Establishing a warning index for evaluating the physiological stress of sanitation workers in high temperature weather

J Therm Biol. 2021 Aug:100:103074. doi: 10.1016/j.jtherbio.2021.103074. Epub 2021 Aug 9.

Abstract

High temperature weather occurs frequently in recent years. As a heat-vulnerable group, sanitation workers suffer great physiological safety risks in high temperature weather. In this paper, a physiological warning index (PWI) is established to quantify the physiological stress of the sanitation workers. Firstly, the dynamic weights of the physiological parameters are calculated by the norm grey correlation method. Secondly, the PWI is established by the efficacy coefficient method and the warning level of the PWI is divided based on the relationships between the PWI and thermal sensation vote (TSV). Finally, the reasonability of the PWI is verified. The results show that the weights of the physiological parameters are dynamic, changing with the environments and the physiological states. The weight ranges of the mean skin temperature (MST), tympanic temperature (TT), systolic blood pressure (SBP), diastolic blood pressure (DBP) and heart rate (HR) are 0.036-0.538, 0.000-0.369, 0.000-0.362, 0.018-0.367 and 0.009-0.348. And the MST and DBP are more affected by the high temperature than the TT, SBP and HR. The warning interval of PWI is: (0, 0.25] (no warning), (0.25, 0.45] (mild warning), (0.45, 0.7] (moderate warning), and (0.7, 1.0] (severe warning). The PWI can provide simple real-time physiological warning and guarantee physiological health for sanitation workers in high temperature weather.

Keywords: Dynamic weight; Efficacy coefficient method; High temperature; Norm grey correlation; Physiological stress; Warning.

MeSH terms

  • Aged
  • Blood Pressure
  • Body Temperature
  • Early Warning Score*
  • Heart Rate
  • Heat Stress Disorders / diagnosis*
  • Heat-Shock Response
  • Humans
  • Middle Aged
  • Occupational Diseases / diagnosis*
  • Sanitation*