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THE IMPACTS OF CLIMATE CHANGE ON
THE SAFETY AND HEALTH OF
WORKERS: IMPLICATION FOR SAFETY
PROFESSIONALS
LASISI ADEDOYIN K. S. (MNES, MICCON, MSAN)
ENVIRONMENTAL ASSESSMENT DEPARTMENT
OFFICE OF ENVIRONMENTAL SERVICES
MINISTRY OF ENVIRONMENT &WATER REOURCES
LAGOS STATE.
Quotes and facts
According to the 2018 International Labor Organization (ILO) report “Adaptation to climate
change and its impact on employment”, projected increases in temperature will cause the
heat stress is more frequent, which will reduce the total number of working hours in the
G20 countries by 1.9% by 2030, with a greater effect on agricultural workers and workers in
emerging countries. Between 2000 and 2015, it is estimated that 23 million years of
working life have already been lost per year globally.”
Climate change is not only an environmental issue, its also a public health issue.
Introduction
Workers in many occupational and industrial categories already experience
climate- and weather-related hazards in their jobs. The increasing
frequency, duration, and severity of extreme weather events and other
developments caused by climate change will exacerbate these hazards and
affect a broad range of workers. Increased temperature, extremes of
precipitation, increased air pollution, the spread of vector-borne disease,
and other health threats due to climate change will impact many groups of
workers.
Outline
 Introduction
 Basic definition
 Many faces of climate change
 Effects of climate change
 Impacts of climate change
 Effects of climate change on occupational health and safety
 Specific work related occupational and safety hazard of climate change
Recommendations
 Conclusion
Although very few studies have specifically explored the negative
impacts of CC on OHS, a review of such literature published between
1998 and 2008 was performed by Schulte and Chun in 2009. The main
climate-related global hazards they identified were:
(1) Increased ambient temperature,
(2) Air pollution,
(3) Exposure to ultraviolet radiation,
(4) Extreme weather events,
(5) Communicable vector-borne diseases and expanded vector
habitats,
(6) Industrial transitions and emerging industries, and
(7) Changes in the built environment
The relationship between global climate change and occupational
safety and health has not been extensively characterized. To begin
such an effort, it may be useful to develop a framework for
identifying how climate change could affect the
 workplace;
 workers; and
 occupational :
 morbidity, mortality, and injury.
Basic definitions:
Climate change:
The Framework Convention on Climate Change (UNFCCC), in its Article 1, defines
climate change as: ‘a change of climate which is attributed directly or indirectly
to human activity that alters the composition of the global atmosphere and
which is in addition to natural climate variability observed over comparable time
periods.’ The UNFCCC thus makes a distinction between climate change
attributable to human activities altering the atmospheric composition and
climate variability attributable to natural causes
Occupational Health and Safety:
Occupational Health and Safety (OHS) is a branch of public health aimed at
improving workplace health and safety standards. It studies injury and illness
trends in the worker population and offers suggestions for mitigating the risks
and hazards they encounter on the job.
Every occupation has health or safety risks associated with it, and it is every
employer’s responsibility to ensure that their employees can carry out their
work as safely as possible.
Occupational Health and Safety Professionals:
An occupational Health and Safety Professional (OHSP) is a qualified
and competent person in an organization, who is responsible for
monitoring and controlling workplace risks and hazards. This
individual works in close cooperation with other stakeholders to
ensure a risk and hazard free workplace.
Many faces of climate change
Small shifts in the earth’s temperature could result in more powerful and destructive
hurricanes. This satellite image shows Hurricane Isaac on the afternoon of September 29,
2000.
These photographs, taken in 1928 and 2000, show how South Cascade Glacier in the Washington
Cascade Mountains has retreated over time
Name?
Name?
Name?
Name?
Name?
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Effects of Climate Change
Climate change is brought about by two;
 Climate change is any change occurring to the planet's climate either permanently
or lasting for long periods of time. It is the cumulative total of two related
sources: anthropogenic climate change and natural climate change.
 Anthropogenic climate change is defined by the human impact on Earth's climate
while natural climate change are the natural climate cycles that have been and
continue to occur throughout Earth's history.
Conceptual framework of the relationship between climate
change and occupational safety and health (adapted from
Schulte and Chun, 2009).
