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Federal State Budgetary Educational Institution of Higher Education «Irkutsk State Medical University» of the Ministry of Healthcare of the Russian Federation Department of General Hygiene R. S. Мanueva HYGIENIC ASSESSMENT OF MICROCLIMATE Study guide Irkutsk ISMU 2019

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Page 1: HYGIENIC ASSESSMENT OF MICROCLIMATE

Federal State Budgetary Educational Institution of Higher Education

«Irkutsk State Medical University»

of the Ministry of Healthcare of the Russian Federation

Department of General Hygiene

R. S. Мanueva

HYGIENIC ASSESSMENT

OF MICROCLIMATE

Study guide

Irkutsk

ISMU

2019

Page 2: HYGIENIC ASSESSMENT OF MICROCLIMATE

2

УДК 613.646(075.8)=111

ББК 51.218я73

М24

Recommended by the CCMС of FSBEI HE ISMU MOH Russia

as a study guide for foreign students, mastering educational programs of higher

education by the educational program of the specialty of General Medicine

(Protocol № 2 of 18.12.2019)

Author:

R. S. Мanuevа – Candidate of Medical Sciences, Associate Professor,

Department of General Hygiene, FSBEI HE ISMU MOH Russia

Translator:

O. V. Antipina – Candidate of Philological Sciences, Associate Professor,

Department of Foreign Languages with Latin and «Russian for Foreigners»

Programs, FSBEI HE ISMU MOH Russia

Reviewers:

L. P. Ignatieva – Doctor of Biological Sciences, Professor, Head of the Department

of Specialized Hygienic Disciplines, FSBEI HE ISMU MOH Russia

S.V. Makarov – Candidate of Medical Sciences, Associate Professor,

Department Public Health and Healthcare, FSBEI HE ISMU MOH Russia

Manueva, R. S.

М24 Hygienic assessment of microclimate : study guide / R. S. Manueva ; FSBEI HE

ISMU MOH Russia, Department of General Hygiene. – Irkutsk : ISMU, 2019. –

54 p.

The study guide contains information on the physiological and hygienic significance of the

microclimate, methods for assessing the microclimate of rooms. The basic hygienic requirements

for microclimate indicators in premises for various purposes are presented: residential, industrial,

medical organizations. In order to assimilate the material studied and self-control, situational tasks,

theoretical questions, and test tasks are also included.

This edition can be used by foreign students mastering educational programs for specialists

in General Medicine, in the course of studying Hygiene as an academic discipline.

УДК 613.646(075.8)=111

ББК 51.218я73

© Manueva R. S., 2019

© FSBEI HE ISMU MOH Russia, 2019

Page 3: HYGIENIC ASSESSMENT OF MICROCLIMATE

3

CONTENTS

ABBREVIATIONS 4

INTRODUCTION 5

1. HYGIENIC VALUE OF THE MICROCLIMATE 6

2. WEATHER AND CLIMATE. THEIR INFLUENCE ON THE HUMAN

ORGANISM

14

3. HYGIENIC ASSESSMENT OF THE MICROCLIMATE 21

3.1. Determination of barometrical pressure 22

3.2. Determination of air temperature 23

3.3. Determination of humidity 24

3.4. Determination of air mobility 27

4. PREVENTATIVE MEASURES 30

5. HYGIENIC VALUE OF MOBILITY OF AIR 32

QUESTIONS 35

SAMPLE TASKS 35

TEST 38

SOLUTION PATTERNS 41

KEYS 43

RECOMMENDED LITERATURE 44

GLOSSARY 45

APPENDIX 48

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ABBREVIATIONS

BP – blood pressure

HR – heart rate

GPA – hectopascal

ICD – International Classification of Diseases

CVS – cardiovascular system

CNS – central nervous system

WHO – World Health Organization

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INTRODUCTION

The microclimate of the premises is the most important physical

environmental factor, on which the state and performance of people

largely depends. In practical conditions, situations often arise related to the

need for people to stay in rooms with adverse microclimatic conditions. In

this regard, the tasks of hygienic research of the basic laws of

microclimate formation, adaptation of the organism, ways to accelerate or

facilitate this process, hygienic assessment of the microclimate as the basis

for predicting the state and performance of people are always relevant.

As a result of studying the topic, the student should know the

concept of microclimate and its physiological and hygienic significance,

the main ways of heat transfer, their dependence on microclimate

parameters, methods for assessing the microclimate of rooms, hygienic

requirements for microclimate indicators in rooms for various purposes.

To be able to give a hygienic assessment of all microclimate parameters in

accordance with hygienic standards and draw up a sanitary conclusion

about the microclimate in the room. To give recommendations to the

public on improving health in an uncomfortable microclimate.

As a result, they should handle a hygienic assessment of all

microclimate parameters.

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1. HYGIENIC VALUE OF THE MICROCLIMATE

The human body has perfect mechanisms of thermoregulation –

physical and chemical, which allow it to adapt to various temperature

conditions and for a short time to suffer significant temperature

fluctuations for health damage. In accordance with the external

temperature, both the heat generation mechanism and the mechanism

regulating its loss come into effect.

Chemical thermoregulation – the production of heat by the body

due to oxidative processes. The body’s heat production at rest is for a

“standard person” (weight 70 kg, height 170 cm, body surface 1.8 m2) up

to 293 kJ per hour, with light physical work – up to 628, moderate – up to

1256, heavy – 1256–2093 and more. Metabolic heat is a kind of excretion

and must be continuously removed from the body.

Physical thermoregulation provides an increase or decrease in heat

transfer. At a high external temperature, the skin vessels expand, the

secretion of water by the sweat glands increases, the temperature of the

skin rises, and as a result of this, the heat transfer from the body surface

increases; at low temperature, the skin vessels narrow, the blood moves to

the internal organs, the skin cools and therefore the difference between the

temperature of the skin and air becomes smaller, the heat transfer

decreases.

Normal vital activity and a high efficiency of the human being are

only possible if there is a balance between heat production and its impact

on the environment. Heat exchange depends on microclimate conditions.

Most of all, microclimate conditions influence physical thermoregulation

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by reducing or increasing the surface body temperature. They indirectly

affect chemical thermoregulation, reducing or increasing the intensity of

metabolic processes in the body (heat production).

To keep the body temperature constant, the heat in the body gained

must be equal to heat lost from the body surface.

There are several ways of heat transfer:

1) radiation of heat towards the colder surfaces and objects;

2) evaporation of moisture through perspiration;

3) convection – heating the layer of air adjacent to the surface of the

body, followed by its displacement;

4) conduction – heat conduction due to the difference in temperature

of the body surface and the contacting surfaces with him.

In normal conditions (room temperature 18 ° C man loses about 85%

of the heat through the skin, and 15% of the heat for heating food intake,

drinking, and the inhaled air for evaporation of water in the lungs. Of the

85% of the heat given off by the skin, about 45% lost by radiation, 30% –

holding, and 10% – due to the evaporation of moisture from the skin

surface. These ratios vary considerably depending on microclimate

conditions.

1. Radiation 45–50%, as a result of the difference between

temperature of the surrounding and body temperature.

2. Evaporation 10 %, the amount of heat lost by evaporation depends

on the air velocity and relative humidity.

3. Convention 15%, the air temperature and air velocity are the two

factors treat loss of temperature by convection.

4. Conduction 30%, the heat loss by convection is directly

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proportional to the difference between skin temperature and the air

temperature.

The heat balance provides thermal comfort of human. The heat

balance ensures the temperature constancy of the organism (36,1–37,2°С)

and thermal equilibrium with the environment. It is achieved by the ratio

of heat production and heat output of the body. Heat production occurs

during the oxidation of nutrients, the reduction of skeletal muscle.

The drier the air the more water vapor it can absorb. If the humidity in

the air is high, there is a corresponding reduction in cooling power.

If air temperature is between 24–37°C, heat loss by radiation and

convection falls but evaporation loss increases. High temperature with

high relative humidity decreases the evaporation through the skin, and

cause over heat of the body. Low temperature with high relative humidity

causes coolness of the body. The high air velocity cause increases the heat

loss by evaporation, and convention.

