Baseline Evaluation with a Sweating Thermal Manikin of Personal Protective Ensembles Recommended for Use in West Africa

Disaster Medicine and Public Health Preparedness

Volumn 9, Issue 5, 2015, Pages 536-542

  Coca, Aitor ^a   Dileo, Travis ^a   Kim, Jung Hyun ^a   Roberge, Raymond ^a   Shaffer, Ronald ^a  

^a NATIONAL INSTITUTE FOR OCCUPATIONAL SAFETY AND HEALTH   (United States)

Author keywords

core temperature; Ebola; heat stress; personal protective equipment ensembles; sweating thermal manikin

Indexed keywords

AFRICA; EVALUATION STUDY; HEMORRHAGIC FEVER, EBOLA; HUMAN; MANIKIN; PROTECTIVE EQUIPMENT; STANDARDS; SWEATING;

AFRICA, WESTERN; EVALUATION STUDIES AS TOPIC; HEMORRHAGIC FEVER, EBOLA; HUMANS; MANIKINS; PERSONAL PROTECTIVE EQUIPMENT; SWEATING;

EID: 84948570425     PISSN: 19357893     EISSN: 1938744X     Source Type: Journal    
DOI: 10.1017/dmp.2015.97     Document Type: Article

References (26)

1. Unprecedented number of medical staff infected with Ebola. World Health Organization website. http://www.who.int/mediacentre/news/ebola/25-august-2014/en/. Published August 15, 2014. Accessed November 30, 2014.
2. Ebola situation report-4 March 2015. World Health Organization website. http://apps.who.int/ebola/current-situation/ebola-situation-report-4-march-2015. Published March 6, 2015. Accessed August 10, 2015.
3. Pshenichnaya NY, Nenadskaya SA. Probable Crimean-Congo hemor-rhagic fever virus transmission occurred after aerosol-generating medical procedures in Russia: nosocomial cluster. Int J Infect Dis. 2015;33:120-122. http://dx.doi.org/10.1016/j.ijid.2014.12.047.
4. Macintyre CR, Seale H, Yang P, et al. Quantifying the risk of respiratory infection in healthcare workers performing high-risk procedures. Epidemiol Infect. 2014;142(9):1802-1808. http://dx.doi.org/10.1017/S095026881300304X. PMID:24308554.
5. Wolz A. Face to face with Ebola-an emergency care center in Sierra Leone. N Engl J Med. 2014;371(12):1081-1083. PMID:25162580.
6. Chertow DS, Kleine C, Edwards JK, et al. Ebola virus disease in West Africa-clinical manifestations and management. N Engl J Med. 2014; 371(22):2054-2057. PMID:25372854.
7. Interim Guidance for Healthcare Workers Providing Care in West African Countries Affected by the Ebola Outbreak: Limiting Heat Burden While Wearing Personal Protective Equipment (PPE). Centers for Disease Control and Prevention website. http://www.cdc.gov/vhf/ebola/hcp/limiting-heat-burden.html. Last updated January 29, 2015. Accessed August 10, 2015.
8. Bernard TE, Caravello V, Schwartz SW, Ashley CD. WBGT clothing adjustment factors for four clothing ensembles and the effects of metabolic demands. J Occup Environ Hyg. 2008;5(1):1-5. PMID:17999329.
9. Holmér I. Thermal manikin history and applications. Eur J Appl Physiol. 2004;92(6):614-618. PMID:15185083.
10. Meinander H, Hellsten M. The influence of sweating on the heat transmission properties of cold protective clothing studied with a sweating thermal manikin. Int J Occup Saf Ergon. 2004;10(3):263-269. PMID:15377411.
11. Holmér I. Protective clothing in hot environments. Ind Health. 2006; 44(3):404-413. PMID:16922184.
12. Fiala D, Lomas KJ, Stohrer M. A computer model of human thermoregulation for a wide range of environmental conditions: the passive system. J Appl Physiol (1985). 1999;87(5):1957-1972. PMID:10562642.
13. Fiala D, Lomas KJ, Stohrer M. Computer prediction of human thermoregulatory and temperature responses to a wide range of environmental conditions. Int J Biometeorol. 2001;45(3):143-159. PMID:11594634.
14. th International Thermal Manikin and Modeling Meeting; October 16-18, 2006; Hong Kong, China.
15. Zhang H, Arens E, Huizenga C, Han T. Thermal sensation and comfort models for non-uniform and transient environments: Part I: local sensation of individual body parts. eScholarship website. http://escholarship.org/uc/item/3sw061xh. Published July 1, 2009. Accessed August 10, 2015.
16. Zhang H, Arens E, Huizenga C, Han T. Thermal sensation and comfort models for non-uniform and transient environments: Part II: local comfort of individual body parts. http://escholarship.org/uc/item/1pz9j3j2. Published July 1, 2009. Accessed August 10, 2015.
17. Zhang H, Arens E, Huizenga C, Han T. Thermal sensation and comfort models for non-uniform and transient environments: Part III: whole-body sensation and comfort. Retrieved from: http://escholarship.org/uc/item/2tm289vb. Published July 1, 2009. Accessed August 10, 2015.
18. Sawka MN, Montain SJ. Fluid and electrolyte supplementation for exercise heat stress. Am J Clin Nutr. 2000;72(2)(suppl):564S-572S. PMID:10919961.
19. Ainsworth BE, Haskell WL, Herrmann SD, et al. 2011 Compendium of Physical Activities: a second update of codes and MET values. Med Sci Sports Exerc. 2011;43(8):1575-1581. PMID:21681120.
20. Hancock PA, Vasmatzidis I. Effects of heat stress on cognitive performance: the current state of knowledge. Int J Hyperthermia. 2003;19(3):355-372. PMID:12745975.
21. DuPont personal protection protective clothing and bloodborne pathogens. DuPont website. http://safespec.dupont.com/safespec/media/documents/bloodborne-pathogens.pdf. Accessed August 10, 2015.
22. Kim JH, Coca A, Williams WJ, Roberge RJ. Subjective perceptions and ergonomics evaluation of a liquid cooled garment worn under protective ensemble during an intermittent treadmill exercise. Ergonomics. 2011; 54(7):626-635. PMID:21770750.
23. ASTM F1671/F1671M-13 Standard Test Method for Resistance of Materials Used in Protective Clothing to Penetration by Blood-Borne Pathogens Using Phi-X174 Bacteriophage Penetration as a Test System. West Conshohocken, PA: ASTM International; 2013. www.astm.org.
24. World Health Organization. Interim Infection Prevention and Control Guidance for Care of Patients with Suspected or Confirmed Filovirus Haemorrhagic Fever in Health-Care Settings, with Focus on Ebola. WHO/HIS/SDS/2014.4. Geneva, Switzerland: World Health Organization (WHO); 2014.
25. Sterk E, ed. Filovirus Haemorrhagic Fever Guideline. Barcelona, Spain: Medecins Sans Frontieres; 2008: 39-48.
26. Personal protective equipment in the context of filovirus disease outbreak response. World Health Organization website. http://apps.who.int/iris/bitstream/10665/137410/1/WHO-EVD-Guidance-PPE-14.1-eng.pdf. Published October 2014. Accessed August 10, 2015.