POTENTIAL IMPACTS OF CLIMATE CHANGE
Generally speaking, the impacts of CC on public health, the
environment, and human activities are relatively well
documented, which is not the case for its impacts on the health
and safety profession or in general professions. Yet climate
change will likely have both positive and negative
consequences for the professional world that will be modulated
by any given country’s sociopolitical and economic
organization.
In the United State, President Obama signed Executive Order 13653 in November 2013, he committed “to
prepare the nation for the impacts of climate change by undertaking actions to enhance climate
preparedness and resilience.” The challenge is to characterize how these climate events may influence
worker health and safety and to establish plans for mitigating, responding, and adapting to the current and
anticipated impacts.
To this end, as occupational safety and health professionals, we must ask two key questions:
 How should we respond to these potential hazards?
 What information and tools do we need to protect workers and ensure they can adapt to current and
anticipated health and safety impacts?
So How is/will climate change affect occupational health and safety
How climate change elevates safety of
workers?
Many work-related hazards due to climate change are already well-characterized,
such as injuries in workers fighting wildfires or clearing debris from hurricanes, heat-
related illnesses in farmworkers, and Lyme disease in outdoor recreation workers.
However, climate change will likely expand the number and types of workers exposed
to these and other hazards including pesticides used to control vectors (Moore,
Qualls, Brennan, Yang, & Caban-Martinez, 2017)
Specific Work-Related
occupational and safety
Hazards of Climate
Change
Extreme Heat
Heat is a major health risk for workers working outside. It can cause
dehydration, heat exhaustion and heatstroke, and can even result in loss
of consciousness and heart attacks in extreme circumstances. The use of
personal protective equipment (PPE) in extreme heat conditions is
particularly challenging, especially in forestry, where it adds to the effort
and stress of the job.
Increasing frequency, duration, and intensity of periods of extreme heat
heighten the risks of heat-related morbidity and mortality
 Acute health effects of exposure to extreme heat include heat
exhaustion, heat rash (prickly heat), heat syncope, dehydration, heat
stroke, and complications of many chronic diseases, including chronic
obstructive pulmonary disease, coronary artery disease, diabetes
mellitus, and chronic kidney disease.
 Chronic health effects due to continued heat exposure also include
mental health problems such as anxiety, depression, and suicide;
chronic kidney disease, possibly due to recurrent dehydration and
other factors; and congenital malformations of the heart and brain in
infants of women who worked during early pregnancy in physically
demanding jobs
No title
 Farmers are among those workers at the highest risk
of developing skin cancer because they are exposed
to the sun on a daily basis (Adam-Poupart, 2013).
 A number of studies point to a link between extreme
ambient temperatures and increased risk of
occupational injuries (Bonafede et al., 2016; Martínez-
Solanas et al., 2018).
Wildfires
Climate change is increasing the frequency and severity of wildfires. As a result,
the frequency and severity of resultant occupational health and safety hazards,
such as falling trees and heat exhaustion, and the numbers of fatal and
nonfatal injuries among firefighters and other responders are increasing
(Britton et al., 2013; Withen, 2015).
Firefighters also suffer burns, smoke inhalation, transportation-related injuries,
and cardiac arrest (Adetona et al., 2016; Britton et al., 2013). Smoke inhalation
from fires, in addition to excessive heat, is a potential hazard for other workers
(Shaposhnikov et al., 2014)
Extreme Weather Events
 Many workers are at high risk of occupational hazards from extreme weather events such as
hurricanes, which will likely increase in frequency and severity with climate change. Extreme
weather events pose a variety of health and safety hazards to rescue and recovery workers, such
as injuries from slips and falls and from being struck by airborne objects, inadequate sleep and
nutrition because of long and uninterrupted work shifts, physical exhaustion, mental stress, and
vehicular crashes (Leon, Hyre, Ompad, Desalvo, & Muntaner, 2007).
 Floods, landslides, lightning strikes, and wildfires pose serious hazards. Heavy snowstorms can
cause roof collapses and related hazards for workers (“Worker dies,” 2015).
