CONSENT CALENDAR - AGENDA ITEM NO. 9
BOARD OF DIRECTORS MEETING
September 27, 2012
TO:
Board of Directors, Orange County Fire Authority
FROM:
Zenovy Jakymiw
Human Resources Director
SUBJECT:
Firefighter Wellness & Fitness Program 2012 Update Report
Summary:
As requested by Board of Directors members, this report provides an update on the Orange
County Fire Authority (OCFA) Firefighter Wellness & Fitness (WEFIT) Program.
Recommended Action:
Receive and file the report.
Background:
Attached is the report on the update of the Firefighter Wellness & Fitness Program.
Impact to Cities/County:
None.
Fiscal Impact:
None.
Staff Contact for Further Information:
Fausto Reyes, Risk Manager
[email protected]
(714)573-6831
Attachment
Firefighter Wellness & Fitness Program 2012 Update
Attachment
Orange County Fire Authority
Firefighter Wellness &
Fitness Program 2012 Update
“Train like your life depends on it”
TABLE OF CONTENTS
Executive Summary ....................... 1
Background .................................... 3
Medical & Fitness Evaluation ....... 5
Fitness & Conditioning .................. 8
Injury/Fitness Rehabilitation
Wellness ........................................ 12
WEFIT Making a Difference ...... 16
Research Studies .......................... 21
Program Contacts ……………….23
WEFIT Mission The Orange County Fire Authority Wellness and Fitness Program (WEFIT) serves to provide OCFA firefighters and professionals with knowledge, support and opportunities to improve their physical health, wellness and fitness in order to enhance job performance and overall healthy personal lifestyle. Table of Contents
OCFA
EXECUTIVE SUMMARY
This report provides an update on the Orange County Fire Authority (OCFA) Firefighter Wellness & Fitness
(WEFIT) program. The OCFA Board of Directors approved the program implementation June 26, 2003.
The WEFIT program consists of the following components:

Medical Exams & Fitness Assessment

Immunization & Disease Screening

Fitness & Conditioning

Injury & Fitness Rehabilitation

Behaviorial & Mental Health

Data Gathering & Tracking
All of the above program components are provided to OCFA firefighters on a voluntary basis and over the past
seven years has been met with an 80%-90% participation rate. This has been an important factor contributing to
the WEFIT program’s success and positive outcomes. Firefighters understand that their occupation is strenuous
and physically demanding that without ongoing attention toward individual health and fitness, many more
injuries and firefighter line of duty deaths would occur. The WEFIT program has focused on firefighter heatlh
and wellness by considering the various physical demands, exposures, functional movement patterns, injuries
and line of duty deaths to ensure that the WEFIT program continues to encourage, promote and provide the
necessary program elements that help prevent, mitigate and avoid these occupational hazards.
Since its implementation the OCFA WEFIT program has had several optimal outcomes in the areas of medical
intervention, early injury mitigation, and improved fitness and conditioning. Through the years the WEFIT
program has continually updated the information and services provided to OCFA firefighters to improve
wellness, fitness and overall health measures as well as job performance outcomes. The WEFIT physical exam
provides early medical intervention for medical conditions which if left un-checked could become more serious.
Each year during the WEFIT medical evaluation medical conditions are identified and with early medical
intervention have corrected or mitigated the condition from becoming worse. As part of the medical and fitness
evaluation each firefighter is provided with a prescription to improve upon their individual health and fitness.
Firefighters have the ability to improve their physical fitness and overall health outcomes by using fitness
equipment provided at each fire station, consulting with Peer Fitness Trainers, attending quarterly WEFIT
classes, participating in tri-annual fitness challenges or requesting assistance from the WEFIT Program
Coordinator. Firefighters acknowledge that the WEFIT Program has provided them motivation and direction for
reaching their individual health and fitness goals.
Firefighters can also address minor muscle sprains, strains and pulls by using the injury and fitness
rehabilitation wellness program. This early intervention, injury prevention program has been able to treat minor
injuries and provide valuable injury prevention and physical conditioning education to firefighters seeking
treatment to avoid more serious injuries that could result in lost time, more invasive treatment requirements and
increased workers compensation costs. The progam data shows a high level of participation and a potential for
significant cost avoidance outcomes.
Executive Summary
Page 1
EXECUTIVE SUMMARY
To encourage and promote participation, fitness challenges are
planned three times a year along with quarterly classes which help
promote individual fitness and health through competitive fitness
challenges and training and education. The challenges have been
successful increasing employee participation and have resulted with
improved employee morale and positive individual fitness and
health outcomes. The quarterly classes have provided training and
education on fitness and injury prevention strategies.
The medical and fitness evaluation data continues to show positive
outcome trends. The high risk factor of excess weight shows a
downward trend in overall weight and in fitness a trending up in
increased levels of fitness. This trend should provide for lower heart
disease risk and a reduction of other health risks.
The International Association of Firefighters and International
Association of Fire Chiefs Initiative’s purpose was to improve the
health and wellness of firefighters by establishing a program guided
by “an overall wellness/fitness system which is holistic, positive,
rehabilitation and educational.” The OCFA WEFIT program meets
this purpose. With seven years experience and the many successful
health and fitness outcomes, it can be said that if not for the WEFIT
program the potential for firefighter injuries, illnesses and line of
duty deaths would have been greater. The WEFIT program
continues to make a difference for OCFA firefighters and
professional staff which ultimately reflects on the service provided
to the communities we serve.
Organizationally, the program is aligned with the OCFA Strategic
Plan and is part of the OCFA Fire Service Accreditation
Performance Indicator which will insure that the program continues
to support the OCFA mission.
The evaluation of all program components either by program data or
individual testimonies demonstrates that WEFIT has helped
firefighters achieve a greater level of health and fitness. In addition,
the noted research studies in this report have contributed toward
firefighter health, fitness and safety.
“Participating in the program myself, I
am convinced that the WEFIT program
has had positive outcomes in both
changing the OCFA culture concerning
health and wellness as well as giving our
employees better tools to avoid illness and
injury. With the Chief Officers leadership
encouraging participation and the
investment we have made in the WEFIT
program pays dividends daily to the
OCFA and to our employees’ quality of
OUR MISSION
life and job performance. I highly
VISION
encourage AND
every OCFA
member to ensure
a long and healthy life by taking
advantage of all the benefits offered by the
MISSION
WEFIT program.
This is truly an
opportunity
that
you can’t
liveand
without.”
We enhance
public
safety
meet the
evolving needs of our communities
County
Fire Authority
throughOrange
education,
prevention,
and
Fire Chief
emergency response.
Keith Richter
VISION
OCFA is a premier public safety agency
providing
superior
services
that
in
“The WEFIT
program
continues
to result
improve
no lives orhealth
property
lost. We
firefighter
and fitness
and reach
the this
through
exceptional
teamwork
and
strong
quality of life of our members. With the
partnerships
in our
community.
various
occupational
hazards
associated
with firefighting, no greater investment
could be made than to improving firefighter
health and fitness through a holistic
program like WEFIT. Our members
continually express to me the various
benefits achieved through the program.
With the continued collaborative approach
between our local and OCFA, WEFIT will
continue to have a positive impact on our
firefighters and the communities we serve.”
Orange County Professional Firefighters
Association, IAFF Local 3631
President
Dave Rose
Executive Summary
Page 2
BACKGROUND
Firefighter wellness and fitness gained national focus with the development of the 1997/2000 Fire Service Joint
Labor and Management Wellness-Fitness Initiative. National trends in firefighter injuries, illnesses and line of
duty of deaths supported the need to develop a comprehensive wellness and fitness program in the fire service.
Ten major fire departments in the United States and Canada co-authored an initiative that was published by the
Washington, D.C. offices of the International Association of Firefighters and International Association of Fire
Chief (IAFF/IAFC). This initiative addresses multiple aspects of firefighter health and fitness and includes the
following five recommended program components.