The loss of heat by radiation according to the Stefan-Boltzmann

law depends on the difference between the temperature of the skin of the

human body and the radiation temperature. The radiation balance is

positive when a person receives more heat radiation from walls or other

objects located at a distance from him than he gives them. A similar

situation is often in hot shops and contributes to overheating. In an open

atmosphere, heat loss by radiation depends on solar radiation, soil

temperature and building walls. Temperature, humidity and air velocity do

not affect heat loss by radiation.

Heat loss is carried out by contact of the human body with the

surrounding air – convection or with objects (floor, wall) – conduction.

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Most of the heat is lost by convection. Loss of heat by convection is

directly proportional to the difference between skin temperature and air

temperature - the larger the difference, the greater the heat transfer. If the

air temperature rises, then the heat loss by convection decreases, and at a

temperature of 35–36° C it stops. Loss of heat by convection also increases

with increasing speed of air movement, but air having a high speed of

movement does not have time to heat up in the body and therefore slightly

enhances heat transfer. At the same time, acting on baroreceptors, it has an

irritating effect. Therefore, in hot shops, where artificially created blowing

is used to increase heat transfer, air velocities exceeding 2–3 m / s are not

used.

Loss of heat by evaporation depends on the amount of moisture

(sweat) that evaporates from the surface of the body. When 1 g of moisture

is evaporated, the body loses 2.43 kJ of heat (latent heat of evaporation).

At room temperature, about 0.5 l of moisture per day evaporates from the

surface of human skin, with which about 1200 kJ is released. With

increasing temperature of air and walls, heat loss by radiation and

convection decreases, a person sweats and heat loss by evaporation sharply

increases. If the temperature of the environment is higher than body

temperature, then the only possible is the loss of heat due to evaporation.

In particularly difficult conditions (during hard work and high ambient

temperature), the amount of sweat released reaches 5–10 liters per day (hot

shops, deserts). Upon evaporation, his body can lose 12142–24284 kJ of

heat. This type of heat transfer is very effective, but only if there are

conditions for the evaporation of sweat. With profuse sweating, when

sweat flows down the body, not having time to evaporate, the cooling

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effect is small.

The possibility of heat loss by evaporation increases with decreasing

humidity and increasing air velocity. Air temperature and radiation

temperature do not affect heat loss by evaporation.

Thus, the air velocity enhances the loss of heat by convection and

evaporation and, therefore, at high ambient temperatures is a favorable

factor. Therefore, in hot weather, fanning, fan blowing, etc. improve well-

being, and calmness, worsening heat transfer, contributes to overheating.

At low temperatures, the movement of air, which increases the heat

transfer by convection, should be considered as an unfavorable factor. It

increases the risk of frostbite and colds. Even at a high ambient

temperature, if a person’s clothing is wet or his skin is covered with sweat,

a strong movement of air (draft), dramatically increasing the heat loss by

evaporation, can lead to a catarrhal disease.

High air humidity (over 70%) adversely affects heat transfer at both

high and low temperatures. If the air temperature is high (more than 30°

C), then high humidity, making evaporation of sweat more difficult, leads

to overheating. At low temperatures, high air humidity contributes to

stronger cooling. This is because in humid air, heat loss is increased by

convection. As stated earlier, very dry air also acts adversely. Therefore,

the optimum humidity is in the range of 30–60%.

The microclimate is a set of physical properties of air that affect the

heat exchange of a person with the environment, its thermal state in a

limited space (in separate rooms, a city, a forest, etc.) and determine its

well-being, performance, health and labor productivity.

The indicators characterizing the climate or the physical condition of

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the air include:

1) air temperature,

2) relative air humidity,

3) air mobility,

4) intensity of heat radiation.

The microclimate has an effect upon physical activity, health and

mental state of the body.

The sanitary-hygienic conclusion about the microclimate of the room

is based on a comparison of the measurement results of microclimatic

parameters with their hygiene standards, as well as subjective and

objective indicators of thermoregulation of people present in the room.

The microclimate can be assessed as optimal (comfortable); valid and

uncomfortable.

The comfort (optimal) conditions is the physical state of the air

environment, which determines the optimal thermal and functional condition

of the person, provides general and local sensation of thermal comfort (for

production facilities – for an 8-hour shift) with a minimum voltage of the

thermoregulatory mechanisms, does not cause abnormalities in health, a

prerequisite for a high level of efficiency.

The acceptable microclimate conditions are set according to criteria

allowable thermal and human functional state for a period of 8-hour work

shift. They do not cause damage or state of health disorders, but may give rise

to general and local thermal sensations of discomfort, tension

thermoregulatory mechanisms, poor health and a decrease in efficiency. If

you exceed the allowable values of microclimatic parameters person

experiences discomfort, there is overheating or hypothermia.

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Conditions under which the normal thermal state of a person is

violated are called uncomfortable. Uncomfortable microclimate can be

heating and cooling.

The heating microclimate is a combination of microclimate

parameters (temperature, humidity, speed of motion, relative humidity,

thermal radiation), in which there is a violation of human heat exchange

with the environment, reflected in the accumulation of heat in the body

above the upper boundary of the optimal value (> 0.87 kJ / kg) and / or

increasing the proportion of heat by evaporation of sweat loss (> 30%) in

the overall structure of the heat balance, the appearance of common or

local discomfort heat sensations (slightly warm, warm, hot).

The cooling microclimate is a combination of microclimate

parameters, in which there is a change of the body heat, leading to the

formation of a general or local heat deficiency in the body (> 0.87 kJ / kg)

as a result of lowering the temperature of deep and superficial layers of

tissues.

For thermal injury, according to the International Classification of

Diseases (ICD), Injuries and Causes of death include the following

diseases: heat and sunstroke, heat syncope, heat cramps, heat exhaustion

due to dehydration, heat exhaustion due to the reduction of salt content in

the body, heat exhaustion, unspecified, thermal fatigue, transient , heat

edema, other manifestations of exposure to heat, unspecified. There are

acute and chronic forms of violation of thermoregulation.

Heat stroke is caused by an acute insufficiency of thermoregulation

of the body. There is a high level of deaths in this form. The most common

heat stroke occurs in young healthy individuals during intense muscular

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work in the heat. Decompensation of thermoregulation under the influence

of exogenous and endogenous heat is occupied leading place in the

mechanism of thermal shock that is not promptly given to the organism to

the environment due to lack of sweating. Excessive heat accumulation

causes early and strong rise in temperature of tissue and organs, and this,

in turn, – changes in the central nervous system (CNS), electrolyte shifts in

the exchange. The big role in the pathogenesis of heat stroke during

physical work in the heat playing hypokalemia due to potassium leaving

the muscles in the blood plasma and the excessive loss of his sweat. Heat

stroke is accompanied by loss of consciousness, increase in body

temperature to 40–41 ° C, a weak, rapid pulse. A sign of a heavy defeat

when heat stroke is a complete cessation of sweating.

Sunstroke. Clinical manifestations and pathogenesis of sunstroke are

similar to those of heat stroke, in which the leading factor causing the heat

accumulation in the body above the physiological limit is an infrared

radiation of the Sun, and to a lesser extent – the heat convection of the

ambient air.

Heat cramps (cramping disease). This form of heat injury is most

often observed in severe muscular work, sweating, accompanied by

plentiful drinking water. This defeat is an extracellular dehydration with

intracellular hyperhydration (water intoxication). Heat cramps are caused

by hot climates, a rapid shift of acid-base balance in the direction of

alkalosis, leading to muscle spasms. There are a variety of seizures,

especially the calf muscles, blood viscosity increases.

The transient thermal fatigue, or asthenic reaction. The basis of this

form of heat injury is nervous and mental exhaustion. Asthenic reaction to

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heat is manifested slow to work, irritability when communicating, fatigue,

decreased attention and memory. Heat exhaustion is one of the most

common heat-related illnesses.

Heat edema is associated with moderate and sustained violation of

water-salt metabolism in the body. The heating microclimate leads to an

increased release of salt from the body, dehydration, and also a violation of

the salt balance of the body leads to decreased immunity, a significant loss

of attention, a significant increase in the probability of an accident at work.

