Industrial Hygiene Week 7 Article Review
E H S To d ay I J U N E 2 0 1 0 I W W W. E H S TO DAY. C O M 45
How Heat Stress Affects Performance Even a 2 percent dehydration level caused by heat stress can dramatically reduce a worker’s reac-
tion times and ability to focus.
N IOSH notes in its publication,
Occupational Exposure to Hot
Environments (1986), that
although workers can acclimatize
themselves to different levels of heat,
each worker has an upper limit for
heat stress beyond which that worker
can become a heat casualty.
It’s accepted that businesses like
foundries, heavy machine manufac-
turing, ship building and a variety
of others have areas that subject
employees to heat stress. In tempera-
tures as low as 80 F, the human body
compensates for heat levels in the
inner core by pumping blood to the
skin for cooling. When combined
with the fact that most people (an es-
timated 80 percent of the U.S. popula-
tion) start the day in a dehydrated
state, heat stress is a major contribut-
ing factor in preventable accidents
and work-related injury.
Many types of businesses encoun-
ter daily activity that can cause heat
stress in the people that work for
them, and they do not even know
it. “We have always done things this
way” is a quote that is all too famil-
iar when asked why preventive mea-
sures were not taken to prevent heat
stress in the workplace.
HOW THE BODY
RELEASES HEAT
Sixty-five percent of the body’s heat
is released through radiation. This oc-
curs when ambient air temperature
is lower than the body’s skin temper-
ature. Radiation is the movement of
heat energy from a warmer object to
a cooler object, such as when heat
B Y B R U C E B A K E R A N D J O H N L A D U E
Active cooling products, such as the shirt worn by the worker above, help prevent heat stress by using conduction to enhance the body’s capacity to cool.
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4 6 W W W. E H S TO DAY. C O M I J U N E 2 0 1 0 I E H S To d ay
>> HOW HEAT STRESS AFFECTS PERFORMANCE radiates from the sun to the earth.
Convection accounts for approxi-
mately 10 percent of heat loss. Convec-
tion is the transfer of heat energy from
a warmer object or space to a cooler
object or space through differences in
density and the action of gravity.
Approximately 23 percent of heat
loss is due to evaporation of perspira-
tion from the skin. Evaporation is the
cooling of a surface through the pro-
cess of a liquid changing to a vapor
and leaving that surface. Conduction
will add another 2 percent to the heat
loss total. Conduction is the transfer of
heat energy from a warmer object to a
cooler object through direct contact.
When the ambient temperature of
the surrounding air is 95 F or higher,
radiation, convection and conduction
stop working. Evaporation is all that is
left to cool the body. Protective cloth-
ing used by welders, firefighters, racers
and hazmat workers will make the heat
situation even worse.
A performance study by NASA using
telegraph key operators showed that in
temperatures of 80 F, the operator will
make five errors an hour and 19 mis-
takes after 3 hours. At 90 F, the opera-
tors made nine mistakes per hour and
27 after 3 hours. At 95 F, the mistakes
went to 60 in 1 hour and 138 in 3 hours.
Although errors made by telegraph key
operators may not be critical, this same
hot environment will produce a pro-
portional amount of errors regardless
of the task.
When a person is in a hot environ-
ment, up to 48 percent of the blood
is pumped by the heart to the skin
for cooling. The first effect is to re-
lease heat, but water also is released
through perspiration. If an individual
loses 2 percent of body weight due to
perspiring, that person is considered
to be in a heat-exhausted state. A study
by Wasterlund and Chaseling 1 placed
forest workers in a controlled environ-
ment, where one group was properly
hydrated and the other group was de-
hydrated to an extent of 1 percent of
body weight loss. The test included
the time taken to debark and stack 2.4
cubic meters of plywood. They found
a 12 percent decrease in productivity
from the dehydrated group.
Another study by Gopinthan et al 2
focused on mental performance and
the effects of dehydration on the de-
cision-making process and could be
related to an increase in work-related
accidents. The study concluded that
with 2 percent of body weight loss, vi-
sual motor tracking, short term mem-
ory, attention and arithmetic efficiency
all were impaired. In the extreme, the
study notes that a 23 percent reduction
in reaction time occurred with a 4 per-
cent body fluid loss.
WHEN THE BODY
CAN’T KEEP UP
At the ambient temperature of 95 F, the
body can no longer keep up with its in-
ternal heat generation levels and the in-
ner core temperature begins to rise. The
only mechanism to release body heat
from the inner core is for up to 48 per-
cent of the body’s blood to be pumped
to the skin to create perspiration.
This creates two problems. The first
is blood loss to the organs, muscles
and brain. The second problem is de-
hydration. When the brain, muscles and
major organs are receiving half of the
blood they normally receive, the heart
must work much harder to try to deliver
the same volume of blood to those or-
gans to keep them nourished by beat-
ing up to 150 times a minute. When you
factor in a thickening of the blood due
to fluid loss (dehydration), you begin
to understand why heart attacks are a
major byproduct of heat stress.
