Venugopal Vidhya, Chinnadurai Jeremiah S, Lucas Rebekah A I, Kjellstrom Tord
Department of Environmental Health Engineering, No.1, Ramachandra Nagar Porur, Chennai, Tamilnadu 600116, India.
Department of Public Health and Clinical Medicine, Epidemiology and Global Health, Umeåa University, 901 87 Umeå, Sweden.
Int J Environ Res Public Health. 2015 Dec 29;13(1):89. doi: 10.3390/ijerph13010089.
Health and productivity impacts from occupational heat stress have significant ramifications for the large workforce of India. This study profiled occupational heat stress impacts on the health and productivity of workers in select organized and unorganized Indian work sectors. During hotter and cooler seasons, Wet Bulb Globe Temperatures (WBGT) were used to quantify the risk of heat stress, according to International workplace guidelines. Questionnaires assessed workers' perceived health and productivity impacts from heat stress. A total of 442 workers from 18 Indian workplaces participated (22% and 78% from the organized and unorganized sector, respectively). Overall 82% and 42% of workers were exposed to higher than recommended WBGT during hotter and cooler periods, respectively. Workers with heavy workloads reported more heat-related health issues (chi square = 23.67, p ≤ 0.001) and reduced productivity (chi square = 15.82, p ≤ 0.001), especially the outdoor workers. Heat-rashes, dehydration, heat-syncope and urinogenital symptoms were self-reported health issues. Cited reasons for productivity losses were: extended-work hours due to fatigue/exhaustion, sickness/hospitalization and wages lost. Reducing workplace heat stress will benefit industries and workers via improving worker health and productivity. Adaptation and mitigation measures to tackle heat stress are imperative to protect the present and future workforce as climate change progresses.
职业热应激对健康和生产力的影响给印度庞大的劳动力带来了重大影响。本研究剖析了职业热应激对印度部分有组织和无组织工作部门工人的健康和生产力的影响。在较热和较冷季节,根据国际工作场所指南,使用湿球黑球温度(WBGT)来量化热应激风险。通过问卷调查评估工人对热应激对其健康和生产力影响的感知。共有来自18个印度工作场所的442名工人参与(分别有22%和78%来自有组织和无组织部门)。总体而言,在较热和较冷时期,分别有82%和42%的工人暴露于高于建议值的WBGT环境中。工作量大的工人报告了更多与热相关的健康问题(卡方=23.67,p≤0.001)以及生产力下降(卡方=15.82,p≤0.001),尤其是户外工作者。热疹、脱水、热昏厥和泌尿生殖系统症状是自我报告的健康问题。报告的生产力损失原因包括:因疲劳/疲惫导致工作时间延长、生病/住院以及工资损失。降低工作场所的热应激将通过改善工人健康和生产力使行业和工人受益。随着气候变化的发展,采取适应和缓解措施来应对热应激对于保护当前和未来的劳动力至关重要。