An Occupational Heat–Health Warning System for Europe: The HEAT-SHIELD Platform

Existing heat–health warning systems focus on warning vulnerable groups in order to reduce mortality. However, human health and performance are affected at much lower environmental heat strain levels than those directly associated with higher mortality. Moreover, workers are at elevated health risks when exposed to prolonged heat. This study describes the multilingual “HEAT-SHIELD occupational warning system” platform (https://heatshield.zonalab.it/) operating for Europe and developed within the framework of the HEAT-SHIELD project. This system is based on probabilistic medium-range forecasts calibrated on approximately 1800 meteorological stations in Europe and provides the ensemble forecast of the daily maximum heat stress. The platform provides a non-customized output represented by a map showing the weekly maximum probability of exceeding a specific heat stress condition, for each of the four upcoming weeks. Customized output allows the forecast of the personalized local heat-stress-risk based on workers’ physical, clothing and behavioral characteristics and the work environment (outdoors in the sun or shade), also taking into account heat acclimatization. Personal daily heat stress risk levels and behavioral suggestions (hydration and work breaks recommended) to be taken into consideration in the short term (5 days) are provided together with long-term heat risk forecasts (up to 46 days), all which are useful for planning work activities. The HEAT-SHIELD platform provides adaptation strategies for “managing” the impact of global warming.

[1]  D. D. Bois,et al.  CLINICAL CALORIMETRY: TENTH PAPER A FORMULA TO ESTIMATE THE APPROXIMATE SURFACE AREA IF HEIGHT AND WEIGHT BE KNOWN , 1916 .

[2]  D MINARD,et al.  Prevention of heat casualties. , 1957, Journal of the American Medical Association.

[3]  G. Brier,et al.  Some applications of statistics to meteorology , 1958 .

[4]  D. Drinkwater,et al.  Human body surface area: validation of formulae based on a cadaver study. , 1984, Human biology.

[5]  E V Gembitskiĭ,et al.  Heat Exhaustion , 1987, Journal of the World Association for Emergency and Disaster Medicine.

[6]  R. Thisted,et al.  Predictors of body surface area. , 1992, Journal of clinical anesthesia.

[7]  Y. Epstein,et al.  Acclimatization Strategies - Preparing for Exercise in the Heat , 1998, International journal of sports medicine.

[8]  T E Bernard,et al.  Prediction of workplace wet bulb global temperature. , 1999, Applied occupational and environmental hygiene.

[9]  W R Keatinge,et al.  Heat related mortality in warm and cold regions of Europe: observational study , 2000, BMJ : British Medical Journal.

[10]  Antonius A. Miller Body surface area in dosing anticancer agents: scratch the surface! , 2002, Journal of the National Cancer Institute.

[11]  Anders Moberg,et al.  Daily dataset of 20th‐century surface air temperature and precipitation series for the European Climate Assessment , 2002 .

[12]  H. Mukai,et al.  Standardization of the body surface area (BSA) formula to calculate the dose of anticancer agents in Japan. , 2003, Japanese journal of clinical oncology.

[13]  Kristie L. Ebi,et al.  Integration of public health with adaptation to climate change : lessons learned and new directions , 2005 .

[14]  M. Déqué,et al.  Frequency of precipitation and temperature extremes over France in an anthropogenic scenario: Model results and statistical correction according to observed values , 2007 .

[15]  Daniel S. Moran,et al.  Exertional heat illness during training and competition , 2007 .

[16]  Douglas J Casa,et al.  American College of Sports Medicine position stand. Exertional heat illness during training and competition. , 2007, Medicine and science in sports and exercise.

[17]  Jeong-Wha Choi,et al.  Determination of body surface area and formulas to estimate body surface area using the alginate method. , 2008, Journal of physiological anthropology.

[18]  Robert Sharp,et al.  Modeling the Wet Bulb Globe Temperature Using Standard Meteorological Measurements , 2008, Journal of occupational and environmental hygiene.

[19]  Tord Kjellstrom,et al.  Workplace heat stress, health and productivity – an increasing challenge for low and middle-income countries during climate change , 2009, Global health action.

[20]  K. Dear,et al.  The ‘Hothaps’ programme for assessing climate change impacts on occupational health and productivity: an invitation to carry out field studies , 2009, Global health action.