Medical Examinations

Fitness Evaluations and Physical Fitness Programs

Immunization and Disease Screening

Medical/Fitness/Injury Rehabilitation

Behavioral Health

Data Gathering and Reporting
The initiative is intended to be implemented as a positive individualized program that is not punitive in nature.
All program component results are measured against an individual’s previous examinations and fitness
assessments and are not compared against a mandatory fitness standard requirement. However, medical practice
standards may be used when exam results indicate that life saving intervention is required. Health and fitness
recommendations are encouraged on a personalized basis. All medical information is kept confidential in
accordance to all applicable medical confidentiality laws.
The benefits of the wellness and fitness program described by the initiative include, but not limited to: greater
cardiovascular and respiratory stamina and physical strength, decreased risk of death, injury or disability from
disease or injury, improved work performance, reduce anxiety, stress, tension and depression, increased energy,
self-esteem and employee morale, and enhanced recovery from strenuous and exhaustive work. The ultimate
goals of these programs are to improve general health and physical fitness and increase career longevity with a
holistic approach to overall wellness.
The implementation of the OCFA WEFIT program began with the approval by the OCFA Board of Directors
on June 26, 2003. The necessary starts up costs were funded through a cost-sharing agreement between the
Orange County Professional Firefighters Association (OCPFA) in the amount of $579,912, and a Federal
Emergency Management Agency (FEMA) grant in the amount of $476,600. The implementation of the program
included medical exams and fit testing, immunization and disease screening and a standard complement of
fitness equipment for the majority of OCFA fire stations. Fire stations with insufficient space for fitness
equipment were provided a station membership to local commercial gym or could use an alternate location such
as a college gym located in their first-in response area. To address behavioral health concerns, the OCFA
Employee Assistance Program (EAP) is available for OCFA employees. The injury and fitness rehabilitation
component was implemented in 2009. Although the data gathering and tracking component intended by the
initiative to establish a nationwide depository of program data has not been established, the OCFA does collect
aggregate WEFIT medical exam and fitness assessment data to identify trends and areas where improvement
can be made to the WEFIT program.
Background
Page 3
BACKGROUND
WEFIT Oversight Committee
The success of the WEFIT program is a result of the high level interest involvement and cooperative efforts by
the OCPFA and OCFA management and the support given by the cost-sharing agreement, FEMA grant and
OCFA Board of Directors approving implementation and the ongoing costs of the program. Since the
implementation of the program, teamwork has been a key ingredient toward optimal program outcomes. The
success of the program has been centered on the mutual cooperation between OCPFA and OCFA management.
Upon implementation of the WEFIT program, the WEFIT Oversight Committee (WEFITOC) was established.
The WEFITOC consists of representatives from the OCPFA, the Orange County Employee Association
(OCEA), the OCFA Chief Officers Association (COA) and OCFA management. The WEFITOC provides a
venue to discuss and review program progress and identify necessary changes that will improve the program
and enhance the positive impact WEFIT has on OCFA employees. While the focus of the WEFIT program is
primarily targeted toward firefighters, all OCFA employees benefit from the health and wellness educational
materials, classes and fitness challenges offered through the WEFIT program.
The WEFITOC continues to meet quarterly to review program components including meeting with University
of California, Irvine (UCI) Physicians to discuss physical exam and fitness assessment trends and proposed
medical exam changes and receiving updates from UCI staff conducting research involving OCFA and/or other
proposed program changes.
Program Management
Since implementation, the program has been under the Human Resources/Risk Management Section under the
management of the Risk Manager. The Risk Manager has program oversight and the day-to-day responsibilities
lie with the WEFIT Program Coordinator. This position is a two-year administrative assignment available to
any full-time firefighter of the rank of Captain or below. A firefighter position is used as a way to better
understand the physical demands of firefighting with what fitness conditioning is needed to maximize job
performance and maintaining health and fitness. Just recently, as a result of a career ending injury to a
firefighter/paramedic, and as part of the Americans with Disability Act accommodation process, this injured
firefighter meets the job qualifications of a non-safety WEFIT Program Coordinator position and assumed these
duties in August 2012.
The program was financially started with the cost-sharing agreement with OCPFA and the FEMA grant. Since
that time the cost of the program has been included in the annual OCFA budget with an annual cost of $591,335
and has remained consistent for the past three years. This covers the cost of: medical exams and fitness
assessment testing, the injury prevention and fitness rehabilitation program, commercial fitness facility
memberships, new/replacement and maintenance of fitness equipment, Peer Fitness Trainer training and
certification, quarterly fitness challenges and participant incentives and educational material.
Organizational Strategies
The WEFIT program is aligned with the OCFA Strategic Plan and is part of the OCFA’s Fire Service
Accreditation as a specific accreditation performance indicator. The second goal stated within the strategic plan
is to “promote highly skilled, accountable and resilient workforce that is united in a common mission” and
objective 2-F is to “develop and promote measures that manage the issues that could adversely impact their
professional and personal lives.” Within the fire service accreditation, the performance indicator is providing a
“healthy/physical fitness program.” The WEFIT program continues to meet these organizational strategies.
Background
Page 4
MEDICAL AND FITNESS EVALUATION The WEFIT medical and fitness evaluation is being
conducted at the OCFA RFOTC. The exam location was
moved from the UCI Occupational and Environmental
Health (COEH) location to the RFOTC due to space
constraints at UCI. Exams at the RFOTC began in
September 2012. The medical and fitness evaluation take
approximately 3 hours to complete and are scheduled
twice a week on Mondays and Thursdays. Crews of four
firefighters are scheduled for the exam in the morning
from 9:00am to 12:00 noon, and another crew from
1:00pm to 4:00pm. Blood draws for laboratory blood
analysis occur approximately 30 days in advance of
scheduled exams.
The medical evaluation process consists of the
following:













