancer risks than other professions due to repeated exposure to carcinogenic substances during fire suppression and hazardous material incidents. National research from the CDC and NIOSH shows that firefighters have a 9% higher risk of developing cancer and a 14% higher risk of dying from cancer compared to the general U.S. population.
Over the past two decades, SFFCPF has helped coordinate and fund screening efforts in partnership with UCSF, Stanford, and other leading institutions—emphasizing prevention, early detection, and long-term support. The proposed city-funded pilot represents an opportunity to expand and institutionalize those services through public investment.
Pending final approval, the funding for cancer screenings will become available on July 1, 2026. Further details on eligibility, enrollment, and screening locations will be announced once the city budget is finalized.
For more information about cancer screenings and SFFCPF services contact us at contact@sffcpf.org.
SFFCPF Health Navigation Services Update: Supporting 140 Cancer Patients
Source: SFFCPF Health Navigation Team
Health Navigators: Jeff Malone, Retired SFFD | Judith Lynch, RN BS MAOM | Nick Oxford, Active SFFD | Adam Wood, Retired SFFD
The San Francisco Firefighters Cancer Prevention Foundation’s Health Navigation team is currently providing personalized support to 140 active patients, including firefighters and their family members who are navigating a cancer diagnosis. In May, the program welcomed five new patients into care and supported twelve others as they completed treatment or transitioned out of active services.
These numbers reflect the ongoing need for compassionate, comprehensive cancer support within the firefighter community. Each patient’s journey is different, but our commitment remains the same: to ensure no firefighter or family member goes through cancer alone.
SFFCPF’s Health Navigation Services
- One-on-one consultations with experienced Health Navigators
- Access to top specialists at UCSF, Stanford, and other leading institutions
- Support in coordinating second opinions and exploring clinical trials
- Financial assistance for uncovered medical expenses
- Emotional and integrative care throughout treatment and recovery
Firefighters and their families continue to receive expert guidance and compassionate support through every stage of the cancer journey. If you or someone in the firefighter community is facing a cancer diagnosis, SFFCPF is here to help.
Health Navigation Resources for Firefighters
How Firefighters Can Keep Their Families Safe from Gear Contamination
Source: YouTube.com/@sffcpf
Featuring: SFFD Battalion Chief Matt Alba
Firefighters put their lives on the line every day—but too often, the danger doesn’t end at the scene. In a new video, Battalion Chief Matt Alba shares how the San Francisco Firefighters Cancer Prevention Foundation (SFFCPF) is helping reduce cancer risk for members of the San Francisco Fire Department by providing specialized gear bags that separate clean and contaminated equipment.
Why Gear Bags Matter
Fireground contaminants don’t just stay on scene—they cling to turnouts, gloves, hoods, and helmets long after the call is over. Without proper separation, these toxins can end up in cars, locker rooms, and homes, putting firefighters and their families at risk of long-term exposure.
“We’re trying to keep you from contaminating your vehicles, contaminating your stations, and most importantly—contaminating your homes and your families,”
To help address this issue, SFFCPF is funding and distributing clean and contaminated gear bags to SFFD members. This simple system provides an immediate way to reduce cross-contamination and supports the broader mission of cancer prevention in the fire service. You can read more about the gear bag program and its background in this article.
This initiative builds on findings from the Kitsap County Firefighter Cancer Study (PDF), which revealed that children of firefighters faced a cancer diagnosis rate over 27 times higher than the general population—a sobering statistic that underscores the importance of reducing take-home exposure.
Educational Resources for Firefighters
The following materials are available to help SFFD members use the gear bags effectively and implement safer post-incident routines:
📄The SFFD Gear Bag Usage Guide (PDF)
📄The Gear Bag Cancer Prevention Tips (PDF)
Help Us Continue This Work
SFFCPF’s mission is made possible by the generosity of donors, sponsors, and community supporters. Your contributions help us provide life-saving resources like these gear bags, fund early detection screenings, and support firefighter families navigating cancer diagnoses.
A Firefighter’s Legacy: Lieutenant Brian Kyono’s Story & The Fight Against Cancer
Source: YouTube.com/@sffcpf
Featuring: Lieutenant Brian Kyono
After nearly three decades with the San Francisco Fire Department (SFFD), Lieutenant Brian Kyono retired in April 2022, expecting to enjoy the next chapter of his life. But just months later, he was diagnosed with stage four lung cancer—a devastating reality too many firefighters face. He passed away on September 12, 2024, leaving behind a legacy of service, camaraderie, and leadership.
The Firefighter’s Goal: 30 In, 30 Out
For generations, firefighters have believed in the idea of serving 30 years and enjoying 30 years of retirement. But for many, that goal is no longer achievable. Cancer has become the leading cause of firefighter deaths, a direct result of prolonged exposure to toxic smoke, contaminated gear, and hazardous materials on the job.
