Wet-bulb globe temperature (WBGT)--its history and its limitations

Methods for improving thermal tolerance in military personnel prior to deployment

Acute exposure to heat, such as that experienced by people arriving into a hotter or more humid environment, can compromise physical and cognitive performance as well as health. In military contexts heat stress is exacerbated by the combination of protective clothing, carried loads, and unique activity profiles, making them susceptible to heat illnesses. As the operational environment is dynamic and unpredictable, strategies to minimize the effects of heat should be planned and conducted prior to deployment. This review explores how heat acclimation (HA) prior to deployment may attenuate the effects of heat by initiating physiological and behavioural adaptations to more efficiently and effectively protect thermal homeostasis, thereby improving performance and reducing heat illness risk. HA usually requires access to heat chamber facilities and takes weeks to conduct, which can often make it impractical and infeasible, especially if there are other training requirements and expectations. Recent research in athletic populations has produced protocols that are more feasible and accessible by reducing the time taken to induce adaptations, as well as exploring new methods such as passive HA. These protocols use shorter HA periods or minimise additional training requirements respectively, while still invoking key physiological adaptations, such as lowered core temperature, reduced heart rate and increased sweat rate at a given intensity. For deployments of special units at short notice (< 1 day) it might be optimal to use heat re-acclimation to maintain an elevated baseline of heat tolerance for long periods in anticipation of such an event. Methods practical for military groups are yet to be fully understood, therefore further investigation into the effectiveness of HA methods is required to establish the most effective and feasible approach to implement them within military groups.

Intensity-duration-frequency relationship of WBGT extremes using regional frequency analysis in South Korea

The risk levels of heat-related extreme events need to be estimated for prediction and real-time monitoring to mitigate their impacts on air quality, public health, the ecosystem, and critical infrastructure. Many countries have adopted meteorological variable base thresholds for assessing the risk level of heat-related extreme events. These thresholds provide an approximate risk level for a specific event but do not consider its intensity and duration in the risk assessment. The current study provides a statistical tool to assess the risk of heat-related extreme events while concurrently considering their intensities and durations based on the wet-bulb globe temperature (WBGT). To this end, the intensity-duration-frequency (IDF) relationship of the extreme WBGT in South Korea was derived. Regional frequency analysis was employed to understand the IDF relationship. Return levels of heat-related extreme events in South Korea were calculated and their characteristics were investigated based on the annual maximum WBGT observations. The results showed that the IDF relationship could provide the risks of heat-related extreme events while concurrently considering their intensities and durations. The extreme WBGT in South Korea was used to categorize two regions such as coastal and inland based on their statistical characteristics. The return levels of the annual maximum WBGT events were found to vary largely by location. The return levels corresponding to 32 °C with 3-h duration for stations in the coastal and inland regions ranged from 1- to 100-years and 3- to 1000-years, respectively. Mean values of return levels for heatwave events in Seoul, Incheon, Daejon, Gwangju, Daegu, and Busan were 2.8-, 8.4-, 15.3-, 2.8-, 1.6-, and 2.2-years, respectively. The return levels of heatwaves for the warmer cities are smaller than those for cooler cities. The return levels of the heatwave events in South Korea showed a significant increasing trend in several cities, supporting the notion that the impact of heatwave events on South Korea might become more severe in the future.

Development and validation of an environmental heat strain risk assessment (EHSRA) index using structural equation modeling based on empirical relations

Background

Need to a simple, available, accurate, comprehensive, and valid indicator is felt to assess thermal effects. Therefore, the present study was aimed to develop and validate the environmental heat strain risk assessment (EHSRA) index using structural equation modeling (SEM) based on empirical relations.

Methods

This cross-sectional study was performed on 201 male workers in environments with various climatic conditions. The heart rate and tympanic temperature of the individuals were monitored at times of 30, 60, and 90 min after beginning the work. At these times, values of dry temperature, wet temperature, globe temperature, and air velocity were also measured and metabolism rate and clothing thermal insulation value were estimated. At the end, a theoretical model was depicted in AMOS software and obtained coefficients were applied to develop a novel index. The scores of this indicator were categorized into four risk levels via ROC curves and validate using linear regression analysis.

Results

Indirect effect coefficients of the globe temperature, dry temperature, wet temperature, air velocity, metabolism, and clothing thermal insulation variables on the tympanic temperature were computed by 0.77, 0.75, 0.69, 0.24, 0.49, and 0.39, respectively. These coefficients were applied to develop the index. Optimal cut-off points of boundaries between risk levels included 12.02, 15.88, and 17.56. The results showed that the EHSRA index justified 75% of the variations of the tympanic temperature (R² = 0.75).

Conclusions

The novel index possesses appropriate validity. It was suggested that this indicator is applied and validated in various environments in the next studies.

Epidemiology and risk factors for heat illness: 11 years of Heat Stress Monitoring Programme data from the FIVB Beach Volleyball World Tour

Objectives

To analyse 11 years of FIVB heat stress-monitoring data to determine the relative influence of the different environmental parameters in increasing the likelihood of a heat-related medical time-out (MTOheat).

Methods

A total of 8530 matches were recorded. The referee measured air temperature, black globe temperature, relative humidity and wet-bulb globe temperature (WBGT) before the matches, and registered the MTOheat. The absolute humidity was computed at posteriori.

Results

There were 20 MTOheat cases, but only 3 resulted in forfeiting the match. MTOheat incidence was not statistically impacted by sex (p=0.59). MTOheat cases were more prevalent during the games played in Asia during the 4th quarter of the year (p<0.001). Two cases of MTOheat experienced diarrhoea or gastroenteritis during the 5 preceding days; both of them forfeited the match. A principal component analysis showed a specific environmental profile for the matches with MTOheat. They occurred at higher WBGT, temperatures and absolute humidity (p<0.001), but with a lower relative humidity (p=0.027).

Conclusions

The current data showed that an increase in ambient or black globe temperature, but not relative humidity, increased the risk of a MTOheat; but that the absolute risk remained low in elite beach volleyball players. However, suffering or recovering from a recent illness may represent a risk factor for a MTOheat to lead to player forfeit.

Spatio-temporal patterns of the minimum rest time for outdoor workers exposed to summer heat stress in South Korea

In this study, the spatio-temporal characteristics of the minimum rest time for the safety of South Korean outdoor workers during hot summer months (June to August) are examined based on the hourly wet-bulb globe temperature (WBGT) across 27 weather stations in South Korea. The WBGT thresholds in the work-rest recommendation of the Korea Occupational Safety and Health Agency (KOSHA 2017) for the quantification of the minimum rest time are evaluated through a comparison of the given thresholds with the occurrences of occupational heat-related illness patients due to outdoor work during hot summer months in South Korea. The long-term (2009-2018) average of the hourly WBGT values during summer months shows that outdoor workers with a moderate workload are exposed to heat stress during approximately 30% of the entire daytime working hours (06:00-18:00). According to the WBGT thresholds modified from the KOSHA (2017) guidelines, the daily minimum rest time for a moderate workload noticeably increases up to 18% (11 min/h) in mid-summer (late July and early August). During mid-summer, the minimum rest time for a continuous moderate outdoor workload even increases up to 31% (18 min/h) between 12:00 and 13:00 and is regionally higher in the southwestern than in the southeastern regions of the Korean Peninsula. These results suggest that in summertime high-heat environments, a mandatory rest time must be provided according to appropriate heat management programs for the safety of workers.