Comprehensive health questionnaire covering
medical, occupational and other relevant
histories performed by a physician
Physical examination
Musculoskeletal assessment
Blood analysis
Urinalysis
Heavy metal and specific exposure screening for
specific assigned firefighter assignments
Hearing and vision test
Pulmonary test (spirometry)
Chest x-ray (initial baseline and repeat every
five years
Cancer screening
Immunizations and infectious disease screening
Review of medical tests with examining
physician
Exit consult with physician as an individualized
assessment of health risks and recommendations
The fitness evaluation consists of the assessment
questionnaire followed by:




Aerobic capacity treadmill
Push up evaluation
Leg/arm strength
Grip strength


Curl up evaluation
Flexibility
In 2012, the option of participating in a Functional
Movement Screening (FMS) was included at the
recommendation of the OCFA WEFIT Coordinator, Peer
Fitness Trainers and the OCFA WEFIT Oversight
Committee and an evaluation of the FMS by UCI
WEFIT Medical Director and Exercise Physiologist.
It is believed that the FMS will provide a better
individual assessment and lead toward fitness
improvement and injury prevention.
The FMS identifies faulty movement patterns or
compensatory movement patterns that are caused by
tight or weak muscle or motor control (coordination
issues). Faulty movement asymmetries cause mechanic
stresses to the body that result in cumulative microtraumas and injuries. By using the FMS to identify
dysfunctional
movement
patterns,
particularly
asymmetrical movement patterns, the WEFIT program
will be able to develop specific solutions to correct
problem areas that can lead to injuries.
FMS data collected from the screening of Academy 31
members demonstrated a relationship between an FMS
score of 14 or less and an increased likelihood of
physical injury. The job demands of firefighters require
working in a high injury risk environment. This risk is
further increased by restricted movement in personal
protective equipment and wearing or carrying heavy
equipment. If a firefighter with poor movement patterns,
who is already at an increased risk of injury by virtue of
the job, is then placed into this restricted movement and
weight-loaded environment, the risk of injury is further
increased.
As aggregate FMS data is accumulated it will be
compared against injury data to help address problem
areas and target common asymmetrical or dysfunctional
movement patterns. This will be done through firefighter
recruit fitness fair education, fire academy physical
training programs, WEFIT quarterly classes and Peer
Fitness Trainer outreach.
Medical and Fitness Evaluation
Page 5
MEDICAL AND FITNESS EVALUATION Biometric Outcomes and Trends
The data collected shows that from the initiation of the
WEFIT program in 2004 to 2012, the percent body fat
has trended down. The percent of body fat charts shows
the comparison. Body fat is defined as 25-29.9 being
overweight; 30 or greater is considered obese.
The FMS includes the following evaluation:
1.
2.
3.
4.
5.
6.
7.
Deep squat
Hurdle step
In-line lunge
Shoulder mobility
Active straight leg raise
Trunk stability push up
Rotary stability
AGGREGATE DATA SUMMARY
Aggregate medical and fitness evaluation results are
collected by the WEFIT program medical provider. The
aggregate format provides for individual confidentiality.
This provides an opportunity to review trends and
determine improvements that can be made to improve
overall health and fitness.
While body fat is one of the health data elements
collected, it is a leading health indicator. It is important
to note its continued trend. As body fat continues to
trend down, all other health elements should also
experience positive exam results.
In addition to heart risk factors, cancer screening
resulted in the following outcomes:

HEALTH DATA
The medical evaluation biometrics data collected
includes the following key health data:










Body fat
Blood pressure
Hypertensive and taking medication
Family history of heart disease
Cholesterol
HDL - C levels
LDL – C levels
Triglyceride levels
Personal history of diabetes
Fasting glucose
Skin cancer being the most common detected
and treated
Medical Evaluation Outcomes
With body fat trending down, the physical exam has had
the following positive outcomes:

Firefighters have an opportunity to improve their
health and fitness between exams and use it as a
motivator for improvement

Early medical intervention has provided for
early detection and treatment of
medical
conditions that if not treated could become more
serious
Medical and Fitness Evaluation
Page 6
MEDICAL AND FITNESS EVALUATION FITNESS EVALUATION DATA
The fitness data collected includes:


Predicted treadmill VO2 max score
Strength, endurance and flexibility testing
Fitness Outcomes and Trends:
The predicted treadmill VO2 max score represents a
maximal oxygen consumption as the maximum capacity
of an individual’s body to transport and use oxygen
during incremental exercise, which reflects the physical
fitness of the individual. The V represents volume, and
O2 represents oxygen.
Strength, Endurance and Flexibility Testing
The V02 max measures fitness by the volume of oxygen
an individual consumes while exercising at maximum
capacity. The VO2 max is the maximum amount of
oxygen in milliliters, an individual can use in one minute
per kilogram of body weight. Those who are fit have
higher VO2 max values and can exercise more intensely
than those who are not as well conditioned.
The charts below represent aggregate data from 2004 to
2011 and six months of the 2012 year. The data
demonstrates that the VO2max scores, using the
National Fire Protection Association (NFPA) guidelines,
are trending toward an indication of increased fitness
levels.
The aggregate data collected for this fitness
measurement is collected based on age groupings. The
data between 2004 to 6-months of 2012 shows moderate
improvement levels between age groupings. Overall
muscular strength, endurance and flexibility scores have
varied slightly but not significantly. Of these measures
flexibility and core endurance improvements would
translate well to the physical demands of firefighting.
Beginning 2012, the FMS was added to provide a better
individual assessment and result in fitness improvement
and injury prevention. The assessment of stability,
mobility and flexibility will provide a more meaningful
level of measurement as it relates to the risk of injury,
injury prevention and physical performance.
Medical and Fitness Evaluation
Page 7
FITNESS AND CONDITIONING The fitness and conditioning
program
has
several
components that have been
updated and revised over the
past several years to maintain
the highest level of firefighter
participation and improve
individual
fitness
and
conditioning outcomes.

