S03-1 Climate change increases workplace heat stress, affecting work capacity and occupational health, including kidney disease and other health outcomes related to heat and dehydration

Author(s):  
Tord Kjellstrom ◽  
Jonathan Patz ◽  
Matthias Otto ◽  
Bruno Lemke
2019 ◽  
Vol 76 (Suppl 1) ◽  
pp. A73.2-A73
Author(s):  
Matthias Otto ◽  
Tord Kjellstrom ◽  
Bruno Lemke

Exposure to extreme heat negatively affects occupational health. Heat stress indices like Wet Bulb Globe Temperature (WBGT) combine temperature and humidity and allow quantifying the climatic impact on human physiology and clinical health. Multi-day periods of high heat stress (aka. heat waves) affect occupational health and productivity independently from the absolute temperature levels; e.g. well-documented heat-waves in Europe caused disruption, hospitalisations and deaths (2003 French heat wave: more than 1000 extra deaths, 15–65 years, mainly men) even though the temperatures were within the normal range of hotter countries.Climate change is likely to increase frequency and severity of periods of high heat stress. However, current global grid-cell based climate models are not designed to predict heat waves, neither in terms of severity or frequency.By analysing 37 years of historic daily heat index data from almost 5000 global weather stations and comparing them to widely used grid-cell based climate model outputs over the same period, our research explores methods to assess the frequency and intensity of heat waves as well as the associated occupational health effects at any location around the world in the future.Weather station temperature extreme values (WBGT) for the 3 hottest days in 30 years exceed the mean WBGT of the hottest month calculated from climate models in the same grid-cell by about 2 degrees in the tropics but by 10 degrees at higher latitudes in temperate climate regions.Our model based on the relationship between actual recorded periods of elevated heat-stress and grid-cell based climate projections, in combination with population and employment projections, can quantify national and regional productivity loss and health effects with greater certainty than is currently the case.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0257170
Author(s):  
Sandra Barteit ◽  
Valentin Boudo ◽  
Aristide Ouedraogo ◽  
Pascal Zabré ◽  
Lucienne Ouremi ◽  
...  

As the epidemiological transition progresses throughout sub-Saharan Africa, life lived with diseases is an increasingly important part of a population’s burden of disease. The burden of disease of climate-sensitive health outcomes is projected to increase considerably within the next decades. Objectively measured, reliable population health data is still limited and is primarily based on perceived illness from recall. Technological advances like non-invasive, consumer-grade wearable devices may play a vital role in alleviating this data gap and in obtaining insights on the disease burden in vulnerable populations, such as heat stress on human cardiovascular response. The overall goal of this study is to investigate whether consumer-grade wearable devices are an acceptable, feasible and valid means to generate data on the individual level in low-resource contexts. Three hundred individuals are recruited from the two study locations in the Nouna health and demographic surveillance system (HDSS), Burkina Faso, and the Siaya HDSS, Kenya. Participants complete a structured questionnaire that comprises question items on acceptability and feasibility under the supervision of trained data collectors. Validity will be evaluated by comparing consumer-grade wearable devices to research-grade devices. Furthermore, we will collect demographic data as well as the data generated by wearable devices. This study will provide insights into the usage of consumer-grade wearable devices to measure individual vital signs in low-resource contexts, such as Burkina Faso and Kenya. Vital signs comprising activity (steps), sleep (duration, quality) and heart rate (hr) are important measures to gain insights on individual behavior and activity patterns in low-resource contexts. These vital signs may be associated with weather variables—as we gather them from weather stations that we have setup as part of this study to cover the whole Nouna and Siaya HDSSs—in order to explore changes in behavior and other variables, such as activity, sleep, hr, during extreme weather events like heat stress exposure. Furthermore, wearable data could be linked to health outcomes and weather events. As a result, consumer-grade wearables may serve as a supporting technology for generating reliable measurements in low-resource contexts and investigating key links between weather occurrences and health outcomes. Thus, wearable devices may provide insights to better inform mitigation and adaptation interventions in these low-resource settings that are direly faced by climate change-induced changes, such as extreme weather events.


Author(s):  
Josh Foster ◽  
James W. Smallcombe ◽  
Simon Hodder ◽  
Ollie Jay ◽  
Andreas D. Flouris ◽  
...  

