Fire Fighting in Canada

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First responders seek new aid for PTSD treatment

July 29, 2014, Winnipeg - Alex Forrest clearly remembers what happened to a fellow firefighter who was traumatized by the deaths of two captains in a house fire.

July 29, 2014
By The Canadian Press

was two months after the Winnipeg blaze in 2007 that killed Tom Nichols
and Harold Lessard, and Forrest knew his colleague was having a hard
time coping.

"I checked up on him and he had killed himself in a garage, and he
was holding the pamphlet from the memorial,'' Forrest, head of the
Winnipeg firefighters union, recalled last week.

"Many of the firefighters are still suffering the effects of that fire.''


Forrest is one of many emergency responders across the country,
including police officers and ambulance crews, who are fighting for
better treatment for post-traumatic stress disorder, or PTSD.

He says the condition has been around a long time — he remembers
early in his career 25 years ago when one firefighter committed
suicide — but people are more willing to talk about the issue now.

There have been high-profile cases in recent weeks, including that of
Ken Barker, a retired RCMP corporal and dog handler who took his own
life. His family told the Winnipeg Free Press that Barker had
struggled with PTSD after seeing many horrific crimes over the years,
including the 2008 beheading of Tim McLean on a Greyhound bus.

Vince Savoia is a former paramedic and advocate who set up the Tema
Conter Memorial Trust Fund in honour of a young woman killed in Toronto
in 1988. He said there have been at least 15 suicides by first
responders across Canada since April 28. The total is based on media
reports and information given directly to his organization, which
embarked on a cross-country tour this year to raise awareness of PTSD.

The number surprised even him.

"I'm really hoping this is just a blip …. because I just can't see
this continuing,'' Savoia said from his organization's Toronto

While suicide is the most extreme outcome of PTSD, both Savoia and
Forrest say the condition can manifest itself in many different ways —
depression, substance abuse, divorce or an inability to work.

A 2012 study by psychiatric researchers in Brazil estimated that,
worldwide, 10 per cent of emergency responders suffer from PTSD. That
number was comparable to the rate among United States military personnel
who had served in Iraq. It was much higher than rates among the general
population of the countries that were studied — those rates varied
between one per cent and 3.5 per cent.

In Canada, there is a growing movement to try to treat PTSD in
emergency responders. British Columbia and Alberta have recently changed
worker compensation laws to make PTSD a presumptive condition. That
means emergency responders suffering from the disorder will be presumed
to have it as a direct result of their jobs, making it easier to qualify
for compensation and treatment.

The Ontario government has reintroduced a similar bill in the
legislature and Manitoba appears ready to follow suit. Labour Minister
Erna Braun has discussed the issue with the firefighters union and a
report from the province's Workers' Compensation Board is expected this
fall, according to Braun's press secretary, Naline Rampersad.

Aside from making compensation easier, the change would encourage
emergency response management and workers to tackle PTSD, Forrest said.

"Now it creates a responsibility on the employer to recognize the
issue. Just the fact that it's becoming part of legislation, it will
become an education tool for firefighters to realize that it's an
acceptable issue … and not to be embarrassed, that you have the
ability to come forward.''

"I believe we are just scratching the surface of the tragedy of PTSD
… and I see it's getting more and more prominent because more and more
people are coming forward.''