Heat stress causes physiological changes, and changes in hematological parameters and hormonal levels in the human body, known as thermal strain. This study was conducted to determine the effect of exposure to heat stress on hematological parameters and oxidative stress in the bakers of Shahroud City, Iran. A total of 163 bakery workers (exposed group) and 135 office workers (unexposed group) with a minimum of 1-year working experience were selected. Exposure to heat stress was measured using ISO-7243 criteria on the hottest days of the year (late July and August). Wet-bulb globe temperature (WBGT) was calculated based on indoor environments. Oxidative stress indices including malondialdehyde (MDA), nitric oxide (NO), total antioxidant capacity (TAC) in the bakers' and office workers’ serum and hematological parameters were measured. Statistical analysis was done through independent t-test, and multivariate linear regression using SPSS v24. Analysis of hematological parameters showed that about 70% and 68% of the bakers had abnormal mean cell volume (MCV) and white blood cell (WBC) count, respectively, while only around 12% of them had abnormal mean cell hemoglobin concentration (MCHC). The counts of red blood cells (RBC), WBC, lymphocytes (LYM), and MCV showed significant differences in different occupational groups ( p < 0.05). The levels of MDA and NO were significantly higher in bakers with WBGT more than the threshold value ( p < 0.05). The WBGT index for assessing heat stress can be used as a predictor variable for MDA and NO levels. In addition, heat stress exposure could be a risk factor for abnormal WBC, RBC, LYM, and MCV.

BackgroundThe present study aimed at demonstrating the heat stress situation (distribution and intensity) based on a standard and common heat stress index, Wet Bulb Globe Temperature (WBGT), during hot seasons and interpret the obtained results considering global warming and rising temperature in different parts of the country based on climate changes studied in Iran.MethodsHeat stress assessment was done using WBGT index. Environmental parameters were measured simultaneously in the early, middle and end of shift work. The personal parameters including cloth thermal insulation and metabolic rate of 242 participants from 9 climatic categories were recorded for estimating effective WBGT (measured WBGT plus cloth adjustment factor as well as metabolic rate effect). The values of the indicator were categorized in the statistical software media and then linked to the climatic zoning of the data in the GIS information layers, in which, WBGT values relating to selected stations were given generalization to similar climatic regionalization.ResultsThe obtained results showed that in the summer about 60 % and more than 75 % of the measurements relating to 12 pm and 3 pm, respectively, were in heat stress situations (i.e. the average amount of heat stress index was higher than 28 °C). These values were found to be about 20–25 % in the spring. Moreover, only in the early hours of shift work in spring could safe conditions be seen throughout the country. This situation gradually decreased in the middle of the day hours and was replaced by the warning status and stress. And finally, in the final hours of shift work thermal stresses reached their peaks. These conditions for the summer were worse.ConclusionsRegarding several studies related to climate change in Iran and the results of present study, heat stress, especially in the central and southern parts of Iran, can be exacerbated in the decades to come if climate change and rising temperature occurs. Therefore, paying attention to this critical issue and adopting macro-management policies and programs in the field of workplace health is essential.

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ObjectivesLeishmaniasis is a neglected and widespread parasitic disease that can lead to serious health problems. The current review study aimed to synthesize the relationship between ecologic and environmental factors (e.g., weather conditions, climatology, temperature and topology) and the incidence of cutaneous leishmaniasis (CL) in the Old World.ContentA systematic review was conducted based on English, and Persian articles published from 2015 to 2020 in PubMed/Medline, Science Direct, Web of Science and Google Scholar. Keywords used to search articles were leishmaniasis, environmental factors, weather condition, soil, temperature, land cover, ecologic* and topogr*. All articles were selected and assessed for eligibility according to the titles or abstracts. The quality screening process of articles was carried out by two independent authors. The selected articles were checked according to the inclusion and exclusion criteria.Summary and outlookA total of 827 relevant records in 2015–2020 were searched and after evaluating the articles, 23 articles met the eligibility criteria; finally, 14 full-text articles were included in the systematic review. Two different categories of ecologic/environmental factors (weather conditions, temperature, rainfall/precipitation and humidity) and land characteristics (land cover, slope, elevation and altitude, earthquake and cattle sheds) were the most important factors associated with CL incidence.ConclusionsTemperature and rainfall play an important role in the seasonal cycle of CL as many CL cases occurred in arid and semiarid areas in the Old World. Moreover, given the findings of this study regarding the effect of weather conditions on CL, it can be concluded that designing an early warning system is necessary to predict the incidence of CL based on different weather conditions.

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The criterion of tympanic temperature equaling 37 °C was suggested as a cut-off point for tympanic temperature as a heat strain index for outdoor environment evaluation.

Background: Heat stress is common among workers in arid and semi-arid areas. In order