Chronic forms of violation of thermoregulation lead to changes in the

state of the nervous, cardiovascular and digestive systems of a person,

forming production-related (occupational) diseases.

2. WEATHER AND CLIMATE. THEIR INFLUENCE ON THE

HUMAN ORGANISM

Weather is a physical state of the low level of the atmosphere

(troposphere) that is characterized with the complexity of meteorological

elements simultaneously observed at a certain place of the earth and

formed under the influence of sun radiation and properties of the earth

surface.

A comprehensive weather profile is called a weather type. There are

several types of weather: hot, dry, warm, cloudy, rainy.

The weather regime that lasts for years or the totality of its typical

properties is called the climate of the given place. Climate is defined by a

certain consequence of meteorological elements and characterizes average

indexes of the meteorological state of the given place according to results

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of continuous observation.

From the point of view of medicinal climatology the way a person is

influenced by any weather factors has its own peculiarities. Weather

factors can be divided into 2 groups:

1. Meteofactors (weather factors). These are the temperature, intensity

of sun radiation, soil temperature, etc.

2. More complicated physical phenomena at the earth level of the

atmosphere are caused by helioactive, geographic and cosmic

factors like:

manifestations of the sun activity (sun spots, etc.);

electromagnetic fields;

the geomagnetic field;

air ionization which can be characterized with the notion of

coefficiency of unipolarization of ions (the ratio of positively

charged ions to the ones negatively charged);

atmospheric electricity;

oxygen content in the air;

intensity of ultraviolet (UV) radiation;

the gravitational effects (caused by interaction of the moon, the

sun, and the earth).

Besides, such processes as atmospheric circulation and weather

changes influence formation of meteolability.

ATMOSPHERIC CIRCULATION. Weather formation is influenced

by two atmospheric processes called cyclonic and anticyclonic.

Cyclone weather is characterized with increased mobility of the air, a

decrease of the atmospheric pressure and the temperature coefficient.

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In anticyclone the weather is calm, without rain, sunny, with

increased atmospheric pressure and temperature coefficient or with a

decrease of the latter.

Besides, the weather is characterized with changes. A weather

change can be periodic and non-periodic.

A periodic weather change manifests itself in seasonal changes. For

example, in the middle of the north hemisphere of the earth it is cold in

winter, and then a slow transition of the weather towards warmth can be

observed. At other latitudes a transition from dry and hot weather to rainy

and cool one is observed. These changes are natural for a man. His

biological biorhythms depend on the periodic weather rhythms. Moreover,

meteothropal states do not reveal themselves.

A nonperiodic change is connected with sudden weather changes at

the background of its periodic changeability (e.g. thaw in winter, etc.) and

leads to deviations in a smooth flow of physiological rhythms of the

organism. Such deviations are considered to be meteothropal reactions.

Metheothropal reactions are typical both of healthy and sick people.

Without taking into consideration the mechanisms of development of

meteothropal reactions, it should be mentioned that, first of all,

meteofactors of the second, and not of the first group, are more important

from the viewpoint of their development. Second, not weather conditions

themselves, but their oscillations, especially sharp and non-typical of the

given climatic conditions, are important.

To characterize the influence of weather factors on a man, it is

necessary to classify weather. There are a great number of weather

classifications. But hygienists, climatologists and other specialists in the

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medical field think that classifications made from the point of view of

complex climatology which take into account physiological reactivity of

the organism are more acceptable. From a hygienic point of view (effects

on human health), a clinical classification of weather types is convenient:

optimal, irritating and acute ones (we should pay more attention to the

clinical classification of weather that differentiates between three types).

According to the given classification, optimal weather is the one

influencing the human organism positively. Here we can speak about

weather complexes with a small amount of wind, dry, sunny with the daily

temperature change within 2°C, and the atmospheric pressure within 4

GPa (GigaPasca) (equal to 3 mm of mercury).

To the irritating type we can refer weather with a violation of a

smooth flow of one or two meteorological elements: sunny or cloudy, dry

or humid (with relative humidity up to 90%), when daily the variability of

the atmospheric pressure does not increase 8 GPa (6 mm of mercury), the

temperature is more than 4°C and the wind is up to 9 m / sec.

To the acute type of weather we refer the one with a sharp difference

in meteorological meanings when the atmospheric pressure rises and then

falls more than 8 GPa (6 mm of mercury), the temperature is equal to 4°C

and relative humidity is more than 90%. Such weather is rainy, windy, and

cloudy, of the cyclone type.

But such a classification brings the whole variety of weather and its

influence just to dynamics of some meteofactors like temperature,

humidity, and mobility (for the air), atmospheric pressure. While such

factors as geomagnetic field, electromagnetic radiation, electric state of the

atmosphere (electric field and air ionization, electric charges of clouds and

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precipitations), gravitational factors play a very important role in

formation of meteotropal reactions of the organism. Taking into

consideration all the facts mentioned above, a modern classification of

weather is used in practice now. This classification singles out 3 following

types: favorable, moderately favorable, and unfavorable.

Sensitivity towards weather influences is widely spread. For different

contingents of the population it deviates from 10 to 90%. Besides, almost

30% of healthy people are sensitive towards the weather. Common

manifestations of meteopathogenity are expressed in headaches, a feeling

of anxiety, a decrease of working capacity, etc.

More than 20% of meteosensitive people say that their relatives have

the same sensitivity, which proves the fact of a possible hereditary

predisposition to meteothropaty.

Meteosensitivity of those people who live in cities is 1.5–2 times

higher than that of the people who live in countries. It is closely connected

with peculiarities of living conditions in cities and peculiarities of the

character of weather influence on them. City inhabitants spend less time in

the open air. They are less adaptive to deviations of the movement speed,

the air temperature and other meteofactors. They are more inclined to

hypoxic phenomena. Besides, the combination of unfavorable weather

conditions and air pollution is quite possible.

Thus, the weather influence causes a wide range of responses: from

minor deviations of the professional stereotype of behavioral reactions at

healthy people to heavy acute conditions of heart and other diseases.

Let us remember that in the general complex of the weather and

climate on the human organism, weather changeability plays an important

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role. Sharp deviations of the weather not typical of the given climatic

conditions are dangerous for the human health.

It is also necessary to remember about the notions of adaptation and

adaptive-corrective mechanisms, without whose understanding it is

impossible to understand the essence of appearance and development of

meteothropal reactions.

In medical practice, a gentle and annoying climate is distinguished. A

sparing climate is characterized by insignificant fluctuations in

meteorological factors and minimal requirements for the adaptive

mechanisms of the human body (the climate of central Russia, the southern

coast of Crimea). The annoying climate is characterized by significant

fluctuations in meteorological factors, which require the tension of

adaptation mechanisms (cold climate of the North, high mountain (above

2000 m), hot in the steppes and deserts). The cold continental climate is

also annoying, it causes an overstrain of thermoregulatory mechanisms,

which is important to consider for people with poor health and patients.

The study of the laws of the influence of climatic factors on the

human body is engaged in bioclimatology. The beneficial effects of

climate on human health and well-being are successfully used in

balneology.

It has been noted that a healthy organism adapts more easily to

changing climatic conditions.

Acclimatization is a process of active adaptation of an organism to

unusual climatic conditions.

Physiologically, there is the body’s ability to realize the most

favorable relationships with the new climatic conditions associated with

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the formation of a new dynamic stereotype that arises by establishing

temporary and permanent reflex connections with the environment through

the central nervous system.

The main adaptive reactions in the north are an increase in heat

production, an increase in the volume of the chest, circulating blood and

hemoglobin, a decrease in the blood of vitamins C, B2, impaired synthesis

of vitamin D. The relative increase in gamma globulins and the level of

mineralization of the skeleton can also be considered as factors that

increase endurance organism at low temperatures.

Acclimatization in the North takes place in 3 phases (according to

Danishevsky G.M.): 1) initial, which is characterized by physiological

changes; 2) the restructuring of the dynamic stereotype, which is

implemented according to favorable or unfavorable options; 3) persistent

acclimatization.

