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1 Page 1 of 11 First Revision No. 10-NFPA [ Section No. 2.4 ] 2.4 References for Extracts in Mandatory Sections. NFPA 600, Standard on Industrial Fire Brigades, edition. NFPA 1451, Standard for a Fire Service Vehicle Operations Training Program, 2007 edition. NFPA 1500, Standard on Fire Department Occupational Safety and Health Program, 2007 edition. NFPA 1561, Standard on Emergency Services Incident Management System, edition. NFPA 1582, Standard on Comprehensive Occupational Medical Program for Fire Departments, 2007 edition. NFPA 1710, Standard for the Organization and Deployment of Fire Suppression Operations, Emergency Medical Operations, and Special Operations to the Public by Career Fire Departments, edition. Submitter Full Name: Kendall Holland Organization: [ Not Specified ] Submittal Date: Wed May 29 16:55:36 EDT These changes were made to update references.

2 Page 2 of 11 First Revision No. 1-NFPA [ Section No ] 5.1.3* The health and fitness coordinator shall have access to the fire department physician or and other subject matter expert experts for consultation. Submitter Full Name: Kendall Holland Organization: National Fire Protection Assoc Submittal Date: Mon Apr 22 10:06:34 EDT The committee has made this change to provide the end user with further clarification and to ensure that the fire department has a physican to be consulted with. The committee believes that, at a minimum, the fire department physicain be involved in the consultation but that others can also be included.

3 Page 3 of 11 First Revision No. 3-NFPA [ Section No ] 8.1.1* The fire department shall provide for the education of members regarding health risk reduction, cardiovascular risk reduction, general health maintenance, fitness, and the prevention of occupational injuries, illnesses, accidents, or fatalities. Submitter Full Name: Kendall Holland Organization: National Fire Protection Assoc Submittal Date: Mon Apr 22 10:10:19 EDT The committee is adding "cardiovascular risk reduction" and "nutrition" to the section as the committee believes that these two areas are significant topes to be included.

4 Page 4 of 11 First Revision No. 6-NFPA [ New Section after A ] Hide Deleted A Examples of subject matter experts for consultation are exercise physiologists, athletic trainers, and representatives of university health and wellness programs and executive wellness programs. Submitter Full Name: [ Not Specified ] Organization: [ Not Specified ] Submittal Date: Tue Apr 30 09:17:34 EDT Notes: Date Submitted By May 14, Cosgrove May 14, Cosgrove The committee has made this change to provide some examples of what subject matter experts might be. SMEs are people not programs. Changed 'Some examples' to 'Examples' and 'might be' to 'are'

5 Page 5 of 11 First Revision No. 7-NFPA [ Section No. A ] A A number of professional organizations, including those listed in Table A.5.2.1, provide training and educational experiences as well as certification programs for interested persons. It is in the best interests of fire departments to avail themselves of these professional services, as time and resources allow. Table A Professional Organizations Providing Training Organization Training Program American College of Sports Medicine American Council on Exercise (ACE) International Association of Fire Fighters (IAFF)/International Association of Fire Chiefs (IAFC)/American Council on Exercise (ACE) National Strength and Conditioning Association (NSCA) National Academy of Sports Medicine (NASM) Personal Trainer, Health and Fitness Instructor, Exercise Specialist Personal Trainer Peer Fitness Trainer (PFT) Certified Strength and Conditioning Specialist (CSCS) or Certified Personal Trainer (CPT) Personal Trainer The health and fitness coordinator should have a background in functional anatomy, exercise physiology, exercise testing and prescription, exercise supervision, and leadership. Submitter Full Name: [ Not Specified ] Organization: [ Not Specified ] Submittal Date: Tue Apr 30 09:38:00 EDT This language lists the IAFF/IAFC/ACE Peer Fitness Trainer certification designed specifically for fire fighters in addition to other nationally recognized certification programs. Notes: Date Submitted By May 14, Cosgrove Deleted 'for interested persons' Public Input No. 4-NFPA [Section No. A.5.2.1]

6 Page 6 of 11 First Revision No. 8-NFPA [ Section No. A ] A A minimal level of certification [IAFF/IAFC/ACE Peer Fitness Trainer (PFT)] can be obtained from American Council on Exercise (ACE) as recommended by the IAFF/IAFC Wellness-Fitness Initiative. Wellness-Fitness Initiative. Submitter Full Name: [ Not Specified ] Organization: [ Not Specified ] Submittal Date: Tue Apr 30 09:39:31 EDT This language lists the IAFF/IAFC/ACE Peer Fitness Trainer certification designed specifically for fire fighters in addition to other nationally recognized certification programs. Public Input No. 5-NFPA [Section No. A.5.3.3]

7 Page 7 of 11 First Revision No. 4-NFPA [ Section No. A.8.1 ] A.8.1 Health education is now the driving force of health promotion and disease prevention. In the fall of 1993, the Centers for Disease Control (CDC) formally added and Prevention to its name. At that time the CDC director announced that preventions prevention s time had come in America. Coincident with this, third-party payors payers had begun to recognize the value of preventive education about prevention and began to reimburse for preventive services and risk reduction riskreduction counseling. Organizations that establish health care guidelines in this country, such as the U.S. Prevention Preventive Services Task Force and American Association Academy of Family Practitioners Physicians, unanimously agree that most clinical evaluation time for the average nonpregnant adult should be spent on counseling. It is in that spirit that this technical committee is promoting health education as a major part of the health-related fitness program. Submitter Full Name: Kendall Holland Organization: National Fire Protection Assoc Submittal Date: Mon Apr 22 10:12:48 EDT Notes: Date Submitted By May 14, Cosgrove May 14, Cosgrove The committee has replaced "practitioners" with "physicians" which is an editorial or corrective change to the name of the organization. Deleted 'unanimously' Changed 'American Association of Family Physicians' to 'American Academy of Family Physicians' Changed 'U.S. Prevention Services Task Force' to 'U.S. Preventive Services Task Force'

