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

Abstract:

BACKGROUND:The Deepwater Horizon disaster cleanup effort provided an opportunity to examine the effects of ambient thermal conditions on exertional heat illness (EHI) and acute injury (AI). METHODS:The outcomes were daily person-based frequencies of EHI and AI. Exposures were maximum estimated WBGT (WBGTmax) and severity. Previous day's cumulative effect was assessed by introducing previous day's WBGTmax into the model. RESULTS:EHI and AI were higher in workers exposed above a WBGTmax of 20°C (RR 1.40 and RR 1.06/°C, respectively). Exposures above 28°C-WBGTmax on the day of the EHI and/or the day before were associated with higher risk of EHI due to an interaction between previous day's environmental conditions and the current day (RRs from 1.0-10.4). CONCLUSIONS:The risk for EHI and AI were higher with increasing WBGTmax. There was evidence of a cumulative effect from the prior day's WBGTmax for EHI. Am. J. Ind. Med. 59:1169-1176, 2016. © 2016 Wiley Periodicals, Inc.

journal_name

Am J Ind Med

authors

Garzon-Villalba XP,Mbah A,Wu Y,Hiles M,Moore H,Schwartz SW,Bernard TE

doi

10.1002/ajim.22650

subject

Has Abstract

pub_date

2016-12-01 00:00:00

pages

1169-1176

issue

12

eissn

0271-3586

issn

1097-0274

journal_volume

59

pub_type

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