Ebola Response: Modeling the Risk of Heat Stress from Personal Protective Clothing.

作者: Adam W. Potter , Julio A. Gonzalez , Xiaojiang Xu

DOI: 10.1371/JOURNAL.PONE.0143461

关键词: EveningClothingHeat Stress DisordersEbola virusMedicineAir temperatureEnvironmental healthMean radiant temperatureHeat stressThermal manikin

摘要: Introduction A significant number of healthcare workers have responded to aid in the relief and containment 2013 Ebola virus disease (EVD) outbreak West Africa. Healthcare are required wear personal protective clothing (PPC) impede transmission virus; however, impermeable design hot humid environment lead risk heat stress. Objective Provide quantitative modeling analysis prevention stress while wearing PPC Africa. Methods sweating thermal manikin was used measure (Rct) evaporative resistance (Ret) five currently levels for Africa EVD response. Mathematical methods predicting rise core body temperature (Tc) response clothing, activity, simulate different responses levels, individual sizes, two conditions: morning/evening (air temperature: 25°C, relative humidity: 40%, mean radiant 35°C, wind velocity: 1 m/s) mid-day (30°C, 60%, 70°C, m/s). Results Nearly still air (0.4 measures Rct ranged from 0.18 0.26 m2 K/W Ret 25.53 340.26 Pa/W. Conclusion Biophysical assessments this study provide guidance responding

参考文章(27)
Thomas Endrusick, Margaret Kolka, William Santee, Brad Laprise, Xiaojiang Xu, Efficiency of Liquid Cooling Garments: Prediction and Manikin Measurement Aviation, Space, and Environmental Medicine. ,vol. 77, pp. 644- 648 ,(2006)
Peter H Kilmarx, Jonathan Mermin, Edward Davis, Sarah Kidd, Ansumana R M Sillah, Carrie F Nielsen, Improving burial practices and cemetery management during an Ebola virus disease epidemic - Sierra Leone, 2014. Morbidity and Mortality Weekly Report. ,vol. 64, pp. 20- 27 ,(2015)
Adam W. Potter, Julio A. Gonzalez, Anthony J. Karis, Xiaojiang Xu, Biophysical Assessment and Predicted Thermophysiologic Effects of Body Armor PLOS ONE. ,vol. 10, ,(2015) , 10.1371/JOURNAL.PONE.0132698
Michael N. Sawka, Margaret A. Kolka, Janet E. Staab, Leslie Levine, Mathew Correa, Matthew Whipple, Bruce S. Cadarette, Heat strain imposed by toxic agent protective systems. Aviation, Space, and Environmental Medicine. ,vol. 72, pp. 32- 37 ,(2001)
Timothy P Rioux, Anthony J Karis, Julio A Gonzalez, Laurie A Blanchard, Adam W Potter, William R Santee, Biophysical Characteristics of Chemical Protective Ensemble With and Without Body Armor ,(2015)
A. D. Flouris, S. S. Cheung, Design and Control Optimization of Microclimate Liquid Cooling Systems Underneath Protective Clothing Annals of Biomedical Engineering. ,vol. 34, pp. 359- 372 ,(2006) , 10.1007/S10439-005-9061-9
Ian Roberts, Anders Perner, Ebola virus disease: clinical care and patient-centred research The Lancet. ,vol. 384, pp. 2001- 2002 ,(2014) , 10.1016/S0140-6736(14)62316-3
Troy D. Chinevere, Bruce S. Cadarette, Daniel A. Goodman, Brett R. Ely, Samuel N. Cheuvront, Michael N. Sawka, Efficacy of body ventilation system for reducing strain in warm and hot climates European Journal of Applied Physiology. ,vol. 103, pp. 307- 314 ,(2008) , 10.1007/S00421-008-0707-9