The study, co-led by the US-based Paul G Allen Family Foundation, was published in the journal One Earth in March 2024.According to the study, the world is edging closer to breaching the temperature goals of the Paris Agreement, with heat and humidity levels in the tropics having been studied to be closer than ever to human tolerance thresholds.The increasingly humid heat is likely to affect outdoor workers in Africa and Asia the most because of their large working-age populations, likely to rise in coming decades, coupled with high reliance on agriculture, forestry and fisheries, the authors said.Another study, conducted in Tamil Nadu and published in October last year, found that occupational exposure to extreme heat more than doubled the risk of miscarriage in pregnant women, with the heat generally raising the overall risk of adverse pregnancy and birth outcomes.”We also observed that because of limited access to toilets, the women were eating and drinking less, resulting in malnutrition. This too can impact pregnancy outcomes,” Vidhya Venugopal, the study’s corresponding author and professor at the Faculty of Public Health of the Sri Ramachandra Institute of Higher Education and Research in Chennai, told PTI.The study assessed 800 pregnant women, 47 per cent of whom were exposed to heat while working outdoors.Among the women exposed to extreme heat, 6.1 per cent had still and preterm births, compared to 2.6 per cent of the women exposed to heat within safe limits, it said.Further, 8.4 per cent of the women exposed to high heat levels birthed babies having low weight, compared to 4.5 per cent of the women exposed to safe levels of heat, the “first-of-its-kind” study to be conducted in India found.It is published in the British Journal of Obstetrics and Gynaecology.”Biologically, the external heat adds to the internal heat generated in pregnant women because of hormones. So, when these women sweat in the heat, the blood flow rushes more towards their organs, which lowers the amount flowing towards the foetus, thereby hindering their growth and development,” Venugopal said.Mishra said that unless adaptation measures were implemented, the vulnerable tropical outdoor workers were in store for a future with more extreme heat, accompanied by more pronounced adverse impacts.The researchers also called for the empowerment of outdoor workers by raising their self-awareness and agency in decision-making.”We suggest workers to avoid labour under harsh conditions. We also suggest fewer working hours with changes in working routine in line with the external ambient conditions. We further advise workers to take breaks, which can also be mandated by agencies employing them,” Mishra added.Venugopal said outdoor women workers needed to be made more aware of the effects of extreme heat on their health and that primary healthcare centres can play an important role.”Through primary healthcare centres, which the women frequent during their gestation period, they can be sensitised about how the extreme heat is impacting them and their offspring’s health.The government can adopt such measures in mitigating the effects of extreme heat on outdoor women workers,” she said.
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