Enhance overall health and safety
On-duty physical fitness activities do not to interfere
with the primary duties of the OCFA: responding to
emergencies, providing public education or assistance,
completing mandatory training or performing other
assigned activities. During fitness activities, crews
remain in a response ready condition.
Fitness & Conditioning goals
are:

Maintain high level of firefighter participation
through various fitness challenges

Prevent injuries through fitness and conditioning

Maintain a sufficient cadre of trained Peer
Fitness Trainers as a key link to firefighter
fitness and conditioning

Use fitness evaluations results and worker
compensation injury data to prioritize fitness and
conditioning programs that mitigate and/or
eliminate certain types of injuries

Provide a standard complement of fitness
equipment to all fire stations that have sufficient
physical space and provide gym memberships
for those fire stations without adequate space

Provide nutrition educational information
Physical fitness resources have been provided for
personnel at their fire station in the form of fitness
equipment or through an OCFA approved alternate
location such as a college or commercial gym
membership. Alternate locations are within the
respective fire stations immediate first due area do not
result in delayed responses and approved on a case by
case basis by fire management. Currently there are nine
fire stations with commercial gym memberships.
ON-DUTY FITNESS & CONDITIONING
On duty fitness and conditioning is authorized for
firefighters and is described in the OCFA Standard
Operating Procedure titled, “Physical Fitness Program
Procedures.” These procedures are designed to assist
OCFA firefighters in achieving and maintaining optimal
health and physical fitness and to avoid unnecessary risk
of injury. The goal of the procedure includes
programming that should:

Meet physical job demands

Reduce the risk of injury or illness
FITNESS AND CONDITIONING
Page 8
FITNESS AND CONDITIONING OCFA fitness and conditioning activities are designed to
better prepare firefighters for firefighter activities,
reduce serious injuries and promote a healthy lifestyle
and optimize employee health. Activities that improve
aerobic and anaerobic capacity, muscular strength and
endurance flexibility and endurance are permitted.
Recreational, competitive or contact sports is not part of
the OCFA fitness and conditioning program and are not
permitted while on duty.
OCFA employees also can use the RFOTC wellness
center. Firefighters and professional staff regularly use
the wellness center before or after work hours or during
the WEFIT sponsored “lunch-time” workouts.
addition, injury data trends are reviewed and used to
design and implement specific WEFIT training and
education activities that will mitigate or prevent injuries.
Peer Fitness Trainers
A key component of the IAFF/IAFC Wellness and
Fitness Initiative is the Peer Fitness Trainers (PFT)
program. PFT’s are firefighters who have volunteered
attend extensive training and continuing education
courses and have received certification by the American
Council on Exercise (A.C.E.).
PFT’s encourage safe participation in fitness activities,
though firefighter to firefighter guidance, class offerings,
newsletters and other WEFIT programs. The PFT’s
support the IAFF/IAFC Wellness and Fitness Initiative
by volunteering their time and are provided numerous
opportunities throughout the year to stay current on
wellness and fitness strategies that address the unique
needs of firefighters. PFT’s are responsible for sharing
this knowledge with other firefighters by being available
to answer health and fitness questions, performing
individual fitness assessments and functional movement
screening, developing individual fitness and exercise
programs, and by actively participating in all of the
OCFA WEFIT components.
New Firefighter Recruits and Training Academy
FITNESS AND CONDITIONING COMPONENTS
The fitness and conditioning program consists of several
components centered on optimizing firefighter health
and fitness, preventing injuries, and optimizing job
performance.
Injury Follow Up
The WEFIT Coordinator receives and reviews reported
firefighter injury data on a monthly basis. When an
injury is determined to have resulted from fitness
activities, or due to faulty fitness equipment, a follow up
is made to assist the injured individual to understand
why the injury may have occurred and provide exercise
instruction to correct faulty movement patterns and
avoid continued injury or avoid a future re-injury. In
One of several positive outcomes of the WEFIT program
has been the incorporation of the WEFIT program into
the firefighter recruit academies. Incorporating the
WEFIT principles into the academy fitness program has
provided for a more focused job related physical fitness
program, less training related injuries, better fit recruits
and higher completion rates of recruits. Having
firefighter recruits attend pre-academy fitness
orientations has also proven to be cost effective. It takes
time, money and resources to get potential recruits into
the academy and there is a cost if the recruit is injured,
so WEFIT is a good investment. There is a significant
cost if a recruit is injured or does not complete the
academy due to an injury or unable to meet the physical
demands of firefighting.
Fitness Fair –Two fitness fairs are provided to potential
recruits prior to the start of the academy. Recruits
undergo fitness testing, are instructed in movement
preparation, and participate in academy style workouts.
FITNESS AND CONDITIONING
Page 9
FITNESS AND CONDITIONING They are also are provided with a Physical Fitness
Handbook and DVD that outlines what to expect during
the academy and includes sample workouts, functional
movement screening corrective exercises: and nutrition
information.
Functional Movement Screening – Is provided to help
recruits understand their individual asymmetrical or
dysfunctional movement patterns, so that they can work
toward correcting them prior to the start of the academy.


Injury prevention and rehabilitation for a healthy
shoulder
Alywn Cosgrove on Fat Loss
Class attendees receive informational booklet, training
aid or DVD along with incentives to encourage
participation. Additional training and education is
provided using a newsletter or a short video clip in the
OCFA Monthly Video Briefing.
FITNESS CHALLENGES
Academy Physical Training –Recruits are provided a
structured physical fitness program as part of their
academy training. This is not only beneficial for
successfully completing the academy, but serves as a
foundation for career-long health and fitness. Recruits
are instructed on physical training and an emphasis on
flexibility and functionality.
Annually there are three fitness challenges designed to
increase employee fitness and wellness through
engagement in physical activities and proper nutrition.
These fitness challenges have resulted in large employee
participation with exceptional health and fitness
outcomes. The three challenges span seven months of
the year, providing continual opportunities for employee
involvement.
Biggest Looser Challenge
This challenge begins right after the New Year; and runs
from mid January through April. The focus is on body
fat loss and improved body composition, not just weight
loss, through better nutrition and exercise. The nutrition
component is provided through a presentation by a
nutrition expert. In 2012 Alwyn Cosgrove, author of
“The New Rules of Lifting” books, provided a nutrition
presentation at the RFOTC on real world fat loss. A
DVD of the presentation and a Fitness & Nutritional
Handbook was provided to every fire station and to
attendees. The fitness component was provided by OCA
Peer Fitness Trainers (PFT) through body composition
analysis, functional movement screening (FMS) and the
provision of exercise instruction with sample exercise
and corrective exercises. At the end of the challenge
period, all participants were required to be checked
through a PFT to note improvement.
TRAINING AND EDUCATION
Training and education are provided through a variety of
mediums. Instructional training and education are
provided through quarterly classes. These informative,
hands-on courses are offered at both the RFOTC and at
various fire stations. Examples of classes that have been
offered include:



