Thermal
comfort is the condition of
mind that expresses subjective satisfaction with the thermal environment. The human body can be
viewed as a heat engine where food is the input energy. The human
body will release excess heat into the environment, so the body can continue to
operate. The heat transfer is proportional to temperature difference. In cold
environments, the body loses more heat to the environment and in hot environments
the body does not release enough heat. Both the hot and cold scenarios lead to
discomfort. The concept of thermal
comfort is closely related to thermal stress. This attempts to predict the
impact of solar
radiation, air movement, and humidity for military personnel undergoing training exercises or athletes
during competitive events. Several thermal stress indices have been proposed,
such as the Predicted Heat Strain (PHS) or the humidex. Generally, humans do not perform well under thermal stress. People's
performances under thermal stress are about 11% lower than their performance at
normal thermal wet conditions. Also, human performance in relation to thermal
stress varies greatly by the type of task which the individual is completing.
Some of the physiological effects of thermal heat stress include increased
blood flow to the skin, sweating, and increased ventilation.
Psychological
adaptation
Thermal comfort as a
"condition of mind" is defined in psychological
terms. Among the factors that affect the condition of mind (in the laboratory)
are a sense of control over the temperature, knowledge of the temperature and
the appearance of the (test) environment. A thermal test chamber that appeared
residential "felt" warmer than one which looked like the inside of a
refrigerator.
Physiological
adaptation
The
body has several thermal adjustment mechanisms to survive in drastic
temperature environments. In a cold environment the body utilizes vasoconstriction; which reduces blood
flow to the skin, skin temperature and heat dissipation. In a warm
environment, vasodilation will increase
blood flow to the skin, heat transport, and skin temperature and heat
dissipation. If there is an imbalance despite the vasomotor adjustments listed
above, in a warm environment sweat production will start and provide
evaporative cooling. If this is insufficient, hyperthermia will set in, body
temperature may reach 40 °C (104 °F), and heat stroke may occur. In a
cold environment, shivering will start, involuntarily forcing the muscles to
work and increasing the heat production by up to a factor of 10. If equilibrium
is not restored, hypothermia can set in, which
can be fatal. Long-term adjustments to extreme temperatures, of a few days to
six months, may result in cardiovascular and endocrine
adjustments. A hot climate may create increased blood volume, improving the
effectiveness of vasodilation, enhanced performance of the sweat mechanism, and
the readjustment of thermal preferences. In cold or underheated conditions,
vasoconstriction can become permanent, resulting in decreased blood volume and
increased body metabolic rate Behavioral
adaptation
In
naturally ventilated buildings, occupants take numerous actions to keep
themselves comfortable when the indoor conditions drift towards discomfort.
Operating windows and fans, adjusting blinds/shades, changing clothing, and
consuming food and drinks are some of the common adaptive strategies. Among
these, adjusting windows is the most common. Those occupants who take these
sorts of actions tend to feel cooler at warmer temperatures than those who do
not.
Important of
human physiological process to identify Hypothermia/Hyperthermia
The human body always
works to remain in homeostasis. One form of homeostasis is thermoregulation. Body
temperature varies
in every individual, but the average internal temperature is 37.0 °C
(98.6 °F). Sufficient stress from extreme external temperature may cause
injury or death if it exceeds the ability of the body to thermoregulate. Hypothermia can set in when the core temperature drops to
35 °C (95 °F).
Hyperthermia can set in when the core body temperature rises above
37.5–38.3 °C (99.5–100.9 °F). Humans have adapted to living in
climates where hypothermia and hyperthermia were common primarily through
culture and technology, such as the use of clothing and shelter. Satisfaction with the
thermal environment is important because thermal conditions are potentially
life-threatening for humans if the core body
temperature reaches
conditions of hyperthermia or hypothermia. Buildings modify the conditions of the external environment
and reduce the effort that the human body needs to do in order to stay stable
at a normal human body
temperature, important
for the correct functioning of human physiological processes. In building science studies, thermal comfort has been related
to productivity and health. Office workers who are satisfied with their thermal
environment are more productive. The combination of high temperature and high
relative humidity reduces thermal comfort and indoor air
quality. Indoor
spaces that are not air conditioned can create indoor heat waves if the outside
air cools but the thermal mass of the building traps the hotter air inside.