Identifying Tree Traits for Cooling Urban Heat Islands—A Cross-City Empirical Analysis

Research Highlights: This paper presents a cross-city empirical study on micro-climatic thermal benefits of urban trees, using machine-learning analysis to identify the importance of several in situ measured tree physiognomy traits for cooling. Background and Objectives: Green infrastructure and trees in particular play a key role in mitigating the urban heat island (UHI) effect. A more detailed understanding of the cooling potential of urban trees and specific tree traits is necessary to support tree management decisions for cooling our progressively hot cities. The goal of this study was to identify the influence and importance of various tree traits and site conditions. Materials and Methods: Surface temperature, air temperature at 1.1 m and at tree crown height, as well as wet bulb globe-temperature of shaded and fully sun-exposed reference areas, were used to study the cooling effect of seven different urban tree species. For all 100 individuals, tree height, crown base, trunk circumference, crown volume, crown area, leaf area index (LAI) and leaf area density (LAD) were measured. Measurements were conducted in the cities of Dresden, Salzburg, Szeged, and Vienna as representatives for middle European cities in different climate zones. Results: Beside site conditions, tree species, height, height of crown base, as well as trunk circumference, have a great influence on the cooling effect for city dwellers. The trunk circumference is a very valuable indicator for estimating climate regulating ecosystem services and therefore a highly robust estimator for policy makers and tree management practitioners when planning and managing urban green areas for improving the availability and provision of ecosystem services.

Exertional Heat Illness Preparedness Strategies: Environmental Monitoring Policies in United States High Schools

Background and objectives: Environmental monitoring allows for an analysis of the ambient conditions affecting a physically active person’s ability to thermoregulate and can be used to assess exertional heat illness risk. Using public health models such as the precaution adoption process model (PAPM) can help identify individual’s readiness to act to adopt environmental monitoring policies for the safety of high school athletes. The purpose of this study was to investigate the adoption of policies and procedures used for monitoring and modifying activity in the heat in United States (US) high schools. Materials and Methods: Using a cross-sectional design, we distributed an online questionnaire to athletic trainers (ATs) working in high schools in the US. The questionnaire was developed based on best practice standards related to environmental monitoring and modification of activity in the heat as outlined in the 2015 National Athletic Trainers’ Association Position Statement: Exertional Heat Illness. The PAPM was used to frame questions as it allows for the identification of ATs’ readiness to act. PAPM includes eight stages: unaware of the need for the policy, unaware if the school has this policy, unengaged, undecided, decided not to act, decided to act, acting, and maintaining. Invitations were sent via email and social media and resulted in 529 complete responses. Data were aggregated and presented as proportions. Results: Overall, 161 (161/529, 30.4%) ATs report they do not have a written policy and procedure for the prevention and management of exertional heat stroke. The policy component with the highest adoption was modifying the use of protective equipment (acting = 8.2%, maintaining = 77.5%). In addition, 28% of ATs report adoption of all seven components for a comprehensive environmental monitoring policy. Conclusions: These findings indicate a lack of adoption of environmental monitoring policies in US high schools. Secondarily, the PAPM, facilitators and barriers data highlight areas to focus future efforts to enhance adoption.

Global warming, heat-related illnesses, and the dermatologist

Global warming, provoked by the greenhouse effect of high levels of atmospheric gases (most notably carbon dioxide and methane), directly threatens human health and survival. Individuals vary in their capacity to tolerate episodes of extreme heat. Because skin is the organ tasked with heat dissipation, it is important for dermatologists to be versed in the physiology of cutaneous heat dissipation and cognizant of clinical settings in which the skin’s thermoregulatory responses may be impaired. When the external temperature is lower than that of the skin, the skin releases internal heat through direct thermal exchange with the environment, a process that is aided by an expansion of cutaneous blood flow and eccrine sweating. Cooling through the evaporation of sweat is effective even when the external temperature exceeds that of skin. Many factors, including environmental and physiological (e.g., age and sex), and pathological (e.g., preexisting illnesses, disorders of eccrine function, and medications) considerations, affect the skin’s capacity to thermoregulate. Identification of individuals at increased risk for heat-related morbidity and mortality will become increasingly important in the care of patients.

Identification, Classification, and Prioritization of Effective Factors in Producing Thermal Strain in Men at Workplaces using Fuzzy AHP Technique

Background:

Various factors can affect thermal strain at workplaces. To prevent heat illnesses due to the heat strain, one must identify and prioritize these factors. Therefore, the present study was aimed to determine the relative importance of the effective factors in producing thermal strain in men at workplaces using fuzzy AHP technique.

Materials and Methods:

This qualitative practical study was performed in 2019. Effective factors in producing heat strain were identified by a literature review. Then, an expert panel reviewed the identified factors and omitted some of them. Further, the balance theory of job design was applied to classify the heat strain factors. Later, these factors were categorized into six groups, including environmental, personal, job, clothing, administrative, and lifestyle elements. In the end, the fuzzy analytical hierarchy technique was used for prioritizing the elements and factors involved in each of them.

Results:

Based on the results, the environmental element had the highest relative weight and priority (0.178). Other priorities were assigned to the job element (0.171), clothing element (0.171), personal element (0.169), administrative element (0.169), and lifestyle element (0.142), respectively.

Conclusion:

In general, the results showed that environmental factors are the most effective ones in producing heat strain. The results of the present study can be helpful in controlling the thermal strain.

A High Spatiotemporal Resolution Global Gridded Dataset of Historical Human Discomfort Indices

Meteorological human discomfort indices or bioclimatic indices are important metrics to gauge potential risks to human health under varying environmental thermal exposures. Derived using sub-daily meteorological variables from a quality-controlled reanalysis data product (Global Land Data Assimilation System—GLDAS), a new high-resolution global dataset referred to as “HDI_0p25_1970_2018” is presented in this study. The dataset includes the following daily indices at 0.25° × 0.25° gridded resolution: (i) Apparent Temperature indoors (ATind); (ii) two variants of Apparent Temperature outdoors in shade (ATot); (iii) Heat Index (HI); (iv) Humidex (HDEX); (v) Wet Bulb Temperature (WBT); (vi) two variants of Wet Bulb Globe Temperature (WBGT); (vii) Thom Discomfort Index (DI); and (viii) Windchill Temperature (WCT). Spanning 49 years over the period 1970–2018, HDI_0p25_1970_2018 fills gaps in existing climate indices datasets by being the only high-resolution historical global-gridded daily time-series of multiple human discomfort indices based on different meteorological parameters, thus offering applications in wide-ranging climate zones and thermal-comfort environments.

Mean radiant temperature from global-scale numerical weather prediction models

In human biometeorology, the estimation of mean radiant temperature (MRT) is generally considered challenging. This work presents a general framework to compute the MRT at the global scale for a human subject placed in an outdoor environment and irradiated by solar and thermal radiation both directly and diffusely. The proposed framework requires as input radiation fluxes computed by numerical weather prediction (NWP) models and generates as output gridded globe-wide maps of MRT. It also considers changes in the Sun's position affecting radiation components when these are stored by NWP models as an accumulated-over-time quantity. The applicability of the framework was demonstrated using NWP reanalysis radiation data from the European Centre for Medium-Range Weather Forecasts. Mapped distributions of MRT were correspondingly computed at the global scale. Comparison against measurements from radiation monitoring stations showed a good agreement with NWP-based MRT (coefficient of determination greater than 0.88; average bias equal to 0.42 °C) suggesting its potential as a proxy for observations in application studies.

