scholarly journals COVID-19 and Heat Illness in Tokyo, Japan: Implications for the Summer Olympic and Paralympic Games in 2021

2021 ◽  
Vol 18 (7) ◽  
pp. 3620
Author(s):  
Kazuki Shimizu ◽  
Stuart Gilmour ◽  
Hiromi Mase ◽  
Phuong Mai Le ◽  
Ayaka Teshima ◽  
...  
Keyword(s):  
Health Services ◽  
Daily Maximum ◽  
Heat Illness ◽  
Mass Gathering ◽  
Healthcare Provision ◽  
Double Burden ◽  
Health Threat ◽  
Wet Bulb Globe Temperature ◽  
Globe Temperature ◽  
Paralympic Games

The 2020 summer Olympic and Paralympic Games in Tokyo were postponed to July–September 2021 due to the coronavirus disease 2019 (COVID-19) pandemic. While COVID-19 has emerged as a monumental health threat for mass gathering events, heat illness must be acknowledged as a potentially large health threat for maintaining health services. We examined the number of COVID-19 admissions and the Tokyo rule for emergency medical care, in Tokyo, from March to September 2020, and investigated the weekly number of emergency transportations due to heat illness and weekly averages of the daily maximum Wet Bulb Globe Temperature (WBGT) in Tokyo in the summer (2016–2020). The peak of emergency transportations due to heat illness overlapped the resurgence of COVID-19 in 2020, and an increase of heat illness patients and WBGT has been observed. Respect for robust science is critical for the decision-making process of mass gathering events during the pandemic, and science-based countermeasures and implementations for COVID-19 will be warranted. Without urgent reconsiderations and sufficient countermeasures, the double burden of COVID-19 and heat-related illnesses in Tokyo will overwhelm the healthcare provision system, and maintaining essential health services will be challenging during the 2021 summer Olympic and Paralympic Games.

scholarly journals Exertional Heat Illness in American Football Players: When Is the Risk Greatest?

2016 ◽  
Vol 51 (8) ◽  
pp. 593-600 ◽  
Author(s):  
Earl R. Cooper ◽  
Michael S. Ferrara ◽  
Douglas J. Casa ◽  
John W. Powell ◽  
Steven P. Broglio ◽  
...  
Keyword(s):  
Incidence Rate ◽  
Sports Medicine ◽  
National Collegiate Athletic Association ◽  
The United States ◽  
American Football ◽  
Football Players ◽  
Heat Illness ◽  
Wet Bulb Globe Temperature ◽  
Exertional Heat Illness ◽  
Globe Temperature

Context: Knowledge about the specific environmental and practice risks to participants in American intercollegiate football during preseason practices is limited. Identifying risks may mitigate occurrences of exertional heat illness (EHI). Objective: To evaluate the associations among preseason practice day, session number, and wet bulb globe temperature (WBGT) and the incidence of EHI. Design: Descriptive epidemiology study. Setting: Sixty colleges and universities representing 5 geographic regions of the United States. Patients or Other Participants: National Collegiate Athletic Association football players. Main Outcome Measure(s): Data related to preseason practice day, session number, and WBGT. We measured WBGT every 15 minutes during the practice sessions and used the mean WBGT from each session in the analysis. We recorded the incidence of EHIs and calculated the athlete-exposures (AEs). Results: A total of 553 EHI cases and 365 810 AEs were reported for an overall EHI rate of 1.52/1000 AEs (95% confidence interval [CI] = 1.42, 1.68). Approximately 74% (n = 407) of the reported EHI cases were exertional heat cramps (incidence rate = 1.14/1000 AEs; 95% CI = 1.03, 1.25), and about 26% (n = 146) were a combination of exertional heat syncope and heat exhaustion (incidence rate = 0.40/1000 AEs; 95% CI = 0.35, 0.48). The highest rate of EHI occurred during the first 14 days of the preseason period, and the greatest risk was during the first 7 days. The risk of EHI increased substantially when the WBGT was 82.0°F (27.8°C) or greater. Conclusions: We found an increased rate of EHI during the first 14 days of practice, especially during the first 7 days. When the WBGT was greater than 82.0°F (27.8°C), the rate of EHI increased. Sports medicine personnel should take all necessary preventive measures to reduce the EHI risk during the first 14 days of practice and when the environmental conditions are greater than 82.0°F (27.8°C) WBGT.