Case study
Extreme weather events may also undermine safety controls. An
example of this problem occurred at the Arkema Chemical plant in
Crosby, Texas, following Hurricane Harvey in 2017. Numerous plant
workers, first responders, and community residents were adversely
affected by a series of chemical explosions at the plant, which resulted
from flood waters cutting power to refrigeration units there
(Newkirk, 2017).
Air Pollution
 Warmer temperatures will likely cause more air pollution, especially with ground-level
ozone and fine particulate matter (Bell et al., 2007; Fiore, Naik, & Leibensperger, 2015; US
Global Change Research Program, 2016). In addition to wildfires, droughts (with
associated wind-blown soil and dust) will contribute to air pollution. Increased pollen
production and longer pollen seasons are causing more allergic disorders among
workers and others.
 Workers most likely to be impacted by increased air pollution include outdoor workers in
urban environments, firefighters, drivers, and workers in indoor spaces without filtered air
Biological Hazards and Pesticides
 In the United States, many workers are already at risk of tick-borne illnesses
such as Lyme disease (Schulte et al., 2016). Climate change is broadening the
range of disease vectors (such as ticks and mosquitoes), thereby increasing
disease risks of outdoor workers in the construction, utility, recreation,
agriculture, forestry, landscaping, and natural-resource-management sectors
(Moore et al., 2017).
 As the incidence of vector-borne diseases rises, there will likely be greater
application of pesticides accompanied by increasing pesticide exposure to
agricultural workers, landscapers, and pest control workers (Boxall et al., 2010;
Gatto, Cabella, & Gherardi, 2016).
What needs to be done
Workplace Strategies
 Health and safety management practices, including management
commitment and employee participation in hazard recognition, assessment,
and control, should address new and increased hazards resulting from
climate change. Employer preparedness includes:
 Devoting resources to hazard recognition;
 Performing vulnerability assessments to determine which workers are
vulnerable to climate change-related hazards (and when, how, and why);
 Implementing a control strategy with policies, procedures, equipment, and
work organization that eliminates or minimizes the impact of these hazards.
Prevention Through Design
 Prevention-through-design strategies can be implemented to embed
worker health and safety into building a more resilient infrastructure
and energy-efficient buildings. For example, renewable energy
facilities, such as wind-turbine farms, can be designed to prevent
injuries to maintenance workers. In addition, standards for office
buildings that previously focused on energy use can be revised to
comply with ventilation and other requirements for workers
(NIOSH, 2018).
Research
Occupational safety and health research should be expanded. It should
include:
 Investigating climate change-related hazards and at-risk populations;
 Using surveillance data on diseases, injuries, and occupational
hazards to guide research agendas; and
 Developing, implementing, and evaluating new adaptation measures
(Adam-Poupart et al., 2013; Schulte & Chun, 2009).
Surveillance
Surveillance can be used to identify the impact of climate change on
worker health; to help establish research agendas; and to help plan,
implement, and evaluate preventive measures. Data from “sentinel
events” due to climate change can be analyzed so that lessons can be
learned to prevent similar problems in the future (Pierce, 2017).
Occupational Medicine and Clinical Response
 Clinicians have important roles to play in recognizing, diagnosing, treating, and
preventing workers’ adverse health effects caused by climate change (Patz,
Frumkin, Holloway, Vimont, & Haines, 2014). Clinicians should educate
themselves and their colleagues about these adverse health effects, especially
those that are temporally and geographically relevant to their communities.
 They should also educate their patients who are at high risk for specific
disorders due to climate change, such as older people and outdoor workers who
are at increased risk of heat-related disorders and patients with chronic
respiratory disorders who are more frequently exposed to hazardous levels of air
pollutants.
Recommendations
Workplace Standards and Policies
Regulations and guidelines for the prevention of climate change–
related occupational hazards, such as extreme heat, will need to be
developed and implemented (Parsons, 2013). Safety regulations for
hazards caused by extreme weather events may need to be applied to
more workers and work situations. Regulations and guidelines to
encourage employer preparedness will need to be improved
(Bruce, 2012; Lucchini et al., 2017).
