COVID-19 and heat waves: New challenges for healthcare systems

被引:42
作者
Bose-O'Reilly, Stephan [1 ,2 ,3 ,4 ]
Daanen, Hein [5 ]
Deering, Katharina [1 ]
Gerrett, Nicola [5 ]
Huynen, Maud Maria Theresia Elisabeth [6 ]
Lee, Jason [7 ,8 ,9 ,10 ,11 ,12 ]
Karrasch, Stefan [1 ,13 ,14 ]
Matthies-Wiesler, Franziska [13 ]
Mertes, Hanna [1 ]
Schoierer, Julia [1 ]
Shumake-Guillemot, Joy [15 ]
van den Hazel, Peter [16 ]
van Loenhout, Joris Adriaan Frank [17 ]
Nowak, Dennis [1 ,14 ]
机构
[1] Ludwig Maximilians Univ Munchen, Inst & Clin Occupat Social & Environm Med, Univ Hosp, Ziemssenstr 1, D-80336 Munich, Germany
[2] UMIT Private Univ Hlth Sci Med Informat & Technol, Inst Publ Hlth Med Decis Making & HTA, Eduard Wallnofer Zentrum 1, Eduard Wallnofer Zentrum 1, A-6060 Hall In Tirol, Austria
[3] Univ Regensburg, Univ Childrens Hosp Regensburg KUNO, Hosp St Hedwig Order St John, Regensburg, Germany
[4] Univ Regensburg, Univ Hosp, Regensburg, Germany
[5] Vrije Univ Amsterdam, Fac Behav & Movement Sci, Dept Human Movement Sci, Van der Boechorststr 7, NL-1081 BT Amsterdam, Netherlands
[6] Maastricht Univ, Maastricht Sustainabil Inst MSI, POB 616, NL-6200 MD Maastricht, Netherlands
[7] Natl Univ Singapore, Yong Loo Lin Sch Med, Human Potential Translat Res Programme, Singapore 117593, Singapore
[8] Natl Univ Singapore, Global Asia Inst, Singapore, Singapore
[9] Natl Univ Singapore, Inst Hlth 1, 28 Med Dr, Singapore 117456, Singapore
[10] Natl Univ Singapore, Yong Loo Lin Sch Med, Dept Physiol, Singapore, Singapore
[11] Natl Univ Singapore, Inst Digital Med, Singapore, Singapore
[12] ASTAR, Singapore Inst Clin Sci, Singapore, Singapore
[13] Helmholtz Zentrum Munchen, Inst Epidemiol, German Res Ctr Environm & Hlth, Ingolstadter Landstr 1, D-85764 Neuherberg, Germany
[14] German Ctr Lung Res DZL, Comprehens Pneumol Ctr Munich CPC M, Munich, Germany
[15] WHO WMO Joint Climate & Hlth Off, Geneva, Switzerland
[16] Int Network Childrens Hlth Environm & Safety INCH, Ellecom, Netherlands
[17] UCLouvain, Inst Hlth & Soc, Ctr Res Epidemiol Disasters CRED, Clos Chapelle Aux Champs 30, B-1200 Brussels, Belgium
关键词
Covid-19; Heat wave; Personal protection equipment; PPE; SARS-CoV-2; Summer; Heat related health problem; Health care personnel; STRESS; PERFORMANCE; WORKERS;
D O I
10.1016/j.envres.2021.111153
中图分类号
X [环境科学、安全科学];
学科分类号
08 ; 0830 ;
摘要
Heat waves and Covid-19 overlap, as this pandemic continues into summer 2021. Using a narrative review, we identified overlapping risk groups and propose coping strategies. The high-risk groups for heat-related health problems as well as for high-risk COVID-19 groups overlap considerably (elderly with pre-existing health conditions). Health care facilities will again be challenged by Covid-19 during heat waves. Health care personnel are also at risk of developing heat related health problems during hot periods due to the use of personal protective equipment to shield themselves from SARS-CoV-2 and must therefore be protected from excessive heat periods. Some existing recommendations for heat health protection contradict recommendations for COVID-19 protection. This paper provides a preliminary overview of possible strategies and interventions to tackle these ambiguities. The existing recommendations for protection against heat-related illnesses need revisions to determine whether they include essential aspects of infection control and occupational safety and how they may be supplemented.
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页数:8
相关论文
共 75 条
[1]   Systematic review of gender differences in the epidemiology and risk factors of exertional heat illness and heat tolerance in the armed forces [J].
Alele, Faith ;
Malau-Aduli, Bunmi ;
Malau-Aduli, Aduli ;
Crowe, Melissa .
BMJ OPEN, 2020, 10 (04)
[2]   Modelling the impact of testing, contact tracing and household quarantine on second waves of COVID-19 [J].
Aleta, Alberto ;
Martin-Corral, David ;
Pastore y Piontti, Ana ;
Ajelli, Marco ;
Litvinova, Maria ;
Chinazzi, Matteo ;
Dean, Natalie E. ;
Halloran, M. Elizabeth ;
Longini, Ira M., Jr. ;
Merler, Stefano ;
Pentland, Alex ;
Vespignani, Alessandro ;
Moro, Esteban ;
Moreno, Yamir .
NATURE HUMAN BEHAVIOUR, 2020, 4 (09) :964-+
[3]   Efficacy of Heat Mitigation Strategies on Core Temperature and Endurance Exercise: A Meta-Analysis [J].
Alhadad, Sharifah Badriyah ;
Tan, Pearl M. S. ;
Lee, Jason K. W. .
FRONTIERS IN PHYSIOLOGY, 2019, 10
[4]  
[Anonymous], ANN OCCUP HYG
[5]  
[Anonymous], Journal of Critical Care
[6]  
[Anonymous], 2003, CLIN MICROBIOL INFEC
[7]  
[Anonymous], Lancet Glob Health
[8]  
[Anonymous], Comptes Rendus Biol.
[9]  
[Anonymous], Nature
[10]  
[Anonymous], 2020, Novel coronavirus disease 2019 (COVID-19) pandemic: increased transmission in the EU/EEA and the UK-sixth update