AbstractOccupational heat stress directly hampers physical work capacity (PWC), with large economic consequences for industries and regions vulnerable to global warming. Accurately quantifying PWC is essential for forecasting impacts of different climate change scenarios, but the current state of knowledge is limited, leading to potential underestimations in mild heat, and overestimations in extreme heat. We therefore developed advanced empirical equations for PWC based on 338 work sessions in climatic chambers (low air movement, no solar radiation) spanning mild to extreme heat stress. Equations for PWC are available based on air temperature and humidity, for a suite of heat stress assessment metrics, and mean skin temperature. Our models are highly sensitive to mild heat and to our knowledge are the first to include empirical data across the full range of warm and hot environments possible with future climate change across the world. Using wet bulb globe temperature (WBGT) as an example, we noted 10% reductions in PWC at mild heat stress (WBGT = 18°C) and reductions of 78% in the most extreme conditions (WBGT = 40°C). Of the different heat stress indices available, the heat index was the best predictor of group level PWC (R2 = 0.96) but can only be applied in shaded conditions. The skin temperature, but not internal/core temperature, was a strong predictor of PWC (R2 = 0.88), thermal sensation (R2 = 0.84), and thermal comfort (R2 = 0.73). The models presented apply to occupational workloads and can be used in climate projection models to predict economic and social consequences of climate change.


Author(s):  
Fumihiko Sasai ◽  
Carlos Roncal-Jimenez ◽  
Keegan Rogers ◽  
Yuka Sato ◽  
Jared M Brown ◽  
...  

Abstract Climate change should be of special concern for the nephrologist, as the kidney has a critical role in protecting the host from dehydration, but it is also a favorite target of heat stress and dehydration. Here we discuss how rising temperatures and extreme heat events may affect the kidney. The most severe presentation of heat stress is heat stroke, which can result in severe electrolyte disturbance and both acute and chronic kidney disease (CKD). However, lesser levels of heat stress also have multiple effects, including exacerbating kidney disease and precipitating cardiovascular events in subjects with established kidney disease. Heat stress can also increase the risk for kidney stones, cause multiple electrolyte abnormalities and induce both acute and chronic kidney disease. Recently there have been multiple epidemics of CKD of uncertain etiology in various regions of the world, including Mesoamerica, Sri Lanka, India and Thailand. There is increasing evidence that climate change and heat stress may play a contributory role in these conditions, although other causes, including toxins, could also be involved. As climate change worsens, the nephrologist should prepare for an increase in diseases associated with heat stress and dehydration.


2020 ◽  
Vol 13 (1) ◽  
pp. 27
Author(s):  
Hatem Mahmoud ◽  
Ayman Ragab

The density of building blocks and insufficient greenery in cities tend to contribute dramatically not only to increased heat stress in the built environment but also to higher energy demand for cooling. Urban planners should, therefore, be conscious of their responsibility to reduce energy usage of buildings along with improving outdoor thermal efficiency. This study examines the impact of numerous proposed urban geometry cases on the thermal efficiency of outer spaces as well as the energy consumption of adjacent buildings under various climate change scenarios as representative concentration pathways (RCP) 4.5 and 8.5 climate projections for New Aswan city in 2035. The investigation was performed at one of the most underutilized outdoor spaces on the new campus of Aswan University in New Aswan city. The potential reduction of heat stress was investigated so as to improve the thermal comfort of the investigated outdoor spaces, as well as energy savings based on the proposed strategies. Accordingly, the most appropriate scenario to be adopted to cope with the inevitable climate change was identified. The proposed scenarios were divided into four categories of parameters. In the first category, shelters partially (25–50% and 75%) covering the streets were used. The second category proposed dividing the space parallel or perpendicular to the existing buildings. The third category was a hybrid scenario of the first and second categories. In the fourth category, a green cover of grass was added. A coupling evaluation was applied utilizing ENVI-met v4.2 and Design-Builder v4.5 to measure and improve the thermal efficiency of the outdoor space and reduce the cooling energy. The results demonstrated that it is better to cover outdoor spaces with 50% of the overall area than transform outdoor spaces into canyons.


2021 ◽  
Vol 165 (3-4) ◽  
Author(s):  
Liz Koslov ◽  
Alexis Merdjanoff ◽  
Elana Sulakshana ◽  
Eric Klinenberg

AbstractAfter a disaster, it is common to equate repopulation and rebuilding with recovery. Numerous studies link post-disaster relocation to adverse social, economic, and health outcomes. However, there is a need to reconsider these relationships in light of accelerating climate change and associated social and policy shifts in the USA, including the rising cost of flood insurance, the challenge of obtaining aid to rebuild, and growing interest in “managed retreat” from places at greatest risk. This article presents data from a survey of individuals who opted either to rebuild in place or relocate with the help of a voluntary home buyout after Hurricane Sandy. Findings show those who lived in buyout-eligible areas and relocated were significantly less likely to report worsened stress than those who rebuilt in place. This suggests access to a government-supported voluntary relocation option may, under certain circumstances, lessen the negative mental health consequences associated with disaster-related housing damage.


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