To a hot climate a person adapts harder. The adaptation process also

proceeds in 3 phases:

1) preparatory (protective) – there is an appropriate distribution of

water and salts in the body to meet the needs for thermoregulation;

2) stress – this phase is characterized by a thickening of the blood, an

increase in its viscosity, the number of red blood cells and the content of

hemoglobin;

3) recovery-adaptation – characterized by the restoration or

approximation to the initial values of some blood parameters and a number

of other body functions.

In the process of acclimatization to a hot climate, there are reactions

from the cardiovascular side (slowing of the pulse, decrease in blood

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pressure by 15–25 mm Hg), a decrease in the frequency of respiratory

movements, an increase in perspiration (more intense and even

evaporation of sweat), a decrease in temperature body and basal metabolic

rate by 10–15%.

Adaptation is one of the fundamental qualities of a living matter. It

is typical of all the known forms of life and is so universal that it is often

identified with the notion of life itself. It is quite correct, because the

processes of life origin and its development both have corrective

properties.

The climate and the geographical environment that surrounds a man

influence his vital activity. It is necessary to mention that this influence is

socially grounded and is formed through such conditions as nutrition,

clothes and labor which ensure the character change of pathological

influence of geliometeothropal factors.

We can differentiate between 2 types of the organism’s reactions to

the influence of weather factors: meteothropal and pathological reactions.

They are connected with the organism’s inability to maintain homeostasis

and physiological adaptation towards unusual climatic factors. This

process is connected with working out a new stable condition.

3. HYGIENIC ASSESSMENT OF THE MICROCLIMATE

Giving the hygienic assessment of the impact of physical factors of

the air environment on the human organism, their whole complex should

be taken into account. To create a comfortable well-being for people, it is

necessary to keep to the following parameters of these factors

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(microclimate) in the dwellings:

– air temperature: 18–20°C;

– relative air humidity: 30–60% (in educational and preschool

institutions 40–60%);

– air mobility: 0.1–0.3 m/s (in preschool institutions).

The standards of microclimate indicators are subdivided into optimal

and acceptable. In industrial dwellings, while providing for optimal

indicators of the microclimate, the air temperature changes in height and

horizontally, as well as those of the air temperature during a shift in the

workplace, should not exceed 2°C.

While providing for acceptable indicators, the air temperature

changes in height should be at least 3°C. The air temperature changes

horizontally and during a shift should not exceed 4–6°C for different

categories of works. Normal air temperature changes between the

temperature of the inside air, and the temperature of the inner surface of

the outer walls should not exceed 4°C in residential dwellings, medical and

educational institutions.

3.1. Determination of barometrical pressure

The barometrical pressure is measured with mercury barometers or

aneroid barometers. Barographs (an aneroid barometer with recording

devices and the tape mechanism) are used for continuous recording. The

pressure is expressed in millimeters of mercury or GPas (gigapascas).

Usually, variations of the barometrical pressure can be within 760±20

mmHg or 1013±26.5 GPa (1 GPa = 0.7501 mmHg). The glass of the

aneroid barometer should be tapped on before its readings are taken. It is

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23

necessary to overcome inertia of the barometer hand.

3.2. Determination of air temperature

In the dwelling the air temperature is usually measured with

mercury and alcohol thermometers. The thermometer is left at the place

of measurement for 5 minutes. It helps the liquid inside it acquire the

temperature of the ambient air. After that the temperature is recorded. For

this purpose, you can use an aspiration psychrometer, whose dry

thermometer measures the air temperature more accurately because its

container is protected against radiation.

For the purpose of continuous temperature record (within a day,

week, etc.) thermographs are used. They consist of a sensing element (a

curved hollow metal or bimetallic plate filled with toluene) which is

connected with the recorder, and the tape mechanism.

To determine the temperature at the workplace we measure it at three

height levels: 0.1 m 0.6 m and 1.7 m, if a person works mostly in the

sitting position.

To determine the average air temperature in the dwelling, 3 measures

are made horizontally at the height of 1.5 m from the floor (in the middle

of the dwelling – at 10 cm from the outer wall and at the inner wall), and

then the average value is calculated.

According to these values, the temperature uniformity is judged in

the horizontal direction. To determine the temperature changes in the

vertical direction, measures are made at 10 cm from the floor and at the

height of 1.5 m.

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3.3. Determination of humidity

In hygienic practice it is accepted to normalize relative humidity due

to the fact that by its value it is possible to judge about the impact of

humidity and other environmental factors on heat exchange in human.

It is believed that the optimal value of relative humidity is in the

range of 30–60%, and its permissible level is 65–75%.

To describe the character of humidity the following values are used:

– absolute humidity – water vapor pressure, found in the air at the

time of measurement, expressed in mmHg, or the amount of water vapor,

contained at the time of measurement in 1 m³ of the air, in grams;

– maximum humidity – water vapor pressure at complete moisture

saturation of the air at the given temperature in mm Hg, or the amount of

water vapor, contained in 1 m³ of the air at the time of saturation at the

same temperature;

– relative humidity – the ratio of maximum and absolute humidity,

expressed as a percentage;

– saturation deficit (physical deficiency) – the difference between

maximum and absolute humidity;

– dew point – the temperature at which the air is maximally saturated

with water vapor; the absolute humidity value is equal to the maximum

value.

Modern electronic thermohygrometers and psychrometers,

hygrometers, and a hygrograph are used to determine air humidity

indoors.

Hygrometers record relative humidity of the air directly. They consist

of a sensing element (a lock of low-fat hair), mechanically connected with

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25

the recording part (an arrow). The hygrograph constantly registers relative

humidity; it is a combination of the hygrometer with the recording device

and the tape mechanism.

Assmann’s aspiration psychrometer consists of two thermometers,

enclosed in a nickel-plated metal tube through which the analyzed air goes

evenly with the help of the winding fan at the top of the device. Such

construction of the device protects the reservoirs of thermometers from

radiant energy and ensures constant air velocity around devices, equal to 4

m / s. At the positive air temperature the aspiration psychrometer is the

most reliable instrument for measuring air humidity and temperature. Due

to pulling a large air mass, its readings are more accurate than the

readings of August’s stationary psychrometer.

Before working with Assmann’s psychrometer, it is necessary to

moisten the end of the wet thermometer in distilled water with the help of

a special pipette. The end of the wet thermometer should be wrapped in a

thin cloth (cambric). Then, with the help of the key, the fan starts working.

The psychrometer is hung on the stand at the place of moisture

measurement, and in 4–5 minutes its readings are taken. At this time the

fan works at full speed.

When you work with the aspiration psychrometer, absolute humidity

is calculated by the following formula (Shprung’s formula):

755

*5.0 1

BttFK в , (1)

where K is absolute air humidity, mm Hg; Fb is maximum water vapor

pressure at the temperature of the wet thermometer (see the table); 0.5 is a

psychrometric constant factor; t is the temperature of the dry thermometer,

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26

°C; t1 is the temperature of the wet thermometer, °C; B is barometric

pressure, mmHg; 755 is the average barometric pressure volume, mmHg.

Conversion of the found value of absolute humidity into relative

humidity is calculated by the following formula:

%100сF

KR , (2)

where R is relative humidity, %; K is absolute humidity, mmHg; Fс is

maximum humidity at the temperature of a dry thermometer (see Table 1).

Table 1

Maximum vapor pressure at different temperatures (mmHg)

°C mmHg °C mmHg °C mmHg °C mmHg

-5 3.16 5 6.54 15 12.79 25 23.76

-4 3.40 6 7.01 16 13.63 26 25.21

-3 3.67 7 7.51 17 14.53 27 26.74

-2 3.95 8 8.04 18 15.48 28 28.35

-1 4.26 9 8.61 19 16.48 29 30.04

0 4.58 10 9.21 20 17.54 30 31.82

1 4.93 11 9.84 21 18.65 31 33.70

2 5.29 12 10.52 22 19.83 32 35.66

3 5.68 13 11.23 23 21.07 33 37.73

4 6.10 14 11.99 24 22.38 34 39.90

Relative humidity can be determined with the help of special tables

(see Table 2).

