[✔️] September 1, 2023- Global Warming News Digest | Rx behavior for heat, Doctors notified, Opinion Burning Man, Bill Rees & Overshoot, Eliot Jacobson on catastrophic thinking, Economist Lisi Krall, 2002 US ignored Kyoto

Richard Pauli Richard at CredoandScreed.com
Fri Sep 1 09:04:12 EDT 2023


/*September 1*//*, 2023*/

/[ Basic advice for physicians - from the New England Journal of 
Medicine - how we should face the heat ]/
*Advice for Patients *

    Acclimatize (new workers should begin slowly, starting at about 20%
    of daily work effort and adding 20% each day); take more frequent
    breaks.

    Recognize and respond to symptoms of heat stress: headache and
    nausea; rest and drink cool water.

    Recognize and respond to signs of heat stroke in others: hot and dry
    to the touch or sweating but confused; call 911, remove from heat,
    and apply ice.

    Self-monitor.

    Have a buddy.

    Wear light-colored and lightweight clothes.

    Wear a hat with a brim. Frequently drink water, rest, and use shade.

    Take breaks in air conditioning, if available.

    Drink 6 oz of cool water several times per hour.

    Keep urine light yellow. Avoid overexertion as temperature climbs,
    especially when new to a job, when returning after time away, or
    during a heat wave.

    Consider using apps to check heat index and air quality periodically...

https://www.nejm.org/doi/pdf/10.1056/NEJMp2307850?articleTools=true
https://www.nejm.org/doi/full/10.1056/NEJMp2307850?query=TOC&cid=NEJM+eToc%2C+August+31%2C+2023+DM2280944_NEJM_Non_Subscriber&bid=1767666366#figures_media

- -

/[ New England Journal of Medicine //-- FOSSIL-FUEL POLLUTION AND 
CLIMATE CHANGE//]/
*Preventing Heat-Related Illness among Outdoor Workers — Opportunities 
for Clinicians and Policymakers*
Rosemary K. Sokas, M.D., M.O.H., and Emily Senay, M.D., M.P.H.

August 30, 2023
DOI: 10.1056/NEJMp2307850

Dressed in black, Mr. R., a 60-year-old worker hired through a temporary 
agency by an Ohio roofing company, started work at 6:30 a.m. on a sunny 
August day. The foreman assigned him a relatively light task and told 
all the workers that water, rest, and shade were available when needed, 
but Mr. R. received no training or acclimatization, according to a 
government inspection. Coworkers later noted that Mr. R. appeared to be 
“clumsy”; at approximately 11:40 a.m., when the ambient temperature was 
82°F, with 51% relative humidity, he collapsed and was then transported 
to a hospital, where his core body temperature was 105.4°F. Three weeks 
later, he died from complications of heat stroke. His preexisting 
conditions included congestive heart failure.

Mr. R.’s death was preventable but not unique; mortality from heat 
stroke among outdoor workers has risen over the past two decades as 
temperatures have climbed. Approximately 32 million people in the United 
States work outdoors in industries such as construction, transportation, 
sanitation, agriculture, groundskeeping, and emergency and protective 
services. Farm workers in particular are 35 times as likely as the 
general population to die of heat exposure.1 Many other workers face 
serious heat exposure inside buildings, including warehouses, bakeries, 
and foundries. Yet federal and state data substantially underestimate 
heat-related mortality owing to underrecognition, misclassification, and 
failure to capture heat-associated exacerbations of underlying 
conditions and increases in traumatic injuries. Advocacy organizations 
suggest that heat causes up to 2000 worker deaths per year in the United 
States.1

Information is also emerging about long-term health problems associated 
with heat injury, including renal failure, cardiovascular disease, 
ischemic stroke, and death.2 But efforts to implement heat-safety 
protections are falling short. There are no federal heat-safety rules, 
and the handful of existing state regulations have important 
shortcomings, leaving workers at risk. Failure to protect workers as the 
climate crisis worsens will have consequences for families, communities, 
the economy, and the food and other resources on which society depends.

The climate is warming faster than previously predicted by climate 
scientists. The global mean temperature has increased more than 1.1°C 
(2.0°F) since preindustrial times. Heat is the most common cause of 
weather-related deaths. The World Meteorological Organization has warned 
that global temperatures will increase to record levels over the next 5 
years because of ongoing greenhouse gas emissions and the climate 
pattern known as El Niño.