Core strength and flexibility
Knee health and injury prevention
Nutrition
In 2012 there were 250 participants, both firefighter and
professional staff resulting in the following outcomes:





High employee participation
Improved nutritional habits by individuals
Improved overall health and fitness levels
Average loss of 11.25% of body fat percentage
90% of the weight lost was fat
FITNESS AND CONDITIONING
Page 10
FITNESS AND CONDITIONING Rowing Challenge
The rowing challenge tracks meters rowed using a
Concept 2 rowing machine and card reader, which all
fire stations have as part of their fitness equipment
complement. The goal of the challenge is for the month
of April, to encourage participants to increase their
activity levels through the use of the rower, a full-body
conditioning exercise piece of equipment. All
participants who rowed 30,000 meters were provided a
participant t-shirt. Those individuals who rowed 100,000
meters or more, had their names included in a drawing
for the opportunity to win a rower. Beginning in 2012
the rowing challenge will be extended to a two month
period.
as instruction on the proper warm-up and cool down
techniques with an emphasis on proper form while using
a treadmill for this activity. As an incentive, each
participant will receive a WEFIT logo pedometer for
participating and participants reaching 10,000 steps (5
miles) per day will be entered into a drawing for the
opportunity win a home use treadmill.
The outcomes anticipated with this challenge include:





Increased employee participation due to
challenge and price incentive
Increased cardiovascular health
Increased overall health due to increase in
physical activity
Increased employee morale
Greater knowledge on proper warm-up via
movement preparation training emphasis
In 2012 there were 120 participants, both firefighters and
professional staff resulting in the following outcomes:




Increased the use of rowers utilizing proper form
Increased endurance, flexibility, strength and
explosive power
Increased employee moral through the engaging
challenge format and degree of difficulty of
challenge
Improved overall health and fitness from
increased physical activity
NEWSLETTER
A quarterly newsletter is provided to all OCFA
employees. This newsletter provides general health and
fitness information, fitness tips, individual testimonies
on benefit of WEFIT program, health nutrition
information and an occasional healthy recipe suggestion.
Mileage Challenge
The Mileage Challenge is a new challenge to be
presented in 2012 from October through November. It
will be a two month run/walk challenge. Using WEFIT
provided pedometer, each participant will log their miles
for two months. PFT’s will issue the pedometers as well
FITNESS AND CONDITIONING
Page 11
INJURY/FITNESS REHABILITATION
WELLLNESS
The Injury/Fitness Rehabilitation Wellness Program was
implemented in September 2009. This was the last
component of the WEFIT program to be implemented.
Through a request for proposal, a review of the
proposals and visiting the providers proposed treatment
facilities the WEFIT Oversight Committee (WEFITOC)
selected Coury & Buehler Physical Therapy as the
provider for this program. Coury & Buehler have
treatment facilities in the cities of Brea, Orange,
Anaheim/Anaheim Hills and Irvine which was added in
April 2012.
reported that the most common injuries were knees,
shoulders, back, neck, and foot. Many minor muscle
sprains and pulls go unreported which if not treated
could result in lost time and a worker’s compensation
claim. This program now provides firefighters an option
to treat minor muscle strains and pulls and provides the
OCFA an early injury mitigation measure to prevent a
more serious injury. It should be noted that while the
focus is on firefighters, the program is available and has
been used by OCFA professional staff.
The program goals consist of the following:
The objectives of the program include the following:


Utilize a “sports medicine” treatment model
which includes prevention, early intervention,
training, conditioning and progressive treatment.



Preventing serious injuries through early injury
intervention.

Provide treatment, strength programming and
“work-hardening” to firefighters returning to full
duty; however may need additional strength
conditioning.


Provide
physical
therapy
to
workers
compensation referred cases that may benefit
from a sports medicine approach.

Preventing injuries through early injury
intervention
Provide a treatment option for minor injuries
such as muscle strains and pulls
Provide a treatment option for firefighters on
workers compensation using a sports medicine
approach
Provide additional work-hardening fitness for
post injury and return to duty
Reduce or avoid worker’s compensation costs
utilizing a sports medicine approach
PROCESS FOR USING THE PROGRAM
This program is available to all OCFA employees.
Employees must use personal time. No on-duty time is
permitted and treatment must be for a work related
injury. If treatment involves a worker’s compensation
claim, then all applicable workers’ compensation
procedures are to be followed.
OCFA FIREFIGHTER BENEFITS
Firefighters using this program benefit from the
following:
OCFA injury data notes that the majority of reported
work-related injuries are in the category of minor sprains
and muscle pulls. This is consistent with the OCFA
Annual Workers Compensation report for 2012 which

Treatment option is available to prevent a more
serious injury

Firefighters value to the organization
recognized by providing this program
Injury/Fitness Rehabilitation Wellness
Page 12
is
INJURY/FITNESS REHABILITATION
WELLLNESS

Injury rehabilitation and fitness education are
combined providing maximum benefit to
firefighter
From August 2011 to July 2012 the participation
numbers reflect the following:
Number of Firefighters 237
Using the Program
Total Number of Visits 791
Billed
Average
Number
Visits Per Patient
PROGRAM OUTCOMES
Total Cost
of 3.3
$49,833
The program has had various positive outcomes. The
following represent key outcomes.
INJURY PREVENTION/EARLY INTERVENTION
Participation
Since the implementation of the program there has been
a steady increase in firefighter participation. It is
believed this is due to firefighters sharing individual
successful experiences and positive outcomes with their
personal treatment of injuries with fellow firefighters.
The program is having positive outcomes impacting
firefighter health and wellness and avoiding more costly
worker’s compensation claims.
The following data is from August 2011 to July 2012:
During the first year of the program the participation
reflected the following:
Number of Firefighters 237
Receiving Treatment
Number of Firefighters 76
Using the program
Reported Workers Comp 20
For Same Body Part
Treated
Total Number of Visits 579
Billed
Average
Number
Visits Per Patient
Total 11 Month Cost
of 3.4
Percent
of
Total 84%
Firefighters
Not
Reporting A Workers
Compensation For Same
Body Part Treated
$34,630
Injury/Fitness Rehabilitation Wellness
Page 13
INJURY/FITNESS REHABILITATION
WELLLNESS
between this program and the worker’s compensation
system. Minor injuries that are untreated until becoming
so severe that they are reported under the worker’s
compensation program, have significantly higher costs.
Below is the average incurred (projected medical and
salary) costs reserved for the following types of claims:





