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FIRE Act includes funding for hepatitis C research

Congress this month approved a bill that orders the U.S. Department of Health and Human Services (HHS) to study whether firefighters and emergency medical technicians have a greater chance of contracting hepatitis C. The legislation orders the HHS to undertake a national study on whether fire fighters and emergency medical technicians have a greater chance of contracting hepatitis C, which is transmitted through blood-to-blood contact. The White House has indicated that President Clinton will sign the bill into law.

The hepatitis C study authorization is contained in the Firefighter Investment and Response Enhancement (FIRE) Act. This bill provides grants to fire departments to purchase equipment and improve training. Burn research is also funded under the legislation.

The study is unlikely to begin until funding is authorized. While the FIRE Act authorizes $10 million for the research, actual funds must be approved as part of the congressional appropriation process.

Blood-borne diseases, particular hepatitis C, have become of increasing concern to fire fighters and other public safety personnel providing emergency medical services. Recently, the Philadelphia fire fighters' union said that the

incidence of the potentially dangerous liver disease in fire fighters is more than twice that of the general population. About 1.8 percent of the population is believed to suffer from hepatitis C. The disease is of particular concern because it may remain dormant and undetectable for 20 years. 

The Philadelphia fire fighters' union, Local 22 of the International Association of Fire Fighters, AFL-CIO, recently screened 2,112 of its members in anonymous testing. More than 4.5 percent were found to have the virus. Fire fighters say the only way they could have contracted the virus is through exposure with accident victims.

"My personal contact with several of these men as patients revealed that they each had substantial exposure," said Dr. Gillian Ann Zeldin, a University of Pennsylvania professor who specializes in liver ailments. "They tell stories of rescues where they have substantial blood exposure."

In July, California joined a handful of states that have presumption rules in their workers' compensation laws. The rules allow fire fighters who contract blood-borne diseases to collect worker's compensation unless their employer can prove that the fire fighter caught the disease elsewhere.

New fitness program developed for LA fire fighters

The Los Angeles Fire Department (LAFD) last month unveiled a new fitness program it hopes to implement throughout the department. The custom program, developed by California State University _ Northridge (CSUN), has been forwarded to the fire fighters' union for approval.

The department hired Professor Steven Loy as its wellness coordinator. Professor Loy, along

with graduate students and other faculty members, researched which muscles fire fighters used to perform tasks such as positioning a ladder or operating a circular saw. After analyzing the data, the research team developed a 24-minute exercise regimen. 

A sample exercise involves a fire fighter donning a 45-pound simulated breathing apparatus,


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moving from a squatting position to a standing position, and then lifting 50 pounds overhead.

"It was a win-win-win for the fire department, CSUN and its faculty and the community of Los Angeles," the professor said. "If we can create a more safe, physically fit fire fighter, they are able to better serve the community." CSUN personnel reportedly developed the program free of

charge.

The United Firefighters of Los Angeles, representing about 2,750 fire service personnel, must okay the program before it is initiated in the city's104 firehouses. LAFD officials anticipate that all combat personnel from fire fighter to fire captain will perform the exercise program during each tour of duty.

Ohio fire fighters complain about church attendance

Six Parma Heights, Ohio, fire fighters say their First Amendment rights were violated last May when the fire chief ordered them to go to church. The American Civil Liberties Union (ACLU) has plans to file a lawsuit on their behalf.

The fire fighters claimed that Chief Bryan Sloan told them their attendance at Parma Heights Baptist Church was mandatory for Civic Appreciation Day, during which the congregation presented awards to fire fighters and police officers. Several said they did not wish to attend the service but were allegedly threatened with insubordination charges if they refused.

Raymond Vasvari, legal director for the Ohio ACLU, claimed that the fire fighters object to being

ordered to attend religious services as part of their official responsibilities. "This is simply and utterly against the law," Vasvari said. The lawsuit will seek an unspecified amount of money damages.

Council President Martin Zanotti said he believed the fire chief meant well but should not have compelled the fire fighters to attend the service. But he said he wished the fire fighters had first brought their complaint to the task force he heads. The city's mayor formed the task force last spring to improve relations between the fire fighters and the chief after fire fighters picketed city hall in an unsuccessful effort to oust Sloan.

The lawsuit is expected to be filed in federal court in the near future.