Lost productivity — an inevitable result of the effects of heat on 
stroke volume, heart rate, and maximum oxygen uptake — can further 
impoverish low-wage workers and their families. One analysis of the 
likely results if minimal or no global action were taken on greenhouse 
gas emissions found that the number of days per year with a heat index 
higher than 100°F in the United States could increase by a factor of 
four by midcentury, which would reduce safe work time for more than 18 
million outdoor workers and could result in $55.4 billion in annual 
income losses.3 Annual employer costs associated with heat-related lost 
productivity are estimated at $100 billion.

Older age is associated with greater vulnerability to heat, and the U.S. 
workforce is aging rapidly: the average age of workers is now roughly 42 
years, and people must work until they are 67 to qualify for full Social 
Security benefits. Because of systemic racism, Black and Latinx workers 
are disproportionately represented in low-wage, high-risk jobs; they are 
also more likely than White workers to sustain heat-related injuries. 
Labor shortages and harmful immigration policies result in substantial 
numbers of undocumented people working in agriculture (by some estimates 
accounting for 50% of the agricultural workforce), residential housing 
construction, and transient clean-up after climate disasters. At $7.25 
per hour, the federal minimum wage for workers keeps families below 
federal poverty levels, and the United States is the only advanced 
industrial country where labor laws don’t require paid sick leave and 
where “at will” employment policies mean employers can fire workers 
without reason.4 Among low-wage workers and those who are living 
paycheck to paycheck or are paid by the amount of work they complete, 
the incentive is to avoid taking breaks.

In 2021, after decades of advocacy by workers, unions, and occupational 
safety organizations, President Joe Biden called for the Occupational 
Safety and Health Administration (OSHA) to develop a federal heat-safety 
standard, a process that could take years because of complex 
requirements previously imposed by congressional roadblocks and 
unfavorable court decisions. Trade-group opposition to rules deemed 
unfriendly to business could further undermine prospects for swift 
progress. Although Congress could enact legislation forcing OSHA to act 
more quickly, attempts to do so have failed in successive congressional 
sessions. In early 2023, attorneys general from seven states petitioned 
OSHA to issue an emergency temporary standard. OSHA has declined similar 
requests in the past.

OSHA has used a temporary National Emphasis Program to increase 
outreach, education, training, and resources for employers in this area; 
the announcement of a heat “hazard alert” in July 2023 furthered such 
efforts. Under its General Duty Clause, which requires employers to 
provide worksites that are reasonably free of known serious hazards, 
OSHA has attempted to increase enforcement activity. Without a federal 
heat-safety standard, however, citations can be easily overturned, as 
occurred in Mr. R.’s case, when the Occupational Safety and Health 
Review Commission determined that his employer couldn’t have reasonably 
anticipated his risk of heat stroke.

Although OSHA sets and enforces national standards, about half of states 
have their own worker-safety programs. Rules in these “state-plan 
states” must be at least as protective as OSHA’s standards but can 
provide additional protections. California was the first state to adopt 
a heat-illness–prevention standard for outdoor workers and is adopting a 
standard for indoor workers. Oregon and Washington have outdoor heat 
standards that detail required protections (e.g., water, shade, and rest 
provisions at trigger temperatures, as well as first-aid procedures) and 
penalties for employer noncompliance. Minnesota has an indoor heat 
standard, and Colorado has passed a law containing outdoor-worker 
protections. Texas, the state with the highest number of heat-related 
fatalities, however, recently passed legislation nullifying local 
ordinances that required water and rest breaks for outdoor workers.

Even in states with heat-safety rules, there are two important gaps in 
protections. First, there is a need for more careful medical oversight, 
particularly of high-risk workers. Although regulations call for 
training of workers to prevent heat-related illness, the list of 
conditions that exacerbate risk is complex. No rules require clinical 
evaluation of workers or management of their care. Cost concerns have 
precluded even basic approaches such as worker-completed, 
clinician-reviewed questionnaires to identify workers needing a 
face-to-face visit to determine reasonable work accommodations (which 
wouldn’t involve clinicians telling low-wage workers they can’t work).5 
Second, although acclimatization and modified work–rest cycles as 
temperatures rise are critical to preventing heat-related illness, 
regulators have avoided interfering with work rates or organization. 
Consequently, rules for acclimatization only require supervisors to pay 
attention to new workers, despite evidence-based recommendations that 
new workers increase their workload gradually over 1 week, and rest 
requirements typically mandate only 10 minutes of rest for every 2 hours 
of work, despite recommendations that workers have 45 minutes of rest 
for every 15 minutes of heavy work in very hot weather (≥105°F).

