In America, we have an obsession with large equipment that many parts of the world just don't have. This truck is in Ontario and probably serves its purpose for 99% of the emergencies it responds to. It's also a lot cheaper to buy, service and maintain and doesn't require as much asphalt (expensive) to get through a neighborhood.
If the Forsyth FD had one of these, they probably wouldn't have as much of a problem with the narrow streets in Vickery Village. Remember that many more people die in US each year due to high speeds on roads than due to fires in buildings.. just sayin..
ht: Chuck Mahron @ Strong Towns