Modeling the wet bulb globe temperature using standard meteorological measurements

The U.S. Army has a need for continuous, accurate estimates of the wet bulb globe temperature to protect soldiers and civilian workers from heat-related injuries, including those involved in the storage and destruction of aging chemical munitions at depots across the United States. At these depots, workers must don protective clothing that increases their risk of heat-related injury. Because of the difficulty in making continuous, accurate measurements of wet bulb globe temperature outdoors, the authors have developed a model of the wet bulb globe temperature that relies only on standard meteorological data available at each storage depot for input. The model is composed of separate submodels of the natural wet bulb and globe temperatures that are based on fundamental principles of heat and mass transfer, has no site-dependent parameters, and achieves an accuracy of better than 1 degree C based on comparisons with wet bulb globe temperature measurements at all depots.     

Heat exhaustion in a deep underground metalliferous mine

OBJECTIVES—To examine the incidence, clinical state, personal risk factors, haematology, and biochemistry of heat exhaustion occurring at a deep underground metalliferous mine. To describe the underground thermal conditions associated with the occurrence of heat exhaustion.
METHODS—A 1 year prospective case series of acute heat exhaustion was undertaken. A history was obtained with a structured questionnaire. Pulse rate, blood pressure, tympanic temperature, and specific gravity of urine were measured before treatment. Venous blood was analysed for haematological and biochemical variables, during the acute presentation and after recovery. Body mass index (BMI) and maximum O₂ consumption (O₂ max) were measured after recovery. Psychrometric wet bulb temperature, dry bulb temperature, and air velocity were measured at the underground sites where heat exhaustion had occurred. Air cooling power and psychrometric wet bulb globe temperature were derived from these data.
RESULTS—106 Cases were studied. The incidence of heat exhaustion during the year was 43.0 cases / million man-hours. In February it was 147 cases / million man-hours. The incidence rate ratio for mines operating below 1200 m compared with those operating above 1200 m was 3.17. Mean estimated fluid intake was 0.64 l/h (SD 0.29, range 0.08-1.50). The following data were increased in acute presentation compared with recovery (p value, % of acute cases above the normal clinical range): neutrophils (p<0.001, 36%), anion gap (p<0.001, 63%), urea (p<0.001, 21%), creatinine (p<0.001, 30%), glucose (p<0.001, 15%), serum osmolality (p=0.030, 71%), creatine kinase (p=0.002, 45%), aspartate transaminase (p<0.001, 14%), lactate dehydrogenase (p<0.001, 9.5%), and ferritin (p<0.001, 26%). The following data were depressed in acute presentation compared with recovery (p value, % of acute cases below the normal clinical range): eosinophils (p=0.003, 38%) and bicarbonate (p=0.011, 32%). Urea and creatinine were significantly increased in miners with heat cramps compared with miners without this symptom (p<0.001), but there was no significant difference in sodium concentration (p=0.384). Mean psychrometric wet bulb temperature was 29.0°C (SD 2.2, range 21.0-34.0). Mean dry bulb temperature was 37.4°C (SD 2.4, range 31.0-43.0). Mean air velocity was 0.54 m/s (SD 0.57, range 0.00-4.00). Mean air cooling power was 148 W/m² (SD 49, range 33-290) Mean psychrometric wet bulb globe temperature was 31.5°C (SD 2.0, range 25.2-35.3). Few cases (<5%) occurred at psychrometric wet bulb temperature <25.0°C, dry bulb temperature <33.8°C, air velocity >1.56 m/s, air cooling power >248 W/m², or psychrometric wet bulb globe temperature <28.5°C.
CONCLUSION—Heat exhaustion in underground miners is associated with dehydration, neutrophil leukocytosis, eosinopenia, metabolic acidosis, increased glucose and ferritin, and a mild rise in creatine kinase, aspartate transaminase, and lactate dehydrogenase. Heat cramps are associated with dehydration but not hyponatraemia. The incidence of heat exhaustion increases during summer and at depth. An increased fluid intake is required. Heat exhaustion would be unlikely to occur if ventilation and refrigeration achieved air cooling power >250 W/m² at all underground work sites.


