Injuries and Illness

Hot and Hazardous: Heat Illness Can Be Deadly

Heat can be a real danger for workers during the summer, especially those who work outdoors. Heat illness should be viewed as a serious health problem—one that can even be fatal.

For many people, summer heat is uncomfortable. But for some it can be down right dangerous.

That’s why OSHA is currently promoting a national outreach initiative to educate workers and employers about the hazards of working outdoors in the heat and steps needed to prevent heat illnesses.

This campaign has a very simple message—”water, rest, and shade.”

That’s good advice because, as OSHA reports, each year, thousands of outdoor workers experience heat illness, which often manifests as heat exhaustion. If not quickly addressed, heat exhaustion can become heat stroke, which killed more than 30 workers last year.

“As we move into the summer months, it is very important for workers and employers to take the steps necessary to stay safe in extreme heat,” says OSHA boss David Michaels. “Drinking water often, taking breaks, and limiting time in the heat are simple, effective ways to prevent heat illness.”

To help employers and employees cope with the heat, OSHA is now partnering with the National Oceanic and Atmospheric Administration on weather service alerts that will incorporate worker safety precautions when heat alerts are issued across the country. NOAA also will include pertinent worker safety information on its Heat Watch Web page at http://www.noaawatch.gov/themes/heat.php


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What Makes Heat a Health Problem?

Heat illness is the result the body overheating, much the way your car can overheat in hot weather.

Normally, your “coolant” system prevents overheating. You perspire, and as the perspiration evaporates, it cools your skin, cooling your body, and maintaining the proper body temperature. Blood vessels also play a role, bringing heat to the skin surface and releasing it from the body.

But when you’re working or playing hard in the heat, and particularly when it’s also humid, your coolant system can breakdown. It’ll breakdown first if you’re past middle age or if you have health problems. But eventually on hot days, even young, healthy people can be stricken.

When the body’s cooling system can’t keep up with the heat, heart rate rises along with body temperature, increasing the risk of heart attack in people with heart disease.

Heat also affects the brain. A rise in body temperature of as little as 2 degrees can negatively impact brain function, making heat an underlying cause of job accidents. As workers overheat, their diminished brain function can cause them to overlook hazards and make mistakes.

A 5 degrees rise in body temperature can be fatal.


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Signs of Trouble

The hotter it gets, the more stress on the body. The first signs of trouble include symptoms like:

  • Fatigue
  • Thirst
  • Discomfort
  • Lightheadedness

Simple heat stress, however, can quickly become heat exhaustion if early symptoms are ignored.

Symptoms of heat exhaustion include:

  • Pale or flushed appearance
  • Moist, clammy skin
  • Weakness
  • Dizziness
  • Headache
  • Nausea

Untreated heat exhaustion can become heat stroke.

The heat stroke victim:

  • Stops sweating and has hot, dry, reddish skin
  • Has a rapid pulse and feels hot to the touch
  • May become confused or delirious
  • May suffer convulsions
  • May become unconscious

Twenty percent of heat stroke victims die. Those who survive may suffer brain and kidney damage.

Tomorrow, we’ll highlight tips for preventing heat illness that your workers can use to stay safe and healthy on and off the job as the temperatures rise.

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