Concepts and New Implements for Modified Physiologically Equivalent Temperature

Different kinds of thermal indices have been applied in several decades as essential tools to investigate thermal perception, environmentally thermal conditions, occupant thermal risk, public health, tourist attractiveness, and urban climate. Physiologically equivalent temperature (PET) has been proved as a relatively wide applicable thermal indicator above other thermal indices. However, the current practical PET performs a slight variation influenced by changing the humidity and clothing insulation. The improvement of the PET has potentiality for further multi-application as a general and consistent standard to estimate thermal perception and tolerance for different studies. To achieve the above purpose, modified physiologically equivalent temperature (mPET) is proposed as an appropriate indicator according to the new structure and requirements of the thermally environmental ergonomics. The modifications to formulate the mPET are considerably interpreted in the principle of the heat transfer inside body, thermo-physiological model, clothing model, and human-environmental interaction in this study. Specifically, the mPET-model has adopted a semi-steady-state approach to calculate an equivalent temperature refer to an indoor condition as the mPET. Finally, the sensitivity test of the biometeorological variables and clothing impact proves that the mPET has better performance on the humidity and clothing insulation than the original PET.

The Heat Death Line: Proposed Heat Index Alert Threshold for Preventing Heat-Related Fatalities in the Civilian Workforce

A threshold Heat Index (HI) can serve as the basis for advising the civilian workforce about the risk of heat-related illnesses. We conducted a systematic review and compiled reports of work-related fatalities from heat-related illnesses. We calculated the HI for each fatality. Our objective was to expand upon the military's concept of a "heat death line" and identify an HI alert threshold for the civilian workforce. We identified 14 publications totaling 570 heat-related deaths. In the meta-analysis, the median HI was 101 with a range of 62 to 137. Almost all deaths (96 percent and 99 percent of civilian and military fatalities, respectively) occurred when HI ≥80, which is our proposed heat death line. Some existing HI-based heat advisories are set at a higher temperature value. However, many occupational heat-related illnesses occur below these thresholds, resulting in low sensitivity and a false sense of security. In at-risk outdoor industries, HI ≥80 should trigger hazard awareness and protective actions.

Development of a personal heat strain risk assessment (PHSRA) index in workplaces and its validation

BACKGROUND

There is not a comprehensive heat stress index to screen the people susceptible to heat disorders and illnesses in hot workplaces. The present study was aimed to develop a personal heat strain risk assessment (PHSRA) index in workplaces and validate it.

METHODS

This cross-sectional study was carried out on 201 Iranian male employees under various thermal conditions. At first, the demographical data of participants were gathered. After that, the heart rate and tympanic temperature of the subjects were carefully measured at times of 30, 60, and 90 min of starting the work. Environmental factors were measured simultaneously. The metabolism rate and insulation value of clothes were also estimated. At the end, a novel index of the heat strain was developed using structural equation modeling in AMOS and validated using linear regression analysis in SPSS.

RESULTS

Indirect effect coefficients of personal factors including age, body mass index, maximum aerobic capacity, and body surface area were equal to 0.031, 0.145, - 0.064, and 0.106, respectively. The coefficients of main factors including dry temperature, wet temperature, globe temperature, wind speed, metabolism, and clothing thermal insulation were obtained as 0.739, 0.688, 0.765, 0.245, 0.482, and 0.383, respectively. These coefficients and normalized values of the factors were used to develop a novel index. The total score of the index was categorized into four levels by optimal cut-off points of 12.93, 16.48, and 18.87. Based on the results of regression analysis, this index justifies 77% of the tympanic temperature as a dependent variable (R2 = 0.77).

CONCLUSIONS

In general, the results indicated that the novel index developed by the personal and main factors had proper validity in the prediction of thermal strain.

Is Physiological Equivalent Temperature (PET) a superior screening tool for heat stress risk than Wet-Bulb Globe Temperature (WBGT) index? Eight years of data from the Gothenburg half marathon

BACKGROUND

The Wet-Bulb Globe Temperature (WBGT) index is a common tool to screen for heat stress for sporting events. However, the index has a number of limitations. Rational indices, such as the physiological equivalent temperature (PET) and Universal Thermal Climate Index (UTCI), are potential alternatives.

AIM

To identify the thermal index that best predicts ambulance-required assistances and collapses during a city half marathon.

METHODS

Eight years (2010-2017) of meteorological and ambulance transport data, including medical records, from Gothenburg's half-marathon were used to analyse associations between WBGT, PET and UTCI and the rates of ambulance-required assistances and collapses. All associations were evaluated by Monte-Carlo simulations and leave-one-out-cross-validation.

RESULTS

The PET index showed the strongest correlation with both the rate of ambulance-required assistances (R²=0.72, p=0.008) and collapses (R²=0.71, p=0.008), followed by the UTCI (R²=0.64, p=0.017; R²=0.64, p=0.017) whereas the WBGT index showed substantially poorer correlations (R²=0.56, p=0.031; R²=0.56, p=0.033). PET stages of stress, match the rates of collapses better that the WBGT flag colour warning. Compared with the PET, the WBGT underestimates heat stress, especially at high radiant heat load. The rate of collapses increases with increasing heat stress; large increase from the day before the race seems to have an impact of the rate of collapses.

CONCLUSION

We contend that the PET is a better predictor of collapses during a half marathon than the WBGT. We call for further investigation of PET as a screening tool alongside WBGT.

Methods for Estimating Wet Bulb Globe Temperature From Remote and Low-Cost Data: A Comparative Study in Central Alabama

Heat stress is a significant health concern that can lead to illness, injury, and mortality. The wet bulb globe temperature (WBGT) index is one method for monitoring environmental heat risk. Generally, WBGT is estimated using a heat stress monitor that includes sensors capable of measuring ambient, wet bulb, and black globe temperature, and these measurements are combined to calculate WBGT. However, this method can be expensive, time consuming, and requires careful attention to ensure accurate and repeatable data. Therefore, researchers have attempted to use standard meteorological measurements, using single data sources as an input (e.g., weather stations) to calculate WBGT. Building on these efforts, we apply data from a variety of sources to calculate WBGT, understand the accuracy of our estimated equation, and compare the performance of different sources of input data. To do this, WBGT measurements were collected from Kestrel 5400 Heat Stress Trackers installed in three locations in Alabama. Data were also drawn from local weather stations, North American Land Data Assimilation System (NLDAS), and low cost iButton hygrometers. We applied previously published equations for estimating natural wet bulb temperature, globe temperature, and WBGT to these diverse data sources. Correlation results showed that WBGT estimates derived from all proxy data sources-weather station, weather station/iButton, NLDAS, NLDAS/iButton-were statistically indistinguishable from each other, or from the Kestrel measurements, at two of the three sites. However, at the same two sites, the addition of iButtons significantly reduced root mean square error and bias compared to other methods.