Recommendations
 Developing a strategic research agenda to address identified gaps and emerging
issues
 Identifying, developing, and disseminating communication products
 Participating on federal, state, and other initiatives, as appropriate, to ensure that
OSH is included as a core component of public health
 Funding of projects related to climate change and worker safety and health
CONCLUSION
 Climate change exacerbates existing occupational health and safety problems
and creates new ones. It presents many challenges for which new and
improved approaches are necessary
 There is strong evidence that climate change is and will continue presenting
risks of job-related injury, illness, and death, so numerous critical research
questions need to be resolved regarding specific hazards, sentinel events, risk
assessment, and preventive actions.
References
 Adam-Poupart, A., Labrèche, F., Smargiassi, A., Duguay, P., Busque, M. A., Gagné, C., . . . Zayed, J. (2013).
Climate change and occupational health and safety in a temperate climate: Potential impacts and research
priorities in Quebec, Canada. Industrial Health 51, 68–78.
 Adam-Poupart, A., Smargiassi, A., Busque M. A., Duguay, P., Fournier, M., Zayed, J., & Labréche, F. (2014).
Summer outdoor temperature and occupational heat-related illnesses in Quebec (Canada). Environmental
Research, 134, 339–344.
 Brooks, S. K., Dunn, R., Amlôt, R., Greenberg, N., & Rubin G. J. (2016). Social and occupational factors
associated with psychological distress and disorder among disaster responders: A systematic review. BMC
Psychology 4(18).
 Bruce, S. (2012, June 7). Emergency management preparedness: What is HR’s role? HR Daily Advisor.
 Campbell, A. F. (2017, September 7). All the relief money in the world won’t rebuild Houston.
Undocumented workers will. Vox.
 Wesseling, C., Crowe, J., Hogstedt, C., Jakobsson, K., Lucas, R., & Wegman, D. H. (2013). The epidemic of
chronic kidney disease of unknown etiology in Mesoamerica: A call for interdisciplinary research and
action. American Journal of Public Health, 103, 1927–1930.
 Withen, P. (2015). Climate change and wildland firefighter health and safety. New Solutions, 24, 577–584.
 Worker dies in Canton’s second fatal snow-related fall in 5 days. (2015, February 23). WCBV.com.
 World Health Organization. (2014). Health in the green economy: Occupational health, 2014. Geneva,
Switzerland: Author.
Climate Change and Public Safety.pptx

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Climate Change and Public Safety.pptx

  • 1. THE IMPACTS OF CLIMATE CHANGE ON THE SAFETY AND HEALTH OF WORKERS: IMPLICATION FOR SAFETY PROFESSIONALS LASISI ADEDOYIN K. S. (MNES, MICCON, MSAN) ENVIRONMENTAL ASSESSMENT DEPARTMENT OFFICE OF ENVIRONMENTAL SERVICES MINISTRY OF ENVIRONMENT &WATER REOURCES LAGOS STATE.
  • 2. Quotes and facts According to the 2018 International Labor Organization (ILO) report “Adaptation to climate change and its impact on employment”, projected increases in temperature will cause the heat stress is more frequent, which will reduce the total number of working hours in the G20 countries by 1.9% by 2030, with a greater effect on agricultural workers and workers in emerging countries. Between 2000 and 2015, it is estimated that 23 million years of working life have already been lost per year globally.” Climate change is not only an environmental issue, its also a public health issue.
  • 3. Introduction Workers in many occupational and industrial categories already experience climate- and weather-related hazards in their jobs. The increasing frequency, duration, and severity of extreme weather events and other developments caused by climate change will exacerbate these hazards and affect a broad range of workers. Increased temperature, extremes of precipitation, increased air pollution, the spread of vector-borne disease, and other health threats due to climate change will impact many groups of workers.
  • 4. Outline  Introduction  Basic definition  Many faces of climate change  Effects of climate change  Impacts of climate change  Effects of climate change on occupational health and safety  Specific work related occupational and safety hazard of climate change Recommendations  Conclusion
  • 5. Although very few studies have specifically explored the negative impacts of CC on OHS, a review of such literature published between 1998 and 2008 was performed by Schulte and Chun in 2009. The main climate-related global hazards they identified were: (1) Increased ambient temperature, (2) Air pollution, (3) Exposure to ultraviolet radiation, (4) Extreme weather events, (5) Communicable vector-borne diseases and expanded vector habitats, (6) Industrial transitions and emerging industries, and (7) Changes in the built environment
  • 6. The relationship between global climate change and occupational safety and health has not been extensively characterized. To begin such an effort, it may be useful to develop a framework for identifying how climate change could affect the  workplace;  workers; and  occupational :  morbidity, mortality, and injury.
