Injury guide

Fire Foam and Thyroid Disease

Have a thyroid problem and a history with fire foam? Ask your doctor what your tests show.

See If You Qualify

Free · No obligation · About 2 minutes

Updated Oct 4, 202618 sources

This may apply to you if

  • Describe the foam you handled and your work dates, if known.
  • Bring your diagnosis and treatment history for an individual check.
  • If you drank water with PFAS, bring the water test report and your address history.

What the public record says

These are cited sources. Their inclusion does not imply that they endorse People’s Justice or reviewed this page.

Richard M. Gergel · United States District Court for the District of South Carolina · United States District Judge

Finding: The August 31, 2026 order sets expert-motion dates for thyroid and liver cancer. It does not set an individual payment.

District of South Carolina: CMO33F (opens in a new tab) · Aug 31, 2026 · Checked Oct 3, 2026

International Agency for Research on Cancer · World Health Organization · Publisher of the cancer hazard assessment

Finding: PFOA is classed as able to cause cancer; PFOS as possibly able to cause cancer. The classifications do not measure individual risk at a given dose.

IARC: PFOA/PFOS evaluation Q&A (opens in a new tab) · Dec 1, 2023 · Checked Oct 3, 2026

Committee on the Guidance on PFAS Testing and Health Outcomes · National Academies of Sciences, Engineering, and Medicine · Authors of the 2022 PFAS evidence review

Finding: The review found limited or suggestive evidence of an association with thyroid disease and dysfunction in adults. That category is not an individual causal diagnosis.

National Academies: Potential Health Effects of PFAS (opens in a new tab) · Jul 28, 2022 · Checked Oct 3, 2026

The evidence and its limits

International Agency for Research on Cancer · 2023

PFOA and PFOS cancer hazard evaluation

Design:
Agency review
Participants:
An expert review of multiple evidence streams; not one enrolled patient study.
Finding:
PFOA: cancer hazard with limited human kidney and testicular cancer evidence. PFOS: possible cancer hazard.
Main limitation
The classifications do not measure your personal risk or prove that foam caused your illness.

Read the source: PFOA and PFOS cancer hazard evaluation (opens in a new tab) · Checked Oct 3, 2026

National Academies of Sciences, Engineering, and Medicine · 2022

PFAS and thyroid health: 2022 committee review

Design:
Agency review
Participants:
A synthesis of authoritative reviews and newer human studies; no newly enrolled patient cohort.
Finding:
Limited or suggestive evidence linked PFAS with adult thyroid disease and dysfunction.
Main limitation
The review groups differing PFAS and studies; chance, bias or other factors cannot be ruled out with confidence. This is distinct from thyroid cancer and does not establish individual cause.

Read the source: PFAS and thyroid health: 2022 committee review (opens in a new tab) · Checked Oct 3, 2026

The short answer

What is thyroid disease?
The thyroid is a gland in your neck. It can make too much or too little hormone. Ask your doctor what problem your record names. [16]
What symptoms should I discuss with a doctor?
Tell your doctor about changes that concern you. Tiredness or weight changes can have many causes. Symptoms alone cannot tell you which thyroid problem you have. [16]
How is thyroid disease diagnosed and treated?
Ask what your blood tests and exam show. Care depends on the cause. Do not change a medicine just to match a lawsuit page. [16]
What does the PFAS research show?
A review found limited evidence of a link with adult thyroid disease. That finding does not prove the cause in your case. It is separate from cancer research. [17]

What rules a case out

Not covered by this case

  • Thyroid disease does not always mean thyroid cancer.
  • A PFAS result cannot diagnose your thyroid problem.
  • No medicine change or legal acceptance rule is supplied.

The process

What happens next

  1. 01

    You answer a few questions

    About two minutes. Nothing is sent until you agree on the last step and press submit.

  2. 02

    A lawyer looks at it

    A lawyer at the firm reads your answers and checks them against the current case criteria.

  3. 03

    The firm decides and gets in touch

    If the firm takes your case, you get the terms in writing to read before you sign. You can always say no.

When it fits this case

  • Describe the foam you handled and your work dates, if known.
  • Bring your diagnosis and treatment history for an individual check.
  • If you drank water with PFAS, bring the water test report and your address history.

Have a thyroid problem and a history with fire foam? Ask your doctor what your tests show. A lawyer can assess a claim without treating disease as cancer.

What is thyroid disease?

The thyroid is a gland in your neck. It can make too much or too little hormone. Ask your doctor what problem your record names.

NIDDK describes an underactive thyroid and an overactive thyroid as different conditions. Symptoms, causes and care can differ. A report about hormone levels is not the same as a cancer diagnosis.

What symptoms should I discuss with a doctor?

Tell your doctor about changes that concern you. Tiredness or weight changes can have many causes. Symptoms alone cannot tell you which thyroid problem you have.

The NIDDK guides describe different signs for low and high thyroid activity. They overlap with signs of other illnesses. Keep symptom dates, but let a clinician interpret them with the exam and test results.

How is thyroid disease diagnosed and treated?

Ask what your blood tests and exam show. Care depends on the cause. Do not change a medicine just to match a lawsuit page.

NIDDK describes history, examination and thyroid blood tests, with imaging in some cases. Neither symptoms nor a PFAS blood level supplies a personal care plan. Discuss benefits and risks with your clinician.

What does the PFAS research show?

A review found limited evidence of a link with adult thyroid disease. That finding does not prove the cause in your case. It is separate from cancer research.

The 2022 National Academies committee used a category called limited or suggestive evidence of an association. Its thyroid section notes weak or absent links in many newer studies. It does not identify a cause for every patient or brand.