Thermal Comfort Aspects of Solar Gains during the Heating Season

Glazing plays a key role in the energy balance of buildings. The aim of this paper is to enlighten the thermal discomfort caused by large glazed areas in the heating season and to point out a possible solution that can provide proper thermal comfort with low energy use. It is unusual to discuss the negative effects of solar gains on thermal comfort during the heating season. However, there are cases when glazing may lead to unforeseen indoor thermal discomfort conditions. Laboratory and on site measurements were performed in order to assess thermal discomfort caused by direct and diffuse radiation. It was shown that the WBGT (Wet Bulb Globe Temperature) index may exceed even 30 °C in the winter season in a room having large glazed area oriented to east. Laboratory tests performed in climate chamber have shown that the high PMV values cannot be reduced below 1.0, increasing the air change rate in the room. Using opaque drapes, the WBGT index was reduced by 2 °C, but the daylighting decreased substantially. It was demonstrated that by using advanced personalized ventilation systems, the appropriate thermal comfort can be provided avoiding the reduction of daylighting.

Document analysis of exertional heat illness policies and guidelines published by sports organisations in Victoria, Australia

Objectives

To conduct a document and content analysis of exertional heat illness (EHI)-related documents published by sports organisations in Victoria, Australia, in order to determine their scope and evidence base against current international best practice recommendations.

Methods

A qualitative document and content analysis. Official documents relating to EHI were identified through a search of 22 Victorian sport organisation websites, supplemented by a general internet search. The content of these documents was evaluated against recommendations presented in three current international position statements on prevention and management of EHI.

Results

A range of document types addressing EHI were identified (n=25), including specific heat policies, match day guides, rules and regulations. Recommendations about prevention measures were the most common information presented, but these were largely focused on event modification/cancellation guidelines only (n=22; 88%). Most documents provided information on hydration as a preventive measure (n=20; 80%), but the emphasis on the importance of cooling strategies (n=7; 28%) and heat acclimatisation (n=5; 20%) was inadequate. Details on EHI, including its definition, symptoms/signs to look out for, and common risk factors (beyond humidity/high temperatures) were lacking in most documents.

Conclusion

There is considerable variation in formal documents with regard to their content and quality of information. Continued efforts to bridge the evidence to practice gap in sports safety are therefore important. This study highlights the challenge for community sport, which relies on high-level policy and governance, across settings and populations that can differ substantially in their needs.

A multi-scalar climatological analysis in preparation for extreme heat at the Tokyo 2020 Olympic and Paralympic Games

Extreme heat can be harmful to human health and negatively affect athletic performance. The Tokyo Olympic and Paralympic Games are predicted to be the most oppressively hot Olympics on record. An interdisciplinary multi-scale perspective is provided concerning extreme heat in Tokyo-from planetary atmospheric dynamics, including El Niño Southern Oscillation (ENSO), to fine-scale urban temperatures-as relevant for heat preparedness efforts by sport, time of day, and venue. We utilize stochastic methods to link daytime average wet bulb globe temperature (WBGT) levels in Tokyo in August (from meteorological reanalysis data) with large-scale atmospheric dynamics and regional flows from 1981 to 2016. Further, we employ a mesonet of Tokyo weather stations (2009-2018) to interpolate the spatiotemporal variability in near-surface air temperatures at outdoor venues. Using principal component analysis, two planetary (ENSO) regions in the Pacific Ocean explain 70% of the variance in Tokyo's August daytime WBGT across 35 years, varying by 3.95°C WGBT from the coolest to warmest quartile. The 10-year average daytime and maximum intra-urban air temperatures vary minimally across Tokyo (<1.2°C and 1.7°C, respectively), and less between venues (0.6-0.7°C), with numerous events planned for the hottest daytime period (1200-1500 hr). For instance, 45% and 38% of the Olympic and Paralympic road cycling events (long duration and intense) occur midday. Climatologically, Tokyo will present oppressive weather conditions, and March-May 2020 is the critical observation period to predict potential anomalous late-summer WBGT in Tokyo. Proactive climate assessment of expected conditions can be leveraged for heat preparedness across the Game's period.

Reductions in Labor Capacity from Intensified Heat Stress in China under Future Climate Change

Heat stress would be intensified under global warming and become a key issue of occupational health for labor force working outdoors. The changes in labor force would affect regional socioeconomic development. So far, changes in labor force due to heat stress are not well documented in China. In this study, heat stress based on wet-bulb globe temperature (WBGT), which combines the thermal effects on the human body of both temperature and humidity, is projected for the near future (2021–2050) and the end of the century (2071–2099). Changes in labor capacity are then estimated for heavy and light work based on the relationships between labor capacity and the WBGT. Low and high emission scenarios, namely Representative Concentration Pathway (RCP) 2.6 and RCP8.5, are considered for the future projections in the hottest two months (July and August) in China. Results suggest that the WBGT would increase by more than 3–5 °C by the end of the century. The labor capacity would decrease by more than 40% for both heavy and light work in considerable areas such as South and East China, where there is a large population and developed economy. This indicates that labor force would reduce significantly due to intensified heat stress. This study calls for special attention to the impact of heat stress on occupational health and the labor force in China in the future.

Estimation of Heat Stress and Maximum Acceptable Work Time Based on Physiological and Environmental Response in Hot-Dry Climate: A Case Study in Traditional Bakers

Background:

Heat stress is common among workers in hot-dry areas. To take preventive strategies for the protection of workers against heat stress, it is important to choose a suitable index that can accurately explain environmental parameters relative to physiological responses.

Objective:

To evaluate heat stress and maximum acceptable work time (MAWT) based on physiological and environmental response in hot-dry climate among traditional bakers.

Methods:

The current study was carried out on 30 traditional bakers of 3 different bread baking systems in Ahvaz, Iran. Environmental and physiological parameters were measured simultaneously for a work shift. The work-rest time was also determined based on the relative heart rate (RHR) and the wet-bulb globe temperature (WBGT) index.

Results:

The average WBGT index was estimated to be higher than the standard limit for all baking stations. Despite the higher-than-the-recommended-limit WBGT index, there was no significant relationship between the WBGT index and physiological parameters. The results indicated a significant (p<0.05) difference between the percentages of work-rest time estimated using the WBGT and RHR index.

Conclusion:

Based on the results of environmental and physiological monitoring of this study as well as the limitations of the use of the WBGT index, it seems that using WBGT as a standard index would not suit heat stress management in hot-dry climates. A revision of this standard to adapt to hot climatic conditions should be in order.

Heat Adaptation in Military Personnel: Mitigating Risk, Maximizing Performance

The study of heat adaptation in military personnel offers generalizable insights into a variety of sporting, recreational and occupational populations. Conversely, certain characteristics of military employment have few parallels in civilian life, such as the imperative to achieve mission objectives during deployed operations, the opportunity to undergo training and selection for elite units or the requirement to fulfill essential duties under prolonged thermal stress. In such settings, achieving peak individual performance can be critical to organizational success. Short-notice deployment to a hot operational or training environment, exposure to high intensity exercise and undertaking ceremonial duties during extreme weather may challenge the ability to protect personnel from excessive thermal strain, especially where heat adaptation is incomplete. Graded and progressive acclimatization can reduce morbidity substantially and impact on mortality rates, yet individual variation in adaptation has the potential to undermine empirical approaches. Incapacity under heat stress can present the military with medical, occupational and logistic challenges requiring dynamic risk stratification during initial and subsequent heat stress. Using data from large studies of military personnel observing traditional and more contemporary acclimatization practices, this review article (1) characterizes the physical challenges that military training and deployed operations present (2) considers how heat adaptation has been used to augment military performance under thermal stress and (3) identifies potential solutions to optimize the risk-performance paradigm, including those with broader relevance to other populations exposed to heat stress.