Keywords: heat; mining; ventilation     

The risk of heat exhaustion at a deep underground metalliferous mine in relation to body-mass index and predicted VO2max

The risk of heat exhaustion at a deep underground metalliferous mine was assessed in relation to the body-mass index (BMI) and predicted maximal oxygen uptake (VO2max) of miners, using case-control methodology. Sixty-five cases of acute heat exhaustion and 119 controls were studied. Heat exhaustion cases had a significantly higher BMI than controls (P = 0.006). The odds ratios increased with BMI. For a BMI of 32.00-36.99, compared to a BMI of less than 27.00 the odds ratio was 3.63 (95% confidence interval, 1.42-9.36). VO2max was not significantly lower in cases than controls. The odds ratios for heat exhaustion increased with decreasing VO2max, but not significantly. The sample size provided 80% power of detecting an odds ratio of 2.5 or greater. Deep underground miners should be advised to maintain a BMI of 24-27. Selection of miners on the basis of BMI should not be used as an alternative to satisfactory engineering controls such as ventilation and refrigeration.     

Miliaria rubra of the lower limbs in underground miners

This report documents a case series of miliaria rubra of the lower limbs in miners at a deep underground metalliferous mine in tropical arid Australia. During the summer months of February and March 1999, all cases of miliaria rubra of the lower limbs in underground miners seen at the mine's medical centre were clinically examined and administered a questionnaire. Twenty-five patients were seen, an incidence of 56.4 cases per million man-hours. Miliaria rubra was most often located between the ankle and knee (88% of cases). Twenty-four percent had concurrent folliculitis and 20% had concurrent tinea. Thirty-two percent had a personal history of asthma. Walking through ground-water and splashing of the legs was common. Three to 4 weeks of sedentary duties in air conditioning was generally required to achieve resolution of miliaria rubra. The incidence of miliaria rubra of the lower limbs is 38% of the incidence of heat exhaustion at the same mine. The length of disablement is greater, however. Atopics may be at increased risk of miliaria rubra. Control measures are discussed.     

Mercury toxicity due to the smelting of placer gold recovered by mercury amalgam

A 19-year-old man developed tremor in both hands and fatigue after starting work at a placer gold mine where he was exposed to mercury-gold amalgam. Examination revealed an intention tremor, dysdiadochokinesis and mild rigidity. The 24-h urinary mercury concentration reached a peak of 715 nmol/l (143 ug/l) shortly before the clinical examination, after which he was removed from working in the gold room [Mercury No. Adverse Effect Level: 250 nmol/l (50 ug/l)]. On review 7 weeks later his tremor had almost resolved and the dysdiadochokinesis and rigidity had gone. The 24-h urinary mercury concentration had fallen to 160 nmol/l (32 ug/l). The principal exposure to mercury was considered to be the smelting of retorted gold with previously unrecognized residual mercury in it. The peak air concentration of mercury vapour during gold smelting was 0.533 mg/m3 (Mercury Vapour ACGIH TLV: 0.05 mg/m3 TWA). Several engineering and procedural controls were instituted. This episode occurred at another mine site, unrelated to Mount Isa Mines Limited.     

Laboratory evaluation of permissible exposure limits for men in hot environments

Forty-six industrial workers completed a total of 653 one-hour work bouts requiring an average of 122-235 kcal/M2/hr in an environmental chamber maintained at heat stress levels ranging from 8-37 degrees C wet bulb globe temperature (WBGT). Heart rates (HR) and rectal temperatures (Tre) were measured at the end of each work bout. Environmental heat stress levels were divided into two groups - those above and those below the permissible exposure limits (PEL). The PEL is the proposed maximum environmental thermal stress to which industrial workers can be exposed without endangering their health. The number of observations in each of these regions was further divided into those which were above the recommended limits of a World Health Organization study group (HR less than or equal to 110 bpm, Tre less than or equal to 38.0 degrees C) and those which were not. The number of "safe" (HR less than or equal to 110 bpm, Tre less than or equal to 38.0 degrees C) observations in environments with heat stress less than or equal to the PEL ranged from 100% to 2.4% depending on subject acclimatization and work rate. The degree of protection was always less in the winter than in the summer and was less for higher work rates. Men who normally worked in hot environments had fewer "excessive" HR's and Tre's than those who did not.     