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27

Table 2

Psychrometric table

Temperature

of a dry

thermometer, °С

Difference between the readings of dry and wet

thermometers, °С

0 1 2 3 4 5 6 7 8 9 10

Relative air humidity, %

12 100 89 78 68 57 48 38 29 20 11 -

13 100 89 79 69 59 49 40 31 23 14 6

14 100 89 79 70 60 51 42 34 25 17 9

15 100 90 80 71 61 52 44 36 27 20 12

16 100 90 81 71 62 54 46 37 30 22 15

17 100 90 81 72 64 55 47 39 32 24 17

18 100 91 82 73 65 56 49 41 34 27 20

19 100 91 82 74 65 58 50 43 35 29 22

20 100 91 83 74 66 59 51 44 37 30 24

21 100 91 83 75 67 60 52 46 39 32 26

22 100 92 83 76 68 61 54 47 40 34 28

23 100 92 84 76 69 61 55 48 42 36 30

24 100 92 84 77 69 62 56 49 43 37 31

25 100 92 84 77 70 63 57 50 44 38 33

3.4. Determination of air mobility

To determine low speeds of air mobility in the dwellings (1–2 m / s)

catathermometers are used, and for high speeds (up to 50 m / s) there are

anemometers.

A catathermometer can have a cylindrical or a spherical tank is filled

with colored alcohol. The temperature scale of the cylindrical

catathermometer is divided into degrees from 35 to 38°С, and for the

spherical catathermometer – from 33 to 40°С.

To determine the cooling capacity of the air, a catathermometer is

heated in the water bath until the alcohol fills 1/2–2/3 of the upper

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28

expansion of the tank. Then the catathermometer is wiped dry and hung

on a tripod at the place of the speed of air mobility measurement. With the

help of the stopwatch, an analyst matches the time necessary for the

alcohol column to go down from 38 to 35°C. In the process of cooling the

catathermometer loses a certain amount of heat, established for each

device in the laboratory way. This loss of heat off 1 cm² of the tank surface

is expressed in millicalories and marked on the back of each

catathermometer as its constant factor f.

The value of the cooling capacity H is calculated by the formula:

t

fH , (3)

where f is the device factor, a constant value indicating the amount of heat

which is lost off 1 cm2 of the device surface during its cooling from 38 to

35°C, mcal / cm2 * s (the constant value for each device); t is the time for

the device cooling, sec.

Knowing the values of the air cooling capacity and the temperature

of the ambient air, it is possible to calculate the air mobility.

To calculate the air mobility of less than 1 m/s the following formula

is used:

2

40.0

20.0

Q

H

V; (4)

To calculate the air mobility of more than 1 m/s we use the formula:

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29

2

47.0

13.0

Q

H

V, (5)

where V is air mobility, m / s; H is the value of the catathermometer

cooling, mcal / cm2 * s; Q is the difference between the average body

temperature of 36.5°C and the ambient temperature, °C; 0.20, 0.40, 0.13,

and 0.47 are empirical coefficients.

A spherical catathermometer, unlike a cylindrical one, has a temperature

scale from 33 to 40°C. Measurements made with it are performed in the same

way as with a cylindrical catathermometer. There is the only one difference

between them. Observation the process of the device cooling is carried out in

the ranges of 40–33, 39–44, 38–35°C, e.g. it is performed when the arithmetic

average values of the maximum (T1) and the lowest (T2) temperatures are

equal to 36.5°C.

When using the intervals of 39–44 and 40–33°C, the value of cooling

is calculated by the formula:

t

TTfH 21 , (6)

where f is the device factor; t is the time during which a catathermometer

gets cooler from the temperature T1 to T2, s.

To determine high speeds of air mobility two types of anemometers

are used: a propeller-type anemometer and a cup-type anemometer. The

first type of anemometers is used for measuring air mobility in the range

from 0.5 to 15.0 m / s, and the second type – for air mobility from 1.0 to

50.0 m / s.

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30

Fig 1. Anemometers: a – propeller-type anemometer; b – cup-type anemometer1

4. PREVENTATIVE MEASURES

In order to prevent adverse effects on the body microclimate

performed four groups of measures.

The first group is the scientific substantiation of hygienic standards

for the microclimate of premises for different purposes. So, for residential

areas in the cold season the following standards are set: air temperature

18–20 ° C, humidity 30–60%, air velocity of 0.1–0.2 m / s, temperature of

the wall ± 2 ° C compared to the rated air temperature.

The second group of measures is the impact on the environment in

order to bring microclimate to optimal hygienic requirements or, in

extreme cases, to levels that do not produce adverse effects on health and

efficiency. These measures include the heating, ventilation, air

conditioning, sun protection measures (visors, curtains, etc.), elimination

1 Пивоваров Ю. П. Руководство к лабораторным занятиям по гигиене и основам экологии человека

[Электронный ресурс] : учеб. пособие для студ. высш. учеб. заведений / Ю. П. Пивоваров, В. В. Королик. – 2-е

изд., испр. и доп. – М. : Издательский центр «Академия», 2006. – Режим доступа:

https://studfiles.net/preview/6446222/. – Загл. с экрана.

Page 31: HYGIENIC ASSESSMENT OF MICROCLIMATE

31

of the causes overheating in the production (changing technology, heat

insulation and so on. P.), The normalization of conditions in the workplace

(air shower, screen et al.).

The third group consists of measures aimed at the human: the

selection of clothing (including electrically heated), hardening, rational

mode of work and rest, good nutrition and drinking regime (special drinks,

salty carbonated water, etc.).

The fourth group includes medical and preventive measures:

medical screening for employment, periodic medical examinations in order

to identify individuals with health problems caused by the uncomfortable

climate, health education for the prevention of overheating or overcooling

and others.

Methods for normalization of the working environment

1. Mechanization and automation of production processes, remote

management. These measures are very important for the protection

against harmful substances, heat radiation, especially during heavy

work.

2. The use of technological processes and equipment, excluding the

formation of harmful substances or hit them in the work area, heat-

and water. Great value for the improvement of air quality has a

reliable sealing of equipment.

3. Protection from sources of heat radiation is important to reduce the

indoor air temperature and thermal radiation workers.

4. The device of effective local and the general exchange ventilation

and heating, that really matter for the improvement of air quality in

industrial environments. The task of ventilation is to provide clean

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32

air and given weather conditions in production facilities. Improved

micro-climatic conditions is achieved by removing the polluted or

heated air from the room and feed it fresh air.

5. HYGIENIC VALUE OF MOBILITY OF AIR

The movement of air in the atmosphere is characterized by the

direction of motion and speed.

The direction is determined by the side of the world from where the

wind blows, and the speed is determined by the distance traveled by the

mass of air per unit time (m/s).

A change in air direction serves as an indicator of weather changes. It

is also important to know the prevailing wind direction in a given area in

order to take it into account when planning populated areas, placing

hospitals, child care facilities, residential buildings on their territory, which

should be located on the windward side of industrial enterprises that can

serve as a source of air pollution and other environmental objects.

To clarify the prevailing wind direction for a given place, a wind rose

is built.

The Rose of Wind is a graphic image of repeatability of winds in a

particular locality for a certain period and it is widely used for the rational

distribution of various objects during construction planning.

For the construction of wind rose from the center of the graph on the

main (North, South, West, East) and intermediate compass points lay

lengths to scale. Then the ends of the segments on rhumbs connected by

straight lines. Shtil (no wind, calm) denote the circle from the graph center

with a radius corresponding to the number of days of shtil.

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33

The Rose of Wind indicates the dominant northeast wind direction in

the study area during the year, so the residential area (houses, medical

institutions, and childcare facilities should be located on the windward

side- in the north-east direction), while industrial facilities and other

sources of pollution – downwind (in the south-west).

In fig. 2 the wind rose indicates the prevailing northeast direction of

the winds in the study area during the year, so the residential area

(residential buildings, medical organizations and children's institutions

should be located on the windward side – in the northeast direction), and

industrial enterprises and other sources of pollution – on the leeward side,

i.e. in a southwest direction.

Fig. 2. Rose of Wind2

2 Пивоваров Ю. П. Руководство к лабораторным занятиям по гигиене и основам экологии человека

[Электронный ресурс] : учеб. пособие для студ. высш. учеб. заведений / Ю. П. Пивоваров, В. В. Королик. – 2-е

изд., испр. и доп. – М. : Издательский центр «Академия», 2006. – Режим доступа:

https://studfiles.net/preview/6446222/. – Загл. с экрана.

