It is accepted that the earth's climate is changing in an accelerating pace, with already documented implications for human health and the environment. This literature review provides an overview of existing research findings about the effects of heat stress on the working population in relation to climate change. In the light of climate change adaptation, the purpose of the literature review was to explore recent and previous research into the impacts of heat stress on humans in an occupational setting. Heat stress in the workplace has been researched extensively in the past however, in the contemporary context of climate change, information is lacking on its extent and implications. The main factors found to exacerbate heat stress in the current and future workplace are the urban 'heat island effect', physical work, individual differences, and the developing country context where technological fixes are often not applicable. There is also a lack of information on the effects on vulnerable groups such as elderly people and pregnant women. As increasing temperatures reduce work productivity, world economic productivity could be condensed, affecting developing countries in the tropical climate zone disproportionately. Future research is needed taking an interdisciplinary approach, including social, economic, environmental and technical aspects.

Global climate change increases heat loads in urban areas causing health and productivity risks for millions of people. Inhabitants in tropical and subtropical urban areas are at especial risk due to high population density, already high temperatures, and temperature increases due to climate change. Air conditioning is growing rapidly, especially in South and South-East Asia due to income growth and the need to protect from high heat exposures. Studies have linked increased total hourly electricity use to outdoor temperatures and humidity; modeled future predictions when facing additional heat due to climate change, related air conditioning with increased street level heat and estimated future air conditioning use in major urban areas. However, global and localized studies linking climate variables with air conditioning alone are lacking. More research and detailed data is needed looking at the effects of increasing air conditioning use, electricity consumption, climate change and interactions with the urban heat island effect. Climate change mitigation, for example using renewable energy sources, particularly photovoltaic electricity generation, to power air conditioning, and other sustainable methods to reduce heat exposure are needed to make future urban areas more climate resilient.

BackgroundHeat stress is a major occupational problem in India that can cause adverse health effects and reduce work productivity. This paper explores this problem and its impacts in selected workplaces, including industrial, service, and agricultural sectors in Chennai, India.DesignQuantitative measurements of heat stress, workload estimations, and clothing testing, and qualitative information on health impacts, productivity loss, etc., were collected. Heat strain and associated impacts on labour productivity between the seasons were assessed using the International Standard ISO 7933:2004, which applies the Predicted Heat Strain (PHS) model.Results and conclusionsAll workplaces surveyed had very high heat exposure in the hot season (Wet Bulb Globe Temperature =29.7), often reaching the international standard safe work values (ISO 7243:1989). Most workers had moderate to high workloads (170–220 W/m2), with some exposed to direct sun. Clothing was found to be problematic, with high insulation values in rel...