Study criteria.

The ability to regulate core body temperature is a critical factor in avoiding occupational heart stress in demanding environments. Heat-related illness in an occupational setting is complex and multifactorial and includes environment (intrinsic and extrinsic), the occupational clothing requirements and physiological factors. Much of this research began in the gold mines in South Africa after several miners died due to heat related illness. Similar research was conducted during World War Two and was crucial for the creation of acclimatization techniques and strategies for acquiring thermal tolerance. Techniques such as fatigue recovery and body cooling are still used today to prevent heat related illness in individuals with occupations that have frequent exposure to heat and high physical loads. These individuals are at greater risk of heat related illness as extended exposure to a hot or humid environment in combination with strenuous physical activity can overwhelm the body’s homeostatic cooling mechanisms. In addition, individuals from special populations with chronic or acute health impacts such as diabetes mellitus, also have a greater risk for the aforementioned. Currently, there are several heat prevention strategies, including training and education, regulation and monitoring, in place to protect workers from heat related illness and casualty. These strategies, along with future considerations and the impact of climate change will be highlighted in this review.