The physiological and mental stressors of fighting fires is of significant concern to all involved. Exposure to fire and its byproducts is even more hazardous than ever before. Understanding the effects of being exposed to fire, smoke and carcinogens will help those involved to be better prepared to reduce these hazards. This program details these stressors as well as the relationship of cardiovascular disease, dehydration, cancer and chemical exposure from smoke and firefighting activities. It discusses why being fit for duty, providing on scene and after incident rehabilitation services are important to help reduce the impact of these diseases when fighting fires. It will also cover the work of the NJ Healthy Firefighter coalition and provide an overview of the NJ Rehab guideline and how to utilize it for optimum rehab services.