Given these gaps, clinicians can help support their patients who may be 
at risk for heat-related illness. All clinicians, but especially those 
in primary care, could identify patients whose work may expose them to 
heat, review medical histories for risk factors, and educate patients on 
how to recognize and respond to heat exhaustion. Patients should 
understand the need for a buddy system to recognize signs of heat stroke 
in others — the person is either hot and dry to the touch or continuing 
to sweat but confused — and understand that heat stroke is a 
life-threatening emergency requiring rapid cooling with ice and 
transportation to a hospital (see table).

For clinicians at safety-net clinics that often care for low-income or 
immigrant workers, the Migrant Clinicians Network provides extensive 
resources for both providers and patients. When possible, a staff member 
familiar with local worker centers, advocacy groups, legal services, and 
the local OSHA office could offer additional guidance to vulnerable 
workers. Most important, clinicians could work with their member 
organizations to advocate for meaningful regulatory and legislative 
action to protect workers amid the escalating climate crisis.

Disclosure forms provided by the authors are available at NEJM.org.

This article was published on August 30, 2023, at NEJM.org.

https://www.nejm.org/doi/full/10.1056/NEJMp2307850?query=TOC&cid=NEJM+eToc%2C+August+31%2C+2023+DM2280944_NEJM_Non_Subscriber&bid=1767666366



/[  Opinion that perhaps this should be a NON-Burning event -- How about 
learning purposeful migration?  ]/
*Burning Man’s climate protesters have a point*
Building a temporary city of 80,000 people in the desert is actually bad 
for the planet.
By Adam Clark Estes at adamclarkestesace@vox.com

Aug 30, 2023

Sunday was not a fun day for the thousands of people on their way to 
Burning Man. In the days leading up to the bacchanal, traffic is 
typically a nightmare on the two-lane highway that leads to the barren 
former lake bed in the Black Rock Desert, a national conservation area 
that, for a week every year, becomes known as Black Rock City, 
population 80,000.

But this year, a small group of climate protesters parked a 28-foot 
trailer across the road, causing miles of gridlock. Seven Circles, a 
coalition of organizations that includes Extinction Rebellion and Rave 
Revolution, made some simple demands of the Burning Man Organization, 
which hosts the annual desert party: “Ban private jets, single-use 
plastics, unnecessary propane burning, and unlimited generator use per 
capita at the nine day event in Black Rock City, Nevada.” There were 
also calls for the organization to mobilize its members “to initiate 
systemic change.” But the ban on private jets — that seems pretty 
straightforward.

“Burning Man should aim to have the same type of political impact that 
Woodstock had on counterculture,” Mun Chong, an organizer with 
Extinction Rebellion, said in a statement. “If we are honest about 
system change, it needs to start at ‘home.’ Ban the lowest-hanging fruit 
immediately: private jets.”

The protesters, it deserves to be said, had a point: Burning Man is 
famously bad for the planet.

The many tens of thousands of people the event attracts must travel 
through some of the most remote parts of the country to a destination 
where there are few natural resources, where everything gets trucked in, 
and where vast structures are lit ablaze on the last night of the 
festival, pumping carbon-filled smoke into the atmosphere. But over 90 
percent of the event’s carbon footprint comes not from the fires 
themselves but from travel to and from Black Rock City, according to a 
2020 environmental sustainability report from the Burning Man 
Organization. Another 5 percent comes from gas- and diesel-burning 
generators that keep lights and air conditioners on during the festival.

All things told, each Burning Man generates about 100,000 tons of carbon 
dioxide. That’s more than about 22,000 gas-powered cars produce in a year.

But while the protesters had the moral high ground, the protest did not 
go well. After an hour-long standoff, trucks from the Pyramid Lake 
Ranger Station, a tribal law enforcement agency, showed up and promptly 
drove through the barricade. The officer who destroyed the barricade 
then yelled over a loudspeaker, “I’m going to take all of you out, you 
better move,” before exiting the vehicle, drawing his weapon, and then 
handcuffing protesters who said they were not armed. At least one 
protester left with a bleeding head.