  • 7. Basic definitions: Climate change: The Framework Convention on Climate Change (UNFCCC), in its Article 1, defines climate change as: ‘a change of climate which is attributed directly or indirectly to human activity that alters the composition of the global atmosphere and which is in addition to natural climate variability observed over comparable time periods.’ The UNFCCC thus makes a distinction between climate change attributable to human activities altering the atmospheric composition and climate variability attributable to natural causes
  • 8. Occupational Health and Safety: Occupational Health and Safety (OHS) is a branch of public health aimed at improving workplace health and safety standards. It studies injury and illness trends in the worker population and offers suggestions for mitigating the risks and hazards they encounter on the job. Every occupation has health or safety risks associated with it, and it is every employer’s responsibility to ensure that their employees can carry out their work as safely as possible.
  • 9. Occupational Health and Safety Professionals: An occupational Health and Safety Professional (OHSP) is a qualified and competent person in an organization, who is responsible for monitoring and controlling workplace risks and hazards. This individual works in close cooperation with other stakeholders to ensure a risk and hazard free workplace.
  • 10. Many faces of climate change Small shifts in the earth’s temperature could result in more powerful and destructive hurricanes. This satellite image shows Hurricane Isaac on the afternoon of September 29, 2000.
  • 11. These photographs, taken in 1928 and 2000, show how South Cascade Glacier in the Washington Cascade Mountains has retreated over time
  • 12. Name?
  • 13. Name?
  • 14. Name?
  • 15. Name?
  • 16. Name?
  • 17. We come back home, Lagos flood 2012
  • 18. Lagos – Ibadan Expressway.
  • 22. Thanks to our visionary leader: we have turned challenges to opportunities.
  • 23. Effects of Climate Change Climate change is brought about by two;  Climate change is any change occurring to the planet's climate either permanently or lasting for long periods of time. It is the cumulative total of two related sources: anthropogenic climate change and natural climate change.  Anthropogenic climate change is defined by the human impact on Earth's climate while natural climate change are the natural climate cycles that have been and continue to occur throughout Earth's history.
  • 24. Conceptual framework of the relationship between climate change and occupational safety and health (adapted from Schulte and Chun, 2009).
  • 25. POTENTIAL IMPACTS OF CLIMATE CHANGE
  • 26. Generally speaking, the impacts of CC on public health, the environment, and human activities are relatively well documented, which is not the case for its impacts on the health and safety profession or in general professions. Yet climate change will likely have both positive and negative consequences for the professional world that will be modulated by any given country’s sociopolitical and economic organization.
  • 27. In the United State, President Obama signed Executive Order 13653 in November 2013, he committed “to prepare the nation for the impacts of climate change by undertaking actions to enhance climate preparedness and resilience.” The challenge is to characterize how these climate events may influence worker health and safety and to establish plans for mitigating, responding, and adapting to the current and anticipated impacts. To this end, as occupational safety and health professionals, we must ask two key questions:  How should we respond to these potential hazards?  What information and tools do we need to protect workers and ensure they can adapt to current and anticipated health and safety impacts? So How is/will climate change affect occupational health and safety
  • 28. How climate change elevates safety of workers? Many work-related hazards due to climate change are already well-characterized, such as injuries in workers fighting wildfires or clearing debris from hurricanes, heat- related illnesses in farmworkers, and Lyme disease in outdoor recreation workers. However, climate change will likely expand the number and types of workers exposed to these and other hazards including pesticides used to control vectors (Moore, Qualls, Brennan, Yang, & Caban-Martinez, 2017)
  • 29. Specific Work-Related occupational and safety Hazards of Climate Change
  • 30. Extreme Heat Heat is a major health risk for workers working outside. It can cause dehydration, heat exhaustion and heatstroke, and can even result in loss of consciousness and heart attacks in extreme circumstances. The use of personal protective equipment (PPE) in extreme heat conditions is particularly challenging, especially in forestry, where it adds to the effort and stress of the job. Increasing frequency, duration, and intensity of periods of extreme heat heighten the risks of heat-related morbidity and mortality
  • 31.  Acute health effects of exposure to extreme heat include heat exhaustion, heat rash (prickly heat), heat syncope, dehydration, heat stroke, and complications of many chronic diseases, including chronic obstructive pulmonary disease, coronary artery disease, diabetes mellitus, and chronic kidney disease.  Chronic health effects due to continued heat exposure also include mental health problems such as anxiety, depression, and suicide; chronic kidney disease, possibly due to recurrent dehydration and other factors; and congenital malformations of the heart and brain in infants of women who worked during early pregnancy in physically demanding jobs
  • 32. No title  Farmers are among those workers at the highest risk of developing skin cancer because they are exposed to the sun on a daily basis (Adam-Poupart, 2013).  A number of studies point to a link between extreme ambient temperatures and increased risk of occupational injuries (Bonafede et al., 2016; Martínez- Solanas et al., 2018).
