@article{ref1,
title="Exertional heat illness and acute injury related to ambient wet bulb globe temperature",
journal="American journal of industrial medicine",
year="2016",
author="Garzon-Villalba, Ximena P. and Mbah, Alfred and Wu, Yougui and Hiles, Michael and Moore, Hanna and Schwartz, Skai W. and Bernard, Thomas E.",
volume="59",
number="12",
pages="1169-1176",
abstract="BACKGROUND: The Deepwater Horizon disaster cleanup effort provided an opportunity to examine the effects of ambient thermal conditions on exertional heat illness (EHI) and acute injury (AI). <br><br>METHODS: The outcomes were daily person-based frequencies of EHI and AI. Exposures were maximum estimated WBGT (WBGTmax) and severity. Previous day's cumulative effect was assessed by introducing previous day's WBGTmax into the model. <br><br>RESULTS: EHI and AI were higher in workers exposed above a WBGTmax of 20°C (RR 1.40 and RR 1.06/°C, respectively). Exposures above 28°C-WBGTmax on the day of the EHI and/or the day before were associated with higher risk of EHI due to an interaction between previous day's environmental conditions and the current day (RRs from 1.0-10.4). <br><br>CONCLUSIONS: The risk for EHI and AI were higher with increasing WBGTmax. There was evidence of a cumulative effect from the prior day's WBGTmax for EHI. Am. J. Ind. Med. © 2016 Wiley Periodicals, Inc.<br><br>© 2016 Wiley Periodicals, Inc.<p /> <p>Language: en</p>",
language="en",
issn="0271-3586",
doi="10.1002/ajim.22650",
url="http://dx.doi.org/10.1002/ajim.22650"
}