Kyono’s diagnosis was a stark reminder of this growing threat. In a personal journal entry, he reflected on his new reality:
“I understand that we are all mortal and will all come to an end. But getting a glimpse of that end puts a whole different perspective on life.”
A Call to Action: Prevention Can Save Lives
Kyono’s colleagues and family are carrying forward his mission: urging firefighters to take their health seriously. Preventive measures can significantly reduce risk, including:
- Wearing SCBA gear even during overhaul to avoid toxic exposure.
- Following decontamination protocols to minimize long-term health risks.
- Properly cleaning turnouts after every fire and keeping contaminated gear out of living spaces.
Kyono’s widow, Donna Kyono, now speaks on his behalf:
“Brian always told me not to worry as a first responder. He said it was all about calculated risk. I just never thought that risk included stage four lung cancer.”
Honoring Lieutenant Brian Kyono’s Legacy
Lieutenant Brian Kyono’s story is a reminder and a warning—firefighters must protect themselves, not just for their own sake, but for their families, their crews, and the next generation.
The San Francisco Firefighters Cancer Prevention Foundation remains committed to raising awareness, supporting early screenings, and advocating for firefighter safety. Let’s honor Kyono’s legacy by ensuring more firefighters live to see the retirement they deserve.
NEWS: Cancer is the Unseen Danger in the Los Angeles Fires
Source: E&E News by Politico
Featuring: Matt Alba | Active, SFFD Battalion Chief | SFFCPF Board Member
Cancer Risks from Wildfire Exposure
Wildfires pose a hidden threat to firefighters beyond the flames—cancer. This article explores the alarming cancer risks faced by firefighters battling wildfires in Los Angeles. It highlights toxic chemical exposures from burning materials and their long-term impact on firefighter health. The piece underscores the urgent need for prevention strategies, protective measures, and further research to safeguard those on the frontlines.
Read the full article to learn more about this critical issue.
2024 SFFCPF Recap: Research, Advocacy & Community Support
A Year of Progress and Community Support
The SF Firefighter’s Cancer Prevention Foundation looks back on a year of significant changes and progress toward improving firefighter health and bringing together a strong community of support for our mission and vision.
Celebrating 17 Years: Igniting Hope Gala
We started the year off with the sold-out 17th Anniversary “Igniting Hope Gala” at the Palace Hotel. Guests honored our San Francisco Firefighters and supported our efforts to provide services and support to those with cancer diagnoses while enjoying the remarks of former MLB player and sports analyst Hunter Pence and honoring the White Helmet recipients, Michael Green, Founder and former CEO of the Center for Environmental Health, and Peter Caroll, MD, UCSF Professor of Urology.
Breaking New Ground in Firefighter Health Research
Our research efforts took a big leap forward with two studies that take us in a new and exciting direction. Past research was primarily focused on documenting the toxic exposures that disproportionately affect firefighters. These studies have been recognized nationally and have contributed to legislation around the country to improve workers’ compensation laws by making cancer diagnoses presumptively related to work.
In 2024, we expanded our prevention efforts to see whether diet and nutrition can provide additional protection against cancer and heart disease by launching two key studies:
Igniting Firefighter Health Study: Dr. Christopher Gardner at the Stanford University Research Center – whose study was chronicled in a Netflix Documentary “You Are What You Eat” – will direct a similar study to examine the effects of a plant-based diet on reducing metabolic risk factors for cancer and heart disease. Starting in January 2025, he and his team began recruitment for 120 active San Francisco firefighters who will be randomly assigned to a plant-based diet or a healthy omnivore diet for 12 weeks. Participants will provide blood and other samples during the course of the study which will be analyzed to identify inflammatory markers that are also known to be markers for cancer. A documentary film will highlight the findings.
Broc Shot Study: This study will explore the preventative effects of sulforaphane, a plant-based compound found in broccoli and other cruciferous vegetables.
These groundbreaking studies could have far-reaching implications for firefighters all over the world.
Fighting for Firefighter Safety Through Legislation
Our support for legislation to protect firefighter health and benefits has seen positive results in both state and local government:
California Assembly Bill 2408: This bill, which would prohibit the manufacture, sale, and distribution of firefighter protective equipment containing intentionally added PFAS chemicals, will be reintroduced in 2025 with stronger language to prevent manufacturers from replacing PFAS chemicals with equally toxic flame retardants.
Local Legislation: A similar bill received wide support from the San Francisco Board of Supervisors in 2024.
