The CDC and the Leukemia and Lymphoma Society state that following NFPA Cleaning Code 1851 is the best way to prevent cancer among firefighters. NFPA Code 1851 however, is unenforced and requires expensive extractors to decontaminate PPE. Additionally, many agencies can only afford one set of turnouts for its members, which means the time-consuming process of extraction will leave firefighters gearless.