The heat is on: Observations and trends of heat stress metrics during Florida summers

2022 ◽  
Keyword(s):  
Heat Stress ◽  
Heat Waves ◽  
South Florida ◽  
Heat Index ◽  
Daily Maximum ◽  
Wet Bulb Globe Temperature ◽  
Key West ◽  
Outdoor Work ◽  
Temperature And Humidity ◽  
Globe Temperature

Abstract Extreme heat is annually the deadliest weather hazard in the U.S. and is strongly amplified by climate change. In Florida, summer heat waves have increased in frequency and duration, exacerbating negative human health impacts on a state with a substantial older population and industries (e.g., agriculture) that require frequent outdoor work. However, the combined impacts of temperature and humidity (heat stress) have not been previously investigated. For eight Florida cities, this study constructs summer climatologies and trend analyses (1950–2020) of two heat stress metrics: heat index (HI) and wet bulb globe temperature (WBGT). While both incorporate temperature and humidity, WBGT also includes wind and solar radiation, and is a more comprehensive measure of heat stress on the human body. With minor exceptions, results show increases in average summer daily maximum, mean, and minimum HI and WBGT throughout Florida. Daily minimum HI and WBGT exhibit statistically significant increases at all eight stations, emphasizing a hazardous rise in nighttime heat stress. Corresponding to other recent studies, HI and WBGT increases are largest in coastal subtropical locations in Central and South Florida (i.e., Daytona Beach, Tampa, Miami, Key West), but exhibit no conclusive relationship with urbanization changes. Finally, danger (103–124°F) HI and high (> 88°F) WBGT summer days exhibit significant frequency increases across the state. Especially at coastal locations in the Florida Peninsula and Keys, danger HI and high WBGT days now account for > 20% of total summer days, emphasizing a substantial escalation in heat stress, particularly since 2000.

scholarly journals Health status, heat preparation strategies and medical events among elite cyclists who competed in the heat at the 2016 UCI Road World Cycling Championships in Qatar

2020 ◽  
Vol 54 (16) ◽  
pp. 1003-1007 ◽  
Author(s):  
Sebastien Racinais ◽  
David Nichols ◽  
Gavin Travers ◽  
Sebastien Moussay ◽  
Taoufik Belfekih ◽  
...  
Keyword(s):  
Health Status ◽  
Heat Exposure ◽  
Heat Illness ◽  
Ambient Conditions ◽  
Wet Bulb Globe Temperature ◽  
The Road ◽  
Road Race ◽  
Globe Temperature ◽  
Additional Education ◽  
Elite Cyclists

PurposeAssess the health status and heat preparation strategies of athletes competing in a World Cycling Championships held in hot ambient conditions (37°C, 25% relative humidity, wet-bulb-globe-temperature 27°C) and monitor the medical events arising during competition.Methods69 cyclists (~9% of the world championships participants) completed a pre-competition questionnaire. Illnesses and injuries encountered by the Athlete Medical Centre (AMC) were extracted from the race reports.Results22% of respondents reported illness symptoms in the 10 days preceding the Championships. 57% of respondents had previously experienced heat-related symptoms (cramping most commonly) while 17% had previously been diagnosed with exertional heat illness. 61% of the respondents had undergone some form of heat exposure prior to the Championships, with 38% acclimating for 5 to 30 days. In addition, several respondents declared to live in warm countries and all arrived in Qatar ~5 days prior to their event. 96% of the respondents used a pre-cooling strategy for the time trials and 74% did so before the road race (p<0.001), with ice vests being the most common. The AMC assessed 46 injuries and 26 illnesses in total, with three cyclists diagnosed with heat exhaustion.ConclusionsThe prevalence of previous heat illness in elite cyclists calls for team and event organisation doctors to be trained on heat illness management, including early diagnosis and rapid on-site cooling. Some cyclists had been exposed to the heat prior to the Championships, but few had a dedicated plan, calling for additional education on the importance of heat acclimation. Pre-cooling was widely adopted.