Heat stress and strain in an aluminum smelter.

Studies of worker heat stress and strain in aluminum smelters have found that heat exposure likely to exceed the American Conference of Governmental Industrial Hygienists' threshold limit value (TLV) and that the dose-response relationship between heat stress and strain was weak. A heat stress model based on climatic data and a task analysis indicated exposures to heat stress in excess of the TLV during the July/August study period. To study the impact of working above the TLV, heat strain data (i.e., oral temperature, recovery heart rate, average heart rate) were collected. Recovery heart rates indicated high strain most of the time, and oral temperatures after peak demands were above the no-strain threshold of 37.5 degrees C about a quarter of the time, indicating that heat stress had an effect. About 95% of the readings were below 38.0 degrees C, the acute oral temperature threshold for a safe exposure. Average heart rates over 6- and 12-hour intervals were generally below acceptable limits of 120 and 110 bpm, respectively. Oral temperature and average heart rates indicated good control of heat stress exposures. Because recovery heart rates were high, some employees were working near their individual limits. The dose-response relationship for recovery heart rate and oral temperature were examined against the level of heat stress above the TLV. There was no relationship between oral temperature and heat stress level. There was an apparent trend toward higher recovery heart rates with heat stress. The lack of a dose-response relationship may be explained by brief periods of very high wet bulb globe temperatures that drove the time-weighted average up out of proportion to the physiological response.     

Hot air breathing: effects of elevated wet bulb temperatures on tissue temperatures of the mouth

Six healthy young men breathed room air or one of nine hot humid air conditions on separate days for one hour while walking on a treadmill (40% VO2 max). Inspired wet bulb temperatures ranged from 18.9 (room air) to 49.3 degrees C. Tissue temperatures in the mouth were measured by means of thermocouples placed on the tongue and hard palate. Analysis of variance on repeated measures showed significant increases in both tongue and hard palate tissue temperatures (p less than 0.001) as a result of increasing wet bulb temperatures; however, core temperature and heart rate were not affected (p greater than 0.05). Ratings of subjective discomfort increased proportionally with increases in wet bulb temperature of the inspired air. It was concluded that wet bulb temperature of inspired air is a valuable measure to uses in studying temperature responses of mouth tissues when inhaling hot humid air, particularly when investigating human tolerance levels in order to recommend federal standards for the design of breathing apparatus.     

The effects of work environments on thermal strain on workers in commercial kitchens

The purpose of this study was to clarify the effect of working environments of different kinds of commercial kitchens on the thermal strain of kitchen workers. This study design was cross-sectional study, and data collection was performed during busy time in commercial kitchen from August to September 2006. The research subjects were 8 institutions, involving 7 cookers, and 16 men. Measured environmental variables were air temperature, radiant heat index, wet bulb globe thermometer index (WBGT) in front of the cookers, ambient temperature, and estimated ambient WBGT around the workers. The thermal strain on workers was evaluated by fluid loss, body temperatures, heart rate and amount of physical activity (METs). All average estimated ambient WBGTs in front of cookers were less than 27.5℃. The average heart rate was 107 ± 10 bpm, and average METs was 2.0 ± 0.6. The peak values of upper arm skin temperature and auditory canal temperature were less than 37.5℃. The work environments were affected by the kitchen spaces, cooling devices, heating methods, and heat sources. Even in the midsummer, if environmental temperatures were controlled adequately, estimated ambient WBGTs around workers were below the occupational exposure limit. Work environments and thermal strain on workers in commercial kitchen were not severe.     

