Heat-related illness among workers in British Columbia, Canada: Extreme hot weather in 2021 compared to 2001-2020.

IF 5.4 3区 材料科学 Q2 CHEMISTRY, PHYSICAL ACS Applied Energy Materials Pub Date : 2024-10-01 Epub Date: 2024-07-31 DOI:10.5271/sjweh.4179
Xiaocong Guo, Kate R Weinberger, Lillian Tamburic, Cheryl E Peters, Christopher B McLeod
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Abstract

Objectives: British Columbia (BC), Canada, experienced an unprecedented summer with record-breaking high temperatures in 2021. Yet the health impact has not been examined in occupational settings. This study aimed to characterize occupational heat-related illness (HRI) among BC workers estimated by incidence rates and associations between heatwaves and HRI, compare risks from 2021 and prior summers of 2001-2020, and assess differential impacts on worker groups by demographics and occupations.

Methods: We identified HRI from workers' compensation claims that occurred between June and August from 2001-2021 in BC. Incidence rates were calculated using working population estimates from Statistics Canada's Labour Force Survey. A time-stratified case-crossover design with conditional Poisson regression was used to examine the impact of heatwaves on occupational HRI. All analyses were stratified by year (2021 versus 2001-2020), age, sex, and occupation.

Results: Of the 521 claims identified, 107 (21%) occurred in 2021. Incidence rates for 2021 and prior summers were 3.97 [95% confidence interval (CI) 3.26-4.80] and 0.93 (95% CI 0.85-1.03) claims per 100 000 workers, respectively. This difference represents a 327% increase. Rates were higher in health occupations in 2021 versus 2001-2020. During 2001-2021, the risk of HRI during heatwave days was 4.33 (95% CI 2.98-6.27) times that during non-heatwave days, and the risk was higher among middle-aged workers and workers in trades, transport, and equipment operations. The 2021 heatwaves had greater impact on younger and female workers than those from prior summers.

Conclusions: Heat is a crucial workplace hazard. Prevention strategies should prioritize at-risk workers and not be limited to heatwaves.

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加拿大不列颠哥伦比亚省工人中与高温有关的疾病:2021 年极端炎热天气与 2001-2020 年的对比。
目标:2021 年,加拿大不列颠哥伦比亚省(BC 省)经历了一个前所未有的夏天,气温创下历史新高。然而,尚未对职业环境中的健康影响进行研究。本研究旨在通过热浪与职业热相关疾病(HRI)之间的发病率和关联估计不列颠哥伦比亚省工人中职业热相关疾病(HRI)的特征,比较 2021 年和 2001-2020 年之前夏季的风险,并评估不同人口统计和职业对工人群体的不同影响:我们从不列颠哥伦比亚省 2001 年至 2021 年 6 月至 8 月期间发生的工伤索赔中确定了 HRI。发病率是根据加拿大统计局劳动力调查的工作人口估计数计算得出的。我们采用条件泊松回归的时间分层病例交叉设计来研究热浪对职业性 HRI 的影响。所有分析均按年份(2021 年与 2001-2020 年)、年龄、性别和职业进行分层:在确定的 521 起索赔中,107 起(21%)发生在 2021 年。2021 年和之前夏季的发病率分别为每 10 万名工人 3.97 例 [95% 置信区间 (CI) 3.26-4.80] 和 0.93 例 (95% CI 0.85-1.03) 。这一差异代表了 327% 的增长。与 2001-2020 年相比,2021 年健康职业的发病率更高。在 2001-2021 年期间,热浪天的 HRI 风险是非热浪天的 4.33 倍(95% CI 2.98-6.27),中年工人以及行业、运输和设备操作工人的风险更高。与之前的夏季相比,2021 年的热浪对年轻工人和女性工人的影响更大:热浪是一种重要的工作场所危害。预防策略应优先考虑高危工人,而不仅限于热浪。
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来源期刊
ACS Applied Energy Materials
ACS Applied Energy Materials Materials Science-Materials Chemistry
CiteScore
10.30
自引率
6.20%
发文量
1368
期刊介绍: ACS Applied Energy Materials is an interdisciplinary journal publishing original research covering all aspects of materials, engineering, chemistry, physics and biology relevant to energy conversion and storage. The journal is devoted to reports of new and original experimental and theoretical research of an applied nature that integrate knowledge in the areas of materials, engineering, physics, bioscience, and chemistry into important energy applications.
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