Page 34: HYGIENIC ASSESSMENT OF MICROCLIMATE

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The perception of heat perception by a person depends on

temperature. At high temperatures, thermal health improves due to the

movement of air; there is a feeling of coolness, so the movement of air at

high temperature is regarded as a favorable factor. At a low temperature,

thermal health deteriorates; it seems even colder due to increased heat

transfer, so the movement of air at low temperatures is regarded as an

unfavorable factor.

The movement of air (wind) enhances the metabolic processes: the

heat production increases with decreasing temperature and increasing air

Strong headwinds can interfere with breathing, as in this case,

exhaled air must be given a speed exceeding the wind speed, the normal

act of breathing is disrupted: inhalation becomes passive, and exhalation

becomes active. A strong tailwind makes it difficult to breathe, creating a

rarefaction zone in front of a person. The wind with its pressure can

mechanically impede movement and physical work, causing in this

connection an increase in energy consumption and deterioration in the

coordination of movements, which must be taken into account in certain

works and in sports.

The influence of wind on the neuropsychic sphere of a person can be

very significant. It is known that thermally neutral wind has an

invigorating effect. A strong, prolonged wind can cause both mental

arousal and a depressive state, possibly under the influence of infrasound.

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QUESTIONS

1. Foundations of human physiology heat exchange and its connection

with the microclimate mode of premises.

2. The microclimate types. The concepts of comfort and discomfort in

relation to the microclimate.

3. Health abnormalities and diseases caused by the influence of

uncomfortable microclimate on the human organism. Prevention of

this condition.

4. The weather and meteotropic reactions.

5. The climate and climatic factors.

6. The wind rose diagram: its hygienic value and drawing method.

7. Acclimatization: its entity and peculiar features on the north and

south.

SAMPLE TASKS

Sample task 1

The traumatology department are allocated wards for patients with

burn disease. The heating in the wards is water. Indicators of Climate

Chamber as follows: air temperature 18 ° C, relative humidity 60%, air

velocity of 0.2 m / s. Are comfortable microclimate conditions wards for

these patients and whether they will contribute to the treatment of the open

method? What is needed for climate improvement?

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Sample task 2

In the research of the classroom microclimate in the secondary

school the following results were obtained: 1) the average temperature is

+24°C, the temperature changes in the vertical direction make 3°C, in the

horizontal direction – 2.8°C; 2) at determination of air humidity with the

help of Assmann’s psychrometer the temperature of the dry thermometer is

equal to +24°C, and the temperature of the wet thermometer is +18°C; 3)

the barometrical pressure is 753 mmHg; 4) at determination of air mobility

at the height of 1 m from the floor, the time of the alcohol column fall in

the catathermometer is 120 seconds, the device factor is 492 mcal / cm 2 *

s.

Make a hygienic conclusion on the microclimate in the dwelling, and

give recommendations for improving the conditions if necessary.

Sample task 3

In the research of relative humidity in the operating room the

following results were obtained with Assmann’s psychrometer: 1) the

temperature of the dry thermometer is +15°C; 2) the temperature of the

wet thermometer is +10°C; 3) the barometrical pressure is 754 mmHg.

Calculate relative air humidity of the operating room; make a

hygienic assessment of the microclimate parameters and give necessary

recommendations.

Sample task 4

In the research of air mobility in the ward for burn patients at the

height of 1.5 m from the floor the following results were obtained: 1) the

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37

time of the alcohol column fall in the catathermometer is 89 seconds; 2)

the device factor is 496 mcal / cm 2 * s; 3) the air temperatures is +25°C.

Make a hygienic conclusion of the microclimate in the ward, and

give recommendations for improving the conditions, if necessary.

Sample task 5

In the research of the three-bed ward microclimate conditions in the

therapeutic department, 21 m2, the following results were obtained: the

readings of the thermometer were equal to: 1) +20.5°C – at 10 cm from the

outer wall; 2) +22°C – at 10 cm from the inside opposite wall; 3) + 21.5°C

– on the inside sidewall. All the measurements were taken at the height of

1.5 m from the floor. The relative air humidity measured with the

aspirating psychrometer is 20%; the air mobility in the center of the ward

is 0.05 m / s.

Make a hygienic conclusion of the microclimate in the ward, and

give recommendations for improving the conditions, if necessary.

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TEST

Choose the correct answers. Only one correct answer is possible:

1. THE DEVICE FOR MEASURING OF RELATIVE AIR HUMIDITY

IS CALLED

1) barometer

2) anemometer

3) psychrometer

4) actinometer

2. THE HYGIENIC STANDARD OF RELATIVE AIR HUMIDITY IN

THE DWELLING (%) IS

1) 20-30

2) 30-60

3) 70-80

3. AN ACCEPTABLE SPEED STANDARD OF AIR MOBILITY IN

THE DWELLING (M/S) IS

1) 0.1

2) 0.2

3) 0.3

4) 0.5

4. THE DEVICE FOR DETERMINING OF THE LOW SPEEDS OF AIR

MOBILITY IS CALLED

1) propeller anemometer

2) catathermometer

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39

3) oscillograph

5. THE RECEIVING ELEMENT OF THE TEMPERATURE

RECORDER (THERMOGRAPH) IS

1) a metal plate

2) an aneroid box

3) a tungsten filament

4) a lock of hair

6. HUMIDITY DEFICIT IS THE DIFFERENCE BETWEEN

1) maximum and absolute humidity

2) absolute and relative humidity

3) absolute and maximum humidity

7. DUE TO MEASUREMENT ACCURACY, THIS DEVICE HAS

SOME ADVANTAGES IN DETERMINING RELATIVE HUMIDITY.

IT IS CALLED

1) August’s stationary psychrometer

2) Assmann’s aspiration psychrometer

Choose several correct answers:

8. ATMOSPHERIC PRESSURE IS MEASURED IN

1) mmHg

2) meq / l

3) GPa

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40

9. MICROCLIMATE INDICATORS ARE

1) air humidity

2) air temperature

3) barometrical pressure

4) intensity of heat radiation

10. THE STANDARDS OF MICROCLIMATE INDICATORS ARE

DIVIDED INTO

1) minimal

2) optimal

3) acceptable

4) maximal

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41

SOLUTION PATTERNS

Solution pattern to Sample task 1

Relative humidity and air mobility are optimal, but the air

temperature is +18°C, which does not meet the hygienic standards, since

the allowable temperature for patients with burn diseases should be

between +21–24°C.

Conclusion: The microclimate parameters in the wards for patients

with burn disease in the traumatology department does not meet the

hygiene standards by the temperature (at the norm of +21–24°C). The

microclimate is uncomfortable; it causes a sensation of cold, and does not

provide with favorable conditions for burn patients treatment with the

open method. The microclimate should be improved: the temperature

should be risen by 3–6°C. It is possible to do by changing the mode of

work of heaters in winter, or with the help of the air conditioning system.

Solution pattern to Sample task 2

1. Since the air temperature is +24°C, it does not meet the hygienic

requirements, as the hygienic temperature standard for the classroom

should be +18°C. The temperature changes vertically and horizontally are

equal to 3 and 2.8°C. They are within the acceptable norms.

2. To calculate relative air humidity it is necessary, first of all, to

calculate absolute humidity by the formula (1):

755

5,0 1

BttFK в ,

where вF is the maximum water vapor pressure equal to 15.48 mmHg

(Table 1) at the temperature of the wet thermometer equal to +18°C. All

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42

the parameters are put into the formula:

44.12755

753*1824*5.048.15 K mmHg

3. The relative air humidity is calculated by the formula (2):

%100*сF

KR

In Table 1 we find the value of the maximum water vapor pressure at

the temperature of the dry thermometer +24°C. It is 22.38 mmHg.