ECONOMIC OUTCOME
Neck
Back
Shoulder
Fitness
Knee
$31,634
$13,576
$11,878
$16,972
$17,032
When considering that the OCFA actuary projection
estimate for worker’s compensation losses for FY
2012/13 are estimated at $9.6 million (at 50%
confidence level) the avoidance and early intervention of
injuries provides for an opportunity to maintain a healthy
workforce and keep worker’s compensation costs from
increasing. This program makes economic sense and
pays for itself by cost avoidance.
Using these average incurred costs, and assuming that all
of the treated cases below would have been average
claims, the following are potential cost avoidance
estimates for common body parts treated:
Body Part
Average
Incurred
Cost
Number
Treated
Cases
Estimated
Possible Cost
Avoidance
The cost per visit is $63 and the average number of visits
is 3.3 resulting in an average per firefighter treatment
cost of $207. This program is one of the OCFA’s
worker’s compensation loss controls.
Back
$31,634
30
$949,020
Shoulder
$13,576
29
$393,703
Fitness
$16,972
11
$18,669
Neck
$17,032
5
$85,160
Knee
$11,878
14
$166,292
Good Case Management
Bill Review
WEFIT
Major OCFA WC Cost Controls
Light Duty
FIREFIGHTER
OUTCOMES
Injury and Illness Prevention Program
Another way to look at the economic outcome of this
program is to compare the cost of treating the injury
HEALTH
AND
WELLNESS
The Injury/Fitness and Rehabilitation Program has had a
variety of wellness outcomes resulting in participants not
missing work or filing a worker’s compensation claim.
Examples of these outcomes include the following:

Firefighter had a severe sacroiliac joint
dysfunction which was causing significant pain.
Injury/Fitness Rehabilitation Wellness
Page 14
INJURY/FITNESS REHABILITATION
WELLLNESS
He was having difficulty lifting, stepping onto
the fire apparatus and completing work duties.
He sought treatment, responded well, to and was
able to continue working without pain.

Firefighter was experiencing low back pain. The
program provided treatment and established a
core strengthening program which resulted in
eliminating the pain and the firefighter
continued working.

Professional staff person experiencing shoulder
pain and impingement from repetitive computer
work and filing. Continued working and
received treatment until pain was eliminated.

Battalion Chief experiencing bicep and ankle
strain is being treated and progressing well
without missing work.


Fire Captain with previous serious neck injury
which included surgery was experiencing neck
pain when performing normal work duties. The
treatment he received eliminated the neck pain
and with the instruction provided for
strengthening the neck he was able to continue
his work duties without pain.
Firefighter injured wrist while working on a
rescue from a car accident. Treatment decreased
pain, increased range of motion and increased
his wrist strength. As a result no missed work
days.
TESTIMONIALS
“I came in with lower back pain from a work injury.
Throughout my treatment, the stretches and exercises
helped loosen my back. I feel significant difference from
when I wake up and daily activities. I am now able to
perform my job as I used to, thanks to the wonderful
staff there. Thanks for the time and patience.”
Jaime Torres, Firefighter
appointment. The exercises, stretching, and massage –
like torture all worked together to eliminate my pain. My
mobility and shoulder health vastly improved, and I have
the skills to hopefully prevent similar injuries down the
road. Great facility, personnel and attitude.”
Jacob Stein, Fire Apparatus Engineer
“Thank you for helping with my back pain and getting to
the root of the problem. The exercises and stretching
program has and will continue to improve my condition.
I was able to stay at work as a result of the physical
therapy. Thanks again.”
Bret Borg, Fire Apparatus Engineer
“When I started here I had limited mobility and pain. I
couldn’t get into or out of bed without pain. Within a
month, I was back to doing full workouts with no pain.
The treatment I received here is the reason for the
accelerated recovery.”
I will and have recommended to fellow firefighters to
seek treatment for their injuries. I and other firefighters I
have talked to, believe that this is one of the best things
the OCFA has done to keep firefighters healthy and safe
on the job.”
Tyler Johnson, Firefighter
“Came in with chronic back ache. Had off and on for 15
years. I’ve lived with some degree of pain constantly. I
have gone to chiropractor for relief which works and
allows me to continue work. I came in with pain level of
8 to 9, limited mobility, and walked crooked. After 3-4
weeks, I have no pain. It wasn’t until last week I realized
I was pain free in my lower back. For years, what I had
accepted as normal was no longer there. I can bend,
move, and pick up things without fear of severe pain.
This physical therapy is awesome!”
Mark Bagley, Fire Apparatus Engineer
“I was a little leery of physical therapy prior to my
experience here. Each appointment built on the last
Injury/Fitness Rehabilitation Wellness
Page 15
WEFIT MAKING A DIFFERENCE The WEFIT program’s implementation goal was to address firefighter health and fitness. Now in the eighth
year, is the goal being achieved and is the WEFIT program making a difference?
The WEFIT program has had multiple optimal outcomes demonstrating that the goal is being achieved and that
the program is making a difference in firefighter health and fitness. First and foremost, many individual
firefighters have benefited by the WEFIT medical and fitness evaluation which has let to improved health,
fitness and overall wellness. In a number of cases, significant medical issues have been identified through the
WEFIT physical exam and corrected before becoming more serious or even fatal. Examples of these conditions
include: cancer, cardiovascular blockage, and hypertension.
Organizationally, firefighter health and fitness has developed into a new cultural norm, which in the long-term
will help maintain or reduce costs associated with occupational injuries and illnesses. This cultural change will
transcend to better job performance, wellness, health and fitness.
Health and fitness experts say that even a modest increase in physical activity promotes health and may
significantly lower the risk of coronary heart disease. With the WEFIT program averaging between 80-90%
participation, coronary on-duty fatalities should decrease or be eliminated, and serious coronary disease injuries
and illness should begin to trend down over time as the OCFA firefighter workforce continues to improve their
individual fitness and health.
DECREASE
IN
RISK
FACTORS
HIGH
PARTICIPATION
WEFIT Impact On Workers Compensation
Is WEFIT impacting the OCFA workers compensation program? It is true that OCFA overall workers
compensation costs have not trended down. Worker compensation costs are affected by many factors beyond an
employer wellness and fitness program. With these multiple factors affecting worker’s compensation costs it is
difficult to isolate the WEFIT effect alone. In fact, worker’s compensation costs across California continue to
rise in part due to medical cost increases and additional worker’s compensation benefits such as increased
amounts for permanent disability payments which are beyond the control of a wellness program.
By the various WEFIT program outcomes noted in this report, it can be observed that WEFIT is having a
positive outcome on developing an OCFA health and fitness culture.
WEFIT Making A Difference
Page 16
WEFIT MAKING A DIFFERENCE The WEFIT program represents part of the OCFA worker’s compensation cost controls as shown in the diagram
below.
Good Case Management
Bill Review
WEFIT
Major OCFA WC Cost Controls
Light Duty
Injury and Illness Prevention Program
Occupational Safety & Health
The OCFA recognizes the personal and financial impact of injuries and illnesses and through the Occupational
Safety & Health program and continues to take steps towards reducing the risk of injuries and illnesses. These
efforts include:

