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Title: Review of the potential health effects of light and environmental exposures in underground workplaces
Authors: Khaing, Nang Ei Ei
Abuduxike, Gulifeiya
Posadzki, Pawel
Divakar, Ushashree
Visvalingam, Nanthini
Nazeha, Nuraini
Dunleavy, Gerard
Christopoulos, George I.
Soh, Chee-Kiong
Jarbrink, Krister
Soljak, Michael
Car, Josip
Keywords: Engineering::Environmental engineering
Issue Date: 2018
Source: Khaing, N. E. E., Abuduxike, G., Posadzki, P., Divakar, U., Visvalingam, N., Nazeha, N., . . . Car, J. (2019). Review of the potential health effects of light and environmental exposures in underground workplaces. Tunnelling and Underground Space Technology, 84, 201-209. doi:10.1016/j.tust.2018.11.022
Journal: Tunnelling and Underground Space Technology 
Abstract: Underground workplaces are an important element in modern urban planning. As a result, an increasing but unquantified proportion of the population is being regularly exposed to them. We narratively reviewed the literature on the range of possible environmental exposures, and the possible health effects, to identify future research directions. There is a large but mainly observational research literature on likely underground exposures, including effects of artificial lighting, shift working and light at night on circadian disruptions and associated health effects. There are five studies comparing underground and aboveground environments. Shift working, artificial lighting and poor sleep quality leading to circadian disruption is one physiologic pathway. Working underground may increase exposure to these risks, and may also be associated with vitamin D deficiency, sick building syndrome, excessive noise, radon exposure, and negative psychological effects. In order to plan appropriate interventions, we need to expand our knowledge of the health effects of underground environments. Larger and longer-term studies are required to measure a range of human factors, environmental exposures and confounders. Controlled trials with health economic analyses of new lighting technologies are also required.
ISSN: 0886-7798
DOI: 10.1016/j.tust.2018.11.022
Rights: © 2018 Elsevier Ltd. All rights reserved. This paper was published in Tunnelling and Underground Space Technology and is made available with permission of Elsevier Ltd.
Fulltext Permission: open
Fulltext Availability: With Fulltext
Appears in Collections:LKCMedicine Journal Articles

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