We put the values into the formula (2), and we get:

%6.55%100*38.22

44.12%100*

сF

KR

4. To determine the air mobility, first of all, we calculate air cooling

capacity by the formula (3):

1.4120

492

t

fH mcal / s*cm²

Then we calculate 5.120.245.36 Q and 328.0

5.12

1.4

Q

H

As the air speed is less than 1 m / s, all the values are put into the formula (4):

1.04.0

2.0328.0

40.0

20.0 2

2

Q

H

V m / s

Conclusion

1. The parameters of the microclimate in the classroom meet the

hygienic standards: both the temperature (18–24°C), the relative humidity

(40–60%) and air velocity (not more than 0.1 m / s) correspond to the

norms.

2. Improvements of the microclimatic conditions are not required.

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43

KEYS

№ 1 – 3 № 2 – 2 № 3 – 3 № 4 – 2 № 5 – 1

№ 6 – 1 № 7 – 2 № 8 – 1, 3 № 9 – 1, 2, 4 № 10 – 2, 3

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44

RECOMMENDED LITERATURE

Main literature

1. Большаков, А. М. Общая гигиена : учебник / А. М. Большаков. –

Москва : ГЭОТАР-Медиа, 2016. – 432 с.

2. Григорьев, А. И. Экология человека : учебник / ред. А. И.

Григорьев. – Москва : ГЭОТАР-Медиа, 2016. – 240 с.

3. Мельниченко, П. И. Гигиена : учебник / ред. П. И. Мельниченко. –

Москва : ГЭОТАР-Медиа, 2014. – 656 с.

4. Pivovaroff, Yu. P. Short textbook of: Hygiene and ecology. For students

using English as a mediator language / Yu. P. Pivovaroff, A. A. Al

Sabounchi. – M. : IKAR Publisher, 2016. – 548 p.

Additional literature

1. Гигиена. Соmреndium [Электронный ресурс] : учебное пособие /

В. И. Архангельский, П. И. Мельниченко – М. : ГЭОТАР-Медиа,

2012. – Режим доступа:

http://www.studmedlib.ru/book/ISBN9785970420423.htm.

2. Общая гигиена. Руководство к лабораторным занятиям

[Электронный ресурс] : учебное пособие / Д. И. Кича, Н. А.

Дрожжина, А. В. Фомина. – М. : ГЭОТАР-Медиа, 2015. – Режим

доступа: http://www.studmedlib.ru/book/ISBN9785970434307.html.

3. Гаврюченков Д. В. Массовые отравления грибами / Д. В.

Гаврюченков, Е. Ю. Лемещенко // Медицинская сестра. – № 2. –

2015. – С. 48–49.

Electronic resources:

1. Консультант студента: электронная библиотека медицинского вуза

[Сайт]. – Режим доступа: www.studmedlib.ru.

2. Федеральная служба по надзору в сфере защиты прав

потребителей и благополучия человека [Сайт]. – Режим доступа:

www.rospotrebnadzor.ru.

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GLOSSARY

absolute humidity абсолютная влажность

acclimatization акклиматизация

adaptation адаптация

air humidity влажность воздуха

air ionization ионизация воздуха

air mobility подвижность воздуха

air speed скорость движения воздуха

air temperature температура воздуха

anemometer анемометр

annoying climate раздражающий климат

anticyclone антициклон

atmosphere pressure атмосферное давление

atmospheric circulation атмосферная циркуляция

barograph барограф

barometer барометр

carrying out проведение

cataterometer кататермометр

climate климат

cold climate холодный климат

comfortable conditions комфортные условия

conduction кондукция

convection конвекция

cyclone циклон

dew point точка росы

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dry air сухой воздух

electromagnetic field электромагнитное поле

gentle climate щадящий климат

geomagnetic field геомагнитное поле

heat высокая температура

heat cramps тепловые судороги

heat damage тепловое поражение

heat fatigue тепловое утомление

heat loss потеря тепла

heat production теплопродукция

heat transfer теплоотдача

heating microclimate нагревающий микроклимат

heatstroke тепловой удар

hot weather жаркая погода

hygiene standard гигиенический норматив

hygrograph гигрограф

hygrometer гигрометр

low temperature низкая температура

microclimate микроклимат

optimal оптимальный

psychrometer психрометр

radiation излучение

relative humidity относительная влажность

rose of wind роза ветров

sunstroke солнечный удар

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saturation deficit дефицит насыщения

thermal condition тепловое состояние

thermal edema тепловой отек

thermal discomfort тепловой дискомфорт

thermal fainting тепловой обморок

thermal radiation тепловое излучение

thermograph термограф

thermometer термометр

thermoregulation терморегуляция

ultraviolet radiation ультрафиолетовое излучение

weather погода

weather factors метеофакторы

weather sensitivity метеочувствительность

well-being самочувствие

wind ветер

working capacity работоспособность

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Appendix

Table 3

Standard air temperature values for medical facilities in Russia

Types of dwellings

Acceptable air

temperature

(calculated),

°C

1 2

Operating wards, recovery wards, resuscitation rooms (including

wards for burn patients), intensive care wards, delivery wards,

manipulation and toiletry wards for newborns

21-24 (21)

Postdelivery wards, wards for burn patients, wards for aseptic

patients (including immune-compromised patients)

21-23 (22)

Postdelivery wards with rooming-in, wards for premature borns,

wards for sucklings, wards for babies with birth traumas (the 2nd

stage of nursing)

23-27 (24)

Gateways in isolated or semi-isolated wards of infectious

departments

22-24 (22)

X-ray operating wards, including angiographic rooms 20-26 (20)

Sterilization rooms at operating wards 20-27 (20)

ЦСО:

Clean and sterile areas: areas for control, acquisition and packaging

of clean tools, dwellings for pre-treating of operating materials and

laundry, sterilization and expedition rooms

20-27 (20)

Dirty area: reception, disassembly, cleaning and drying of medical

instruments and medical devices

20-27 (20)

Boxwards of treatment departments, isolated wards 20-26 (20)

Ward sections of infectious departments, including wards for

tuberculous patients

20-26 (20)

Wards for adult patients, rooms for mothers in children's

departments

20-26 (20)

Gateways in front of the wards for newborns 22-24 (22)

Doctors' offices, rooms for day care patients, rooms for functional

diagnostics, endoscopic (except for bronchoscopy) treatment rooms

20-27 (20)

Rooms for therapeutic physical training 18-28 (18)

Procedure rooms for magnetic resonance imaging (MRI) 20-23 (20)

Procedure and aseptic rooms for dressings (dressing rooms),

procedure rooms for bronchoscopy

22-26 (20)

Procedure rooms for treatment with chlorpromazine 22

Procedure rooms for treatment with neuroleptics 18

Small operating rooms 20-24 (20)

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Dispatching rooms, staff rooms, lounges for patients after

procedures

20

Procedure rooms and changing rooms for fluorography and X-ray

diagnostics, rooms for electrophototherapy and massage

20-26 (20)

Control rooms of X-ray diagnostics and radiology departments,

photolaboratories

18 (18)

Clipping and washing rooms: artificial kidney, endoscopy, heart-

lung apparatus and mortar (demineralization) rooms

18 (18)

Bathrooms (except radon baths), rooms for paraffin and ozokerite

heating, therapeutic swimming pools;

rooms for patients’ sanitizing, showers

25-29 (25)

Changing rooms in water and mud treatment departments 23-29 (23)

Dwellings for radon baths, mud treatment rooms, rooms for

abdominal procedures, shower rooms

25-29 (25)

Dwellings for mud storage and regeneration 12

Dwellings for making a solution for hydrogen sulfide baths,

dwellings for storage of reagents

20

Dwellings for washing and drying sheets, linen, and canvas cloth;

mud kitchens

16

Storehouses (except storage of reagents), technical dwellings

(compressor rooms, pump stations, etc.), workshops for repairing

equipments, archives

18

Sanitary rooms, dwellings for sorting and temporary storage of dirty

laundry, rooms for washing and keeping stretchers and tablecloths,

rooms for drying clothes and shoes of mobile medical teams

18

Storage rooms for acids, chemicals and disinfectants 18

Registration offices, lobbies, changing rooms, dwellings for

receiving parcels for patients, discharge rooms, waiting rooms,

pantries, dining rooms for patients, milk room

18

Rooms for washing and sterilization of tableware and kitchen

utensils at the buffet and dining rooms; hairdressing rooms for

patients

18

Storage rooms for radioactive materials, rooms for dispensing and

washing in radiological departments

18

Dwellings for X-ray and radiotherapy equipment 20-26 (20)