Type A lactic acidosis in occupational heat exhaustion

BACKGROUND: This paper presents a further analysis of biochemical data collected during a 1 year prospective study of 106 cases of heat exhaustion at a deep underground metalliferous mine. RESULTS: Multiple regression analysis results indicate that the haemoglobin, serum creatinine and plasma lactate concentrations are statistically significant predictors of the anion gap. Together, they explain 65% of the variance in the anion gap (R(2) = 0.650). Spearman's rho correlation results also confirm that haemoglobin, creatinine and lactate are each statistically significantly correlated with the anion gap (P < 0.001). CONCLUSIONS: These results indicate that dehydration and lactate are important determinants of the metabolic acidosis previously observed in occupational heat exhaustion. It is likely that dehydration in these workers has resulted in poor muscle perfusion, anaerobic conditions and elevated lactate. This constitutes Type A lactic acidosis. Creatine kinase is not a statistically significant predictor of the anion gap in multiple regression (P = 0.956). Furthermore, the Spearman's rho correlation coefficient for creatine kinase versus the anion gap is weak (r(s) = 0.175) and is not statistically significant (P = 0.073). These results suggest that there was no rhabdomyolysis contributing to the metabolic acidosis.     

A comparison of cardiac strain among drillers of two different age groups in underground manual coal mines in India

Cardiac strain was evaluated in terms of working heart rate (WHR), relative cardiac cost (RCC), net cardiac cost (NCC) and other recovery indices among six younger (mean age 34.2 +/- 2.7 yr) and sixteen older (mean age 48.9 +/- 5.4 yr) drillers working in a manual underground coal mine over two spells of work. The mean WHR was within the range of 117-132 beats / min with corresponding mean relative cardiac cost between 44-48% of heart rate reserve for the younger group and 53-55% for their older counterparts. The mean NCC was above 50 beats/min for both age groups. It was seen that the workers surpassed the recommended limits of cardiac strain indices. The intensity of workload indicates the job to be "heavy" to "extremely heavy" in accordance with the heaviness scales based on WHR, NCC and recovery heart rates. Heat stress prevailing in the workplace in terms of effective temperature (ET) and wet bulb globe temperature (WBGT), was above the recommended limits as per the guidelines proposed by WHO and ACGIH. High physiological demands of the job which requires predominate static muscular exertions coupled with high heat stress were found to hinder the recovery process and may prove deleterious particularly for the older workers. Therefore, in the present context, the need of ergonomic interventions for job organization and quick reparation of environmental condition are strongly indicted.     

Prediction of rectal temperature by the Questemp II personal heat strain monitor under low and moderate heat stress

This study assessed the use of aural canal temperature measured with the Questemp II personal heat strain monitor (Tq) relative to rectal temperature (Tre) during simulated industrial work in three different wet bulb globe temperatures (WBGT). Sixteen subjects performed walking and arm curl exercise at a rate of 300 kcal/hour for 4 hours while wearing Saranex protective coveralls in 18, 23, and 27 degrees C WBGT environments and wearing the Questemp II. Correlations were determined between Tre and Tq for the three conditions and for all conditions combined. Pearson r values were 0.48 (18 degrees C WBGT), 0.42 (23 degrees C WBGT), 0.38 (27 degrees WBGT), and 0.50 (all trials). Because a major concern is safe maximum core body temperature, means and standard deviations for differences between Tre and Tq were assessed at peak temperatures to determine the predictability of Tre from Tq solely at these points. Large standard deviations in delta values relative to a small overall tolerable temperature range ruled out the use of Tq in this manner. Based on the current data, aural canal temperature as measured with the Questemp II did not provide an accurate reflection of Tre across time nor at peak core temperatures during low to moderate heat strain.     

WBGT clothing adjustments for four clothing ensembles under three relative humidity levels