Exertional heat illness and acute injury related to ambient wet bulb globe temperature

2016 ◽  
Vol 59 (12) ◽  
pp. 1169-1176 ◽  
Author(s):  
Ximena P. Garzon-Villalba ◽  
Alfred Mbah ◽  
Yougui Wu ◽  
Michael Hiles ◽  
Hanna Moore ◽  
...  
Keyword(s):  
Acute Injury ◽  
Heat Illness ◽  
Wet Bulb Globe Temperature ◽  
Exertional Heat Illness ◽  
Globe Temperature

Effect of a Cooling Kit on Physiology and Performance Following Exercise in the Heat

2018 ◽  
Vol 27 (5) ◽  
pp. 413-418 ◽  
Author(s):  
Cody R. Smith ◽  
Cory L. Butts ◽  
J.D. Adams ◽  
Matthew A. Tucker ◽  
Nicole E. Moyen ◽  
...  
Keyword(s):  
Skin Temperature ◽  
Exercise Performance ◽  
Muscle Pain ◽  
Performance Testing ◽  
Heat Illness ◽  
Mean Skin Temperature ◽  
Improve Performance ◽  
Wet Bulb Globe Temperature ◽  
Globe Temperature ◽  
And Performance

Context: Exercising in the heat leads to an increase in body temperature that can increase the risk of heat illness or cause detriments in exercise performance. Objective: To examine a phase change heat emergency kit (HEK) on thermoregulatory and perceptual responses and subsequent exercise performance following exercise in the heat. Design: Two randomized crossover trials that consisted of 30 minutes of exercise, 15 minutes of treatment (T1), performance testing (5-10-5 pro-agility test and 1500-m run), and another 15 minutes of treatment (T2) identical to T1. Setting: Outdoors in the heat (wet-bulb globe temperature: 31.5°C [1.8°C] and relative humidity: 59.0% [5.6%]). Participants: Twenty-six (13 men and 13 women) individuals (aged 20–27 y). Interventions: Treatment was performed with HEK and without HEK (control, CON) modality. Main Outcome Measures: Gastrointestinal temperature, mean skin temperature, thirst sensation, and muscle pain. Results: Maximum gastrointestinal temperature following exercise and performance was not different between trials (P > .05). Cooling rate was faster during T1 CON (0.053°C/min [0.049°C/min]) compared with HEK (0.043°C/min [0.032°C/min]; P = .01). Mean skin temperature was lower in HEK during T1 (P < .001) and T2 (P = .05). T2 thirst was lower in CON (P = .02). Muscle pain was lower in HEK in T2 (P = .03). Performance was not altered (P > .05). Conclusions: HEK improved perception but did not enhance cooling or performance following exercise in the heat. HEK is therefore not recommended to facilitate recovery, treat hyperthermia, or improve performance.

scholarly journals Assessing the Climatological Relationship between Heatstroke Risk and Heat Stress Indices in 47 Prefectures in Japan

GeoHazards ◽  
2021 ◽  
Vol 2 (4) ◽  
pp. 321-331
Author(s):  
Yuki Iwamoto ◽  
Yukitaka Ohashi
Keyword(s):  
Heat Stress ◽  
Maximum Temperature ◽  
Daily Maximum Temperature ◽  
Climate Index ◽  
Daily Maximum ◽  
Stress Indices ◽  
Wet Bulb Globe Temperature ◽  
Thermal Climate ◽  
Globe Temperature ◽  
Northern Japan

This study provides a decade-long link between summer heatstroke incidence and certain heat stress indices in 47 prefectures of Japan. The results for each prefecture were determined from the age-adjusted heatstroke incidence rate (TRadj) with heatstroke patients transported by ambulance, as well as from the daily maximum temperature (TEMPmax), maximum wet-bulb globe temperature (WBGTmax), and maximum universal thermal climate index (UTCImax) recorded from July to September of 2010–2019. The UTCImax relatively increased the vulnerability in many prefectures of northern Japan more distinctly than the other indices. In the following analysis, the ratio of the TRadj of the hottest to coolest months using the UTCImax was defined as the heatstroke risk of the hottest to coolest (HRHC). Overall, the HRHC varied approximately from 20 to 40 in many prefectures in the past decade. In contrast, for the same analysis performed in each month, HRHC ratios in July and August fell within 2–4 in many prefectures, whereas in September, the average and maximum HRHC ratios for all prefectures were 7.0 and 32.4, respectively. This difference can be related to the large difference in UTCImax between the maximum and minimum for a decade.

