工作场所热应激、健康和生产力——气候变化对中低收入国家的日益严峻挑战。
Workplace heat stress, health and productivity - an increasing challenge for low and middle-income countries during climate change.
机构信息
National Centre for Epidemiology and Population Health, Australian National University, Canberra, Australia.
出版信息
Glob Health Action. 2009 Nov 11;2. doi: 10.3402/gha.v2i0.2047.
BACKGROUND
Global climate change is already increasing the average temperature and direct heat exposure in many places around the world.
OBJECTIVES
To assess the potential impact on occupational health and work capacity for people exposed at work to increasing heat due to climate change.
DESIGN
A brief review of basic thermal physiology mechanisms, occupational heat exposure guidelines and heat exposure changes in selected cities.
RESULTS
In countries with very hot seasons, workers are already affected by working environments hotter than that with which human physiological mechanisms can cope. To protect workers from excessive heat, a number of heat exposure indices have been developed. One that is commonly used in occupational health is the Wet Bulb Globe Temperature (WBGT). We use WBGT to illustrate assessing the proportion of a working hour during which a worker can sustain work and the proportion of that same working hour that (s)he needs to rest to cool the body down and maintain core body temperature below 38 degrees C. Using this proportion a 'work capacity' estimate was calculated for selected heat exposure levels and work intensity levels. The work capacity rapidly reduces as the WBGT exceeds 26-30 degrees C and this can be used to estimate the impact of increasing heat exposure as a result of climate change in tropical countries.
CONCLUSIONS
One result of climate change is a reduced work capacity in heat-exposed jobs and greater difficulty in achieving economic and social development in the countries affected by this somewhat neglected impact of climate change.
背景
全球气候变化已经导致世界许多地方的平均气温和直接热暴露增加。
目的
评估由于气候变化导致的工作场所热暴露增加对职业健康和工作能力的潜在影响。
设计
简要回顾基本热生理机制、职业热暴露指南以及选定城市的热暴露变化。
结果
在炎热季节非常长的国家,工人已经受到比人体生理机制所能承受的更热的工作环境的影响。为了保护工人免受过度热暴露,已经开发了许多热暴露指数。其中一个在职业健康中常用的是湿球黑球温度(WBGT)。我们使用 WBGT 来评估工人在工作时间内可以持续工作的比例,以及工人需要休息以冷却身体并将核心体温维持在 38 摄氏度以下的比例。根据这个比例,我们计算了选定的热暴露水平和工作强度水平的“工作能力”估计值。当 WBGT 超过 26-30 摄氏度时,工作能力会迅速下降,这可以用来估计由于气候变化导致热带国家热暴露增加的影响。
结论
气候变化的一个结果是在热暴露工作中工作能力降低,以及受这种气候变化被忽视影响的国家在实现经济和社会发展方面更加困难。