Threshold limit values for heat stress and strain are based on an upper limit wet bulb globe temperature (WBGT) for ordinary work clothes, with clothing adjustment factors (CAF) for other clothing ensembles. The purpose of this study was to determine the CAF for four clothing ensembles (Cotton Coveralls, Tyvek 1424 Coveralls, NexGen Coveralls, and Tychem QC Coveralls) against a baseline of cotton work clothes and to determine what effect relative humidity may have. A climatic chamber was used to slowly increase the level of heat stress by increasing air temperature at three levels of relative humidity (20%, 50%, and 70%). Study participants wore one of the five ensembles while walking on a treadmill at a moderate metabolic rate of 155 W m-2 (about 300 W). Physiological data and environmental data were collected. When the participant's core temperature reached a steady state, the dry bulb temperature was increased at constant relative humidity. The point at which the core temperature began to increase was defined as the inflection point. The environmental temperature recorded 5 min before the inflection point was used to calculate the critical WBGT for each ensemble. A three-way analysis of variance with ensemble by humidity protocol interactions and a multiple comparison test were used to make comparisons among the mean values. Only the vapor-barrier ensemble (Tychem QC) demonstrated an interaction with humidity level. The following CAFs are proposed: Cotton Coveralls (0 degrees C-WBGT), Tyvek 1424 Coveralls (+1), NexGen Coveralls (+2), and Tychem QC Coveralls (+10).     

Climate change, workplace heat exposure, and occupational health and productivity in Central America

Climate change is increasing heat exposure in places such as Central America, a tropical region with generally hot/humid conditions. Working people are at particular risk of heat stress because of the intrabody heat production caused by physical labor. This article aims to describe the risks of occupational heat exposure on health and productivity in Central America, and to make tentative estimates of the impact of ongoing climate change on these risks. A review of relevant literature and estimation of the heat exposure variable wet bulb globe temperature (WBGT) in different locations within the region were used to estimate the effects. We found that heat stress at work is a real threat. Literature from Central America and heat exposure estimates show that some workers are already at risk under current conditions. These conditions will likely worsen with climate change, demonstrating the need to create solutions that will protect worker health and productivity.     

Heat stress evaluation and worker fatigue in a steel plant

This study assessed fatigue in electric arc melting workers (ER) and continuous casting workers (CC) in a steel plant and evaluated their physiological response to different levels of heat stress. Fifty-five men participated in the study. The ER group (mean, standard deviation [SD]=41.6, 7.4 years) was significantly older than the CC group (34.9, 6.4 years). The wet bulb globe temperature (WBGT) index of the workplace was measured. Workers' subjective fatigue symptoms were investigated by a 30-item constructive questionnaire, and physiological conditions and response time were measured before and after work for 2 consecutive days. WBGT ranged from 25.4 approximately 28.7 degrees C and 30.0 approximately 33.2 degrees C for the CC and ER areas, respectively. After age adjustment the ER group had significantly higher prevalence rates in subjective symptoms and slower response time than the CC group. The response "thirsty" was the highest after work (75 and 60% for the 2 ER interview days, respectively). A high prevalence (over 40%) of "eyes feel strained," "perception of shoulders stiff," or "feel waist pain" also was observed. Average pre- and postwork ER group systolic pressures were 129.1+/-11.4 mmHg (mean+/-SD) and 126.1+/-12.1 mmHg, 132.5+/-11.4 and 130.6+/-11.2 mmHg for the CC group. Continuous heat-strain monitoring data from one ER and one CC worker indicated that average working heart rate and body temperature were well below 150 beats/min and 38 degrees C. Faster response in critical flicker fusion was found after work than before work, but the differences were not statistically significant (p>.05). Response time for the falling bar grasp was faster at the beginning of work, declined with working time, and rebounded at the end of work. Workers exposed to a hot environment are inclined to subjective fatigue, and their fatigue symptoms increase with the heat exposure levels. However, low resting heart rate and systolic pressure are two characteristics for high heat exposure workers.     

Circulatory and thermal responses of men with different training status to prolonged physical work in dry and humid heat

Eight physically trained and eight untrained, unacclimated men walked on a treadmill at 30% of their maximum oxygen consumption up to 3.5 h in a thermoneutral [20 degrees C/40% relative humidity (RH)], a warm humid (30 degrees C/80% RH), and a hot dry (40 degrees C/20% RH) environment while wearing industrial work clothing. Their oxygen consumption, rectal and skin temperatures, sweating, cardiac output, heart rate, stroke volume, and peripheral blood pressure were measured during the tests. Thirteen of the 32 heat stress tests were prematurely stopped due to high rectal temperature, high heart rate, subjective fatigue, or heat syncope. The physiological strain, as indicated by the rectal temperature and heart rate, was not significantly different between the warm humid and hot dry environments (wet bulb globe temperature approximately 28 degrees C). The rectal temperature and heart rate responses of the physically trained and untrained subjects did not differ in any of the environments. In the heat, the heart rate was significantly higher than in the thermoneutral environment, but because of the markedly reduced stroke volume the average cardiac output was not different between the three environments. The impaired work performance in the heat seemed mainly to be related to the circulatory instability accompanying the increased cutaneous circulation.     

