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Behaviors reflecting cultural beliefs
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Add the following information to train-the-trainer HRI educational materials:
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Education/workplace & individual
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E.g. Avoidance of certain HRI treatments
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1) a review of the potential role of cultural beliefs, such as beliefs related to cooling treatments after heat exposure, in the prevention and treatment of HRI;
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2) recommendations for trainers to identify and, if present, acknowledge the role of cultural beliefs in a non-judgmental and respectful manner;
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3) an explanation of rapid cooling treatments for workers with heat stroke;
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4) recommendations for trainers to involve workers in developing effective and culturally acceptable strategies for treating workers with heat stroke
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Competing health priorities
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E.g. Weight loss (via sweating); Back injury prevention
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Direct workers to community-based obesity prevention and fitness programs, if available, or integrate elements of such programs into workplace health promotion activities.
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Health promotion/ community & workplace
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Competing workplace hazards & controls
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E.g. Non-breathable chemical resistant suits for pesticide handlers;
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Develop and use more breathable chemical-resistant suits;
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Personal protective equipment/workplace
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Prevention of ultraviolet light (UV) exposure
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Enhance UV protection of light-colored, breathable clothing by frequent laundering with ultraviolet absorbent agents, or use clothing with pre-integrated UV protection;
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Encourage sunscreen use during worker HRI training
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Education/individual
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Hydration & workplace factors
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E.g. Inadequate hydration due to lost wages from taking breaks among piece rate workers, negative reactions from supervisors regarding water breaks, lack of nearby bathroom facilities;
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Implement a standardized system of water break reminders at reasonable intervals on days with high heat/humidity;
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Administrative/ workplace
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Implement salaried or hourly payment schemes instead of piece rate;
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Locate bathroom facilities close to workers;
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Water does not appear clear and is not changed regularly;
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Adhere to basic field sanitation requirements (drinking water is provided in a closable container, is clearly labelled as such in a language that workers can understand, is readily accessible to workers, has a tap, is suitably cool, and containers are refilled regularly);
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Water is located in opaque containers, near bathrooms (perceived as contaminated);
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Locate water away from restrooms (but near workers) in non-opaque containers;
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Arrange for an employee to deliver water to workers at regular intervals using an all-terrain or other vehicle;
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Energy drinks preferred to increase alertness and productivity
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Provide preferred, recommended beverages; Include information on sleep hygiene and fatigue mitigation in health promotion activities
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Health promotion/ community & workplace
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Other workplace factors
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E.g. Lack of shade
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Add workplace shade requirements to regulations, if not already included
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Engineering (shade)/ societal
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