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LEVI, Miriam (2018); KJELLSTROM, Tord; BALDASSERONI, Alberto. Impact of climate change on occupational health and productivity: a systematic literature review focusing on workplace heat.

LEVI, Miriam (2018); KJELLSTROM, Tord; BALDASSERONI, Alberto. Impact of climate change on occupational health and productivity: a systematic literature review focusing on workplace heat.

LEVI, Miriam; KJELLSTROM, Tord; BALDASSERONI, Alberto. Impact of climate change on occupational health and productivity: a systematic literature review focusing on workplace heat. Medicina del Lavoro [online]. 2018. 109. 3. 163-179. [Consulta: 30.09.2019]. ISSN: 2532-1080. <https://doi.org/10.23749/mdl.v109i3.6851>
 
Resumen: [El impacto del cambio climático en la salud y la productividad laboral: una revisión sistemática de la literatura centrada en el calor en el lugar de trabajo] El cambio climático está provocando que las temperaturas medias anuales del aire sean cada vez más altas y los fenómenos meteorológicos extremos sean cada vez más comunes en la mayor parte del mundo. Este trabajo tiene por objeto, como parte del proyecto HEAT-SHIELD financiado por la UE, una revisión sistemática de la literatura para resumir la evidencia epidemiológica de los efectos de la exposición al calor relacionada con el calentamiento global sobre la salud y la productividad de los trabajadores. Palabras clave: cambio climático, lesiones profesionales, enfermedades profesionales, enfermedades relacionadas con el calor, enfermedades infecciosas transmitidas por vectores, productividad.
 
Resum: [L'impacte del canvi climàtic en la salut i la productivitat laboral: una revisió sistemàtica de la literatura centrada en la calor en el lloc de treball] El canvi climàtic està provocant que les temperatures mitjanes anuals de l'aire siguen cada vegada més altes i els fenòmens meteorològics extrems siguen cada vegada més comuns en la major part del món. Aquest treball té per objecte, com a part del projecte HEAT-SHIELD finançat per la UE, una revisió sistemàtica de la literatura per a resumir l'evidència epidemiològica dels efectes de l'exposició a la calor relacionada amb el calfament global sobre la salut i la productivitat dels treballadors. Paraules clau: canvi climàtic, lesions professionals, malalties professionals, malalties relacionades amb la calor, malalties infeccioses transmeses per vectors, productivitat.
 
Abstract: "Background: With climate change, mean annual air temperatures are getting hotter and extreme weather events will become more and more common in most parts of the world. Objectives: As part of the EU funded project HEAT-SHIELD we conducted a systematic review to summarize the epidemiological evidence of the effects of global warming-related heat exposure on workers' health and productivity. Methods: Three separate searches, focused, respectively, on: i) heat-related illness (HRI), cardiovascular, respiratory and kidney diseases; ii) traumatic injuries; and iii) vector-borne diseases or vectors distribution, were conducted in PubMed. EMBASE was also consulted to retrieve relevant studies focused on the health effects of climate change. A fourth search strategy to assess the effects on work productivity was conducted both in PubMed and in the SCOPUS database. Results: A significant proportion of studies reported findings regarding the Mesoamerican nephropathy issue. This is a disease occurring especially among young and middle-aged male sugarcane workers, without conventional risk factors for chronic kidney disease. For injuries, there is a reversed U-shaped exposure-response relationship between Tmax and overall daily injury claims. Outdoor workers are at increased risk of vector-borne infectious diseases, as a positive correlation between higher air temperatures and current or future expansion of the habitat of vectors is being observed. As for productivity, agriculture and construction are the most studied sectors; a day with temperatures exceeding 32°C can reduce daily labour supply in exposed sectors by up to 14%. Conclusions: The present findings should inform development of further research and related health policies in the EU and beyond with regard to protecting working people from the effects of workplace heat during climate change. 
Keywords: climate change, occupational injury, occupational diseases, heat-related illness, vector-borne infectious diseases, productivity"
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