8 Page 8 of 11 First Revision No. 5-NFPA [ Section No. A ] A Education Educational materials can be in literary or media print or electronic form and administered in a formal or informal manner on the following topic areas: topics: (1) Self-examinations, including breast self-exam and testicular self-exam, and reproductive health concerns Alcohol and substance abuse prevention (2) Pap smears, annual gynecological exams, colonoscopies, mammograms, and PSA prostate-specific antigen (PSA) tests (3) Smoking cessation programs (4) Cancer risks, including skin cancer (the most common form of cancer), colon cancer, prostate cancer, breast cancer, and lung cancer (5) Diet and nutrition education, addressing including cholesterol, weight management, diabetes, and effects of obesity, and balanced diet recommendations (6) Infectious disease education, including current immunization recommendations for a given age group, as well as general diseases, including recommendations for the prevention of influenza, hepatitis, tetanus, pneumonia, hepatitis A, tuberculosis, varicella (chicken pox), measles, and rubella, as well as immunization recommendations for given age groups (7) Sexually transmitted disease education, diseases, including general recommendations for prevention, diagnosis, and treatment, especially treatment of HIV, hepatitis, herpes, and chlamydia (8) Cardiovascular risk reduction (9) Sleep hygiene and fatigue management Submitter Full Name: Kendall Holland Organization: National Fire Protection Assoc Submittal Date: Mon Apr 22 10:13:56 EDT Notes: The committee has made these changes as they believe the section contains the most appropriate subjects. They have also deleted "hepatitis A" as it would already be covered since "hepatitis" is already in the list.

9 Page 9 of 11 Print Date Reload Page Close Show Cart By May 14, Cosgrove Changed 'literary or media' to 'print or electronic' May 14, Cosgrove Deleted 'and balanced diet' as redundant to 'diet and nutrition' May 14, Cosgrove (6) - reworded for clarity

10 Page 10 of 11 First Revision No. 9-NFPA [ Section No. B.4.3 ] B.4.3 Aerobic Exercise Prescription. B Mode. Activities that utilize large muscle groups in a rhythmical continuous manner (e.g., walking, running, swimming, cycling, rowing, stairclimbing, stair climbing, skating, dancing, cross-country skiing, rope skipping skipping, racquetball ) are all endurance -based activities. Training can also be carried out in an interval-style fashion. Employing a variety of training modes will reduce the chance of workout boredom and overuse injuries. Selection of exercise mode should take into consideration the following: (1) Individual preferences (2) Availability of proper equipment or facilities (3) Risk of injury versus benefit of activity (4) Specificity to occupational demands Since fire fighters need to support their own body weight and the additional load of protective clothing and breathing apparatus, the most job-specific activities will be those that are weight-bearing, such as walking or stair stepping, in contrast to nonweight-bearing activities such as cycling. B Intensity. How hard an individual exercises can be determined by monitoring exercise heart rate, perceived exertion, or caloric expenditure. The ACSM American College of Sports Medicine (ACSM) recommends exercising at a heart rate between 70 and 90 percent of maximal heart rate or 60 to 85 percent of VO 2 max, or heart rate reserve. Karvonen's formula, which follows, (see B.4.4 ) can be used to calculate the heart rate range that represents approximately 60 to 85 percent of one s VO2 max. An alternative to this approach calculates a straight percentage (70 percent to 90 percent) of maximal heart rate. If the maximal heart rate is unknown, it can be predicted by subtracting age from the constant 220. A second calculation method uses the perception of exertion to determine proper intensity of exercise; exercise should be somewhat hard to hard. A third method for determining exercise intensity calculates the number of calories burned per minute for a given exercise or for a total exercise period. Generally speaking, activities that burn fewer than 10 calories per minute would represent a low-to-moderate intensity, and activities that burn more than 10 calories per minute would be considered higher high intensity. Submitter Full Name: [ Not Specified ] Organization: [ Not Specified ] Submittal Date: Tue Apr 30 09:43:21 EDT

11 Page 11 of 11 The committee is just adding racquetball as they believe that it is worth mentioning as a physical activity however the rest of the submitters text was not included in the change. Notes: Date Submitted /TerraView/Content/ ditamap/2/C xml By Apr 30, May 14, [ Not Specified ] Cosgrove just adding "racquetball" Changed 'which follows' to section number. Needs a link. Public Input No. 2-NFPA /TerraView/Content/ ditamap/2/C xml [Section No. B.4.3] /TerraView/Content/ ditamap/2/C xml /TerraView/Content/ ditamap/2/C xml /TerraView/Content/ ditamap/2/C xml /TerraView/Content/ ditamap/2/C xml /TerraView/Content/ ditamap/2/C xml /TerraView/Content/ ditamap/2/C xml /TerraView/Content/ ditamap/2/C xml