某二甲基亚砜扩建项目职业病危害控制效果评价

目的分析和评价某二甲基亚砜项目职业病危害控制效果,探讨防护措施及防治对策。方法通过职业卫生现场调查、职业健康检查、职业病危害因素检测等途径收集相关数据和资料,采用检查表法、定性和定量法进行综合性评价。结果该项目的主要职业病危害因素有噪声、高温、硫化氢、甲醇、氮氧化物。检测结果表明,噪声强度为69．2—75．3dB（A）,WBGT指数范围27．9—29．2℃。该项目作业场所职业病危害因素浓度或强度均符合国家职业接触限值。结论该扩建项目属于职业病危害严重的建设项目,职业病危害防护措施基本可行有效。     

Climate Change,Workplace Heat Exposure,and Occupational Health and Productivity in Central America

Abstract

Climate change is increasing heat exposure in places such as Central America, a tropical region with generally hot/humid conditions. Working people are at particular risk of heat stress because of the intrabody heat production caused by physical labor. This article aims to describe the risks of occupational heat exposure on health and productivity in Central America, and to make tentative estimates of the impact of ongoing climate change on these risks. A review of relevant literature and estimation of the heat exposure variable wet bulb globe temperature (WBGT) in different locations within the region were used to estimate the effects. We found that heat stress at work is a real threat. Literature from Central America and heat exposure estimates show that some workers are already at risk under current conditions. These conditions will likely worsen with climate change, demonstrating the need to create solutions that will protect worker health and productivity.     

Direct health costs of occupationally acquired malaria in a military population in Europe

BACKGROUND: We reviewed imported malaria cases in British troops stationed in Germany, to quantify the occupational health burden of malaria and audit the quality of local care. METHODS: We used a capture-recapture technique to ascertain imported malaria infections acquired by our military population during a 2-year period of surveillance (2001 and 2002). We retrieved and analysed all hospital discharge summaries. We calculated direct treatment costs from bills raised by the admitting German hospitals. RESULTS: Out of 24 600 British troops stationed in Germany, approximately 800 were occupationally exposed to malaria during 2001 and 800 during 2002. The mean duration of exposure was 1.5 months. All the occupational exposures in this period occurred during routine training exercises in the tropics and subtropics, or during short-term peacekeeping missions in endemic areas. There were three imported malaria cases in British soldiers during 2001 and 12 during 2002 (crude acquisition rates 3.75 and 15/1000). Two soldiers (one with Plasmodium vivax, the other with Plasmodium falciparum infection) required intensive hospital therapy. The median length of hospital inpatient stay was 7 days (for P. vivax infection) and 8.5 days (for P. falciparum). The direct treatment costs of the hospitalizations totalled 27,760. CONCLUSIONS: Comparing crude acquisition rates, non-immune soldiers carrying out peacetime activities in endemic areas may be at around 2-10 times greater risk of acquiring malaria than civilian travellers to the tropics. All military branches are at some risk, and the Royal Engineers may be at an especially high risk of occupationally acquired malaria. Better prevention is mandatory.     

某液体氰化钠生产项目职业病危害控制效果评价

目的评价职业病危害防护措施及其效果,对未达到职业病危害防护要求的系统和单元推出职业病控制措施和建议。方法采用现场调查法对职业病危害因素进行分析评价。结果吸收器岗位的HCN浓度偶有超标,NH3、高温、噪声、总粉尘和其他岗位的HCN符合国家职业卫生标准,总平面布局,建筑卫生学,职业病防护措施,辅助卫生设施、职业卫生管理、职业健康监护基本符合卫生学要求。结论该项目的职业病危害因素的控制基本符合国家卫生标准。