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Health impact assessment of Delhi’s outdoor workers exposed to air pollution and extreme weather events: an integrated epidemiology approach
Open accessAbstract
This study is an assessment of the effects of outdoor air pollution and extreme weather events on the health of outdoor workers in Delhi, including auto rickshaw drivers, street vendors, and sweepers. To carry it out, a cross-sectional and perception-based epidemiological research design was used, and the primary tool used for data collection was a questionnaire. Two hundred twenty-eight people participated in the survey, and a pulmonary function test (PFT) was performed on 63 participants. Most of the respondents from different occupational groups complained about headaches/giddiness, nausea, and muscular cramps during extreme heat events due to the physically demanding nature of their jobs in the outdoor environment. Furthermore, autorickshaw drivers reported the highest prevalence of ophthalmic symptoms, such as eye redness (44%) and eye irritation (36%). In comparison, vendors reported a higher prevalence of headaches (43%) and eye redness (40%) due to increased exposure to vehicular emissions. Among sweepers, musculoskeletal problems like joint pain (40%), backache (38%), and shoulder pain (35%) were most prevalent due to occupation-related ergonomic factors. In addition, the majority of autorickshaw drivers (47%), vendors (47%), and sweepers (48%) considered that air quality had a severe impact on their health. PFT results showed that most respondents had restricted lung function. Binary logistic regression analysis showed that lung function impairment had a significant association with smoking (p = 0.023) and age (0.019). The odds ratio for smoking, which was around 4, indicated that respondents who smoked had a nearly four times greater risk of developing lung impairment. The study also highlighted the need for using personal protective equipment and developing guidelines to reduce their exposure level.
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“The urban poor-in particular, daily wage earners who work outside are the worst-off during heatwaves, due to the effects of direct sunlight exposure being compounded by air pollution, limited access to healthcare facilities and inadequate mitigation practices (Bakhsh et al 2016, Anwar et al 2022, Barthwal et al 2022).”
From Attribution of 2022 early-spring heatwave in India and Pakistan to climate change: lessons in assessing vulnerability and preparedness in reducing impacts (2023) · cites this paper as Barthwal et al 2022
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Cited by
Sorted by citations
Zachariah, M., Arulalan, T., AchutaRao, K., Saeed, F., Jha, R., Dhasmana, M. K., Mondal, A., Bonnet, R., Vautard, R., Philip, S., et al. (2023) · Environmental Research Climate · doi:10.1088/2752-5295/acf4b6 · Cited by 48
Metadata
- Authors
- Barthwal, V., Jain, S., Babuta, A., Jamir, C., Sharma, A. K., & Mohan, A.
- Affiliations
- TERI University (IN)
- Indian Institute of Technology Tirupati (IN)
- University of Delhi (IN)
- All India Institute of Medical Sciences (IN)
- Corresponding author
- Jain, Suresh
- Venue
- Environmental Science and Pollution Research
- Published
- 2022-02-09
- Volume
- 29
- Issue
- 29
- Pages
- 44746-44758
- ISSN
- 0944-1344 (ISSN-L)
- 1614-7499
- PMC
- PMC9200945
- OpenAlex
- W4211236856
- Cited by
- 36
- References
- 3
- Citations by year
- 2026: 5 · 2025: 10 · 2024: 10 · 2023: 8 · 2022: 2
- FWCI
- 2.94
- Type
- journal article
- Language
- en
- Open access
- bronze
- doi.org
- Licence
- Locations
- Environmental Science and Pollution Research (publishedVersion)
- PubMed Central (publishedVersion)
- PubMed (publishedVersion)
- Funders
- University of Delhi
- Topics
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Air Quality and Health Impacts
- Physical Sciences › Environmental Science › Health, Toxicology and Mutagenesis › Climate Change and Health Impacts
- Social Sciences › Health › Occupational Health and Global Justice
- Keywords
- outdoor workers, air pollution, extreme weather events, heat stress, lung function impairment, auto-rickshaw drivers, street vendors, sweepers, occupational health, vehicle emissions, smoking, musculoskeletal disorders, ocular symptoms, personal protective equipment, Delhi
- MeSH terms
- Extreme Weather, Air Pollution, Cross-Sectional Studies, Headache, Humans, India, Health Impact Assessment
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