Heat stress intervention to prevent Chronic Kidney Disease (CKD) in El Salvador
During the harvest, improvements in working conditions of ~70 sugarcane cutters working at 380-400 meters above sea level was implemented mid-harvest and worker exposures were evaluated in relation to heat stress. The intervention plan broadly follows OSHA’s Water-Shade-Rest program for workers in hot occupations, and includes efforts to improve cutting efficiency to develop methods for scaled-up interventions. The method development and evaluation take into account environmental heat, hours of labor, tons cut, cutting techniques, intake of hydration solutions, time in shade, symptoms, estimated core temperature, heart rate, intake of pain killers, blood pressure, weight pre and post shift, height, and blood and urine samples for measuring hydration. Based on the experiences, up-scaled interventions for the following harvest will be planned.
During the first (coolest) months of the harvest average daily maximum WBGT values were >31oC. Preliminary results of biomedical and exposures variables will be presented and discussed.
Learning Areas:Chronic disease management and prevention
Environmental health sciences
Occupational health and safety
Describe the epidemic of chronic kidney disease (CKD) in Mesoamerica Evaluate evidence for heat stress causing CKD in sugar cane workers Discuss the potential of heat stress reduction and productivity enhancement to address the CKD epidemic among sugar cane workers
Keyword(s): Climate and Health, Occupational Health and Safety
Qualified on the content I am responsible for because: I am a physician, epidemiologist, emeritus professor and the Principal Investigator of the study that is being reported
Any relevant financial relationships? No
I agree to comply with the American Public Health Association Conflict of Interest and Commercial Support Guidelines, and to disclose to the participants any off-label or experimental uses of a commercial product or service discussed in my presentation.