The August 2026 court order concerns expert motions for thyroid and liver cancer. It does not turn a thyroid hormone condition into cancer or announce an individual award.

Who may qualify for a claim review?

Have a diagnosis and a possible foam or water exposure? Ask a lawyer which claim, if any, fits. A test result alone does not guarantee acceptance.

Give the exact diagnosis name and exposure history rather than selecting a cancer box for a different disease. PFAS has several possible sources. The relevant product, responsible party and law need review.

What records may help with the next step?

Keep thyroid tests, care reports and exposure dates. Ask a lawyer about time limits and costs. Ask your doctor about current care.

Request missing health records from your covered provider. Keep dates for each water source or work task separate from test dates. Before you share files, check the recipient, privacy and written fee terms.

Scientific evidence for this case

AFFF firefighting foam claims: what to check · La Medicina del Lavoro · 2023Meta-analysis

Meta-Analysis of PFAS Exposure and Cancer Risk: Kidney and Testicular Cancer

Relative risk of 1.74 for kidney cancer among individuals with high PFAS exposure compared to low-exposure controls

AFFF firefighting foam claims: what to check · Annals of Global Health · 2023

"The Devil They Knew": Industry Knowledge of PFAS Dangers Since 1970

PFAS manufacturers knew about the persistence and toxicity of their products as early as 1970 — more than 50 years before widespread public awareness

AFFF firefighting foam claims: what to check · Environmental Health Perspectives · 2012Cohort

C8 Science Panel: Probable Link Evaluations for PFOA-Associated Diseases

Determined "probable link" between PFOA exposure and six diseases: kidney cancer, testicular cancer, thyroid disease, ulcerative colitis, high cholesterol, and pregnancy-induced hypertension

Find out where you stand.

The review is free and private. Asking for it doesn’t commit you to anything.

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Questions about this guide

How does PFAS exposure cause thyroid disease?

PFAS are potent endocrine disruptors that specifically target the thyroid gland. They interfere with thyroid function through several mechanisms: competing with thyroid hormones (T3 and T4) for binding sites on transport proteins like transthyretin and thyroid-binding globulin; disrupting the hypothalamic-pituitary-thyroid axis that regulates thyroid hormone production; altering the expression of genes involved in thyroid hormone synthesis; and triggering autoimmune responses against thyroid tissue. The C8 Science Panel determined a "probable link" between PFOA and thyroid disease after studying 69,000 exposed residents, and multiple subsequent studies have confirmed the association in firefighters, military personnel, and contaminated communities.

What types of thyroid disease are linked to PFAS exposure?

The full spectrum of thyroid disease has been associated with PFAS exposure: hypothyroidism (underactive thyroid, the most common), hyperthyroidism (overactive thyroid), autoimmune thyroiditis (Hashimoto's disease), thyroid nodules, and thyroid cancer (particularly papillary thyroid carcinoma). Hypothyroidism is the most frequently diagnosed thyroid condition in PFAS-exposed populations and causes fatigue, weight gain, cold intolerance, and depression. All of these conditions were encompassed within the C8 Science Panel's "probable link" determination for thyroid disease. If you have been diagnosed with any form of thyroid disease and have a history of AFFF exposure, you may have a viable claim.

Is thyroid disease as valuable as cancer in an AFFF lawsuit?

No settlement has been announced. What any claim is worth depends on its facts, and no one can promise an amount. Hypothyroidism requires lifelong medication and monitoring, thyroid cancer requires surgery and radioactive iodine treatment, and all thyroid conditions impose ongoing medical costs and quality-of-life impacts. The MDL court is weighing expert evidence on thyroid cancer under an August 31, 2026 order. The C8 Science Panel's "probable link" determination provides the same strong causation foundation for thyroid disease as for kidney or testicular cancer.

Sources

  1. NIOSH: PFAS and Worker HealthNIOSH: PFAS and Worker Health · regulator
  2. ATSDR: PFAS and Your HealthATSDR: PFAS and Your Health · regulator
  3. ATSDR: PFAS Information for CliniciansATSDR: PFAS Information for Clinicians · regulator
  4. IARC: PFOA/PFOS evaluation Q&AIARC: PFOA/PFOS evaluation Q&A
  5. ATSDR: Testing for PFASATSDR: Testing for PFAS · regulator
  6. EPA: PFAS in Private WellsEPA: PFAS in Private Wells · regulator
  7. District of South Carolina: CMO33FDistrict of South Carolina: CMO33F · court
  8. District of South Carolina: CMO38District of South Carolina: CMO38 · court
  9. 3M Public Water Systems Final Approval Order3M Public Water Systems Final Approval Order · court
  10. Court-authorized 3M Public Water Systems FAQCourt-authorized 3M Public Water Systems FAQ · court
  11. ABA Model Rule1.5: FeesABA Model Rule1.5: Fees
  12. HHS: Your Medical RecordsHHS: Your Medical Records · regulator
  13. SDNY: How long do I have to file?SDNY: How long do I have to file? · court
  14. District of South Carolina: AFFF FAQsDistrict of South Carolina: AFFF FAQs · court
  15. District of South Carolina: AFFF Orders RepositoryDistrict of South Carolina: AFFF Orders Repository · court
  16. NIDDK: Hypothyroidism
  17. National Academies: Potential Health Effects of PFAS
  18. NIDDK: HyperthyroidismNIDDK: Hyperthyroidism · regulator

Checked against 16 primary sources by People's Justice editors · Updated

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People's Justice research team · Updated Oct 4, 2026