Characterization of human extreme heat exposure using an outdoor thermal manikin.

Extreme heat is a current and growing global health concern. Current heat exposure models include meteorological and human factors that dictate heat stress, comfort, and risk of illness. However, radiation models simplify the human body to a cylinder, while convection ones provide conflicting predictions.

A simple three-cylinder radiometer and low-speed anemometer to characterize human extreme heat exposure.

As populations and temperatures of urban areas swell, more people face extreme heat and are at increasing risk of adverse health outcomes. Radiation accounts for much of human heat exposure but is rarely used as heat metric due to a lack of cost-effective and accurate sensors. To this end, we fuse the concepts of a three-globe radiometer-anemometer with a cylindrical human body shape representation, which is more realistic than a spherical representation.

Concurrent Heat and Air Pollution Exposures among People Experiencing Homelessness.

Background: Extreme heat and air pollution are important human health concerns; exposure can affect mental and physical well-being, particularly during periods of co-occurrence. Yet, the impacts on people are largely determined by underlying health conditions, coupled with the length and intensity of exposure. Preexisting adverse health conditions and prolonged exposure times are more common for people experiencing homelessness, particularly those with intersectional identity characteristics (e.

Humidity's Role in Heat-Related Health Outcomes: A Heated Debate.

Background: As atmospheric greenhouse gas concentrations continue to rise, temperature and humidity will increase further, causing potentially dire increases in human heat stress. On physiological and biophysical grounds, exposure to higher levels of humidity should worsen heat stress by decreasing sweat evaporation. However, population-scale epidemiological studies of heat exposure and response often do not detect associations between high levels of humidity and heat-related mortality or morbidity.

Evidence-based guidance on reflective pavement for urban heat mitigation in Arizona.

Urban overheating is an increasing threat to people, infrastructure, and the environment. Common heat mitigation strategies, such as green infrastructure, confront space limitations in current car-centric cities. In 2020, the City of Phoenix, Arizona, piloted a "cool pavement" program using a solar reflective pavement seal on 58 km of residential streets.

Short hydration education video and hiker fluid selection and consumption at trails, a non-randomized quasi-experimental field study.

Education may improve hiker safety on trails. To investigate the impact of an educational video on hiker fluid selection and fluid consumption in a hot environment. Quasi-experimental field study at hiking trails in which the intervention group (INT) viewed a three-minute hydration education video, whereas the control group (CON) did not.

Analysis of potential hydration opportunities during future football tournaments based on data from the 2018 FIFA World Cup.

The World Cup is traditionally held oppressive thermal conditions. Therefore, teams should follow heat strain mitigation strategies, including optimal fluid ingestion. The objective of this analysis was to assess and visually communicate match-based World Cup player hydration opportunities and behaviors.

Wearable ultraviolet radiation sensors for research and personal use.

Skin cancers are strongly linked to personal exposure to ultraviolet (UV) radiation, yet UV exposure is also the most preventable risk factor. People are exposed to UV rays when they engage in outdoor activities, particularly exercise, which is an important health behavior. Thus, researchers and the general public have shown increasing interest in measuring UV exposure using wearable sensors during outdoor physical activity.

Enhanced intestinal permeability and intestinal co-morbidities in heat strain: A review and case for autodigestion.

Enhanced intestinal permeability is a pervasive issue in modern medicine, with implications demonstrably associated with significant health consequences such as sepsis, multiorgan failure, and death. Key issues involve the trigger mechanisms that could compromise intestinal integrity and increase local permeability allowing the passage of larger, potentially dangerous molecules. Heat stress, whether exertional or environmental, may modulate intestinal permeability and begs interesting questions in the context of global climate change, increasing population vulnerabilities, and public health.

Heat Safety in the Workplace: Modified Delphi Consensus to Establish Strategies and Resources to Protect the US Workers.

The purpose of this consensus document was to develop feasible, evidence-based occupational heat safety recommendations to protect the US workers that experience heat stress. Heat safety recommendations were created to protect worker health and to avoid productivity losses associated with occupational heat stress. Recommendations were tailored to be utilized by safety managers, industrial hygienists, and the employers who bear responsibility for implementing heat safety plans.

Improved methods for estimating mean radiant temperature in hot and sunny outdoor settings.