OCFA Strategic Plan Objectives 3-D and 1-M are focused towards improving the quality of injury and
illness data trending and analysis and systematic reduction of risk

A new injury and illness reporting system, beginning January 2012, that has improved the quality,
accessibility and timeliness of data which is now analyzed for trends

Occupational Safety & Health Committee (OSHC) monthly meetings to discuss and review injury and
illness trends and prevention efforts

OSHC subcommittees of the three most frequently reported injuries, station/section duties, medical
calls and physical fitness have been established to conduct detailed analysis of these activities to develop
objectives and action plans to reduce risk in these areas
WEFIT Making A Difference
Page 17
WEFIT MAKING A DIFFERENCE Individual Testimonials
Dr. Leslie Israel, WEFIT Medical Director at the UCI Center for Occupational & Environmental Health offers
these comments on the WEFIT program:
“Firefighters tell me that they appreciate the fact that OCFA provides a WEFIT program for them. The WEFIT
program components make a difference by directly and indirectly motivating a culture of healthy lifestyle
behaviors. The WEFIT medical evaluation provides firefighters with a confidential, voluntary, non-punitive
opportunity to get their individual health concerns addressed. I would estimate that at least 50% of the
firefighters I see receive some type of healthcare recommendation. The ability of the OCFA to provide this type
of health care feedback to a high-risk occupation certainly is making a difference on firefighter health and
fitness and ultimately in serving our communities.”
Rich Coury, MPT, and Board Certified Orthopedic Specialist and owner of Coury & Buehler Physical Therapy,
OCFA’s Injury/Fitness Rehabilitation Wellness provider offers these comments:
“WEFIT is making a huge difference in the lives of those utilizing the early intervention/injury prevention
program. We have seen many OCFA employees who have acknowledged that they were certain they would
have been off work if not for the early intervention program OCFA provides through Coury & Buehler Physical
Therapy. The types of injuries we see range from minor sprains to more significant movement dysfunctions
such as an impingement that without intervention would have progressed to more significant movement
dysfunction requiring weeks of rest and missed work time or even had required surgery. We see many injured
workers from various professions, both public and private. In our experience treating OCFA employees, we see
them more motivated to remain working than any of the other professions we treat.”
Each of the WEFIT Program Coordinators since the implementation of the WEFIT program share their
experiences on WEFIT making a difference.
Ken Harrison, Fire Captain (2004-2006)
“As the first WEFIT Coordinator I can remember when there was no WEFIT program. Today we have a health
and fitness culture that over time can only get stronger and have a greater impact on the OCFA. In addition,
today the OCFA WEFIT Program is considered a model program that has been nationally recognized and a
program that other fire departments look to as a model in developing their programs.
The WEFIT program has not only made a difference to OCFA firefighters, but I believe it has also made a
difference and has assisted other fire departments in developing their programs.”
Michael Contreras, Fire Captain (2006-2008)
“I believe WEFIT is making a difference by the culture change toward health and fitness that I have seen
throughout the department. When I was the WEFIT Coordinator there were a number of firefighters who
personally indicated to me that if not for WEFIT they may not have lost the excess weight, increased their
strength and stamina, and found a medical condition (cardiovascular blockage) early enough to be treated and
back to duty.
WEFIT Making A Difference
Page 18
WEFIT MAKING A DIFFERENCE Additional positive WEFIT outcomes include adding WEFIT to new firefighter recruits early and often during
the firefighter academy through the pre-academy fitness fair and through their academy physical fitness and
conditioning activities. Through the WEFIT program hydration study, a formal heat illness prevention and
rehabilitation program was established and has been successfully used several times.
The WEFIT program continues to make a difference to the fitness and health of OCFA firefighters.”
Marty Driscoll, Firefighter Paramedic, WEFIT Coordinator (2008-2010)
“Yes, I believe that WEFIT is making a difference in many ways. I often hear folks in the field say that they are
trying to improve on weight loss, body fat, blood work, etc. before their next WEFIT exam. When I was hired 6
years ago, I had the impression in the field that being in tune with your health and paying attention to how you
treat your body was just coming to the forefront of people’s attitudes. It seems that today it has become more
the norm and regular exercise and a mindful diet have become commonplace in the fire stations. WEFIT has
made a difference, and I believe will continue to make a difference in the lives of everyone who works for
OCFA.”
Peter Condy, Fire Apparatus Engineer/Paramedic (2010-2012
“I believe that the WEFIT program is making a HUGE difference in the overall wellness and fitness of our
personnel. When I was fired hired I remember hearing about the program in the fire academy from the then
WEFIT Coordinator. Within a few years I became a Peer Fitness Trainer and few years later I became the
WEFIT Coordinator.
I believe that the general atmosphere throughout OCFA has really transformed from where it was 10-15 years
ago. Fitness is strongly emphasized at our stations and throughout the department. It is part of the routine, part
of our daily schedule, and is a general expectation of our personnel to be fit and ready for duty.”
Joletta Belton, Firefighter (2012 – present)
“I think WEFIT is making a difference beginning with the WEFIT exam which helps firefighters know where
they stand health and fit wise. In addition, I believe that the quarterly challenges seem to get the most
participation. I have heard from field personnel that didn’t even participate in the challenge officially, but used
the challenge as a motivator to get their health and fitness goals back on track and used it as a reminder to get
more active and eat healthier.
I also believe that the OCFA injury/fitness/rehabilitation wellness program has been beneficial. I believe that
this program along with the use of the functional movement screening will help address movement dysfunction
and help prevent injuries.”
WEFIT Making A Difference
Page 19
WEFIT MAKING A DIFFERENCE WEFIT Tools For Success
In a 2009 article by U.S. Corporate Wellness, Inc it was noted that an effective wellness program must take into
account three distinct areas: Organizational Culture, Available Resources and Individual Choices as noted in the
