An expert assessment on playspace designs and thermal environments in a Canadian context

Playgrounds are a hub for child play and concerns that may impact children\u27s play there may hinder their health and well-being. Extreme temperatures can increase risks in children of sunstroke, burns from playground surfaces, and exposure to ultraviolet radiation. Despite health risks from extreme heat to children, existing playground design standards around the world, including in Canada, make little-to-no mention of how to design playgrounds for thermal comfort, particularly in summer. To help fill this gap in the Canadian context, several organizations collaborated to develop guidance for thermally comfortable playgrounds in Canada. As part of this project, an online survey was administered to 55 experts with diverse professional backgrounds, largely from Canada and the United States, to determine how thermal comfort is viewed in playground design and safety. Survey results showed agreement among experts that thermal comfort receives low or no priority in playground design but should be prioritized or considered alongside other safety factors in relevant playground safety guidelines and standards. The results of this survey not only helped inform the 2020 publication of a Thermal Comfort annex to the CSA Group\u27s Children\u27s playgrounds and equipment standard (CAN/CSA Z614) but could also help inform future research and practice globally

Workplace heat exposure, health protection, and economic impacts: A case study in Canada

Background: Occupational heat exposure is a serious concern for worker health, productivity, and the economy. Few studies in North America assess how on‐site wet bulb globe temperature (WBGT) levels and guidelines are applied in practice

Heat stress vulnerability and critical environmental limits for older adults

Abstract The present study examined heat stress vulnerability of apparently healthy older vs. young adults and characterized critical environmental limits for older adults in an indoor setting at rest (Rest) and during minimal activity associated with activities of daily living. Critical environmental limits are combinations of ambient temperature and humidity above which heat balance cannot be maintained (i.e., becomes uncompensable) for a given metabolic heat production. Here we exposed fifty-one young (23 ± 4 yrs) and 49 older (71 ± 6 yrs) adults to progressive heat stress across a wide range of environments in an environmental chamber during Minimal Activity (young and older subjects) and Rest (older adults only). Heat compensability curves were shifted leftward for older adults indicating age-dependent heat vulnerablity (p < 0.01). During Minimal Activity, critical environmental limits were lower in older compared to young adults (p < 0.0001) and lower than those at Rest (p < 0.0001). These data document heat vulnerability of apparently healthy older adults and define critical environmental limits for indoor settings in older adults at rest and during activities of daily living, and can be used to develop evidence-based recommendations to minimize the deleterious impacts of extreme heat events in this population

Strong Impact of Smoking on Multimorbidity and Cardiovascular Risk Among Human Immunodeficiency Virus-Infected Individuals in Comparison With the General Population.

Background.  Although acquired immune deficiency syndrome-associated morbidity has diminished due to excellent viral control, multimorbidity may be increasing among human immunodeficiency virus (HIV)-infected persons compared with the general population. Methods.  We assessed the prevalence of comorbidities and multimorbidity in participants of the Swiss HIV Cohort Study (SHCS) compared with the population-based CoLaus study and the primary care-based FIRE (Family Medicine ICPC-Research using Electronic Medical Records) records. The incidence of the respective endpoints were assessed among SHCS and CoLaus participants. Poisson regression models were adjusted for age, sex, body mass index, and smoking. Results.  Overall, 74 291 participants contributed data to prevalence analyses (3230 HIV-infected; 71 061 controls). In CoLaus, FIRE, and SHCS, multimorbidity was present among 26%, 13%, and 27% of participants. Compared with nonsmoking individuals from CoLaus, the incidence of cardiovascular disease was elevated among smoking individuals but independent of HIV status (HIV-negative smoking: incidence rate ratio [IRR] = 1.7, 95% confidence interval [CI] = 1.2-2.5; HIV-positive smoking: IRR = 1.7, 95% CI = 1.1-2.6; HIV-positive nonsmoking: IRR = 0.79, 95% CI = 0.44-1.4). Compared with nonsmoking HIV-negative persons, multivariable Poisson regression identified associations of HIV infection with hypertension (nonsmoking: IRR = 1.9, 95% CI = 1.5-2.4; smoking: IRR = 2.0, 95% CI = 1.6-2.4), kidney (nonsmoking: IRR = 2.7, 95% CI = 1.9-3.8; smoking: IRR = 2.6, 95% CI = 1.9-3.6), and liver disease (nonsmoking: IRR = 1.8, 95% CI = 1.4-2.4; smoking: IRR = 1.7, 95% CI = 1.4-2.2). No evidence was found for an association of HIV-infection or smoking with diabetes mellitus. Conclusions.  Multimorbidity is more prevalent and incident in HIV-positive compared with HIV-negative individuals. Smoking, but not HIV status, has a strong impact on cardiovascular risk and multimorbidity