Physiological Evaluation of Personal Protective Ensembles Recommended for Use in West Africa

Disaster Medicine and Public Health Preparedness

Volumn 11, Issue 5, 2017, Pages 580-586

  Coca, Aitor ^a   Quinn, Tyler ^a   Kim, Jung Hyun ^a   Wu, Tianzhou ^a   Powell, Jeff ^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

Indexed keywords

ADULT; ADVERSE DEVICE EFFECT; AFRICA; BODY MASS; BODY TEMPERATURE; DEHYDRATION; EQUIPMENT DESIGN; HEART RATE; HUMAN; MALE; PHYSIOLOGY; PROTECTIVE EQUIPMENT; STANDARDS;

ADULT; AFRICA, WESTERN; BODY MASS INDEX; BODY TEMPERATURE; DEHYDRATION; EQUIPMENT DESIGN; HEART RATE; HUMANS; MALE; PERSONAL PROTECTIVE EQUIPMENT;

EID: 85015651134     PISSN: 19357893     EISSN: 1938744X     Source Type: Journal    
DOI: 10.1017/dmp.2017.13     Document Type: Article

References (19)

1. World Health Organization Media Centre. Unprecedented number of medical staff infected with Ebola. WHO website. http://www.who.int/mediacentre/news/ebola/25-August-2014/en/. Published August 25, 2014. Accessed November 30, 2014.
2. Fischer WA II, Hynes NA, Perl TM. Protecting health care workers from Ebola: personal protective equipment is critical but is not enough. Ann Intern Med. 2014;161(10):753-754. https://doi.org/10.7326/M14-1953.
3. Wolz A. Face to face with Ebola-An emergency care center in Sierra Leone. N Engl J Med. 2014;371(12):1081-1083. https://doi.org/10.1056/NEJMp1410179.
4. 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. https://doi.org/10.1056/NEJMp1413084.
5. Applebaum KM, Graham J, Gray GM, et al. An overview of occupational risks from climate change. Curr Environ Health Rep. 2016;3(1):13-22. https://doi.org/10.1007/s40572-016-0081-4.
6. Cheuvront SN, Kenefick RW, Montain SJ, et al. Mechanisms of aerobic performance impairment with heat stress and dehydration. J Appl Physiol. 2010;109(6):1989-1995. https://doi.org/10.1152/japplphysiol.00367.2010.
7. Coca A, DiLeo T, Kim J-H, et al. Baseline evaluation with a sweating thermal manikin of personal protective ensembles recommended for use in West Africa. Disaster Med Public Health Prep. 2015;9(05):536-542. https://doi.org/10.1017/dmp.2015.97.
8. Potter AW, Gonzalez JA, Xu X. Ebola response: modeling the risk of heat stress from personal protective clothing. PLoS One. 2015;10(11): e0143461. https://doi.org/10.1371/journal.pone.0143461.
9. Ainsworth BE, Haskell WL, Herrmann SD, et al. Compendium of physical activities: A second update of codes and MET values. Med Sci Sports Exerc. 2011;43:1575-1581. https://doi.org/10.1249/MSS. 0b013e31821ece12.
10. Borg GA. Psychophysical bases of perceived exertion. Med Sci Sports Exerc. 1982;14(5):377-381. https://doi.org/10.1249/00005768-198205000-00012.
11. Ramanathan N. A new weighting system for mean surface temperature of the human body. J Appl Physiol. 1964;19(3):531-533.
12. International Organization for Standardization. 10551, Ergonomics of the thermal environment-Assessment of the influence of the thermal environment using subjective judgment scales. Geneva, Switzerland: International Organization for Standardization; 1995.
13. International Organization for Standardisation. 7730, Ergonomics of the thermal environment-Analytical determination and interpretation of thermal comfort using calculation of the PMV and PPD indices and local thermal comfort criteria. Geneva, Switzerland: International Organization for Standardization; 2005.
14. Morley J, Beauchamp G, Suyama J, et al. Cognitive function following treadmill exercise in thermal protective clothing. Eur J Appl Physiol. 2012;112(5):1733-1740. https://doi.org/10.1007/s00421-011-2144-4.
15. Schlader ZJ, Temple JL, Hostler D. Exercise in personal protective equipment in a hot, humid environment does not affect risk propensity. Temperature (Austin). 2016;3(2):262-270.
16. Hancock PA, Vasmatzidis I. Effects of heat stress on cognitive performance: The current state of knowledge. Int J Hyperthermia. 2003;19(3):355-372. https://doi.org/10.1080/0265673021000054630.
17. Grélot L, Koulibaly F, Maugey N, et al. Moderate thermal strain in healthcare workers wearing personal protective equipment during treatment and care activities in the context of the 2014 Ebola virus disease outbreak. J Infect Dis. 2016;213(9):1462-1465.
18. Maynard SL, Kao R, Craig DG. Impact of personal protective equipment on clinical output and perceived exertion. J R Army Med Corps. 2016;162(3):180-183. doi: 10.1136/jramc-2015-000541.
19. Quinn T, Kim JH, Strauch A, et al, Physiological evaluation of cooling devices for use in conjunction with personal protective ensembles recommended for use in West Africa. Disaster Med Public Health Prep. 2017; https://doi.org/10.1017/dmp.2016.209.