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Immune and inflammatory responses of Australian firefighters after repeated exposures to the heat

Walker, Anthony
Keene, Toby
Argus, Christos
Driller, Matthew
Guy, Joshua H.
Rattay, Ben
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Abstract
When firefighters work in hot conditions, altered immune and inflammatory responses may increase the risk of a cardiac event. The present study aimed to establish the time course of such responses. Forty-two urban firefighters completed a repeat work protocol in a heat chamber (100 ± 5°C). Changes to leukocytes, platelets, TNFα, IL-6, IL-10, LPS and CRP were evaluated immediately post-work and also after 1 and 24 h of rest. Increases in core temperatures were associated with significant increases in leukocytes, platelets and TNFα directly following work. Further, platelets continued to increase at 1 h (+31.2 ± 31.3 × 109 l, p < 0.01) and remained elevated at 24 h (+15.9 ± 19.6 × 109 l, p < 0.01). Sustained increases in leukocytes and platelets may increase the risk of cardiac events in firefighters when performing repeat work tasks in the heat. This is particularly relevant during multi-day deployments following natural disasters.
Keywords
occupational stress, inflammation, immune response, safety, cardiac risk
Date
2015
Type
Journal article
Journal
Ergonomics
Book
Volume
58
Issue
12
Page Range
2032-2039
Article Number
ACU Department
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Open Access Status
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Controlled
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