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Updated: Mar 8, 2026

Field-Based Thermal Physiology Assay: Cold Shock Recovery under Ambient Conditions
Published on: March 9, 2021
Heat Exposure in Central Florida Fernery Workers: Results of a Feasibility Study
Valerie Vi Thien Mac1, Jose Antonio Tovar-Aguilar2, Joan Flocks3
1a Nell Hodgson Woodruff School of Nursing , Emory University , Atlanta , Georgia , USA.
Objective:
The objective of this study was to determine the feasibility of field-based biomonitoring of heat-related illness (HRI) phenomena in Florida farmworkers. The authors determined feasibility through participant interviews regarding acceptability, data capture, recruitment and retention, and observed barriers and challenges to implementation.
Methods:
Study participants were employed in fernery operations in northeast Central Florida where ornamental ferns are grown and harvested in a seasonally high-heat environment. In this pilot, a total of 43 farmworkers participated during summers 2012 and 2013 and measurements included body core temperature, heart rate, energy expenditure, urine and blood osmolality, and self-reported HRI symptoms.
Results:
Data capture was approximately 90%. Participants reported that the study methods were nonobtrusive to their work, and that they were comfortable with study measures.
Conclusions:
These results open possibilities for characterizing HRI utilizing physiologic biomonitoring in vulnerable occupational groups.
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