[21]  F. Ballester,et al.  Relation between Temperature and Mortality in Thirteen Spanish Cities , 2010, International journal of environmental research and public health.

[22]  S. Quandt,et al.  Overcoming Language and Literacy Barriers in Safety and Health Training of Agricultural Workers , 2010, Journal of agromedicine.

[23]  Joo-Young Lee,et al.  Comparison of heat dissipation response between Malaysian and Japanese males during exercise in humid heat stress , 2011, International journal of biometeorology.

[24]  M. Morabito,et al.  Heat-related mortality in the Florentine area (Italy) before and after the exceptional 2003 heat wave in Europe: an improved public health response? , 2012, International Journal of Biometeorology.

[25]  Guozhong Zheng,et al.  Experimental study on physiological and psychological effects of heat acclimatization in extreme hot , 2011 .

[26]  J. Schwartz,et al.  Comparing exposure metrics for classifying 'dangerous heat' in heat wave and health warning systems. , 2012, Environment international.

[27]  Michael N. Sawka,et al.  Management of Heat and Cold Stress - Guidance to NATO Medical Personnel , 2012 .

[28]  T. Kjellstrom,et al.  Calculating workplace WBGT from meteorological data: a tool for climate change assessment. , 2012, Industrial health.

[29]  Marco Bindi,et al.  Air temperature-related human health outcomes: current impact and estimations of future risks in Central Italy. , 2012, The Science of the total environment.

[30]  Y. Min,et al.  Seasonal acclimatization to the hot summer over 60 days in the Republic of Korea suppresses sweating sensitivity during passive heating , 2013 .

[31]  M. Morabito,et al.  Environmental Temperature and Thermal Indices: What Is the Most Effective Predictor of Heat-Related Mortality in Different Geographical Contexts? , 2014, TheScientificWorldJournal.

[32]  U. Heudorf,et al.  Heat waves and mortality in Frankfurt am Main, Germany, 2003–2013 , 2014, Zeitschrift für Gerontologie und Geriatrie.

[33]  P. Bi,et al.  Health Impacts of Workplace Heat Exposure: An Epidemiological Review , 2013, Industrial health.

[34]  Nigel A S Taylor,et al.  Human heat adaptation. , 2014, Comprehensive Physiology.

[35]  Consensus recommendations on training and competing in the heat , 2015, British Journal of Sports Medicine.

[36]  R. Buizza,et al.  The forecast skill horizon , 2015 .

[37]  K. Ebi,et al.  Heatwaves and health : guidance on warning-system development. , 2015 .

[38]  Willem A. Landman,et al.  Statistical Methods in the Atmospheric Sciences (3rd Edition), Daniel S. Wilks : book review , 2015 .

[39]  C. Schär,et al.  Does Quantile Mapping of Simulated Precipitation Correct for Biases in Transition Probabilities and Spell Lengths , 2016 .

[40]  Sven Kotlarski,et al.  Robust climate scenarios for sites with sparse observations: a two‐step bias correction approach , 2016 .

[41]  Marek Krawczuk,et al.  Body surface area formulae: an alarming ambiguity , 2016, Scientific Reports.

[42]  Tord Kjellstrom,et al.  Estimating population heat exposure and impacts on working people in conjunction with climate change , 2018, International Journal of Biometeorology.

[43]  Simone Orlandini,et al.  Increasing Heatwave Hazards in the Southeastern European Union Capitals , 2017 .

[44]  Tamer M. Khalaf,et al.  How many days are required for workers to acclimatize to heat? , 2017, Work.

[45]  E. Hawkins,et al.  Global risk of deadly heat , 2017 .

[46]  T. Kjellstrom,et al.  Occupational heat stress assessment and protective strategies in the context of climate change , 2017, International Journal of Biometeorology.

[47]  T. Kjellstrom,et al.  Climate conditions, workplace heat and occupational health in South-East Asia in the context of climate change , 2017, WHO South-East Asia journal of public health.

[48]  Y. Honda,et al.  Cost of preventing workplace heat-related illness through worker breaks and the benefit of climate-change mitigation , 2017 .

[49]  Tord Kjellstrom,et al.  Time-motion analysis as a novel approach for evaluating the impact of environmental heat exposure on labor loss in agriculture workers , 2017, Temperature.

