Industrial Hygiene Week 7 Article Review

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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.

SH A

FER EN TERPRISES LLC

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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FER EN TERPRISES LLC

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.

EHS

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