Projects / P4

Charité
CRSN
Kenya Medical Research

P4: Climate change, heat stress and their impact on health and work capacity

Climate change intensifies exposure to extreme heat events. In Sub-Saharan Africa (SSA) excessive heat already presents an alarming health hazard. Human beings have to keep to a certain core body temperature of about 37 °C to maintain health. When exposed to heat, effective responses can be activated to facilitate heat losses from the body, by increasing skin perfusion and/or increasing the sweat rate for example. However, those reactions can cause heavy strain on the body – especially when combined with intensive physical work, which typically occurs during outdoor farming activities. Such strain with prolonged heat exposure can cause exhaustion and in severe forms, will lead to heat injuries or death. This is even more likely when the work has to be performed under hot and humid environmental conditions. As most of the daily workload in SSA is subsistence agriculture, any reduction in productivity will induce several additional severe economic, social, and health consequences, thus in the first phase, we investigated the heat stress experienced by young healthy farmers in SSA and its impact on health and productivity. Whereas the Wet Bulb Globe Temperature (WBGT, °C) accounts for the major environmental factors responsible for heat stress, the Physiological Strain Index uses physiological data, i.e., heart rate and core body temperature, to determine the heat strain on the body.

However, vulnerability to heat changes largely varies as a function of individual characteristics, thus pre-existing health conditions play a key role. As non-communicable diseases are an emerging issue in SSA, whose prevalence may be underestimated, during this second phase we will focus on farmers affected by chronic respiratory diseases, such as chronic obstructive pulmonary disease (COPD) and asthma. We aim at determining the specific physiological impacts of climate variations on labor capacity in this vulnerable population in SSA: accounting for the seasonal and geographical differences, quantifying the additional adverse effect of the pre-existing disease, assessing sex-related differences and determining whether cost-effective adaptation strategies, as behavioral interventions, are feasible.

Looking deeper at the productivity, our team will coordinate within the Research Unit (RU) a newly conceived inter-cluster study: the Heat to Harvest (H2H). The H2H study will leverage the RU approach, by integrating the methods already in use within individual projects (CP1, P1, P2, P4, P3, P5, P7 and CP2), linking heat stress, housing cooling interventions, working pattern during harvest, yields quantity/quality and children undernutrition. In the literature a wide range of studies have described the adverse effect of climate change on agricultural production in general and propose various changes in agricultural techniques, however, the impact on the farmers’ work capacity has never been studied in SSA, to the best of our knowledge.

Website:  Center for Space Medicine and Extreme Environments Berlin

Foto von Prof. Dr. Hanns-Christian Gunga

Principal Investigator (PI):
Prof. Dr. Hanns-Christian Gunga
Charité – University of Medicine Berlin
Institute of Physiology
Berlin, Germany
E-mail: hanns-christian.gunga@charite.de

Foto von Dr. Ali Sié

Co-PI:
Dr. Ali Sié
Centre de Recherche en Santé de Nouna (CRSN)
Nouna, Burkina Faso
E-mail: sieali@yahoo.fr

Foto von Dr. Stephen Munga

Co-PI:
Dr. Stephen Munga
Kenya Medical Research Institute (KEMRI)
Centers for Disease Control (CDC) Research & Public Health Collaboration
Kisumu, Kenya

E-mail: munga_os@yahoo.com

Foto von Dr. Martina Maggioni

Lead scientist and Co-PI:
PD Dr. Martina Anna Maggioni
Charité – University of Medicine Berlin
Institute of Physiology
Berlin, Germany
Email: martina.maggioni@charite.de

Charité
Research assistant, data analyst: Msc. Stefan Mendt
PhD Student: Mr. Georgi Zout

Nouna CRSN
PhD Student and study coordinator: Dr. Lucienne Ouermi
Celine Hoever
Rieke-Sophie.Welzel (H2H Study)
Aristide Ouédrago (H2H Study)
(2 Field workers)

KEMRI
PhD Student and study coordinator: Dr. Daniel Kwaro
Zoe-Hannah Heim
(2 Field workers)