The risk of two major public health threats converging鈥 a heatwave and the COVID-19 pandemic鈥攊s quickly becoming a reality as the US approaches its hottest month of the year with COVID-19 cases continuing to rise.
鈥淎uthorities have acknowledged that the usual strategies recommended to protect individuals from heat-related illness such as seeking refuge in air-conditioned places including dedicated or shopping malls risks further transmission of the virus,鈥 said senior author Associate Professor Ollie Jay from the University of Sydney (Australia).
鈥淲e also know that many of those who are most at-risk of COVID-19 are those also at-risk of heat-related illness, such as the elderly and those with cardiovascular or respiratory conditions.鈥
鈥淭here is an urgent need for low-cost, accessible cooling strategies to protect the most vulnerable from heat-related illness and the spread of SARS-COV-2. Our study challenges outdated public health advice suggesting that fans are not beneficial in extreme heat.鈥
In the new study, published in researchers from the University of Sydney鈥檚 Faculty of Medicine and Health and Charles Perkins Centre examine if electric fans combined with spraying water directly onto the skin (self-dousing) is an effective stay-at-home cooling solution during summer conditions in the US.
With modelling based on clinical trials and historic weather data the researchers found:
Image: Map of the United States shows the 105 metropolises examined, with markers colour-coded to identify the percentage of summer days between 2000 and 2019 that exceeded the biophysically-modelled environmental limits for fan use. (Credit: Thermal Ergonomics Laboratory, University of Sydney published in Science of the Total Environment)
They conclude that this solution could be potentially recommended by health authorities as a safe and effective听stay-at-home听cooling strategy听across vast swathes of the Northeast, Southeast and Midwest regions of the United States, as well as the West Coast.
The researchers acknowledge that while the modelling is conservative (based on the physiology of an older adult) it can only show when fans would or would not be effective based on climate. As with many public health interventions, an individuals鈥 response to the cooling strategy may be influenced by their health status.
Based on previous work published in and the authors modelled the humidity-dependent threshold temperature under which fans and self-dousing provide a beneficial cooling effect.
The previous trials conducted on participants in a climate-controlled chamber show that that in hot, humid conditions fans lower core body temperature and cardiovascular strain and improve thermal comfort. However, fans can be detrimental in very hot, dry conditions.
These data were analysed alongside historic weather data (temperature and associated relative humidity) recorded at any point over the last 20 years (2000 to 2019 inclusive) for 105 of the most populated metropolis areas in the United States.
First author and PhD student Lily Hospers said: 鈥淚mportantly, this research proposes a potential cooling strategy that can be used at home during the current pandemic, therefore circumventing the need for potentially risky excursions into public spaces and expensive home-based air-conditioning.鈥
Declaration: The authors declare no competing interests.