Evidence map›Paper›PMID 29943748›Full record

SynthesisLa Medicina del lavoro2018

Impact of climate change on occupational health and productivity: a systematic literature review focusing on workplace heat.

Miriam Levi, Tord Kjellstrom, Alberto Baldasseroni

Open access · diamondAbstract readSystematic Review
In one paragraph

Synthesis in La Medicina del lavoro, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 37 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
37citing papers in PubMed, 4 pooled it
4.1field-weighted citation impact, top 6% of its field
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

37 citing papers in PubMed, 4 syntheses or guidelines pooled it, 114 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Knowledge Gaps and Research Priorities on the Health Effects of Heatwaves: A Systematic Review of Reviews.International journal of environmental research and public health · 2022
    Pooled it
  4. Pooled it
  5. Article
  6. Article
  7. Article
  8. Article
  9. Article
  10. Analysis of the Climate Impact on Occupational Health and Safety Using Heat Stress Indexes.International journal of environmental research and public health · 2025
    Article
  11. Review
  12. The Spectrum of Heat-Related Diseases - A Meta-Review.International journal of public health · 2025
    Review
  13. Review
  14. Article
  15. Review
  16. Article
  17. [Climate change and type I allergies at the workplace].Dermatologie (Heidelberg, Germany) · 2024
    Review
  18. Impacts of Climate Change on Work Health and Safety in Australia: A Scoping Literature Review.International journal of environmental research and public health · 2023
    Article
  19. Review
  20. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

3 authors at 2 institutions in 2 countries.

Miriam LeviCeRIMP, Azienda Usl Toscana Centro. miriamflorence@gmail.com.
Tord KjellstromCentre for technology research and innovation (CETRI Ltd), Lemesos, Cyprus. kjellstromt@yahoo.com.
Alberto BaldasseroniCeRIMP, Azienda USL Toscana Centro. alberto.baldasseroni@uslcentro.toscana.it.
Azienda Usl Toscana Centro · ITCentre for Technology Research & Innovation (Cyprus) · CY

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundWith climate change, mean annual air temperatures are getting hotter and extreme weather events will become more and more common in most parts of the world.

objectivesAs part of the EU funded project HEAT-SHIELD we conducted a systematic review to summarize the epidemiological evidence of the effects of global warming-related heat exposure on workers' health and productivity.

methodsThree separate searches, focused, respectively, on: i) heat-related illness (HRI), cardiovascular, respiratory and kidney diseases; ii) traumatic injuries; and iii) vector-borne diseases or vectors distribution, were conducted in PubMed. EMBASE was also consulted to retrieve relevant studies focused on the health effects of climate change. A fourth search strategy to assess the effects on work productivity was conducted both in PubMed and in the SCOPUS database.

resultsA significant proportion of studies reported findings regarding the Mesoamerican nephropathy issue. This is a disease occurring especially among young and middle-aged male sugarcane workers, without conventional risk factors for chronic kidney disease. For injuries, there is a reversed U-shaped exposure-response relationship between Tmax and overall daily injury claims. Outdoor workers are at increased risk of vector-borne infectious diseases, as a positive correlation between higher air temperatures and current or future expansion of the habitat of vectors is being observed. As for productivity, agriculture and construction are the most studied sectors; a day with temperatures exceeding 32°C can reduce daily labour supply in exposed sectors by up to 14%.

conclusionsThe present findings should inform development of further research and related health policies in the EU and beyond with regard to protecting working people from the effects of workplace heat during climate change.

Indexed as

Climate ChangeEfficiencyOccupational HealthPublic HealthAgricultureConstruction IndustryEuropean UnionGlobal WarmingHealth PolicyHot TemperatureHumansItalyOccupational DiseasesOccupational ExposureRisk FactorsWorkplace

Identifiers

PMID29943748
PMCPMC7689800
OpenAlexW2805430042

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC-SA
Read underepoch 390

Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.