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      Heat Safety in the Workplace: Modified Delphi Consensus to Establish Strategies and Resources to Protect the US Workers

      research-article
      1 , , 1 , 1 , 2 , 3 , 4 , 5 , 6 , 7 , 8 , 1 , 1 , 9 , 10 , 11 , 1 , 12 , 1 , 13 , 14 , 15 , 6 , 16 , 17 , 18 , 19 , 20 , 21 , 22 , 23
      GeoHealth
      John Wiley and Sons Inc.
      heat‐related illness, occupational, heat stress, safety, heat risk management

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          Abstract

          The purpose of this consensus document was to develop feasible, evidence‐based occupational heat safety recommendations to protect the US workers that experience heat stress. Heat safety recommendations were created to protect worker health and to avoid productivity losses associated with occupational heat stress. Recommendations were tailored to be utilized by safety managers, industrial hygienists, and the employers who bear responsibility for implementing heat safety plans. An interdisciplinary roundtable comprised of 51 experts was assembled to create a narrative review summarizing current data and gaps in knowledge within eight heat safety topics: (a) heat hygiene, (b) hydration, (c) heat acclimatization, (d) environmental monitoring, (e) physiological monitoring, (f) body cooling, (g) textiles and personal protective gear, and (h) emergency action plan implementation. The consensus‐based recommendations for each topic were created using the Delphi method and evaluated based on scientific evidence, feasibility, and clarity. The current document presents 40 occupational heat safety recommendations across all eight topics. Establishing these recommendations will help organizations and employers create effective heat safety plans for their workplaces, address factors that limit the implementation of heat safety best‐practices and protect worker health and productivity.

          Key Points

          • This document presents feasible, evidenced‐based occupational heat safety recommendations to protect workers from the dangers of heat

          • A roundtable of 51 experts created 40 heat safety recommendations within eight heat safety topics: heat hygiene, hydration, heat acclimatization, environmental monitoring, physiological monitoring, body cooling, textiles and personal protective gear, and emergency action plan implementation

          • Implementing feasible and effective heat safety plans in the workplace will protect worker health and mitigate productivity losses

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          Most cited references172

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          Four billion people facing severe water scarcity

          Global water scarcity assessment at a high spatial and temporal resolution, accounting for environmental flow requirements.
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            The physiological equivalent temperature - a universal index for the biometeorological assessment of the thermal environment.

            P Hoppe (1999)
            With considerably increased coverage of weather information in the news media in recent years in many countries, there is also more demand for data that are applicable and useful for everyday life. Both the perception of the thermal component of weather as well as the appropriate clothing for thermal comfort result from the integral effects of all meteorological parameters relevant for heat exchange between the body and its environment. Regulatory physiological processes can affect the relative importance of meteorological parameters, e.g. wind velocity becomes more important when the body is sweating. In order to take into account all these factors, it is necessary to use a heat-balance model of the human body. The physiological equivalent temperature (PET) is based on the Munich Energy-balance Model for Individuals (MEMI), which models the thermal conditions of the human body in a physiologically relevant way. PET is defined as the air temperature at which, in a typical indoor setting (without wind and solar radiation), the heat budget of the human body is balanced with the same core and skin temperature as under the complex outdoor conditions to be assessed. This way PET enables a layperson to compare the integral effects of complex thermal conditions outside with his or her own experience indoors. On hot summer days, for example, with direct solar irradiation the PET value may be more than 20 K higher than the air temperature, on a windy day in winter up to 15 K lower.
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              Workplace heat stress, health and productivity – an increasing challenge for low and middle-income countries during climate change

              Background Global climate change is already increasing the average temperature and direct heat exposure in many places around the world. Objectives To assess the potential impact on occupational health and work capacity for people exposed at work to increasing heat due to climate change. Design A brief review of basic thermal physiology mechanisms, occupational heat exposure guidelines and heat exposure changes in selected cities. Results In countries with very hot seasons, workers are already affected by working environments hotter than that with which human physiological mechanisms can cope. To protect workers from excessive heat, a number of heat exposure indices have been developed. One that is commonly used in occupational health is the Wet Bulb Globe Temperature (WBGT). We use WBGT to illustrate assessing the proportion of a working hour during which a worker can sustain work and the proportion of that same working hour that (s)he needs to rest to cool the body down and maintain core body temperature below 38°C. Using this proportion a ‘work capacity’ estimate was calculated for selected heat exposure levels and work intensity levels. The work capacity rapidly reduces as the WBGT exceeds 26–30°C and this can be used to estimate the impact of increasing heat exposure as a result of climate change in tropical countries. Conclusions One result of climate change is a reduced work capacity in heat-exposed jobs and greater difficulty in achieving economic and social development in the countries affected by this somewhat neglected impact of climate change.
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                Author and article information

