A comparison of periodic health examinations and workplace health screening for workers in Singapore and Japan.

This article aims to provide a historical overview of how workplace safety and health legislations in Singapore and Japan have evolved, and perform a comparative analysis of the occupational health systems where work-related medical examinations and health screening are concerned. The discourse is centered on three key themes - coverage, comprehensiveness, and continuity of care. The comparative analysis was performed based on secondary data obtained from open-source platforms. Singapore and Japan have robust workplace safety and health legislative frameworks and laws. However, their approaches diverge because of differing socioeconomic and political contexts. Japan's regulations are generally more comprehensive, require more frequent monitoring of workers' health status, and encompass both physical and mental health components. Singaporean companies focus primarily on the physical component of health, and statutory examinations are required only for exposure to specific occupational hazards. With increasing prominence of mental health issues and shift towards preventive care in Singapore, there will be greater emphasis on a holistic approach to each employee's overall health in future. For Japan, the challenge would be to strike a balance between long-term sustainability of current policies against the need for state and corporations to still retain an adequate stake in ensuring workers' overall health.

Mitigation of heat strain by wearing a long-sleeve fan-attached jacket in a hot or humid environment.

OBJECTIVES: This study examined whether a fan-attached jacket (FAJ) may mitigate the heat strain in hot or humid environment. METHODS: Nine healthy men engaged in 60-min sessions on a bicycle ergometer (4 metabolic equivalents [METs] workload) in hot-dry (40°C and 30% relative humidity) and warm-humid (30°C and 85% relative humidity) environments. Both are equivalent to an approximately 29°C wet-bulb globe temperature. The experiment was repeated-once wearing an ordinal jacket (control condition) and once wearing a long-sleeve FAJ that transfers ambient air at a flow rate of 12 L/s (FAJ condition)-in both environments. RESULTS: Increases in core temperatures in hot-dry environment were not statistically different between control and FAJ; however, that in the warm-humid environment were significantly different between control and FAJ (0.96 ± 0.10°C and 0.71 ± 0.11°C in rectal temperature, P < .0001; and 0.94 ± 0.09°C and 0.61 ± 0.09°C in esophageal temperature, P < .0001). Changes in heart rate were different between control and FAJ in both environments (62 ± 3 bpm and 47 ± 7 bpm, P < .0001 in hot-dry environment; and 61 ± 3 bpm and 46 ± 5 bpm, P < .0001 in the warm-humid environment) and decrease of %weight change was different in hot-dry environment (1.59 ± 0.12% and 1.25 ± 0.05%, P = .0039), but not in the warm-humid environment. CONCLUSIONS: Wearing a FAJ may mitigate heat strain both in hot or humid environments.

A fan-attached jacket worn in an environment exceeding body temperature suppresses an increase in core temperature.

We examined whether blowing hot air above body temperature under work clothing may suppress core temperature. Nine Japanese men engaged in two 30-min bicycle ergometer sessions at a workload of 40% VO2max at 40 °C and 50% relative humidity. The experiment was conducted without wearing any cooling apparatus (CON), wearing a cooling vest that circulated 10.0 °C water (VEST), and wearing a fan-attached jacket that transferred ambient air underneath the jacket at a rate of 30 L/s (FAN). The VEST and FAN conditions suppressed the increases of rectal temperature (CON, VEST, FAN; 38.01 ± 0.19 °C, 37.72 ± 0.12 °C (p = 0.0076), 37.54 ± 0.19 °C (p = 0.0023), respectively), esophageal temperature (38.22 ± 0.30 °C, 37.55 ± 0.18 °C (p = 0.0039), 37.54 ± 0.21 °C (p = 0.0039), respectively), and heart rate (157.3 ± 9.8 bpm, 136.9 ± 8.9 bpm, (p = 0.0042), 137.5 ± 6.5 bpm (p = 0.0023), respectively). Two conditions also reduced the estimated amount of sweating and improved various subjective evaluations. Even in the 40 °C and 50% relative humidity environment, we may recommend wearing a fan-attached jacket because the heat dissipation through evaporation exceeded the heat convection from the hot ambient air.