Litigation
a crew of three medically trained fire fighters arrived. A bystander who knew Mason and knew he had a history of seizures told the fire fighters about the seizures. Each of the fire fighters asked Mason if he were okay or if he required medical assistance. In each instance Mason declined assistance. The fire fighters left the scene without providing treatment. Subsequently Mason was transported to jail. Upon arrival at the jail he was suffering a seizure. The jail nurse instructed the police to take Mason to the hospital. He died en route. Mason's estate filed suit against a variety of public officials, including the fire fighters, alleging violation of Mason's constitutional right to be free from cruel and unusual punishment as well as

Supreme Court update

The Supreme Court formally opened its 2000-2001 term on October 2. No cases of direct interest to the fire service are currently pending before the court.

Cases of interest

Civil liability

Employees of a Mobile, Alabama, drug store chased Jimmy Mason, a suspected shoplifter, several blocks before finally apprehending him. He was held on the ground until police arrived. After police handcuffed the sweaty and heavy breathing Mason,


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wrongful death under Alabama tort law. Trial court refused to grant summary judgment to the fire fighters and the jail nurse and they appeal.

HELD: The fire fighters claim that they are not liable in this case because of qualified immunity with respect to the constitutional claim and discretionary function immunity with respect to the state law claim. In order for the question of qualified immunity to be raised it must first be determined whether a plaintiff has alleged the deprivation of an actual constitutional right. The Eighth Amendment to the Constitution prohibits infliction of cruel and unusual punishment. A suit based on violation of that right requires conduct by public officials sufficiently serious to constitute a cruel or unusual deprivation and a subjective intent by the public officials involved to use the sufficiently serious deprivation in order to punish. To prevail on this claim, a plaintiff must show an objectively serious medical need, an objectively insufficient response to that need, subjective awareness of facts signaling the need, and an actual inference of required action from those facts. The plaintiff here cannot show a punitive intent in the form of deliberate indifference. The fire fighters acted upon the knowledge that they had of Mason's condition, they checked him out, and offered to administer aid. They questioned him repeatedly but he declined assistance. There is no indication that the fire fighters perceived him as lacking the ability to speak for himself. It cannot be said that the fire fighters were deliberately indifferent to Mason's condition. Thus, the constitutional claim fails. As to the state tort claim, Alabama law is unclear as to whether statutory immunity or common law immunity applies to discretionary decision making of public officials such as fire fighters. A review of the various cases and statutes reveals that the statutory immunity given public officers when performing discretionary functions does apply to fire fighters under these circumstances. The fire fighters are entitled to this discretionary function immunity if their acts at the scene were discretionary and they did not act with bad faith, malice, or willfulness. Discretionary acts

are those for which there are no hard and fast rules as to the course of conduct that one must follow and those acts requiring exercise of judgment and choice. While the fire department did have procedures for dealing with seizure patients and required the taking of vital signs, given Mason's repeated refusal for treatment no reasonable jury could conclude that the department procedures provided a hard and fast rule for handling the situation. Thus, this is an incidence where the fire fighters have to exercise judgment and choice and are therefore entitled to discretionary function immunity. Summary judgment for fire fighters. [Taylor v. Adams, 221 F.3d 1254 (11th Cir. 2000)]

Handicap discrimination

Hagan was employed as an emergency medical technician (EMT) in 1980. He continued in that position until 1982 when he left to work for a private company. Three years later he returned to work for the county as an EMT. That same year he was hospitalized due to his abuse of alcohol and drugs. After completing his treatment, Hagan returned to active employment. In 1993, he became a certified paramedic with the county's emergency medical service (EMS). Four years later, Hagan contacted his immediate supervisor and told the supervisor he had again begun abusing alcohol, had suicidal inclinations, and needed to seek treatment. He was granted leave that afternoon to see a counselor. Following the meeting with the counselor the director of the EMS and Hagan agreed that Hagan would be unable to continue working until he received extensive treatment. Since Hagan felt that his suicidal tendencies made him unable to have access to the medications in his paramedic bag, he was placed on medical leave. Previous to the leave Hagan had had a record of poor work performance. At one point he received a final warning concerning his violations of agency protocol and neglect of duty. A month after being placed on medical leave Hagan filed a complaint with the Equal Employment Opportunity Commission. He also received a note from the counselor stating that he was fit to return


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to work. Since he was fit to work, he could no longer receive payment for medical leave. Accordingly, the county terminated his medical leave payments. However, the physician who provided oversight to the EMS stated that he would not allow Hagan to return to work as a paramedic under his medical licensure. This letter was significant because under Kentucky law an individual is not allowed to serve as a paramedic without the authority of the medical director of the service for which he works. The county could not reinstate Hagan without approval of the medical director and likewise could not order the director to authorize Hagan's reemployment. Hagan filed suit alleging that the county was discriminating against him in violation of the Americans with Disabilities Act (ADA). Both parties move for summary judgment.