Cedeño-Laurent et al. believe these may become worse as climate change
increases the "frequency, duration, and intensity of heat waves" and
will be harder to adjust to in areas that are designed for colder climate.
Mortality due to heat waves could be reduced if buildings were
better designed to modify the internal climate, or if the occupants were better
educated about the issues, so they can take action on time. Heatwave early
warning and response systems are important elements of heat action plans.
Heat illness in rising temperatures
Since the 1970s, temperature on the surface of Earth has become
warmer each decade. This increase happened faster than in any other 50-year
period over at least the last 2000 years. Compared to the second half of the
19th century, temperature in the 21st century show a warming of 1.09 °C.
Extreme heat is a direct threat to health, especially for people
over 65 years, children, people living in cities and those who have already
existing health conditions. Rising global temperatures impact the health and well-being of people in multiple
ways. In the last few decades, people all over the world have become more
vulnerable to heat and experienced an increasing number of
life-threatening heatwave events. Extreme heat has negative
effects on mental health as well, raising the risk of mental health-related
hospitalizations and suicidal. People with cognitive
health issues (e.g. depression, dementia, Parkinson's
disease) are more at risk when
faced with high temperatures and ought to be extra careful as cognitive performance has been shown to be differentially affected by
heat. People with diabetes and those who are overweight, have sleep
deprivation, or have cardiovascular/cerebrovascular conditions should avoid too
much heat exposure. Although heat itself is not a direct threat to health on its
own, a combination of factors of rising temperatures can detriment one's
health. The effects of heat on an individual's health is influenced by
temperatures, humidity, exercise, hydration, age, pre-existing health status
and also by occupation, clothing, behavior, autonomy, vulnerability, and sense
of obligation.
Physical exercise is beneficial for reducing the risk the many
illnesses and for mental health. At the same time the number of hours per day
when the temperature is dangerously high for outdoor exercise has been increasing.
The rising heat also impacts people's ability to work and the number of hours
when it is not safe to work outdoors (construction, agriculture, etc.) has also
increased.
There are two types of heat the body is adapted to, humid heat
and dry heat, but the body adapts to both in similar ways. Humid heat is
characterized by warmer temperatures with a high amount of water vapor in the
air, while dry heat is characterized by warmer temperatures with little to no
vapor, such as desert conditions. With humid heat, the moisture in the air can
prevent the evaporation of sweat. Regardless of acclimatization, humid heat
poses a far greater threat than dry heat; humans cannot carry out physical
outdoor activities at any temperature above 32 °C (90 °F) when the
ambient humidity is greater than 95%. When combined with this
high humidity, the theoretical
limit to human survival in the shade, even with unlimited water, is 35 °C
(95 °F) – theoretically equivalent to a heat index of 70 °C (158 °F) Dry heat, on the other hand,
can cause dehydration, as sweat will tend to evaporate extremely quickly. Individuals
with less fat and slightly lower body temperatures can more easily handle both
humid and dry heat. Heat
stress causes illness but also may account for an increase in workplace accidents, and a decrease in worker productivity.
Worker injuries attributable to heat include those caused by: sweaty
palms, fogged-up safety glasses, and dizziness. Burns may also occur as a result of accidental contact with
hot surfaces or steam. In the United States, occupational
heat stress is becoming more significant as the average temperatures increase
but remains overlooked. There are few studies and regulations regarding heat
exposure of workers. In
unusually hot conditions, all workers should be aware of their risk for heat
illness and should ensure that they drink plenty of water and take breaks in
cool places to avoid any severe impacts.