scholarly journals 3F.004 Occupational heat stress and economic burden: evidence for workplace heat management policies

Author(s):  
Matthew Borg ◽  
Peng Bi ◽  
Jianjun Xiang ◽  
Olga Anikeeva
2021 ◽  
Vol 50 (Supplement_1) ◽  
Author(s):  
Matthew Borg ◽  
Peng Bi ◽  
Jianjun Xiang ◽  
Olga Anikeeva

Abstract Background The adverse effects of heat on workers’ health and work productivity are well documented. However, the resultant economic consequences and productivity loss are less understood. This review aims to summarize the retrospective and potential future economic burden of workplace heat exposure in the context of climate change. Methods Literature was searched from database inception to October 2020 using Embase, PubMed, and Scopus. Articles were limited to original human studies investigating costs from occupational heat stress in English. Results Twenty studies met the criteria. Eighteen studies estimated costs from heat-induced labor productivity loss. Predicted global costs from lost worktime, in US$, were 280 billion in 1995, 311 billion in 2010 (≈0.5% of GDP), 2.5 trillion in 2030 (>1% of GDP) and up to 4.0% of GDP by 2100, with additional expenses after considering reduced work efficiency. Three studies estimated heat-related healthcare expenses from occupational injuries with averaged annual costs (US$) exceeding 1 million in Spain, 1 million in Guangzhou, China and 250,000 in Adelaide, Australia. Low- and middle-income countries and countries with warmer climates had greater losses as a proportion of GDP. Greater costs per worker were observed in outdoor industries, amongst males, and workers aged 25 to 44 years. Conclusions The estimated global economic burden of occupational heat stress is substantial. Climate change adaptation and mitigation strategies should be implemented to likely minimize future costs. Further research exploring the relationship between occupational heat stress and related expenses from lost productivity, decreased work efficiency and healthcare, and costs stratified by demographic factors, is warranted. Key messages The estimated retrospective and future economic burden from occupational heat stress is large. Responding to climate change is crucial to minimize this burden. Analyzing heat-attributable occupational costs may guide the development of workplace heat management policies and practices as part of global warming strategies.


2021 ◽  
Vol 195 ◽  
pp. 110781
Author(s):  
Matthew A. Borg ◽  
Jianjun Xiang ◽  
Olga Anikeeva ◽  
Dino Pisaniello ◽  
Alana Hansen ◽  
...  

2019 ◽  
Vol 666 ◽  
pp. 147-154 ◽  
Author(s):  
Rui Ma ◽  
Shuang Zhong ◽  
Marco Morabito ◽  
Shakoor Hajat ◽  
Zhiwei Xu ◽  
...  

2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A69.2-A69
Author(s):  
Jason Lee

The negative effects of heat stress on work tolerance are well known. In order to optimise exercise tolerance in the heat, various physiological strategies can be employed to alter heat strain such as optimising work-rest cycles, maximising aerobic fitness, heat acclimatisation, pre-exercise cooling and fluid ingestion. In order to optimise workers’ health and productivity in the heat, there is an urgent need for collaborative efforts across various disciplines. A holistic heat management programme requires accurate quantification of the impact due to heat stress before formulating and evaluating the eventual heat mitigation strategies. The International Commission on Occupational Health Scientific Committee on Thermal Factors can serve as an effective platform for dedicated scientists to network and for active research and analysis specific to protection of working people from excessive heat and cold exposures in current and future work environments, including analysis of climate change impact and mitigation analysis. This platform will enable members of Scientific Committee of Thermal Factors to become co-authors on reports in major scientific journals, to collaborate across country boundaries, to get recognition for their own research work, and to be part of future funded global activities.


2021 ◽  
Vol 2021 (1) ◽  
Author(s):  
Matthew Anthony Borg ◽  
Jianjun Xiang ◽  
Olga Anikeeva ◽  
Peng Bi

2014 ◽  
Vol 9 (5) ◽  
pp. 744-750 ◽  
Author(s):  
David B. Pyne ◽  
Joshua H. Guy ◽  
Andrew M. Edwards

Heat and immune stress can affect athletes in a wide range of sports and environmental conditions. The classical thermoregulatory model of heat stress has been well characterized, as has a wide range of practical strategies largely centered on cooling and heat-acclimation training. In the last decade evidence has emerged of an inflammatory pathway that can also contribute to heat stress. Studies are now addressing the complex and dynamic interplay between hyperthermia, the coagulation cascade, and a systemic inflammatory response occurring after transient damage to the gastrointestinal tract. Damage to the intestinal mucosal membrane increases permeability, resulting in leakage of endotoxins into the circulation. Practical strategies that target both thermoregulatory and inflammatory causes of heat stress include precooling; short-term heat-acclimation training; nutritional countermeasures including hydration, energy replacement, and probiotic supplementation; pacing strategies during events; and postevent cooling measures. Cooperation between international, national, and local sporting organizations is required to ensure that heat-management policies and strategies are implemented effectively to promote athletes’ well-being and performance.


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