Thermal comfort research has utilized various sensors and models to estimate the mean radiant temperature (MRT) experienced by a human, including the standard black globe thermometer (SGT), acrylic globe thermometers (AGT), and cylindrical radiation thermometers (CRT). Rather than directly measuring radiation, a temperature is measured in the center of these low-cost sensors that can be related to MRT after theoretically accounting for convection. However, these sensors have not been systematically tested under long-term hot and clear conditions.

Roundtable on Preseason Heat Safety in Secondary School Athletics: Environmental Monitoring During Activities in the Heat.

Objective: To develop best-practice recommendations using thermal indices to determine work-to-rest ratios and facilitate further implementation of environmental monitoring for heat safety in secondary school athletics in the United States.

Data Sources: A narrative review of the current literature on environmental monitoring for heat safety during athletics was conducted by content experts. A list of action-oriented recommendations was established from the narrative review and further refined using the Delphi method.

Simplicity lacks robustness when projecting heat-health outcomes in a changing climate.

Extreme heat adversely affects human health, productivity, and well-being, with more frequent and intense heatwaves projected to increase exposures. However, current risk projections oversimplify critical inter-individual factors of human thermoregulation, resulting in unreliable and unrealistic estimates of future adverse health outcomes.

Evaporative misters for urban cooling and comfort: effectiveness and motivations for use.

Thermal comfort is an important determinant of quality of life and economic vitality in cities. Strategies to improve thermal comfort may become a more critical part of urban sustainability efforts with projections of continued urban growth and climate change. A case study was performed in the hot, dry summertime climate of Tempe, Arizona to quantify the influence of evaporative misters on the thermal environment in outdoor restaurants and to understand business managers' motivations to use misters.

Variations in Athlete Heat-Loss Potential Between Hot-Dry and Warm-Humid Environments at Equivalent Wet-Bulb Globe Temperature Thresholds.

Context: Many organizations associated with sports medicine recommend using wet-bulb globe temperature (WBGT)-based activity-modification guidelines that are uniform across the country. However, no consideration has been given to whether the WBGT thresholds are appropriate for different weather conditions, such as warm-humid (WH) relative to hot-dry (HD), based on known differences in physiological responses to these environments.

Objective: To identify if personnel in regions with drier conditions and greater evaporative cooling potential should consider using WBGT-based activity-modification thresholds that differ from those in more humid weather.

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.

Community-based maternal health workers' perspectives on heat risk and safety: a pilot qualitative study.

In this study the authors examined how maternal health workers (MHWs) perceive the health risks of extreme heat exposure to pregnant women and fetuses. The authors conducted interviews with 12 MHWs (including midwives and doulas) in El Paso, Texas. Using qualitative analysis, the researchers identified numerous themes.

Revisiting the estimations of PM-attributable mortality with advancements in PM mapping and mortality statistics.

With the advancements of geospatial technologies, geospatial datasets of fine particulate matter (PM) and mortality statistics are increasingly used to examine the health effects of PM. Choices of these datasets with difference geographic characteristics (e.g.

Activity modification in heat: critical assessment of guidelines across athletic, occupational, and military settings in the USA.

Exertional heat illness (EHI) risk is a serious concern among athletes, laborers, and warfighters. US Governing organizations have established various activity modification guidelines (AMGs) and other risk mitigation plans to help ensure the health and safety of their workers. The extent of metabolic heat production and heat gain that ensue from their work are the core reasons for EHI in the aforementioned population.

Planning for spectator thermal comfort and health in the face of extreme heat: The Tokyo 2020 Olympic marathons.

The 2020 Olympic Games marathon will be run through the streets of Tokyo on the mornings of August 2nd and 9th, a time of year that is typically hot, sunny, and humid. Few studies have assessed the potential impact of extreme heat along the marathon course to understand the multiple factors (e.g.

Evaluating the impact of solar radiation on pediatric heat balance within enclosed, hot vehicles.

Pediatric deaths due to children being left in hot cars remain a significant yet preventable public health concern. The current study aims to demonstrate the influence of vehicle type, time of day, and solar exposure (sun or shade) on the energy balance and core temperature (T) of a hypothetical two-year old boy left in a vehicle on a hot day. Cabin temperatures and relative humidity were collected within six enclosed vehicles under sun or full shade in Tempe, Arizona.