Skip to main content
Top
Published in: International Archives of Occupational and Environmental Health 1/2024

Open Access 10-11-2023 | Climate Change | Original Article

Effects of heat and personal protective equipment on thermal strain in healthcare workers: part B—application of wearable sensors to observe heat strain among healthcare workers under controlled conditions

Authors: Razan Wibowo, Viet Do, Caroline Quartucci, Daniela Koller, Hein A. M. Daanen, Dennis Nowak, Stephan Bose-O’Reilly, Stefan Rakete

Published in: International Archives of Occupational and Environmental Health | Issue 1/2024

Login to get access

Abstract

Purpose

As climate change accelerates, healthcare workers (HCW) are expected to be more frequently exposed to heat at work. Heat stress can be exacerbated by physical activity and unfavorable working requirements, such as wearing personal protective equipment (PPE). Thus, understanding its potential negative effects on HCW´s health and working performance is becoming crucial. Using wearable sensors, this study investigated the physiological effects of heat stress due to HCW-related activities.

Methods

Eighteen participants performed four experimental sessions in a controlled climatic environment following a standardized protocol. The conditions were (a) 22 °C, (b) 22 °C and PPE, (c) 27 °C and (d) 27 °C and PPE. An ear sensor (body temperature, heart rate) and a skin sensor (skin temperature) were used to record the participants´ physiological parameters.

Results

Heat and PPE had a significant effect on the measured physiological parameters. When wearing PPE, the median participants’ body temperature was 0.1 °C higher compared to not wearing PPE. At 27 °C, the median body temperature was 0.5 °C higher than at 22 °C. For median skin temperature, wearing PPE resulted in a 0.4 °C increase and higher temperatures in a 1.0 °C increase. An increase in median heart rate was also observed for PPE (+ 2/min) and heat (+ 3/min).

Conclusion

Long-term health and productivity risks can be further aggravated by the predicted temperature rise due to climate change. Further physiological studies with a well-designed intervention are needed to strengthen the evidence for developing comprehensive policies to protect workers in the healthcare sector.
Appendix
Available only for authorised users
Literature
go back to reference Arbury S, Jacklitsch B, Farquah O et al (2014) Heat illness and death among workers - United States, 2012–2013. MMWR Morb Mortal Wkly Rep 63:661–665 Arbury S, Jacklitsch B, Farquah O et al (2014) Heat illness and death among workers - United States, 2012–2013. MMWR Morb Mortal Wkly Rep 63:661–665
go back to reference Bongers CCWG, de Korte JQ, Zwartkruis M, Levels K, Kingma BRM, Eijsvogels TMH (2022) Heat Strain and Use of Heat Mitigation Strategies among COVID-19 Healthcare Workers Wearing Personal Protective Equipment-A Retrospective Study. Int J Environ Res Public Health. https://doi.org/10.3390/ijerph19031905CrossRef Bongers CCWG, de Korte JQ, Zwartkruis M, Levels K, Kingma BRM, Eijsvogels TMH (2022) Heat Strain and Use of Heat Mitigation Strategies among COVID-19 Healthcare Workers Wearing Personal Protective Equipment-A Retrospective Study. Int J Environ Res Public Health. https://​doi.​org/​10.​3390/​ijerph19031905CrossRef
go back to reference DGAUM (2012) Deutsche Gesellschaft für Arbeitsmedizin und Umweltmedizin e.V. (DGAUM) Leitlinie Arbeit unter klimatischer Belastung: Hitze. 1–22 DGAUM (2012) Deutsche Gesellschaft für Arbeitsmedizin und Umweltmedizin e.V. (DGAUM) Leitlinie Arbeit unter klimatischer Belastung: Hitze. 1–22
go back to reference Haapalainen E, Laurinen P, Röning J, Kinnunen H (2008) Estimation of exercise energy expenditure using a wrist-worn accelerometer: A linear mixed model approach with fixed-effect variable selection. Proc-7th Int Conf Mach Learn Appl ICMLA 2008. https://doi.org/10.1109/ICMLA.2008.131 Haapalainen E, Laurinen P, Röning J, Kinnunen H (2008) Estimation of exercise energy expenditure using a wrist-worn accelerometer: A linear mixed model approach with fixed-effect variable selection. Proc-7th Int Conf Mach Learn Appl ICMLA 2008. https://​doi.​org/​10.​1109/​ICMLA.​2008.​131
go back to reference IPCC (2019) Climate Change and Land: an IPCC special report. Clim Chang L an IPCC Spec Rep Clim Chang Desertif L Degrad Sustain L Manag food Secur Greenh gas fluxes Terr Ecosyst 1–864 IPCC (2019) Climate Change and Land: an IPCC special report. Clim Chang L an IPCC Spec Rep Clim Chang Desertif L Degrad Sustain L Manag food Secur Greenh gas fluxes Terr Ecosyst 1–864
go back to reference Lenzer B, Drozdek M, Sosa AV et al (2020) Hitzestress Im Krankenhaus Der Klin 49:14–21 Lenzer B, Drozdek M, Sosa AV et al (2020) Hitzestress Im Krankenhaus Der Klin 49:14–21
go back to reference Patel S, Park H, Bonato P et al (2012) A review of wearable sensors and systems with application in rehabilitation. J Neuroengineering Rehabil 9:1–17CrossRef Patel S, Park H, Bonato P et al (2012) A review of wearable sensors and systems with application in rehabilitation. J Neuroengineering Rehabil 9:1–17CrossRef
go back to reference UNEP (2021) Climate Change | United Nations. United Nations Environ. Program (UNEP). UNEP (2021) Climate Change | United Nations. United Nations Environ. Program (UNEP).
go back to reference Van Dongen HPA, Olofsen E, Dinges DF, Maislin G (2004) Mixed-Model Regression Analysis and Dealing with Interindividual Differences. In: Numerical Computer Methods, Part E. Academic Press, pp 139–171 Van Dongen HPA, Olofsen E, Dinges DF, Maislin G (2004) Mixed-Model Regression Analysis and Dealing with Interindividual Differences. In: Numerical Computer Methods, Part E. Academic Press, pp 139–171
Metadata
Title
Effects of heat and personal protective equipment on thermal strain in healthcare workers: part B—application of wearable sensors to observe heat strain among healthcare workers under controlled conditions
Authors
Razan Wibowo
Viet Do
Caroline Quartucci
Daniela Koller
Hein A. M. Daanen
Dennis Nowak
Stephan Bose-O’Reilly
Stefan Rakete
Publication date
10-11-2023
Publisher
Springer Berlin Heidelberg
Keyword
Climate Change
Published in
International Archives of Occupational and Environmental Health / Issue 1/2024
Print ISSN: 0340-0131
Electronic ISSN: 1432-1246
DOI
https://doi.org/10.1007/s00420-023-02022-2

Other articles of this Issue 1/2024

International Archives of Occupational and Environmental Health 1/2024 Go to the issue