Estimation of Time-Course Core Temperature and Water Loss in Realistic Adult and Child Models with Urban Micrometeorology Prediction

Ambient conditions may change rapidly and notably over time in urban areas. Conventional indices, such as the heat index and wet bulb globe temperature, are useful only in stationary ambient conditions. To estimate the risks of heat-related illness, human thermophysiological responses should be followed for ambient conditions in the time domain. We develop a computational method for estimating the time course of core temperature and water loss by combining micrometeorology and human thermal response. We firstly utilize an urban micrometeorology prediction to reproduce the environment surrounding walkers. The temperature elevations and sweating in a standard adult and child are then estimated for meteorological conditions. With the integrated computational method, we estimate the body temperature and thermophysiological responses for an adult and child walking along a street with two routes (sunny and shaded) in Tokyo on 7 August 2015. The difference in the core temperature elevation in the adult between the two routes was 0.11 °C, suggesting the necessity for a micrometeorology simulation. The differences in the computed body core temperatures and water loss of the adult and child were notable, and were mainly characterized by the surface area-to-mass ratio. The computational techniques will be useful for the selection of actions to manage the risk of heat-related illness and for thermal comfort.

Workplace heat exposure, health protection, and economic impacts: A case study in Canada

BACKGROUND

Occupational heat exposure is a serious concern for worker health, productivity, and the economy. Few studies in North America assess how on-site wet bulb globe temperature (WBGT) levels and guidelines are applied in practice.

METHODS

We assessed the use of a WBGT sensor for localized summertime heat exposures experienced by outdoor laborers at an industrial worksite in Ontario, Canada during the warm season (May-October) from 2012 to 2018 inclusive. We further examined informed decision making, approximated workers' predicted heat strain (sweat loss, core temperature), and estimated potential financial loss (via hourly wages) due to decreased work allowance in the heat.

RESULTS

Significantly higher worksite WBGT levels occured compared with regional levels estimated at the airport, with an upward trend in heat warnings over the 7 years and expansion of warnings into the fall season. The maximum WBGT during warnings related strongly to predicted hourly sweat loss. On average, 22 hours per worker were lost each summer (~1% of annual work hours) as a result of taking breaks or stopping due to heat. This amount of time corresponded to an average individual loss of C$1100 Canadian dollars (~C$220,000 combined for ~200 workers) to workers or the company. The additional losses for an enterprise due to reduced product output were not estimated.

CONCLUSIONS

Worksite observations and actions at the microscale are essential for improving the estimates of health and economic costs of extreme heat to enterprises and society. Providing worksite heat metrics to the employees aids in appropriate decision making and health protection.

An Accident Model with Considering Physical Processes for Indoor Environment Safety

Accident models provide a conceptual representation of accident causation. They have been applied to environments that have been exposed to poisonous or dangerous substances that are hazardous in nature. The home environment refers to the indoor space with respect to the physical processes the of indoor climate, e.g., temperature change, which are not hazardous in general. However, it can be hazardous when the physical process is in some states, e.g., a state of temperature that can cause heat stroke. If directly applying accident models in such a case, the physical processes are missing. To overcome this problem, this paper proposes an accident model by extending the state-of-the-art accident model, i.e., Systems-Theoretic Accident Model and Process (STAMP) with considering physical processes. Then, to identify causes of abnormal system behaviors that result in physical process anomalies, a hazard analysis technique called System-Theoretic Process Analysis (STPA) is tailored and applied to a smart home system for indoor temperature adjustment. The analytical results are documented by a proposed landscape genealogical layout documentation. A comparison with results by applying the original STPA was made, which demonstrates the effectiveness of the tailored STPA to apply in identifying causes in our case.

Spatial Changes in Work Capacity for Occupations Vulnerable to Heat Stress: Potential Regional Impacts From Global Climate Change

Background

As the impact of climate change intensifies, exposure to heat stress will grow, leading to a loss of work capacity for vulnerable occupations and affecting individual labor decisions. This study estimates the future work capacity under the Representative Concentration Pathways 8.5 scenario and discusses its regional impacts on the occupational structure in the Republic of Korea.

Methods

The data utilized for this study constitute the local wet bulb globe temperature from the Korea Meteorological Administration and information from the Korean Working Condition Survey from the Occupational Safety and Health Research Institute of Korea. Using these data, we classify the occupations vulnerable to heat stress and estimate future changes in work capacity at the local scale, considering the occupational structure. We then identify the spatial cluster of diminishing work capacity using exploratory spatial data analysis.

Results

Our findings indicate that 52 occupations are at risk of heat stress, including machine operators and elementary laborers working in the construction, welding, metal, and mining industries. Moreover, spatial clusters with diminished work capacity appear in southwest Korea.

Conclusion

Although previous studies investigated the work capacity associated with heat stress in terms of climatic impact, this study quantifies the local impacts due to the global risk of climate change. The results suggest the need for mainstreaming an adaptation policy related to work capacity in regional development strategies.

Human Heat stress risk prediction in the Brazilian semiarid Region based on the Wet-Bulb Globe Temperature

OBJECTIVE

the aim of this study is to map thermal stress risks for human health at the São Francisco River Basin (SFRB) in the Semiarid region, for climatic scenarios RCP 4.5 and 8.5.

METHODS

The heat stress conditions were defined by the Wet Bulb Globe Temperature (WBGT) indicator and by the average number of annual days in which the WBGT values exceeded the 90th percentile of the reference period. The WBGT was estimated for the climate scenarios RCP 4.5 (intermediate) and 8.5 (pessimistic) for the period 2011-2090 comparing to the period of reference (1961-2005).

RESULTS

The projections show that for the pessimistic scenario practically all municipalities of the SFRB region can reach values of WBGT that indicate a high risk for heat stress in the period 2071-2099. For this same scenario and period, the municipalities of the Lower and Under-average regions may present values of WBGT above the 90th percentile of the reference period in more than 90% of the days/year.

CONCLUSIONS

These results show that, if the emission of greenhouse gases continues in the present proportions, some municipalities of the SFRB region may present a high risk for heat stress affecting the work capacity and the practice of physical exercises.

Heat waves in South Korea: differences of heat wave characteristics by thermal indices

Heat wave warning systems and related research define heat waves using various indices and there exists no standard definition for a heat wave. Despite various weather forecast services for heat stress in South Korea, it is unclear how different thermal indices affect the designation of heat waves and health effect estimates. We aimed to analyze trends of heat wave characteristics and mortality associations using various criteria for the warm season (June-September) in 2011-5 for the most populated two cities in South Korea, Seoul and Busan. Hourly weather monitoring data and daily mortality data in each city were obtained. The following indices were estimated to define heat waves: air temperature, heat index (HI), humidex, apparent temperature (AT), effective temperature (ET), and wet-bulb globe temperature (WBGT). The thresholds of each index for heat wave definitions were obtained by statistical distribution (95th percentiles) and minimum mortality temperature (MMT). Thermal indices showed clustering of accumulation of excess heat above thresholds for northeast regions in the cities while air temperature showed it for central regions. Compared to 95th percentiles, the MMTs resulted 14 times longer heat wave days for thermal indices except for air temperature. When MMTs were used, nine times larger excess mortality from heat waves occurred for all indices compared to that from heat waves defined by the 95th percentiles. The thermal indices with the highest association between heat and mortality varied between the two cities: air temperature for Seoul and WBGT for Busan. Heat wave warnings should be based on a thorough comparison of how different heat wave criteria will affect the public health impact of heat wave warnings in terms of identifying a heat wave and degree of health impacts due to it.