[50]  A. Flouris,et al.  Hyperthermia and cardiovascular strain during an extreme heat exposure in young versus older adults , 2016, Temperature.

[51]  A. Casanueva,et al.  The effect of hot days on occupational heat stress in the manufacturing industry: implications for workers’ well-being and productivity , 2018, International Journal of Biometeorology.

[52]  George Havenith,et al.  Workers' health and productivity under occupational heat strain: a systematic review and meta-analysis. , 2018, The Lancet. Planetary health.

[53]  D. El-Shafei,et al.  Exertional heat illness: knowledge and behavior among construction workers , 2018, Environmental Science and Pollution Research.

[54]  Without Warning: Worker Deaths From Heat 2014–2016 , 2018, New solutions : a journal of environmental and occupational health policy : NS.

[55]  K. Bogner,et al.  Skill of Subseasonal Forecasts in Europe: Effect of Bias Correction and Downscaling Using Surface Observations , 2018, Journal of Geophysical Research: Atmospheres.

[56]  Jesper Lundbye-Jensen,et al.  High prevalence of hypohydration in occupations with heat stress—Perspectives for performance in combined cognitive and motor tasks , 2018, PloS one.

[57]  S. Tong,et al.  Heatwave and elderly mortality: An evaluation of death burden and health costs considering short-term mortality displacement. , 2018, Environment international.

[58]  M. Santamouris,et al.  Increasing Probability of Heat-Related Mortality in a Mediterranean City Due to Urban Warming , 2018, International journal of environmental research and public health.

[59]  Work in Harsh Hot Environment: Risk Evaluation on Thermal Stress in a Farm during Green Pruning Activity , 2019, Biomedical Journal of Scientific & Technical Research.

[60]  David Kriebel,et al.  Assessment of Heat Stress Exposure among Construction Workers in the Hot Desert Climate of Saudi Arabia , 2019, Annals of work exposures and health.

[61]  G. S. Martinez,et al.  Heat-health action plans in Europe: Challenges ahead and how to tackle them. , 2019, Environmental research.

[62]  L. Nybo,et al.  Heat Acclimation Does Not Protect Trained Males from Hyperthermia-Induced Impairments in Complex Task Performance , 2019, International journal of environmental research and public health.

[63]  M. Morabito,et al.  Evaluation of the impact of heat stress on the occurrence of occupational injuries: Meta‐analysis of observational studies , 2019, American journal of industrial medicine.

[64]  S. Hajat,et al.  Estimation of work-related injury and economic burden attributable to heat stress in Guangzhou, China. , 2019, The Science of the total environment.

[65]  M. Morabito,et al.  Overview of Existing Heat-Health Warning Systems in Europe , 2019, International journal of environmental research and public health.

[66]  F. Doblas-Reyes,et al.  Bias adjustment and ensemble recalibration methods for seasonal forecasting: a comprehensive intercomparison using the C3S dataset , 2019, Climate Dynamics.

[67]  N. Bragazzi,et al.  Migrant Workers from the Eastern-Mediterranean Region and Occupational Injuries: A Retrospective Database-Based Analysis from North-Eastern Italy , 2019, International journal of environmental research and public health.

[68]  M. Morabito,et al.  Heat Stress Perception among Native and Migrant Workers in Italian Industries—Case Studies from the Construction and Agricultural Sectors , 2019, International journal of environmental research and public health.

[69]  Yuming Guo,et al.  A systematic review and meta-analysis of the association between daily mean temperature and mortality in China. , 2019, Environmental research.

[70]  T. Kjellstrom,et al.  Workplace heat exposure, health protection, and economic impacts: A case study in Canada. , 2019, American journal of industrial medicine.

[71]  B. Kingma,et al.  Ambient Conditions Prior to Tokyo 2020 Olympic and Paralympic Games: Considerations for Acclimation or Acclimatization Strategies , 2019, Front. Physiol..

[72]  A. Flouris,et al.  Heat Waves Occurrence and Outdoor Workers’ Self-assessment of Heat Stress in Slovenia and Greece , 2019, International journal of environmental research and public health.

[73]  T. Kjellstrom,et al.  Escalating environmental summer heat exposure—a future threat for the European workforce , 2020, Regional Environmental Change.