  • 33. Wildfires Climate change is increasing the frequency and severity of wildfires. As a result, the frequency and severity of resultant occupational health and safety hazards, such as falling trees and heat exhaustion, and the numbers of fatal and nonfatal injuries among firefighters and other responders are increasing (Britton et al., 2013; Withen, 2015). Firefighters also suffer burns, smoke inhalation, transportation-related injuries, and cardiac arrest (Adetona et al., 2016; Britton et al., 2013). Smoke inhalation from fires, in addition to excessive heat, is a potential hazard for other workers (Shaposhnikov et al., 2014)
  • 34. Extreme Weather Events  Many workers are at high risk of occupational hazards from extreme weather events such as hurricanes, which will likely increase in frequency and severity with climate change. Extreme weather events pose a variety of health and safety hazards to rescue and recovery workers, such as injuries from slips and falls and from being struck by airborne objects, inadequate sleep and nutrition because of long and uninterrupted work shifts, physical exhaustion, mental stress, and vehicular crashes (Leon, Hyre, Ompad, Desalvo, & Muntaner, 2007).  Floods, landslides, lightning strikes, and wildfires pose serious hazards. Heavy snowstorms can cause roof collapses and related hazards for workers (“Worker dies,” 2015).
  • 35. Case study Extreme weather events may also undermine safety controls. An example of this problem occurred at the Arkema Chemical plant in Crosby, Texas, following Hurricane Harvey in 2017. Numerous plant workers, first responders, and community residents were adversely affected by a series of chemical explosions at the plant, which resulted from flood waters cutting power to refrigeration units there (Newkirk, 2017).
  • 36. Air Pollution  Warmer temperatures will likely cause more air pollution, especially with ground-level ozone and fine particulate matter (Bell et al., 2007; Fiore, Naik, & Leibensperger, 2015; US Global Change Research Program, 2016). In addition to wildfires, droughts (with associated wind-blown soil and dust) will contribute to air pollution. Increased pollen production and longer pollen seasons are causing more allergic disorders among workers and others.  Workers most likely to be impacted by increased air pollution include outdoor workers in urban environments, firefighters, drivers, and workers in indoor spaces without filtered air
  • 37. Biological Hazards and Pesticides  In the United States, many workers are already at risk of tick-borne illnesses such as Lyme disease (Schulte et al., 2016). Climate change is broadening the range of disease vectors (such as ticks and mosquitoes), thereby increasing disease risks of outdoor workers in the construction, utility, recreation, agriculture, forestry, landscaping, and natural-resource-management sectors (Moore et al., 2017).  As the incidence of vector-borne diseases rises, there will likely be greater application of pesticides accompanied by increasing pesticide exposure to agricultural workers, landscapers, and pest control workers (Boxall et al., 2010; Gatto, Cabella, & Gherardi, 2016).
  • 38. What needs to be done
  • 39. Workplace Strategies  Health and safety management practices, including management commitment and employee participation in hazard recognition, assessment, and control, should address new and increased hazards resulting from climate change. Employer preparedness includes:  Devoting resources to hazard recognition;  Performing vulnerability assessments to determine which workers are vulnerable to climate change-related hazards (and when, how, and why);  Implementing a control strategy with policies, procedures, equipment, and work organization that eliminates or minimizes the impact of these hazards.