After it was all done, Burning Man attendees, also known as Burners, got 
back in their cars and RVs, stepped on the gas, and headed to the 
festival gate.

“Non-violent climate protesters are ordinary people exercising a basic 
democratic right, in an attempt to protect us all from catastrophe,” 
said Margaret Klein Salamon, executive director for the Climate 
Emergency Fund, which has funded some of the groups involved in the 
Burning Man protest. “They deserve our respect and support, but instead, 
they were met with violence and repression.”

At a time when climate protests are becoming increasingly stunt-based 
and even aggressive, this one feels a little different. Groups like 
Extinction Rebellion are known for unexpected protests, like gluing 
themselves to famous paintings, planes, or historic buildings. This 
action, however, set out to disrupt what was once a mecca of progressive 
art and creativity. You might even argue that the typical Burner — say, 
someone from the Bay Area who works in tech and enjoys feeling free 
spirited — would be quick to stand up for climate change in normal 
circumstances. But these days, Burning Man couldn’t be further from normal.

The explosive growth and popularity of the festival in the past three 
decades mirrors an entire history of humans favoring their own version 
of progress over the consequences it produces. What started out as a 
gathering on a beach in San Francisco has grown into a destination for 
celebrities and the ultra rich, especially tech billionaires. That’s why 
private jets have become an issue. There are now fancy camps, meals 
prepared by private chefs, and VIP parties. Bear in mind, all of this is 
built just for the weeklong festival at the end of the summer, and it 
all has to be disassembled and taken away after. One of the founding 
principles of Burning Man is “leave no trace,” but even the event’s 
organizers were stunned by how much trash got left behind in the desert 
last year...

Burning Man 2022 was also a telling reminder of how our warming world is 
changing. The weekend of the event, a string of wildfires burned just 
north of Black Rock City. Meanwhile, in the desert, temperatures veered 
into the triple digits, causing Burners to retreat to air conditioned 
tents and RVs powered by gas-burning generators. Solar setups could be 
found sporadically in different parts of the festival, and at least one 
— but maybe only one — camp was completely run on solar power.

The Burning Man Organization has committed to becoming carbon negative 
by 2030, but it’s very unclear how this can happen without completely 
rethinking the concept. That solar-powered camp required $200,000 worth 
of equipment to keep the lights on. And because the event takes place 
about three hours from a major city, all of this infrastructure needs to 
be hauled in by gas-powered trucks. Even if electric trucks were 
available, there would be no way for them to charge up for the drive back.

“Despite all the green technology being discussed, Burning Man will get 
dirtier before it gets cleaner — and will miss its own goal of being net 
negative on emissions by 2030 — unless the Org makes big changes,” Alden 
Wicker reported last year in Wired, referring to the Burning Man 
Organization.

So you can see how the climate protesters arrived at their list of 
demands. For Burning Man to exist in its current form and radically 
reduce its carbon footprint, major changes need to happen, and it’s not 
clear if or how the event’s organizers will meet their own environmental 
sustainability goals. And again, the protest itself did not go well for 
anyone. Thousands of cars idling in the middle of the desert didn’t 
exactly improve the greenhouse gas emissions situation. People got hurt. 
But the festival did go on, and those air conditioners and their 
generators will keep rumbling until September 4, when they burn it all 
down again.

https://www.vox.com/technology/2023/8/30/23852215/burning-man-climate-protest-block-road



/[ William Rees adopts the role of a wise, mildly agitated curmudgeon in 
this difficult discussion with the young Rachel Donald - the two 
grumbled, - yet agree about human future 1:11 video ]/
*Overshooting Earth's Boundaries | Bill Rees*
Planet: Critical
Aug 30, 2023  #politicalcrisis #climatecrisis #energycrisis
Humankind’s footprint threatens to squash life under its heel.

Our impact on the planet cannot be understated. We have thrust Earth 
into a new geological period, destroyed the majority of the world’s 
wildlife, razed her forests, and rendered innumerable species extinct. 
We are expert consumers with no limits to our appetite, it seems. Unless 
the climate becomes so unstable our own systems break down. This, of 
course, is what we’re already seeing.

