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 warming will unquestionably increase the impact of heat on individuals who work in already hot workplaces in hot climate areas. The increasing prevalence of this environmental health risk requires the improvement of assessment methods linked to meteorological data. Such new methods will help to reveal the size of the problem and design appropriate interventions at individual, workplace and societal level. The evaluation of occupational heat stress requires measurement of four thermal climate factors (air temperature, humidity, air velocity and heat radiation); available weather station data may serve this purpose. However, the use of meteorological data for occupational heat stress assessment is limited because weather stations do not traditionally and directly measure some important climate factors, e.g. solar radiation. In addition, local workplace environmental conditions such as local heat sources, metabolic heat production within the human body, and clothing properties, all affect the exchange of heat between the body and the environment. A robust occupational heat stress index should properly address all these factors. This article reviews and highlights a number of selected heat stress indices, indicating their advantages and disadvantages in relation to meteorological data, local workplace environments, body heat production and the use of protective clothing. These heat stress and heat strain indices include Wet Bulb Globe Temperature, Discomfort Index, Predicted Heat Strain index, and Universal Thermal Climate Index. In some cases, individuals may be monitored for heat strain through physiological measurements and medical supervision prior to and during exposure. Relevant protective and preventive strategies for alleviating heat strain are also reviewed and proposed.

The impact of heat waves arising from climate change on human health is predicted to be profound. It is important to be prepared with various preventive measures for such impacts on society. The objective of this study was to investigate whether personal cooling with phase change materials (PCM) could improve thermal comfort in simulated office work at 34°C. Cooling vests with PCM were measured on a thermal manikin before studies on human subjects. Eight male subjects participated in the study in a climatic chamber (T_a = 34°C, RH = 60%, and ν_a = 0.4 m/s). Results showed that the cooling effect on the manikin torso was 29.1 W/m² in the isothermal condition. The results on the manikin using a constant heating power mode reflect directly the local cooling effect on subjects. The results on the subjects showed that the torso skin temperature decreased by about 2–3°C and remained at 33.3°C. Both whole body and torso thermal sensations were improved. The findings indicate that the personal cooling with PCM can be used as an option to improve thermal comfort for office workers without air conditioning and may be used for vulnerable groups, such as elderly people, when confronted with heat waves. Practical Implications Wearable personal cooling integrated with phase change materials has the advantage of cooling human body’s micro-environment in contrast to stationary personalized cooling and entire room or building cooling, thus providing greater mobility and helping to save energy. In places where air conditioning is not usually used, this personal cooling method can be used as a preventive measure when confronted with heat waves for office workers, vulnerable populations such as the elderly and disabled people, people with chronic diseases, and for use at home.

The growing need for valid assessment procedures of the outdoor thermal environment in the fields of public weather services, public health systems, urban planning, tourism & recreation and climate impact research raised the idea to develop the Universal Thermal Climate Index UTCI based on the most recent scientific progress both in thermo-physiology and in heat exchange theory. Following extensive validation of accessible models of human thermoregulation, the advanced multi-node 'Fiala' model was selected to form the basis of UTCI. This model was coupled with an adaptive clothing model which considers clothing habits by the general urban population and behavioral changes in clothing insulation related to actual environmental temperature. UTCI was developed conceptually as an equivalent temperature. Thus, for any combination of air temperature, wind, radiation, and humidity, UTCI is defined as the air temperature in the reference condition which would elicit the same dynamic response of the physiological model. This review analyses the sensitivity of UTCI to humidity and radiation in the heat and to wind in the cold and compares the results with observational studies and internationally standardized assessment procedures. The capabilities, restrictions and potential future extensions of UTCI are discussed.

Phase change material (PCM) absorbs or releases latent heat when it changes phases, making thermal-regulated clothing possible. The objective of this study was to quantify the relationships between PCM cooling rate and temperature gradient, mass and covering area on a thermal manikin in a climatic chamber. Three melting temperatures (24, 28, 32°C) of the PCMs, different mass, covering areas and two manikin temperatures (34 and 38°C) were used. The results showed that the cooling rate of the PCM vests tested is positively correlated with the temperature gradient between the thermal manikin and the melting temperature of the PCMs. The required temperature gradient is suggested to be greater than 6°C when PCM vests are used in hot climates. With the same temperature gradient, the cooling rate is mainly determined by the covering area. The duration of the cooling effect is dependent on PCM mass and the latent heat. Statement of Relevance: The study of factors affecting the cooling rate of personal cooling equipment incorporated with PCM helps to understand cooling mechanisms. The results suggest climatic conditions, the required temperature gradient, PCM mass and covering area should be taken into account when choosing personal PCM cooling equipment.