HELD: The ADA protects a qualified individual with a disability. The law defines a "qualified individual" as an individual with a disability who, with or without reasonable accommodation, can perform the essential functions of the employment. The burden of proof is on a plaintiff to establish that s/he is an individual with a disability and otherwise qualified for the position. Hagan cannot be defined as "otherwise qualified" if he cannot perform the essential functions of the job. A paramedic in Kentucky is statutorily required to have authorization from the medical director of EMS. The physician in this case had withdrawn his authorization and the county was without jurisdiction to require him to readmit Hagan. Kentucky law specifically addresses the extensive practices that paramedics are to engage in with the authorization of the medical director. The statutory job requirements are clearly essential functions of the position. As applied to Hagan he is not qualified for the position, with or without reasonable accommodation. He is likewise not otherwise qualified due to his incidence of misconduct. The ADA provides that an employer may hold an employee who is an alcoholic to the same qualification standards for employment and job performance that the entity holds other employees,

even if the unsatisfactory performance is related to the use of alcohol. Regardless of whether Hagan's protocol errors were the result of his incompetence or his alcoholism, the county did not violate the ADA when he was placed on leave. Finally, Hagan is not otherwise qualified given proposed reasonable accommodations. Hagan had written a letter proposing a return to work for a trial period. His proposed accommodation however does not remedy the fact that the doctor had withdrawn authorization for him to continue his employment as a paramedic. While the burden is on an employee to suggest the reasonable accommodation, the simple fact is that no reasonable request could be made to circumvent the statutory mandate that Hagan be approved by the supervising physician. Hagan has failed to carry the burden of proof that he is otherwise qualified for the position despite his disability. Summary judgment for county. [Hagan v. Anderson County Fiscal Court, 105 F.Supp.2d 612 (E.D. Ky. 2000)]

Civil liability

Turner was employed as a volunteer fire fighter with the local fire department. He was also the owner of a Dalmatian dog. Tryon was also a fire fighter. While in uniform Tryon attended the 1995 Connecticut state fireman's convention parade. Present at the parade was Turner along with his Dalmatian dog. Turner's supervisors had approved his taking the dog to the parade. While in the staging area for the parade a fire fighter had waived a bagel in front of the dog. The dog had attempted to jump at the bagel but was prevented from doing so because Turner had a tight grip on the dog's leash. Shortly thereafter, Tryon approached the dog, grabbed it by its ears and pulled the dog's face towards her own. The dog bit Tryon on the nose, ultimately causing her to lose part of her nose. Tryon filed a civil suit against the town, Turner, and various other entities alleging negligence. Specifically, she relied upon a Connecticut statute that makes a dog owner strictly liable for bodily injury that the dog causes unless the injured party was committing a trespass or teasing, tormenting, or abusing the dog at the time


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of the injury. Trial court found that the defendants were immune from suit under Connecticut statute. Injured party appeals.

HELD: Connecticut law grants governmental immunity from tort liability to municipalities subject to limited exceptions. One of those exceptions is under circumstances where it is apparent to a public officer that his failure to act would be likely to subject an "identifiable person" to imminent harm. Trial court ruled that Tryon did not fit within this exception. Prior case law holds that an individual may be "identifiable" for purposes of the exception if the harm occurs within a limited temporal and geographical zone. Here, the harm -the dog bite - did occur within a time frame with a limited duration. Tryon fits within the identifiable person exception. Trial court ruled, however, that she was not subject to imminent harm at the time of the dog bite. A review of the depositions of the parties involved reveals a factual question as to whether Tryon was placed in imminent harm by Turner's actions or failure to act in failing to control the dog. A jury must determine this question of fact. The question is not whether a dog at a parade creates a condition of imminent harm but whether the failure of the owner in preventing his dog from being in close proximity to the injured plaintiff created a situation of imminent harm. Tryon also claims that the fire department is responsible for her injuries under the strict liability statute regarding dog bites. The department alleges that governmental immunity bars her claim. Under Connecticut law, a municipality is generally immune from liability for tortious acts. Governmental immunity may, however, be abrogated by a statute. A municipality is immune from liability unless the legislature has enacted a statute abrogating that immunity. While certain statutes have abrogated governmental immunity, no express statute abolishes immunity relative to the dog bite law. Without express statutory language abolishing the doctrine of government immunity in this regard, the fire department retains immunity from suit. Reversed

for further proceedings. [Tryon v. Town of North Branford, 755 A.2d 317 (Conn. App. 2000)]