Providing Lifesaving Support to Firefighters and Families
Health Navigators Judith Lynch, Jeff Malone, and Nick Oxford continue their efforts assisting firefighters and their family members who have cancer diagnoses, serving well over 100 individuals at any given time. Donations help support:
- Second opinion evaluations at UCSF
- Transfers of care to cancer experts
- Other forms of financial assistance
Ensuring Transparency and Maximizing Donor Impact
As our donors continue their generosity, the Board took the important step of undergoing a rigorous financial audit. The results reflect the efforts of our all-volunteer board to ensure that 95% of all donations directly support firefighter health and prevention efforts.
We look forward to a busy 2025 as we welcome the new year!
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PAST RESEARCH & NEWS UPDATES STILL SHAPING THE FUTURE
Women Firefighters Face High Exposure to Toxic ‘Forever Chemicals’
By UC Berkeley News In 2012, the Women Firefighters Biomonitoring Collaborative, led by Silent Spring Institute and UC Berkeley researchers, was founded when SFFCPF approached the United Fire Service Women and environmental health advocates with concerns about multiple cases [...]
The Call for PPE Gear Bags
It is no secret that cancer continues to rear its ugly head within the fire service. The San Francisco Fire Department is unfortunately no stranger to this.
SFFCPF Moves the Science Forward with Ground-Breaking Study
The San Francisco Firefighters Cancer Prevention Foundation (SFFCPF) is working with top scientists from our most prestigious universities to improve health outcomes for firefighters.
Resolutions Pass to Protect Firefighters from Toxic Substances in PPE
San Francisco Firefighter Cancer Prevention Foundation Delegates at the IAFF 55th Convention voted overwhelmingly in favor of resolutions to protect members from toxic substances in personal protective equipment (PPE) and to end sponsorships from manufacturers that use [...]
Pre- And Polyfluoroalkyl (PFAS) Substance Awareness Slideshow
By SFFCPF At the San Francisco Firefighters Cancer Prevention Foundation, we educate every incoming SFFD fire academy class about the cancer risks in our profession. We also provide continuing education to San Francisco firefighters throughout their careers [...]
Our Guide to Open Enrollment for Health Benefits for SFFD Members | Oct 1-31, 2023
October 1 marks the first day of Open Enrollment at the San Francisco Health Services System. Your choice of plan will affect you and your enrolled dependents for 2024.
NIOSH Firefighter Cancer Study Finds Higher Cancer Rates Among U.S. Firefighters
By NIOSH Firefighters face a significantly increased risk of developing cancer, according to a comprehensive study by the National Institute for Occupational Safety and Health (NIOSH). This large-scale research project—one of the most rigorous to date—analyzed cancer [...]
Gear Treated with ‘Forever’ Chemicals Poses Risk to Firefighters
By Jessica Sieff with Notre Dame News Firefighters face occupational hazards on a daily basis. Now, new research shows they face additional risk just by gearing up. Read this news article by University of Notre Dame describing Dr. [...]
Exposure–response relationships for select cancer and non- cancer health outcomes in a cohort of US firefighters from San Francisco, Chicago and Philadelphia (1950–2009)
By Daniels et al. A study has been released that examines exposure–response relationships between surrogates of firefighting exposure and select outcomes among previously studied US career firefighters. READ THE STUDY
Exposure to Flame Retardant Chemicals Means Firefighters Face Higher Cancer Risk Than Previously Thought
New research by a Blue Hill scientist shows that during a fire, firefighters are exposed to dangerous levels of toxic, cancer-causing chemicals created when commercial flame retardants burn.
Cultural Restraints in Cancer Prevention
We have enough inherent risks with the job that we have no control over. Let’s take every step to reduce risk and exposure where we can.
Change is Happening — The Biggest Hurdle is Ourselves
Let’s all take a moment to look how far we have come in the last 20 years for our own health and cancer awareness.
Cancer Champions Raise Awareness Year-Round
January marks Firefighter Cancer Awareness Month, a crucial time for us to reflect on the unique challenges our firefighters face.
California Makes Progress in the Struggle to Understand Cancer in Firefighters
We are happy to report that the California Firefighter Cancer Prevention Research Program, supported by the San Francisco Firefighters Cancer Prevention Foundation, was signed into law by Governor Newsom on September 30th, 2023.
Be Diligent
Our November 2023 blog by Kailin Waterman (SFFD Rescue 1) emphasized the importance of each of us being proactive in our own health and awareness. I am supporting his message again this month with specific focus on women firefighters.
ADVOCATING FOR CHANGE
Through groundbreaking research and policy advocacy, we’re creating a safer future for firefighters. Together, we can minimize job-related cancer risks.
Your Donations Go Directly to Firefighters
Your donation helps protect firefighters and their families. From free cancer screenings to funding prevention research and specialized care, SFFCPF is a 501(c)(3) non-profit organization with an all-volunteer board of directors, enabling 95% of your tax-deductible gift to directly support those who serve our community. Together, we can fight cancer in the fire service and save lives.