  • 40. Prevention Through Design  Prevention-through-design strategies can be implemented to embed worker health and safety into building a more resilient infrastructure and energy-efficient buildings. For example, renewable energy facilities, such as wind-turbine farms, can be designed to prevent injuries to maintenance workers. In addition, standards for office buildings that previously focused on energy use can be revised to comply with ventilation and other requirements for workers (NIOSH, 2018).
  • 41. Research Occupational safety and health research should be expanded. It should include:  Investigating climate change-related hazards and at-risk populations;  Using surveillance data on diseases, injuries, and occupational hazards to guide research agendas; and  Developing, implementing, and evaluating new adaptation measures (Adam-Poupart et al., 2013; Schulte & Chun, 2009).
  • 42. Surveillance Surveillance can be used to identify the impact of climate change on worker health; to help establish research agendas; and to help plan, implement, and evaluate preventive measures. Data from “sentinel events” due to climate change can be analyzed so that lessons can be learned to prevent similar problems in the future (Pierce, 2017).
  • 43. Occupational Medicine and Clinical Response  Clinicians have important roles to play in recognizing, diagnosing, treating, and preventing workers’ adverse health effects caused by climate change (Patz, Frumkin, Holloway, Vimont, & Haines, 2014). Clinicians should educate themselves and their colleagues about these adverse health effects, especially those that are temporally and geographically relevant to their communities.  They should also educate their patients who are at high risk for specific disorders due to climate change, such as older people and outdoor workers who are at increased risk of heat-related disorders and patients with chronic respiratory disorders who are more frequently exposed to hazardous levels of air pollutants.
  • 45. Workplace Standards and Policies Regulations and guidelines for the prevention of climate change– related occupational hazards, such as extreme heat, will need to be developed and implemented (Parsons, 2013). Safety regulations for hazards caused by extreme weather events may need to be applied to more workers and work situations. Regulations and guidelines to encourage employer preparedness will need to be improved (Bruce, 2012; Lucchini et al., 2017).
  • 46. Recommendations  Developing a strategic research agenda to address identified gaps and emerging issues  Identifying, developing, and disseminating communication products  Participating on federal, state, and other initiatives, as appropriate, to ensure that OSH is included as a core component of public health  Funding of projects related to climate change and worker safety and health
  • 47. CONCLUSION  Climate change exacerbates existing occupational health and safety problems and creates new ones. It presents many challenges for which new and improved approaches are necessary  There is strong evidence that climate change is and will continue presenting risks of job-related injury, illness, and death, so numerous critical research questions need to be resolved regarding specific hazards, sentinel events, risk assessment, and preventive actions.
  • 48. References  Adam-Poupart, A., Labrèche, F., Smargiassi, A., Duguay, P., Busque, M. A., Gagné, C., . . . Zayed, J. (2013). Climate change and occupational health and safety in a temperate climate: Potential impacts and research priorities in Quebec, Canada. Industrial Health 51, 68–78.  Adam-Poupart, A., Smargiassi, A., Busque M. A., Duguay, P., Fournier, M., Zayed, J., & Labréche, F. (2014). Summer outdoor temperature and occupational heat-related illnesses in Quebec (Canada). Environmental Research, 134, 339–344.  Brooks, S. K., Dunn, R., Amlôt, R., Greenberg, N., & Rubin G. J. (2016). Social and occupational factors associated with psychological distress and disorder among disaster responders: A systematic review. BMC Psychology 4(18).  Bruce, S. (2012, June 7). Emergency management preparedness: What is HR’s role? HR Daily Advisor.  Campbell, A. F. (2017, September 7). All the relief money in the world won’t rebuild Houston. Undocumented workers will. Vox.  Wesseling, C., Crowe, J., Hogstedt, C., Jakobsson, K., Lucas, R., & Wegman, D. H. (2013). The epidemic of chronic kidney disease of unknown etiology in Mesoamerica: A call for interdisciplinary research and action. American Journal of Public Health, 103, 1927–1930.  Withen, P. (2015). Climate change and wildland firefighter health and safety. New Solutions, 24, 577–584.  Worker dies in Canton’s second fatal snow-related fall in 5 days. (2015, February 23). WCBV.com.  World Health Organization. (2014). Health in the green economy: Occupational health, 2014. Geneva, Switzerland: Author.