Pension Rights

Prior to 1988 the Memphis Fire Department consisted of 11 battalions headed by 33 district chiefs and the battalions consisted of fire fighting companies headed by 84 captains. Captain was the rank between lieutenant and district chief. In that year the department was reorganized and the number of command positions reduced from 123 to 76. This was accomplished by the number of captains being reduced from 84 to 48. The captains who did not retire were newly designated as battalion captains. A year later their position was renamed battalion commander. There was no change in their job duties, responsibilities, or pay scale. Thus, battalion commander became the rank between lieutenant and district chief. The Memphis City Charter also provided that a fire fighter who had served the city for 30 years was automatically to be promoted to the rank of captain. Court cases interpreting this provision effectively relegated the provision to a retirement tool. In other words, upon retirement a fire fighter was automatically promoted to captain in order to obtain the financial benefits of that rank. A group of fire fighters filed suit seeking a declaratory judgment as to their pension rights. In particular, they sought clarification of the rank upon which their pensions would be calculated given that the rank of captain no longer existed. The plaintiffs argued that they would be entitled to promotion and consequently the pension of a battalion commander. The city countered that it had maintained the captain pay grade on its pay schedule in order to provide that level of compensation for retiring fire fighters who receive the automatic promotion. Trial court ruled that the group of fire fighters was entitled to have their pensions based upon the salary of battalion commander. City appeals.

HELD: The city asserts that after department reorganization the duties of the newly designated ranks materially changed, and with the elimination



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of the rank of captain, there was no comparable position hierarchy. Fire fighters argue that since the rank of captain was the rank just below district chief and just above lieutenant, then under the reorganization a comparable rank would now be battalion commander. The court notes that the city charter specifically says the retiring fire fighters will be promoted to captain or comparable rank. There is no provision in the charter for promotion to any other rank. This appears to be the reason the city maintained the pay grade of captain on its pay schedule. The record is undisputed that the job descriptions and responsibilities of captain existing prior to 1988 and that of a battalion commander after reorganization are vastly different. Since the city charter mandates a promotion to "captain or comparable rank," the question becomes which rank is "comparable." The court is of the opinion that the phrase "comparable rank" refers to an equivalent position of responsibility, regardless of title. It does not refer to the rank or standing of a position in relation to the organizational hierarchy. Under this reasoning captain rank is not equivalent to that of battalion commander. By maintaining the rank of captain on the pay schedule even after the position had been effectively eliminated, the city did its part in assuring that fire fighters will have enhanced pension benefits. The rank of captain in the pension structure is the comparable rank to captain in the previous command structure of the fire department. Reversed for city holding pension benefits should be based upon captain's pay as it existed prior to the reorganization. [Posey v. City of Memphis, 23 S.W.3d 332 (Tenn. App. 2000)] of the International Association of Fire Fighters, AFL-CIO, received a 3.75 percent wage hike retroactive to April 1. A second 3.75 percent boost was awarded October 1, the beginning of the city's new fiscal year. In addition, fire fighters who serve as paramedics will now receive an extra $150 monthly. Personnel holding an intermediate EMT license will earn an extra $75 per month. The department's three fire captains fared much better. They received a 14 percent retroactive raise and the same 3.75 percent for the second year. Elkhorn's 12 fire fighters organized their union last year after the city extended their shifts and the total hours worked per week. 

Portsmouth, Rhode Island

fire fighters
A new contract for the 28-member Local 1949 of the International Association of Fire Fighters, AFL-CIO, drives the base wage of a first class fire fighter to $36,109. The pact provides a 2 percent pay jump retroactive to July 1. Another 2 percent will be forthcoming in January followed by an additional 2 percent on July 1, 2001. The final wage increase, 2.5 percent will be awarded July 1, 2002. Under the contract a new rank, captain, was created. Currently, the department operates with six fire fighters and one lieutenant per platoon. With the creation of the new rank, there will be five fire fighters, one lieutenant, and one captain per platoon. Minimum manning standards were increased from three to four fire fighters. The agreement also improves the pension plan, raising the 20-year benefit from 50 percent to 60 percent of the employee's highest base pay. Pension contribution was raised from 7 to 8 percent of salary. Uniform allowance was also increased to $900 per year. 
Settlements

Elkhorn, Nebraska

fire fighters
After nearly a year and one half of negotiations, the City of Elkhorn and its fire fighters have reached accord on a new two-year labor agreement. Fire fighters, represented by Local 3150