                Contributors
                Margaret.morrissey@uconn.edu
                Journal
                Geohealth
                Geohealth
                10.1002/(ISSN)2471-1403
                GH2
                GeoHealth
                John Wiley and Sons Inc. (Hoboken )
                2471-1403
                August 2021
                01 August 2021
                : 5
                : 8 ( doiID: 10.1002/gh2.v5.8 )
                : e2021GH000443
                Affiliations
                [ 1 ] Department of Kinesiology Korey Stringer Institute University of Connecticut Mansfield CT USA
                [ 2 ] Department of Kinesiology University of North Carolina at Greensboro Greensboro NC USA
                [ 3 ] Faculty of Sports Sciences Waseda University Saitama Japan
                [ 4 ] Department of Kinesiology Samford University Birmingham AL USA
                [ 5 ] Department of Geography The University of Georgia Athens GA USA
                [ 6 ] Department of Exercise and Nutrition Sciences Center for Research and Education in Special Environments Buffalo NY USA
                [ 7 ] Department of Health, Human Performance and Recreation University of Arkansas Fayetteville AR USA
                [ 8 ] Retail Entrepreneurship Florida State University Tallahassee FL USA
                [ 9 ] Fort Benning Heat Center Martin Army Community Hospital Fort Benning GA USA
                [ 10 ] Public Citizen Washington DC USA
                [ 11 ] Department of Exercise Science FAME Laboratory University of Thessaly Trikala Greece
                [ 12 ] National Institute for Occupational Safety and Health Cincinnati OH USA
                [ 13 ] School of Physical Therapy & Rehabilitation Sciences Morsani College of Medicine University of South Florida Tampa FL USA
                [ 14 ] Medical Surveillance Services Concentra Waco TX USA
                [ 15 ] Collaborating Centre of Sports Medicine University of Brighton Brighton UK
                [ 16 ] Department of Kinesiology School of Public Health Indiana University Bloomington IA USA
                [ 17 ] Department of Health and Exercise Science Appalachian State University Boone NC USA
                [ 18 ] Department of Health and Human Physiological Sciences First Responder Health and Safety Laboratory Skidmore College Saratoga Springs NY USA
                [ 19 ] Department of Environmental and Occupational Health Sciences School of Public Health University of Washington Seattle WA USA
                [ 20 ] School of Sustainability Arizona State University Tempe AZ USA
                [ 21 ] Centers for Disease Control and Prevention (CDC) National Personal Protective Technology Laboratory (NPPTL) National Institute for Occupational Safety and Health (NIOSH) Pittsburgh PA USA
                [ 22 ] Faculty of Health Sciences University of Sydney Sydney NSW Australia
                [ 23 ] Department of Exercise Science Arnold School of Public Health University of South Carolina Columbia SC USA
                Author notes
                [*] [* ] Correspondence to:

                M. C. Morrissey,

                Margaret.morrissey@ 123456uconn.edu

                Author information
                https://orcid.org/0000-0002-4488-3648
                https://orcid.org/0000-0002-0574-6253
                https://orcid.org/0000-0002-6216-3791
                https://orcid.org/0000-0002-7746-8475
                https://orcid.org/0000-0001-9529-6470
                https://orcid.org/0000-0002-9621-6150
                https://orcid.org/0000-0002-1896-1112
                https://orcid.org/0000-0002-2634-7120
                https://orcid.org/0000-0002-9304-4197
                Article
                GH2262 2021GH000443
                10.1029/2021GH000443
                8388206
                34471788
                ce924ede-6aa2-47cf-9da5-78a5dcb21c2d
                © 2021. The Authors. GeoHealth published by Wiley Periodicals LLC on behalf of American Geophysical Union.

                This is an open access article under the terms of the http://creativecommons.org/licenses/by/4.0/ License, which permits use, distribution and reproduction in any medium, provided the original work is properly cited.

                History
                : 08 June 2021
                : 19 April 2021
                : 11 June 2021
                Page count
                Figures: 3, Tables: 9, Pages: 32, Words: 20356
                Categories
                Geohealth
                Public Health
                Research Article
                Research Article
                Custom metadata
                2.0
                August 2021
                Converter:WILEY_ML3GV2_TO_JATSPMC version:6.0.6 mode:remove_FC converted:26.08.2021

                heat‐related illness,occupational,heat stress,safety,heat risk management

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