graphic below. The article notes that anything less could limit overall wellness outcomes. The WEFIT program
has these three areas which has made the WEFIT program successful.
Organizational Culture
Resources
Individual Choices
Organizational Culture – there is leadership at all levels promoting firefighter fitness and a health and wellness
culture has developed and will continue to evolve.
Resources – the necessary resources are provided to help maximize the potential for positive health and fitness
outcomes
Individual Choices - while cultural and resources are a focal point, the step towards long term optimal
outcomes will be dependent upon assisting each individual in making the right choice for long term health and
fitness. By the various testimonies noted in this report and the organizational cultural change, individuals are
making the right health and fitness choices.
WEFIT Making A Difference
Page 20
RESEARCH STUDIES
An important outcome of the OCFA WEFIT Program is
the ability to use program components to address
firefighter safety, health and fitness. This has resulted in
conducting in-house studies, some times in collaboration
with the University of California Irvine, Center for
Occupational & Environmental Health (COEH). The
voluntary participation of OCFA firefighters has assisted
researchers in gathering the necessary information and
biological samples required for these studies.
be most practical for field implementation.
The outcome of this study resulted in the establishment
of an OCFA Standard Operating Procedure on Heat
Illness Prevention and Rehabilitation.
Heart Rate Monitoring
OCFA STUDIES
Hydration & Core Body Temperature
To examine the effects of heat stress on the
cardiovascular system, and hydration a core body
temperature study was conducted with the voluntary
participation of 126 firefighters. The study examined
hydration status, exertion level, core body temperature
and post incident body cooling techniques. The
firefighters ingested a core body temperature capsule,
provided pre and post activity urine samples, and wore a
heart
rate
monitoring
device during
the course of
the study. Core
temperature
and heart rate
readings were
measured and
recorded during two 15 minute firefighting drills. At the
conclusion of the drills, participants were assigned to
one of four 20 minute rehabilitation stations to test the
effectiveness of four separate cooling measures.
The study determined that 91% of participants were
dehydrated prior to commencing the firefighting drills,
which highlighted the importance of pre-incident
hydration. For the majority of participants, core body
temperature did not peak until 5 minutes into
rehabilitation, which indicates core body temperature
may continue to rise even after cessation of physical
activity. Even after 20 minutes of rest, few core body
temperatures had returned to their baseline temperature.
During the rehabilitation period, wet towels and cooling
chairs proved to be similarly effective at reduction of
core body temperature, but the wet towels were found to
Heart rate monitors consisting of a chest strap and watch
were provided to the firefighter recruits of three
concurrent firefighter academies to measure firefighter
exertion levels and recovery while engaging in
firefighter tasks. The data collected provided valuable
information toward a better understanding of the
intensity at which firefighters work and how best to
prepare to work at these exertion levels. It also provided
firefighters information about their individual heart rate
levels during firefighting; a benchmark for their personal
fitness and conditioning goals. Heart rate monitors
continue to be used at each firefighter academy and were
issued to all safety personnel in 2008.
The outcome of this study resulted in providing
firefighters another tool to establish baseline heart rate
parameters and a method for measuring their exertion
levels so that they can train and prepare for the demands
of their job.
Functional Movement Screening Study
During firefighter Recruit Academy 31, the Functional
Movement Screening (FMS) was initiated. The FMS is a
series of seven exercises that assess fundamental
movement patterns in order to identify individuals who
have movement dysfunctions or asymmetries. Based on
the recruits’ FMS scores, the physical training program
was tailored to correct the identified muscle asymmetries
which can lead to decreased risk of injury and improved
overall performance.
Research Studies
Page 21
RESEARCH STUDIES
opportunity to volunteer and participate during their
scheduled WEFIT exam. If they decide to participate,
they completed a health and lifestyle questionnaire and
provided blood and urine samples. The study is expected
to be completed early 2013.
The outcome of this study resulted in adding the FMS to
the WEFIT physical exam and fitness evaluation as a
way to provide firefighters specific, individualized
information that can be used toward injury prevention
and improved fitness
COEH STUDIES
Firefighter Cardiac Study
The Firefighter Cardiac Study is a collaborative effort
between the OCFA and the UCI COEH. The intent is to
examine worker compensation heart related claims to
stratify causes of cardiac related illness and identify
strategies that can be implemented to prevent heart
related illness. The UCI COEH is pursuing grant funding
to be able to conduct this study.
Firefighter Work and Obesity
The National Institute for Occupational Safety and
Health (NIOSH) funded a 2-year study of weight/obesity
and related work factors among OCFA firefighters.
The purpose of the Firefighter Work and Obesity
(FORWARD) study is to investigate the work related
and behavioral causes of obesity among firefighters.
Although firefighters have a unique set of working
conditions and are generally considered a healthconscious population, it’s reported that rates of obesity,
cardiovascular disease risk factors and on duty heart
attacks continue to be a leading cause of firefighter
injury, illness and death at the national level.
Firefighters Occupational Exposures
The Firefighters Occupational Exposure (FOX) study is
a joint effort involving the OCFA, UCI COEH and the
California Department of Public Health. The study is
intended to help understand the consequences of
firefighter exposures to chemicals. Firefighters were
provided information about this study and offered an
Research Studies
Page 22
WEFIT PROGRAM CONTACTS
Orange County Fire Authority
1 Fire Authority Road
Irvine, CA 92602
714-573-6000
www.ocfa.org
Orange County Professional Firefighters Association
IAFF Local 3631
1900 East Warner Ave, Ste G
Santa Ana, CA 92705
949-486-3631
www.ocpfa3631.org
WEFIT Program Contacts
Joletta Belton, WEFIT Program Coordinator
Office: 714-573-6836
Email: [email protected]
Fausto Reyes, Risk Manager
Office: 714-573-6831
Email: [email protected]
WEFIT Program Contacts
Page 23