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. 2022 Oct 1;60(5):447-458.
doi: 10.2486/indhealth.2021-0161. Epub 2021 Nov 24.

Risk factors associated with heat-related illness among sugarcane farmers in Thailand

Kanpitcha Kiatkitroj  1 , Sara Arphorn  1   2 , Chaiyanun Tangtong  1   2 , Suchinda Jarupat Maruo  1   2 , Tomohiro Ishimaru  3
Affiliations

Risk factors associated with heat-related illness among sugarcane farmers in Thailand

Kanpitcha Kiatkitroj et al. Ind Health. .

Abstract

Heatstroke is defined as severe symptoms of heat-related illness, which could lead to death. Sugarcane farmers are at high risk of heatstroke under extremely hot outdoor working conditions. We explored the prevalence of heat-related illness symptoms and risk factors related to heat-related illness among sugarcane farmers working in the summer. We conducted a cross-sectional study using questionnaire interviews among 200 sugarcane farmers in Kamphaeng Phet Province, Thailand. The questionnaire addressed demographics, heat-related symptoms experienced during summer at work, and occupational factors. Bioelectrical impedance analysis was used to assess body mass index and body fat percentage. Watson formula equations were used to estimate total body water. The prevalence of heat-related illness symptoms was 48%; symptoms included heavy sweating, weakness/fatigue, dizziness, muscle cramps, headache, and vertigo. Factors associated with heat-related illness included women and clothing. Sugarcane farmers wearing two-layer shirts had a higher risk of heat-related illness. Farmers with fluid intake 3.1-5.0 liters per day had a 79% lower risk of heat-related illness. Our findings demonstrated that sugarcane farmers are at risk of heat-related illness. We confirmed that working conditions, including wearing proper clothing and water-drinking habits, can reduce this risk.

Keywords: Fluid intake; Heat-related illness; Heatstroke; Risk factor; Sugarcane farmer; Thailand; Women.

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Conflict of interest statement

The authors declare no conflicts of interest.

References

    1. Intergovernmental Panel on Climate Change (2018) Summary for policymakers- global warming of 1.5°C. In: Global warming of 1.5°C. An IPCC Special Report on the impacts of global warming of 1.5°C above pre-industrial levels and related global greenhouse gas emission pathways, in the context of strengthening the global response to the threat of climate change, sustainable development, and efforts to eradicate poverty, World Meteorological Organization, Geneva.
    1. Thai Meteorological Department. [Annual Weather Summary in 2020.] https://www.tmd.go.th/climate/climate.php?FileID=5 (in Thai). Accessed May 20, 2021.
    1. Masud MB, Soni P, Shrestha S, Tripathi NK (2016) Changes in climate extremes over North Thailand, 1960–2099. J Climatol 2016, 1–18.
    1. World Health Organization & United Nations (2015) Country-specific climate hazard projections, World Health Organization, Geneva.
    1. World Health Organization (2016) Review of climate change and health activities in Thailand, World Health Organization Regional Office for South-East Asia, New Delhi.