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The institute urged in a 1992 report that federal firefighting agencies decrease the length of work shifts, reduce the number of days in a row people work and move base camps where firefighters sleep further away from the fire to reduce the amount of smoke in these camps. Bandanas should be prohibited, the agency said, noting that the thin fabric gave no degree of protection from the gaseous contaminants present in smoke. And federal firefighting agencies, including the Park Service and the Forest Service, should give crews disposable, single use filter respirators designed to remove dust and mists. Some of those recommendations led to improvements that benefit firefighters today, including requirements that they get breaks after 14 consecutive days of work

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"We just wanted to write down one pathway that the average clinician could use for a majority of their patients," he said.

Its a spot where people tend to linger rather than rush in and out