Rooms for electrotherapy, phototherapy, magnitotherapy,

thermotherapy, ultrasound treatment

20-27 (20)

Dwellings of disinfecting rooms: receiving and loading; unloading (clean)

departments

16

Sectional rooms, museums and preparation rooms of

pathologoanatomic departments

16-22 (16)

Dwellings for corpses’ dressing and their discharge, storage of

funeral accessories, dwellings for processing and preparation for

burial of infected corpses, storage rooms for bleach

14-20 (14)

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50

Lavatory rooms for staff and patients 20-27 (20)

Enema rooms 20-27 (20)

Clinical and diagnostic laboratories (dwellings for research) 20-26 (20)

Dwellings for preparation of medicinal agents in aseptic conditions 18

Assistant rooms; procurement and packing rooms; beading, control

and marking rooms; autoclave sterilization rooms, distillation rooms

18

Rooms for control and analytics, washing and unpacking rooms 18

Dwellings for main stock storing:

A) medicinal substances; ready drugs, including heat-labile drugs

and medical supplies; dressing means;

B) mineral waters, medicinal glass and circulating transport

containers, glasses and other items of optics, accessory materials,

clean dishes

18

Dwellings for preparation and packaging of toxic drugs and

narcotics

18

Dwellings for keeping of flammable and combustible liquids 18

Table 4

Optimal and acceptable norms of air temperature, relative humidity

and air mobility in residential buildings in Russia

Types of dwellings Air temperature,

°C

Relative humidity,

%

Air mobility, m / s

optimal acceptable optimal acceptable optimal acceptable

cold season

Living room 20 - 22 18 - 24 45 - 30 60 0.15 0.2

Living room (the areas

with the coldest five-day

week)

(-31°C and below)

21 - 23 20 - 24 45 - 30 60 0.15 0.2

Kitchen 19 - 21 18 - 26 N/N* N/N 0.15 0.2

Toilet 19 - 21 18 - 26 N/N N/N 0.15 0.2

Bathroom, combined

WC

24 - 26 18 - 26 N/N N/N 0.15 0.2

Corridor between flats 18 - 20 16 - 22 45 - 30 60 0.15 0.2

Lobby, staircase 16 - 18 14 - 20 N/N N/N 0.2 0.3

Store-rooms 16 - 18 12 - 22 N/N N/N N/N N/N

warm season

Living room 22 - 25 20 - 28 60 - 30 65 0.2 0.3 * N/N = no norms

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Requirements for the air-heat mode in educational institutions

Depending on the climatic conditions, the air temperature in educational dwellings, rooms, offices of a psychologist and a speech

therapist, laboratories, assembly hall, dining room, recreations, library,

lobby, locker room should be 18–24°C; in the gym, rooms for sports sections and workshops – 17–20°C; in bedrooms, playrooms, indoor

preschool education departments and school boarding – 20–24°C; in

medical offices, locker rooms of the gym – 20–22°C; and in showers – 25°C. During extracurricular time, in children’s absence, the temperature

in dwellings of the educational organization should not be lower than

15°C. For temperature control classrooms and offices should be equipped with household thermometers.

In dwellings of educational institutions the relative air humidity should be 40–60%, the air mobility – no higher than 0.1 m / s.

Requirements for the air-heat mode in preschool organizations in

Russia

In winter, the temperature of the floor in children’s rooms on the first

floor should be at least 22°C. The relative air humidity in children’s rooms should be within 40–

60%, in industrial dwellings, catering and laundry rooms – no higher than

70%. The air mobility in the main areas should not be higher than 0.1 m /

s.

Table 5

Air temperature in the main rooms of preschool educational

institutions in Russia

Dwellings Air temperature, °С Reception rooms, playing rooms for: - nursery groups - junior groups

22-24 22-24

Reception rooms and playing rooms for pre-school group 21-23 Rooms for children, changing rooms: - nursery groups 21-23 - junior and pre-school groups 21-23 Bedrooms for nursery groups 19-20 Bedrooms for junior and pre-school groups 19-20 Toilets for nursery groups 22-24 Toilets for junior and pre-school groups 21-23 Halls for gymnastics and musical lessons 19-20 Walking parlors no less than 12 Swimming pool hall no less than 29 Locker rooms with shower in the swimming pool 25-26

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Medical rooms 22-24 Heated corridors no less than 15

Optimal and acceptable values of the microclimate in industrial

buildings in Russia

Optimal values of the microclimate at the workplace should conform

to the values used for various categories of work in cold and warm seasons (Table 5).

Vertical and horizontal differences of the air temperature at the workplace, as well as the air temperature changes during the shift, should not exceed 2°C or go beyond the values in Table 5 for certain categories of work.

Table 6

Optimal values of the microclimate at the workplace in industrial

dwellings in Russia

Season

Categories of

work

according to

the level of

energy

consumption,

W

Air

temperature,

°С

Temperature

of surfaces,

°С

Relative air

humidity,

%

Air

mobility,

m/s

Cold Ia (to 139) 22-24 21-25 60-40 0.1

Ib (140-174) 21-23 20-24 60-40 0.1

IIа (175-232) 19-21 18-22 60-40 0.2

IIb (233-290) 17-19 16-20 60-40 0.2

III (over 290) 16-18 15-19 60-40 0.3

Warm Ia (до 139) 23-25 22-26 60-40 0.1

Ib (140-174) 22-24 21-25 60-40 0.1

IIa (175-232) 20-22 19-23 60-40 0.2

IIb (233-290) 19-21 18-22 60-40 0.2

III (over 290) 18-20 17-21 60-40 0.3 Acceptable values of the microclimate (Table 7) are set up in cases

when, according to technological requirements, or by some technical and economic reasons, optimal values cannot be provided.

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Table 7

Acceptable values of the microclimate at the workplace in industrial dwellings

in Russia

Season

Categories of

work

according to

the level of

energy

consumption,

W

Air temperature range,

°С,

Relative

air

humidity,

%

Air mobility range,

m/s

below

optimal

values

above

optimal

values

below

optimal

values,

no more

above

optimal

values,

no more

Cold Ia (to 139) 20.0-21.9 24.1-25.0 15-75 0.1 0.1

Ib (140-174) 19.0-20.9 23.1-24.0 15-75 0.1 0.2

IIа (175-232) 17.0-18.9 21.1-23.0 15-75 0.1 0.3

IIb (233-290) 15.0-16.9 19.1-22.0 15-75 0.2 0.4

III (more

290)

13.0-15.9 18,1-21,0 15-75 0.2 0.4

Warm Ia (to 139) 21.0-22.9 25.1-28.0 15-75 0.1 0.2

Ib (140-174) 20.0-21.9 21.4-28.0 15-75 0.1 0.3

IIа (175-232) 18.0-19.9 22.1-27.0 15-75 0.1 0.4

IIb (233-290) 16.0-18.9 21.1-27.0 15-75 0.2 0.5

III (more

290)

15.0-17.9 20.1-26.0 15-75 0.2 0.5

For providing with acceptable values of the microclimate at

workplaces the air temperature vertical changes should not be more than

3°C; the air temperature horizontal changes and its changes during the shift should not exceed: 4°C for work categories Ia and Ib; 5°C for categories IIa

and IIb; and 6°C for category III.

When the air temperature at the workplace is 25°C and above the maximum allowable value, the relative air humidity should not go beyond:

70% at the air temperature of 25°C; 65% at the air temperature of 26°C;

60% at the air temperature of 27°C; 55% at the air temperature of 28°C. When the air temperature is 26–28°C, the air mobility for the warm

season (see Table 6), should correspond to the range: 0.1–0.2 m / s for

work category Ia; 0.1–0.3 m / s for work category Ib; 0.2–0.4 m / s for work category IIa; and 0.2–0.5 m / s for work categories IIb and III.

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54

Educational edition

Manueva Ruslana Sokratovna

HYGIENIC ASSESSMENT

OF MICROCLIMATE

Study guide