When an employee performs heavy
physical work, fluid intake may not
overcome the effects of sweat output.
Employees who perform duties in fully
encapsulated protective clothing may
have increased sweat rates of 2.25 liters
per hour.
Other studies link job-related acci-
dents to orthostatic intolerance. Carter
et al 3 established that with a 3 percent
dehydration state due to heat expo-
sure, subjects experienced a significant
reduction in cerebral blood flow ve-
locity when changing from a seated to
a standing position, which can cause
workers to lose consciousness.
Warning signs of heat exhaustion
include heavy perspiration, fatigue
and weakness, muscle and body ache,
headache, nausea, rapid heartbeat,
confusion, loss of consciousness and
Using cooling shirts or vests (pictured, left) that incorporate active cooling on about 40 percent of the body surface greatly can reduce the danger of heat stress. In addition to cooling products, education is a critical aspect of reducing heat stress among employees. Employers should create heat stress prevention policies to help protect and educate their workers.
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4 8 W W W. E H S TO DAY. C O M I J U N E 2 0 1 0 I E H S To d ay
>> HOW HEAT STRESS AFFECTS PERFORMANCE perature rises by using conduction to
greatly increase the body’s capacity
to cool the blood that is pumped to
the skin during times of elevated core
temperatures. In turn, this slows the
fluid loss caused by sweating. By using
shirts and vests that incorporate ac-
tive cooling on about 40 percent of the
body surface, the danger of heat stress
greatly can be reduced.
Education of employees is the most
critical element in reducing heat stress
related accidents in the workplace.
When workers and supervisors do not
take into account the effects that heat
stress can have on the body, dangerous
events can take place. Reduction in cog-
nitive function, attention span and visual
motor tracking all can lead to mistakes
that could have tragic consequences.
Policies that allow workers to use
products that help prevent heat stress
in the workplace will greatly reduce
heat stress related illness and injury.
Employee training and company poli-
cies must help the employees decide
how they can protect themselves from
heat stress.
Bruce Baker and John LaDue are with
Shafer Enterprises LLC/Cool Shirt
.net. Shafer Enterprises develops and
manufactures thermoregulation and
temperature therapy products for in-
dustry, medical, military and sport ac-
tivities. More information on personal
cooling can be found on their Web site
at http://www.coolshirt.net. If you
have any questions, the authors can
be reached at 800-345-3176.
References 1 Wasterlund DS, Chaseling J, Burstrom L:
“The Effect of Fluid Consumption on the
Forest Workers’ Performance Strategy.” Appl
Ergon 35:29-36, 2004. 2 Gopinathan PM, Pichan G, Sharma VM:
“Role of Dehydration in Heat Stress-
Induced Variations in Mental Performance.”
Arch Environ Health 43:15-17, 1988. 3 Carter R 3rd, Cheuvront SN, Vernieuw CR,
Sawka MN: “Hypohydration and Prior Heat
Stress Exacerbates Decreases in Cerebral
Blood Flow Velocity During Standing.” J Appl
Physiol 101:1744-1750, 2006. 4 Godek S, Bartolozzi A, Burkholder R, Sugar-
man E, Dorshimer G: “Core Temperature and
Percentage of Dehydration in Professional
Football Linemen and Backs During Preseason
practice.” J Athl Train 41(1):8-17, 2006. CIRCLE 142 ON READER CARD OR LINK TO THE VENDOR ONLINE AT WWW.EHSRS.BIZ/28963-142
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vomiting with or without loss of con-
sciousness.
This may lead one to believe that
taking fluids to hydrate the body is
enough to prevent heat stress. How-
ever, it can take as much as 24 hours
for the body to absorb enough fluid to
fully rehydrate.
Work may need to be curtailed while
fluid is replaced, or the dehydration
rate must be slowed by using personal
cooling methods such as misting fans,
ice vests or active cooling products
that pump cooled fluid through tubing
or a bladder sewn to a garment that
the employee wears under the protec-
tive clothing.
MORE THAN FLUIDS
IS NEEDED
Godek, Bartolozzi, et al 4 , have shown
that fluid intake alone does not reduce
core body temperature. Action must
be taken to allow the worker to cool in
addition to taking fluid. The inner core
temperature will continue to rise for
up to 30 minutes after work is stopped,
unless other means are used to cool
the blood that has been pumped to the
skin for cooling.
While conduction accounts for only
2 percent of heat loss under normal
circumstances, the OSHA Technical
Manual (Section III: Chapter 4) talks
about how active cooling products us-
ing water are useful in preventing heat
stress by using conduction to enhance
the body’s capacity to cool. In fact, it
has been demonstrated that water is
28 times faster in cooling a subject
than cooled air. These products slow
the rate at which the core body tem-
Fluid intake alone
does not reduce core
body temperature.
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