Estimation of heat-related morbidity from weather data: A computational study in three prefectures of Japan over 2013-2018

In recent years, the rates of heat-related morbidity and mortality have begun to increase with the increase in global warming; in this context, it is noteworthy that the number of patients transported by ambulance in heat-related cases in Japan reached 95,137 in 2018. The estimation of heat-related morbidity forms a key factor in proposing and implementing suitable intervention strategies and ambulance availability and arrangements. Heat-related morbidity is known to be fairly correlated to metrics related to ambient conditions, thus necessitating the exploration of new metrics to more accurately estimate morbidity. In this study, we use an integrated computational technique relating to thermodynamics and thermoregulation to estimate daily peak core temperature elevation and daily water loss, which are linked to heat-related illnesses, from weather data of three different prefectures in Japan (Tokyo, Osaka, and Aichi). The correlations of the computed core temperature elevation and water loss as well as conventional ambient conditions are investigated in terms of number of patients suffering from heat-related illnesses transported by ambulance from 2013 to 2018. The estimated water loss per the proposed computation yields better correlation with the number of patients transported by ambulance. In particular, the weight-sum daily water loss for two to three successive days is found to be an important metric for predicting the number of patients transported by ambulance. For the same ambient conditions, morbidity is found to decrease to 0.4 owing to heat adaption at the end of summer (60 days) as compared with that at the end of the rainy season. Thus, the weighted sum of water loss and daily average ambient temperature for successive days can be used as better metrics than conventional weather data for the application of intervention strategies and planning of ambulance arrangements for heat-related morbidity.

Globe Temperature and Its Measurement: Requirements and Limitations

This study addresses the measurement of the globe temperature. For this purpose, two globe thermometers with different diameters (50 and 150 mm) and a variety of thermal environmental conditions were considered. The assessments of the response times and of the influences of the globe diameter and the air velocity on the measured globe temperatures are discussed. The results of the response times clearly put in evidence that the values usually stated in the literature can be questioned and that longer measurement periods must be considered. In fact, response times >30 min were obtained in 68% of the tests performed. Moreover, differences >20ºC were obtained between the 150 and 50 mm sensors, highlighting the influence of the globe diameter. The analysis of the effect of the air velocity on the globe temperature shows mean relative differences >30% between tests in still air and with the higher air velocity considered (1.81 m s-1). On the basis of measurements carried out with the 50 mm globe, correction equations to the standard globe temperature for both natural and forced convection are proposed.

Association between work in deforested, compared to forested, areas and human heat strain: An experimental study in a rural tropical environment

BACKGROUND

With climate change, adverse human health effects caused by heat exposure are of increasing public health concern. Forests provide beneficial ecosystem services for human health, including local cooling. Few studies have assessed the relationship between deforestation and heat-related health effects in tropical, rural populations. We sought to determine whether deforested compared to forested landscapes are associated with increased physiological heat strain in a rural, tropical environment.

METHODS

We analyzed data from 363 healthy adult participants from ten villages who participated in a two-by-two factorial, randomized study in East Kalimantan, Indonesia from 10/1/17 to 11/6/17. Using simple randomization, field staff allocated participants equally to different conditions to conduct a 90-minute outdoor activity, representative of typical work. Core body temperature was estimated at each minute during the activity using a validated algorithm from baseline oral temperatures and sequential heart rate data, measured using chest band monitors. We used linear regression models, clustered by village and with a sandwich variance estimator, to assess the association between deforested versus forested conditions and the number of minutes each participant spent above an estimated core body temperature threshold of 38.5°C.

RESULTS

Compared to those in the forested condition (n=172), participants in the deforested condition (n=159) spent an average of 3.08 (95% CI 0.57, 5.60) additional minutes with an estimated core body temperature exceeding 38.5°C, after adjustment for age, sex, body mass index, and experiment start time, with a larger difference among those who began the experiment after 12 noon (5.17 [95% CI 2.20, 8.15]).

CONCLUSIONS

In this experimental study in a tropical, rural setting, activity in a deforested versus a forested setting was associated with increased objectively measured heat strain. Longer durations of hyperthermia can increase the risk of serious health outcomes. Land use decisions should consider the implications of deforestation on local heat exposure and health as well as on forest services, including carbon storage functions that impact climate change mitigation.

Patterns of outdoor exposure to heat in three South Asian cities

Low socio-economic status has been widely recognized as a significant factor in enhancing a person's vulnerability to climate change including vulnerability to changes in temperature. Yet, little is known about exposure to heat within cities in developing countries, and even less about exposure within informal neighbourhoods in those countries. This paper presents an assessment of exposure to outdoor heat in the South Asian cities Delhi, Dhaka, and Faisalabad. The temporal evolution of exposure to heat is evaluated, as well as intra-urban differences, using meteorological measurements from mobile and stationary devices (April-September 2016). Exposure to heat is compared between low-income and other neighbourhoods in these cities. Results are expressed in terms of air temperature and in terms of the thermal indices Heat Index (HI), Wet Bulb Globe Temperature (WBGT) and Universal Thermal Climate Index (UTCI) at walking level. Conditions classified as dangerous to very dangerous, and likely to impede productivity, are observed almost every day of the measurement period during daytime, even when air temperature drops after the onset of the monsoon. It is recommended to cast heat warnings in terms of thermal indices instead of just temperature. Our results nuance the idea that people living in informal neighbourhoods are consistently more exposed to heat than people living in more prosperous neighbourhoods. During night-time, exposure does tend to be enhanced in densely-built informal neighbourhoods, but not if the low-income neighbourhoods are more open, or if they are embedded in green/blue areas.

Practical Hydration Solutions for Sports

Personalized hydration strategies play a key role in optimizing the performance and safety of athletes during sporting activities. Clinicians should be aware of the many physiological, behavioral, logistical and psychological issues that determine both the athlete’s fluid needs during sport and his/her opportunity to address them; these are often specific to the environment, the event and the individual athlete. In this paper we address the major considerations for assessing hydration status in athletes and practical solutions to overcome obstacles of a given sport. Based on these solutions, practitioners can better advise athletes to develop practices that optimize hydration for their sports.

