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Newly reviewed audiotapes from discussions between Orlando
city officials and firefighter labor union representatives
show that firefighters asked the city to include hepatitis C
and tuberculosis screenings in their annual physical exams in
March 1996, four years before the city began testing
firefighters for the disease, the Orlando
Sentinel
reports. However, their requests were rejected because the
city wanted to save money, the Sentinel reports.
Firefighters claim that if the city had begun screenings in
1996, as requested, several firefighters infected with
hepatitis C might have been able to prevent their subsequent
liver damage. The Florida Legislature in 1995 passed a law
stating that any case of hepatitis in a firefighter or
law-enforcement officer would be "automatically
considered" work-related. The firefighters' union charges
that in 1996 city officials rejected the union's bid to
include hepatitis C screening as part of the annual exams
because it knew that the city would be "subject ... to
expensive worker's compensation claims" under the law.
During the labor talks recorded on the audio tapes, city
officials admit as much. City Attorney Scott Gabrielson said
that the tapes were of early-round negotiations when city
officials and labor leaders "sometimes talk tough at the
negotiating table to strengthen their bargaining
position" and added that subsequent tapes demonstrate
that officials were "more open to the idea of
testing." He was unable to say why the city ultimately
rejected the union's request, but said that some issues just
"fall by the wayside" during labor negotiations.
Too Late?
The city eventually began screening incoming firefighters for
hepatitis C in 1998, but it was not until 2000, after another
round of labor negotiations, that Orlando began screening
already employed firefighters. However, firefighters are
screened only once, not annually. Two active-duty firefighters
were diagnosed with hepatitis C during their annual exams in
2000 and one retired firefighter was diagnosed in both 2000
and 2001. According to Dr. Ira Shafran, a gastroenterologist,
diagnosing hepatitis C infection as early as possible is
important because disease progression, which can lead to
chronic liver problems and eventually liver failure, can be
halted in the early stages with treatment. Several
firefighters say they plan to file malpractice lawsuits
against the city (Schlueb, Orlando Sentinel, 4/3).
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