EFFECTS OF INONIZING RADIATION CAUSED HEAT STRESS ON THE HUMAN BODY FOR STANDARD ISO 7243

2013 ◽  
pp. 47-57
Author(s):  
Van Trong Le ◽  
Thi Tuyet Mai Nguyen ◽  
Thi Xuan Duyen Nguyen ◽  
Ba Luan Nguyen ◽  
Tuyen Pham ◽  
...  
Keyword(s):  
Heat Stress ◽  
Risk Assessments ◽  
Management Systems ◽  
Temperature Index ◽  
Wet Bulb Globe Temperature ◽  
Simple Index ◽  
Simple Tool ◽  
Results Management ◽  
Globe Temperature ◽  
Hot Environments

Objectives: Presents heat stress Standard ISO 7243, which is based upon the wet bulb globe temperature index (WBGT), and considers its suitability for use worldwide. Materials and Methods: The WBGT index are considered and how it is used in ISO 7243 and across the world as a simple index for monitoring and assessing hot environments. Results: Management systems, involving risk assessments, that take account of context and culture, are required to ensure successful use of the standard and global applicability. For use outdoors, a WBGT equation that includes solar absorptivity is recommended. A ‘clothed WBGT’ is proposed to account for the effects of clothing. Conclusion: ISO 7243 is a simple tool to assess the heat stress and may be applicated worldwide.

scholarly journals Thermal Performance of Single-Story Air-Welled Terraced House in Malaysia: A Field Measurement Approach

2020 ◽  
Vol 13 (1) ◽  
pp. 201
Author(s):  
Pau Chung Leng ◽  
Gabriel Hoh Teck Ling ◽  
Mohd Hamdan Ahmad ◽  
Dilshan Remaz Ossen ◽  
Eeydzah Aminudin ◽  
...  
Keyword(s):  
Relative Humidity ◽  
Air Temperature ◽  
Thermal Performance ◽  
Field Measurement ◽  
Natural Ventilation ◽  
Residential Buildings ◽  
Wet Bulb Globe Temperature ◽  
Natural Lighting ◽  
Ventilation Performance ◽  
Globe Temperature

The provision requirement of 10% openings of the total floor area stated in the Uniform Building By-Law 1984 Malaysia is essential for natural lighting and ventilation purposes. However, focusing on natural ventilation, the effectiveness of thermal performance in landed residential buildings has never been empirically measured and proven, as most of the research emphasized simulation modeling lacking sufficient empirical validation. Therefore, this paper drawing on field measurement investigates natural ventilation performance in terraced housing with an air-well system. The key concern as to what extent the current air-well system serving as a ventilator is effective to provide better thermal performance is to be addressed. By adopting an existing single-story air-welled terrace house, indoor environmental conditions and thermal performance were monitored and measured using HOBO U12 air temperature and humidity, the HOBO U12 anemometer, and the Delta Ohm HD32.3 Wet Bulb Globe Temperature meter for a six-month duration. The results show that the air temperature of the air well ranged from 27.48 °C to 30.92 °C, with a mean relative humidity of 72.67% to 79.25%. The mean air temperature for a test room (single-sided ventilation room) ranged from 28.04 °C to 30.92 °C, with a relative humidity of 70.16% to 76.00%. These empirical findings are of importance, offering novel policy insights and suggestions. Since the minimum provision of 10% openings has been revealed to be less effective to provide desirable thermal performance and comfort, mandatory compliance with and the necessity of the bylaw requirement should be revisited.

Sign in / Sign up

Export Citation Format

Share Document