Prevalence of post-race exertional heat illness in Thoroughbred racehorses and climate conditions at racecourses in Japan

Despite growing recognition of post-race exertional heat illness (EHI) in the horse racing industry, reports on its prevalence are limited. The purpose of this study was to investigate the prevalence of post-race EHI and climate conditions at racecourses in Japan. The overall prevalence of EHI from 1999 to 2018 was 0.04% (387 cases for 975,247 starters) in races operated by the Japan Racing Association (JRA). The yearly prevalence has been increasing, exceeding 0.07% in the last four years of the studied period. The overall prevalence in summer (May–September) was 0.086% (352 cases for 409,908 starters). The monthly prevalence varied among the 10 JRA racecourses, which are distributed from latitude 34 to 43°N, ranging from no cases to 0.459%. During summer, prevalence of post-race EHI was high when the mean monthly ambient temperature was high at a racecourse. To evaluate climate conditions, we investigated the wet-bulb globe temperature (WBGT, °C) from 9 AM to 5 PM on sunny race days in July and August of 2017 and 2018 at three racecourses with a high prevalence of EHI among the 10 racecourses. The durations of time during which WBGT was between 28 and 33°C at these three courses were 95, 94, and 65% of the minutes measured, respectively. This result indicated that most races on the sunny summer days were held when WBGT was between 28 and 33°C at the three racecourses. These findings could be useful in developing the appropriate countermeasures to be taken during hot weather at each of the studied racecourses.

An earbud-type wearable (A hearable) with vital parameter sensors for early detection and prevention of heat-stroke

Heat-stroke has become a serious problem in Japan, especially for elderly citizens. For the early detection and prevention of heat-stroke, a wearable health monitor for in-ear use is developed which is subsequently called "Hearable". It aims to measure three vital parameters: Core body temperature, sweat rate and sweat or interstitial sodium ion (Na⁺) concentration. The eardrum is a good place to measure the core body temperature, because it is close to the carotid artery and the brain. We develop a hearable prototype and it consists of an audio earbud, a sensor earbud and a micro controller. Concerning the sensor earbud, a present prototype includes an eardrum (tympanic) temperature sensor and a sweat rate sensor and we implement two variants. Variant-1 focuses on the sweat rate sensing using a humidity & temperature sensor located close to the eardrum and Variant-2 focuses on the eardrum temperature sensing using an IR temperature sensor. Concerning the sweat rate sensing, unlike conventional sweat sensors, our prototypes do not include an air flow pump, which is typically used to determine the air flow rate. We demonstrate the accuracy of sweat rate sensing based on the air flow rate measured from the evaporation of defined amount of water. We use Variant-2 to demonstrate the monitoring of the eardrum temperature and the sweat rate to differentiate a calm state and jogging.

Heat stress assessment during intermittent work under different environmental conditions and clothing combinations of effective wet bulb globe temperature (WBGT)

This study examined whether different combinations of ambient temperature and relative humidity for the effective wet bulb globe temperature, in conjunction with two different levels of clothing adjustment factors, elicit a similar level of heat strain consistent with the current threshold limit value guidelines. Twelve healthy, physically active men performed four 15-min sessions of cycling at a fixed rate of metabolic heat production of 350 watts. Each trial was separated by a 15-min recovery period under four conditions: (1) Cotton coveralls + dry condition (WD: 45.5 °C dry-bulb, 15% relative humidity); (2) Cotton coveralls + humid condition (WH: 31 °C dry-bulb, 84% relative humidity); (3) Protective clothing + dry condition (PD: 30 °C dry-bulb, 15% relative humidity); and (4) Protective clothing + humid condition (PH: 20 °C dry-bulb, 80% relative humidity). Gloves (mining or chemical) and headgear (helmet or powered air-purifying respirator) were removed during recovery with hydration ad libitum. Rectal temperature (Tre), skin temperature (Tsk), physiological heat strain (PSI), perceptual heat strain (PeSI), and body heat content were calculated. At the end of the 2-hr trials, Tre remained below 38 °C and the magnitude of Tre elevation was not greater than 1 °C in all conditions (WD: 0.9, WH: 0.8, WH: 0.7, and PD: 0.6 °C). However, Tsk was significantly increased by approximately 2.1 ± 0.8 °C across all conditions (all p ≤ 0.001). The increase in Tsk was the highest in WD followed by PD, WH, and PH conditions (all p ≤ 0.001). Although PSI and PeSI did not indicate severe heat strain during the 2-hr intermittent work period, PSI and PeSI were significantly increased over time (p ≤ 0.001). This study showed that core temperature and heat strain indices (PSI and PeSI) increased similarly across the four conditions. However, given that core temperature increased continuously during the work session, it is likely that the American Conference of Governmental Industrial Hygienist's TLV^® upper limit core temperature of 38.0 °C may be surpassed during extended work periods under all conditions.

Heat-related issues and practical applications for Paralympic athletes at Tokyo 2020

International sporting competitions, including the Paralympic Games, are increasingly being held in hot and/or humid environmental conditions. Thus, a greater emphasis is being placed on preparing athletes for the potentially challenging environmental conditions of the host cities, such as the upcoming Games in Tokyo in 2020. However, evidence-based practices are limited for the impairment groups that are eligible to compete in Paralympic sport. This review aims to provide an overview of heat-related issues for Paralympic athletes alongside current recommendations to reduce thermal strain and technological advancements in the lead up to the Tokyo 2020 Paralympic Games. When competing in challenging environmental conditions, a number of factors may contribute to an athlete's predisposition to heightened thermal strain. These include the characteristics of the sport itself (type, intensity, duration, modality, and environmental conditions), the complexity and severity of the impairment and classification of the athlete. For heat vulnerable Paralympic athletes, strategies such as the implementation of cooling methods and heat acclimation can be used to combat the increase in heat strain. At an organizational level, regulations and specific heat policies should be considered for several Paralympic sports. Both the utilization of individual strategies and specific heat health policies should be employed to ensure that Paralympics athletes' health and sporting performance are not negatively affected during the competition in the heat at the Tokyo 2020 Paralympic Games.

Site-specific hourly resolution wet bulb globe temperature reconstruction from gridded daily resolution climate variables for planning climate change adaptation measures

Changes in the environmental heat stress need to be properly evaluated to manage the risk of heat-related illnesses, particularly in the context of climate change. The wet bulb globe temperature (WBGT) is a useful index for evaluating heat stress and anticipating conditions related to heat-related illness in the present climate, but projecting the WBGT with a sufficiently high temporal and spatial resolution remains challenging for future climate conditions. In this study, we developed a methodological framework for estimating the site-specific hourly resolution WBGT based on the output of general circulation models using only simple calculations. The method was applied to six sites in Japan and its performance was evaluated. The proposed method could reproduce the site-specific hourly resolution WBGT with a high accuracy. Based on the developed framework, we constructed future (2090s) projections under two different greenhouse gas emission pathways. These projections showed a consistent rise in the WBGT and thus the capacity to perform physically demanding activities is expected to decrease. To demonstrate the usefulness of the projected WBGT in planning adaptation measures, we identified the optimal working schedules which would minimize outdoor workers' exposure to heat at a specific site. The results show that a substantial shift in the working time is required in the future if outdoor workers are to compensate the effect of increased heat exposure only by changing their working hours. This methodological framework and the projections will provide local practitioners with useful information to manage the increased risk of heat stress under climate change.

Investigation of Thermal Comfort Responses with Fuzzy Logic

In order to reduce the energy consumption of buildings a series of new heating, ventilation and air conditioning strategies, methods, and equipment are developed. The architectural trends show that office and educational buildings have large glazed areas, so the thermal comfort is influenced both by internal and external factors and discomfort parameters may affect the overall thermal sensation of occupants. Different studies have shown that the predictive mean vote (PMV)—predictive percentage of dissatisfied (PPD) model poorly evaluates the thermal comfort in real buildings. At the University of Debrecen a new personalized ventilation system (ALTAIR) was developed. A series of measurements were carried out in order to test ALTAIR involving 40 subjects, out of which 20 female (10 young and 10 elderly) and 20 male (10 young and 10 elderly) persons. Based on the responses of subjects related to indoor environment quality, a new comfort index was determined using fuzzy logic. Taking into consideration the responses related to thermal comfort sensation and perception of odor intensity a new the fuzzy comfort index was 5.85 on a scale from 1–10.

