Air Temperatures and Occupational Injuries in the Construction Industries: a Report from Northern Italy (2000-2013)

Overview

Journal Ind Health

Specialties Environmental Health
Occupational Medicine

Date 2019 Sep 25

PMID 31548469

Citations 8

Authors

Matteo Ricco

Luigi Vezzosi

Federica Balzarini

Anna Odone

Carlo Signorelli

Affiliations

Soon will be listed here.

Abstract

The aim of this study was to assess the relationship between environmental temperatures and occupational injuries (OIs) in construction workers (CWs) from a subalpine region of North-Eastern Italy. Data about OIs from 2000 to 2013, and daily weather for the specific site of the events were retrieved. Risk for daily OIs was calculate through a Poisson regression model. Estimated daily incidence for OIs was 5.7 (95%CI 5.5-5.8), or 2.8 OIs/10,000 workers/d (95%CI 2.7-2.9), with higher rates for time periods characterized by high temperatures (daily maximum ≥35°C), both in first 2 d (3.57, 95%CI 3.05-4.11) and from the third day onwards (i.e. during Heat Waves: 3.43, 95%CI 3.08-3.77). Higher risk for OIs was reported in days characterized temperatures ≥95th percentile (OR 1.145, 95%CI 1.062-1.235), summer days (daily maximum ≥25°C , OR 1.093, 95%CI 1.042-1.146). On the contrary, no significant increased risk was found for OIs having a more severe prognosis (≥40 d or more; death). In conclusion, presented findings recommend policymakers to develop appropriate procedures and guidelines, in particular aimed to improve the compliance of younger CWs towards severe-hot daily temperatures.

Citing Articles

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References

Semenza J, Rubin C, FALTER K, Selanikio J, Flanders W, Howe H . Heat-related deaths during the July 1995 heat wave in Chicago. N Engl J Med. 1996; 335(2):84-90. DOI: 10.1056/NEJM199607113350203. View

Xiang J, Hansen A, Pisaniello D, Bi P . Workers' perceptions of climate change related extreme heat exposure in South Australia: a cross-sectional survey. BMC Public Health. 2016; 16:549. PMC: 4940878. DOI: 10.1186/s12889-016-3241-4. View

Astrom D, Forsberg B, Rocklov J . Heat wave impact on morbidity and mortality in the elderly population: a review of recent studies. Maturitas. 2011; 69(2):99-105. DOI: 10.1016/j.maturitas.2011.03.008. View

Morabito M, Iannuccilli M, Crisci A, Capecchi V, Baldasseroni A, Orlandini S . Air temperature exposure and outdoor occupational injuries: a significant cold effect in Central Italy. Occup Environ Med. 2014; 71(10):713-6. DOI: 10.1136/oemed-2014-102204. View

Johnson K, Ruppe J . A job safety program for construction workers designed to reduce the potential for occupational injury using tool box training sessions and computer-assisted biofeedback stress management techniques. Int J Occup Saf Ergon. 2002; 8(3):321-9. DOI: 10.1080/10803548.2002.11076532. View

Li Y, Cheng Y, Cui G, Peng C, Xu Y, Wang Y . Association between high temperature and mortality in metropolitan areas of four cities in various climatic zones in China: a time-series study. Environ Health. 2014; 13:65. PMC: 4237799. DOI: 10.1186/1476-069X-13-65. View

Xiang J, Bi P, Pisaniello D, Hansen A . The impact of heatwaves on workers' health and safety in Adelaide, South Australia. Environ Res. 2014; 133:90-5. DOI: 10.1016/j.envres.2014.04.042. View

Varghese B, Hansen A, Nitschke M, Nairn J, Hanson-Easey S, Bi P . Heatwave and work-related injuries and illnesses in Adelaide, Australia: a case-crossover analysis using the Excess Heat Factor (EHF) as a universal heatwave index. Int Arch Occup Environ Health. 2018; 92(2):263-272. DOI: 10.1007/s00420-018-1376-6. View

Michelozzi P, de Donato F, Bisanti L, Russo A, Cadum E, Demaria M . The impact of the summer 2003 heat waves on mortality in four Italian cities. Euro Surveill. 2005; 10(7):161-5. View

10.

Bobb J, Obermeyer Z, Wang Y, Dominici F . Cause-specific risk of hospital admission related to extreme heat in older adults. JAMA. 2014; 312(24):2659-67. PMC: 4319792. DOI: 10.1001/jama.2014.15715. View

11.

Ricco M . Air temperature exposure and agricultural occupational injuries in the Autonomous Province of Trento (2000-2013, North-Eastern Italy). Int J Occup Med Environ Health. 2017; 31(3):317-331. DOI: 10.13075/ijomeh.1896.01114. View

12.

Morabito M, Cecchi L, Crisci A, Modesti P, Orlandini S . Relationship between work-related accidents and hot weather conditions in Tuscany (central Italy). Ind Health. 2006; 44(3):458-64. DOI: 10.2486/indhealth.44.458. View

13.

Rameezdeen R, Elmualim A . The Impact of Heat Waves on Occurrence and Severity of Construction Accidents. Int J Environ Res Public Health. 2017; 14(1). PMC: 5295321. DOI: 10.3390/ijerph14010070. View

14.

Zhang K, Arauz R, Chen T, Cooper S . Heat effects among migrant and seasonal farmworkers: a case study in Colorado. Occup Environ Med. 2016; 73(5):324-8. DOI: 10.1136/oemed-2015-103332. View

15.

Madrigano J, Ito K, Johnson S, Kinney P, Matte T . A Case-Only Study of Vulnerability to Heat Wave-Related Mortality in New York City (2000-2011). Environ Health Perspect. 2015; 123(7):672-8. PMC: 4492264. DOI: 10.1289/ehp.1408178. View

16.

McInnes J, Akram M, MacFarlane E, Keegel T, Sim M, Smith P . Association between high ambient temperature and acute work-related injury: a case-crossover analysis using workers' compensation claims data. Scand J Work Environ Health. 2016; 43(1):86-94. DOI: 10.5271/sjweh.3602. View

17.

Majumder J, Bagepally B, Shah P, Kotadiya S, Yadav S, Naha N . Comparison of workers' perceptions toward work climate and health symptoms between ceramic and iron foundry workers. Indian J Occup Environ Med. 2016; 20(1):48-53. PMC: 4922277. DOI: 10.4103/0019-5278.183845. View

18.

Yi W, Chan A . Effects of Heat Stress on Construction Labor Productivity in Hong Kong: A Case Study of Rebar Workers. Int J Environ Res Public Health. 2017; 14(9). PMC: 5615592. DOI: 10.3390/ijerph14091055. View

19.

Kjellstrom T, Holmer I, Lemke B . Workplace heat stress, health and productivity - an increasing challenge for low and middle-income countries during climate change. Glob Health Action. 2010; 2. PMC: 2799237. DOI: 10.3402/gha.v2i0.2047. View

20.

Kjellstrom T, Briggs D, Freyberg C, Lemke B, Otto M, Hyatt O . Heat, Human Performance, and Occupational Health: A Key Issue for the Assessment of Global Climate Change Impacts. Annu Rev Public Health. 2016; 37:97-112. DOI: 10.1146/annurev-publhealth-032315-021740. View