During extreme heatwave events, indoor overheating caused by power outages poses a significant threat to human health, especially for low-income groups exposed to hot and humid conditions for extended periods. However, currently, the definition and quantification standards for indoor overheating are not well-defined, and relying solely on thermal comfort indicators is insufficient to accurately assess the health risks associated with indoor overheating. This study proposes the use of maximum heat index (HImax) and heat index hazard hours when the heat index exceeds the caution level (HIHHCaution) to assess the health risk of indoor overheating. Taking various types of residential buildings in Guangzhou as examples, the study employs field surveys, simulation analysis, and statistical regression to analyze the impact of power outages during heatwaves on the indoor thermal environment and key human thermal physiological parameters, thereby establishing the basis for measuring indoor overheating and reference thresholds for assessing heat health risks. The results indicate that for young adults and the elderly, HIHHCaution exceeding 1174 °C·h and 850 °C·h respectively, or HImax nearing 55 °C, are likely to result in heat-related illnesses. In Guangzhou, most urban village housing with poor insulation cannot withstand the risk of power outages lasting more than a day during heatwaves, while old housing and commodity housing that meets the energy-efficiency standards of different periods still face varying degrees of indoor overheating risk. The findings enhance understanding of indoor overheating health risks and provide a scientific basis for strategies to improve living environments during heatwaves.
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