Global Heat Wave Hazard Considering Humidity Effects during the 21st Century

Humidity is a significant factor contributing to heat stress, but without enough consideration in studies of quantifying heat hazard or heat risk assessment. Here, the simplified wet-bulb globe temperature (WBGT) considering joint effects of temperature and humidity was utilized as a heat index and the number of annual total heat wave days (HWDs) was employed to quantify heat hazard. In order to evaluate the humidity effects on heat waves, we quantified the difference in the number of HWDs over global land based on air temperature and WBGT. Spatial and temporal changes in surface air temperature, relative humidity, WBGT, and the difference in HWDs were analyzed using multi-model simulations for the reference period (1986-2005) and different greenhouse gas emission scenarios. Our analysis suggests that annual mean WBGT has been increasing since 1986, which is consistent with the rising trend in surface air temperature despite a slight decrease in relative humidity. Additionally, changes in annual mean WBGT are smaller and more spatially uniform than those in annual mean air temperature as a cancelation effect between temperature and water vapor. Results show that there is an underestimation of around 40-140 days in the number of HWDs per year in most regions within 15° latitude of the equator (the humid and warm tropics) during 2076-2095 without considering humidity effects. However, the estimation of HWDs has limited distinction between using WBGT and temperature alone in arid or cold regions.

Ambient Conditions Prior to Tokyo 2020 Olympic and Paralympic Games: Considerations for Acclimation or Acclimatization Strategies

The Tokyo Olympics and Paralympic games in 2020 will be held in hot and humid conditions. Heat acclimation (in a climatic chamber) or heat acclimatization (natural environment) is essential to prepare the (endurance) athletes and reduce the performance loss associated with work in the heat. Based on the 1990-2018 hourly meteorological data of Tokyo and the derived wet bulb globe temperature (WBGT) (Liljegren method), Heat Index and Humidex, it is shown that the circumstances prior to the games are likely not sufficiently hot to fully adapt to the heat. For instance, the WBGT 2 weeks prior to the games at the hottest moment of the day (13:00 h) is 26.4 ± 2.9°C and 28.6 ± 2.8°C during the games. These values include correction for global warming. The daily variation in thermal strain indices during the Tokyo Olympics (WBGT varying by 4°C between the early morning and the early afternoon) implies that the time of day of the event has a considerable impact on heat strain. The Paralympics heat strain is about 1.5°C WBGT lower than the Olympics, but may still impose considerable heat strain since the Paralympic athletes often have a reduced ability to thermoregulate. It is therefore recommended to acclimate about 1 month prior to the Olympics under controlled conditions set to the worst-case Tokyo climate and re-acclimatize in Japan or surroundings just prior to the Olympics.

Exertional Heat Stroke within Secondary School Athletics

Exertional heat stroke (EHS) remains one of the leading causes of sudden death in sport despite clear evidence showing 100% survivability with the proper standards of care in place and utilized. Of particular concern are student athletes competing at the secondary school level, where the extent of appropriate health care services remains suboptimal compared with organized athletics at the collegiate level and higher. While rapid recognition and rapid treatment of EHS ensures survival, the adoption and implementation of these lifesaving steps within secondary school athletics warrant further discussion within the sports medicine community. Establishing proper policies regarding the prevention and care of EHS coupled with utilizing an interdisciplinary care approach is essential for 1) minimizing risk and 2) guaranteeing optimal outcomes for the patient.

The predictability of heat-related mortality in Prague, Czech Republic, during summer 2015-a comparison of selected thermal indices

We compared selected thermal indices in their ability to predict heat-related mortality in Prague, Czech Republic, during the extraordinary summer 2015. Relatively, novel thermal indices-Universal Thermal Climate Index and Excess Heat Factor (EHF)-were compared with more traditional ones (apparent temperature, simplified wet-bulb globe temperature (WBGT), and physiologically equivalent temperature). The relationships between thermal indices and all-cause relative mortality deviations from the baseline (excess mortality) were estimated by generalized additive models for the extended summer season (May-September) during 1994-2014. The resulting models were applied to predict excess mortality in 2015 based on observed meteorology, and the mortality estimates by different indices were compared. Although all predictors showed a clear association between thermal conditions and excess mortality, we found important variability in their performance. The EHF formula performed best in estimating the intensity of heat waves and magnitude of heat-impacts on excess mortality on the most extreme days. Afternoon WBGT, on the other hand, was most precise in the selection of heat-alert days during the extended summer season, mainly due to a relatively small number of "false alerts" compared to other predictors. Since the main purpose of heat warning systems is identification of days with an increased risk of heat-related death rather than prediction of exact magnitude of the excess mortality, WBGT seemed to be a slightly favorable predictor for such a system.

Risk perceptions for exertional heat illnesses in junior cricket in Sri Lanka

Objectives

Exertional heat illnesses (EHI) can occur when sport is played in hot and humid environments, such as those common across Asia. Measures to reduce the risk of EHI are important; however, causal data on EHI occurrence are limited and challenging to capture. To gain an initial understanding of EHI risks, we aimed to assess the risk perceptions of EHI of youth cricketers.

Methods

A descriptive cross-sectional survey, comprised of 14 questions on EHI risks, was conducted with 365 Sri Lankan junior male cricketers (age=12.9±0.9 years) who typically play in hot and humid conditions.

Results

For climate related risks, relative humidity was perceived as having a low risk of EHI compared with ambient temperature. The EHI risk associated with wearing protective gear, as commonly used in cricket, was perceived as low. Most junior cricketers perceived a low level of risk associated with recommended preventive measures such as body cooling and heat-acclimatisation.

Conclusion

This is the first study to explore EHI risk perceptions in any sporting context. Young players may not be mindful of all risks. Therefore, leadership and initiative from competition organisers and parents is required to promote countermeasures.

Study of globe temperature relative to air temperature during cognitive activities in information technology laboratories

BACKGROUND

Considering that, environments with information and communication technology innovations, including educational institutions, are providing more interaction among individuals anywhere in the world and contributing to higher learning flexibility, it is necessary to pay extra attention to the radiation dissipated by technological equipment in these environments.

OBJECTIVE

Investigate whether the behavior of the globe temperature (tg) in relation to the air temperature (ta) could affect the performance of students in information technology laboratories (ITLs).

METHODS

The methodological procedures adopted consisted of the following analyses in six institutions: thermal variables - mean radiant temperature (trm) and (tg-ta); students' performance and architectural elements.

RESULTS

ITL G was the ITL with the highest incidence of thermal radiation, thus a mathematical model was proposed for this sample to determine whether (tg - ta) and trm are related to overall student performance (Dt). For each increase of one degree in the difference between the globe temperature and the air temperature (tg-ta), the students' performance in the institution G decreased by approximately 29%.

CONCLUSION

As well as productivity can be altered due to changes in air temperature in air-conditioned teaching environments, in this specific case, if tg> >ta, possibly the thermal radiation may interfere with the performance of the people present in the environment technological innovations of communication and information.