Bill Rees, bio-ecologist, ecological economist, and originator of the 
ecological footprint analysis, joins me to discuss this breakdown—how we 
got here, where we’re going, and why he has little hope for humankind to 
make it through. We discuss systems change, potential outcomes, and how 
to create “lifeboats” in a crisis. We also go head-to-head on the 
framing of some of these issues before finding common ground towards the 
end of the episode.

Bill Rees: https://www.postcarbon.org/our-people/william-rees/
https://www.youtube.com/watch?v=ID-P1_AwczM



/[ Dr Eliot Jacobson - in YouTube video interview ]/
*Doomer Dr. Eliot Jacobson talks Hurricane Hilary, Phoenix Heat, 
Canadian Fires, Ocean Heat Rise*
Santa Barbara Talks with Josh Molina
Aug 20, 2023
Doomer Dr. Eliot Jacobson returns to Santa Barbara Talks to discuss the 
potential catastrophic impacts of Hurricane Hilary and why we are seeing 
a tropical hurricane on the West Coast. Jacobson also talks about rising 
heat records in Phoenix, increasing ocean temperatures, and the 
wildfires in Canada. Jacobson is a doomer who believe that it is too 
late to save the planet for humans, but to think about saving the planet 
for whatever species is able to survive. He also talks about climate 
change, fossil fuels, electric and solar power and the inconsistent 
discussion around environmentalism.
After our first podcast, Jacobson appeared on CNN and a variety of other 
media platforms. Check out this latest episode for his compelling views. 
Find Jacobson online at https://climatecasino.net/ or his twitter at 
https://twitter.com/EliotJacobson
Joshua Molina is a journalist and college instructor who interviews a 
variety of individuals on topics such as housing, environment and 
culture. Consider a contribution to his independently owned podcast at 
www.santabarbarapodcasts.com or santabarbaratalks.com. Also please 
subscribe to this podcast if you enjoy conversations with people from 
all perspectives.
https://www.youtube.com/watch?v=CjeBg-l9XHM



/[ Economics of our conundrum - YouTube or audio, 
https://www.thegreatsimplification.com/episode/86-lisi-krall and 
transcript.  ]/
*Lisi Krall: "Agriculture, Surplus, and the Economic Superorganism" | 
The Great Simplification #86*
Nate Hagens
Aug 30, 2023  The Great Simplification - with Nate Hagens
On this episode, ‘Superorganisms’ converge as Nate is joined by 
economist and anthropologist Lisi Krall to discuss the evolutionary 
origins of our current systemic predicament. Starting with the 
Agricultural Revolution, the evolutionary conditions of surplus and 
ultrasociality have combined to shape the way humans interact with their 
environment, ultimately leading to our current out of control global 
economy. Is this global system an inevitable emergent phenomenon of the 
human condition? Does surplus inherently breed inequality and hierarchy, 
such as the current capitalist system? What type of social evolution 
will we experience as we meet the limits of an expansionary system and 
move towards a Great Simplification?

About Lisi Krall:
Lisi Krall is a professor of economics at State University of New York, 
Cortland. Dr. Krall engages a heterodox and transdisciplinary approach 
to understanding economic systems, their etiology, structure, dynamic, 
and the relationship between humans and the more-than-human world that 
is contextualized through them. She incorporates evolutionary biology, 
anthropology, history, heterodox economics, and deep materialism to 
understand how we arrived at this paradoxical moment where humans appear 
trapped in an economic system that functions as if it is not of this 
Earth at the same time it is clearly a material system. Her latest book, 
Bitter Harvest: An Inquiry into the War Between Economy and Earth, 
explores the formation and evolution of the economic system (the 
economic superorganism) that took hold beginning with the cultivation of 
annual grains and is now embodied in global capitalism.

For Show Notes and more: 
https://www.thegreatsimplification.com/episode/86-lisi-krall
https://www.thegreatsimplification.com/episode/86-lisi-krall
#thegreatsimplification #natehagens #superorganism #evolution 
#anthropology #economics



/[The news archive - looking back failing to join Kyoto Protocol ] /
/*September 1, 2002*/
September 1, 2002: British Prime Minister Tony Blair laments the failure 
of the United States to join the Kyoto Protocol, even though the treaty 
is quite moderate relative to what the science demands in
terms of worldwide emissions cuts.
http://news.bbc.co.uk/2/hi/uk_news/politics/2228741.stm
http://edition.cnn.com/2002/WORLD/africa/09/01/blair.climate.glb/



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