Relationship between weather parameters and risk of exertional heat injuries during military training

Introduction: The Singapore Armed Forces (SAF) collaborated with the Meteorological Service Singapore (MSS) to study the relationship between weather parameters and the incidents of exertional heat injury (EHI) to mitigate the risk of EHI in a practical manner. Methods: Data from the SAF's heat...

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Main Authors: Beng Hoong Poon, Alexander Wilhelm Gorny, Kaiyuan Zheng, Wee Kiong Cheong
Format: Article
Language:English
Published: Wolters Kluwer – Medknow Publications 2022-12-01
Series:Singapore Medical Journal
Subjects:
Online Access:https://journals.lww.com/10.11622/smedj.2021183
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author Beng Hoong Poon
Alexander Wilhelm Gorny
Kaiyuan Zheng
Wee Kiong Cheong
author_facet Beng Hoong Poon
Alexander Wilhelm Gorny
Kaiyuan Zheng
Wee Kiong Cheong
author_sort Beng Hoong Poon
collection DOAJ
description Introduction: The Singapore Armed Forces (SAF) collaborated with the Meteorological Service Singapore (MSS) to study the relationship between weather parameters and the incidents of exertional heat injury (EHI) to mitigate the risk of EHI in a practical manner. Methods: Data from the SAF's heat injury registry and MSS’ meteorological data from 2012 to 2018 were used to establish a consolidated dataset of EHI incidents and same-day weather parameters rank-ordered in deciles. Poisson regression modelling was used to determine the incidence rate ratios (IRRs) of the EHI, referencing the first decile of weather parameters. Two frames of analysis were performed - the first described the relationship between the weather parameters and the adjusted IRR for the same day (D), and the second described the relationship between the weather parameters and the adjusted IRR on the following day (D + 1). Results: For wet-bulb temperature, the IRR on D + 1 approximated unity for the first nine deciles but rose to 3.09 at the tenth decile. For dew-point temperature, the IRR on D + 1 approximated unity for the first nine deciles but rose to 3.48 at the tenth decile. By designating a single dew-point temperature cut-off at ≥25.1°C (transition between the ninth and tenth decile), the adjusted IRR on D + 1 was 2.26 on days with dew-point temperature ≥25.1°C. Conclusion: Integrating the data from the SAF and MSS demonstrated that a dew-point temperature ≥25.1°C on D correlates statistically with the risk of EHI on D + 1 and could be used to supplement the risk mitigation system.
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spelling doaj-art-5fe5f131cfaa4dd68d7b3c4c3b71256c2025-02-10T05:48:45ZengWolters Kluwer – Medknow PublicationsSingapore Medical Journal0037-56752737-59352022-12-01631270971410.11622/smedj.2021183Relationship between weather parameters and risk of exertional heat injuries during military trainingBeng Hoong PoonAlexander Wilhelm GornyKaiyuan ZhengWee Kiong CheongIntroduction: The Singapore Armed Forces (SAF) collaborated with the Meteorological Service Singapore (MSS) to study the relationship between weather parameters and the incidents of exertional heat injury (EHI) to mitigate the risk of EHI in a practical manner. Methods: Data from the SAF's heat injury registry and MSS’ meteorological data from 2012 to 2018 were used to establish a consolidated dataset of EHI incidents and same-day weather parameters rank-ordered in deciles. Poisson regression modelling was used to determine the incidence rate ratios (IRRs) of the EHI, referencing the first decile of weather parameters. Two frames of analysis were performed - the first described the relationship between the weather parameters and the adjusted IRR for the same day (D), and the second described the relationship between the weather parameters and the adjusted IRR on the following day (D + 1). Results: For wet-bulb temperature, the IRR on D + 1 approximated unity for the first nine deciles but rose to 3.09 at the tenth decile. For dew-point temperature, the IRR on D + 1 approximated unity for the first nine deciles but rose to 3.48 at the tenth decile. By designating a single dew-point temperature cut-off at ≥25.1°C (transition between the ninth and tenth decile), the adjusted IRR on D + 1 was 2.26 on days with dew-point temperature ≥25.1°C. Conclusion: Integrating the data from the SAF and MSS demonstrated that a dew-point temperature ≥25.1°C on D correlates statistically with the risk of EHI on D + 1 and could be used to supplement the risk mitigation system.https://journals.lww.com/10.11622/smedj.2021183dew point temperatureexertional heat injuryweather parameters
spellingShingle Beng Hoong Poon
Alexander Wilhelm Gorny
Kaiyuan Zheng
Wee Kiong Cheong
Relationship between weather parameters and risk of exertional heat injuries during military training
Singapore Medical Journal
dew point temperature
exertional heat injury
weather parameters
title Relationship between weather parameters and risk of exertional heat injuries during military training
title_full Relationship between weather parameters and risk of exertional heat injuries during military training
title_fullStr Relationship between weather parameters and risk of exertional heat injuries during military training
title_full_unstemmed Relationship between weather parameters and risk of exertional heat injuries during military training
title_short Relationship between weather parameters and risk of exertional heat injuries during military training
title_sort relationship between weather parameters and risk of exertional heat injuries during military training
topic dew point temperature
exertional heat injury
weather parameters
url https://journals.lww.com/10.11622/smedj.2021183
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AT alexanderwilhelmgorny relationshipbetweenweatherparametersandriskofexertionalheatinjuriesduringmilitarytraining
AT kaiyuanzheng relationshipbetweenweatherparametersandriskofexertionalheatinjuriesduringmilitarytraining
AT weekiongcheong relationshipbetweenweatherparametersandriskofexertionalheatinjuriesduringmilitarytraining