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The purpose of this paper is to demonstrate a spatial model of population vulnerability (VI) capable of identifying areas of high emergency service demand (ESD) during extreme heat events (EHE).

An index of population vulnerability to EHE was developed from a literature review. Threshold temperatures for EHE were defined using local temperatures, and indicators of increased morbidity. Spearman correlations determined the strength of the relationship between the VI and morbidity during EHE. The VI was mapped providing a visual guide of risk during EHE. Future changes in population vulnerability based on future population projections (2020-2030) were mapped.

The VI can be used to explain the spatial distribution of ESD during EHE. Mapping future changes in population density/demography indicated several areas currently showing high risk will continue to show increased risk.

The limitations include using outdoor temperatures to determine health-related thresholds. Due to data restrictions three different measures of morbidity were used and aggregated to postal areas.

Identifying areas of increased service demand during EHE allows the development of proactive as-well-as reactive responses to heat. The model uses readily available data, is replicable in larger urban areas.

The model allows emergency service providers to work with high risk communities to build resilience to heat exposure and subsequently save lives.

To the authors’ knowledge this triangulated approach using heat thresholds, ESD and projected changes in risk in a spatial framework has not been presented to date.

We have pleasure in acknowledging the courtesy of the Public Health Authorities of the State of Queensland, Australia, for sending us this record. Want of space compels briefness, but we hope that the few points to which we have drawn notice may prove of interest to readers. We are concerned with the work of the Government Chemical Laboratory and local authorities so far as that relates to the purity, storage, and handling of the food supply. Action is taken under the Food and Drug sections of the Health Acts, and Regulations connected therewith. The difficulties naturally arising in the administration of a vast and sparsely populated tropical territory have been increased, there as here, by shortage of labour and materials of all kinds. So that schemes devised by local authorities in the interests of public health have in many instances been seriously delayed. The Chief of the Government Chemical Laboratory remarks that the Department has worked under incessant pressure for many years. “ The well informed, versatile and competent practitioners ” demanded by the service are not at present available outside the Government service, and “ unless they are forthcoming from time to time to rejuvenate the staff the laboratory may be reduced to a laboratory of professional labourers.”

This paper aims to advance the concept of “menstrual justice” by building on the comprehensive framework developed by Margaret E. Johnson (2019), which integrates legal rights, social justice and intersectional analysis. By applying Johnson’s insights and human rights frameworks to menstrual health management, the study advocates for state interventions to safeguard women labourers from exploitative practices that endanger their reproductive health and to uphold their menstrual rights.

A case study methodology is used to scrutinize menstrual injustices experienced by women labourers in precarious employment conditions. Specifically, it examines two cases, the mass hysterectomies in Beed, Maharashtra and the administration of unidentified pharmaceuticals to women in Tamil Nadu factories to mitigate menstrual pain and maximize productivity.

The findings reveal severe violations pertaining to menstrual justice, with practices deeply rooted in socioeconomic deprivation and systemic neglect. These issues subject female workers to various forms of gender-based violence that goes beyond physical abuse, raising critical concerns about menstrual justice and human rights violations.

The study’s findings have limited generalizability due to the specific contexts of the case study. Furthermore, the absence of insights from managers/supervisors, and factory owners limits a comprehensive understanding of the policies and factors leading to neglect of menstrual management practices.

The findings of the study will prompt the medical industry to initiate research into medications that can effectively alleviate period pain while minimizing harmful side effects. Current treatments often come with significant drawbacks, highlighting the need for safer and more effective alternatives. Addressing this research gap is vital for achieving menstrual equity, as it ensures that individuals suffering from menstrual pain have access to relief that does not jeopardize their overall health. Advancing research in this area will not only enhance the quality of life for menstruators but also contribute to a more equitable and inclusive approach to menstrual health care.

The findings support reframing menstrual friendly labour policies including comprehensive sexual and reproductive health information to everyone, regardless of gender, to reduce misinformation and stigma associated with menstruation at workplaces. Additionally, the study proposes the introduction of reusable menstrual products like menstrual cups to overcome period poverty. Thus, ensuring access to these resources is crucial for enabling informed decision-making, promoting gender equality, addressing health disparities and fostering the development of menstrual-friendly workplace policies.

This study, by using a case study-based approach, has thoroughly examined the issues and challenges faced by female labourers in fields and factories. It uniquely identifies the inadequacies in menstrual management provisions for female workers in India and advocates for a human rights-based approach to ensure that menstruators can manage their menstrual health safely. Unlike most existing studies, which primarily focus on product usage and the stigma or myths surrounding menstruation, this study advances menstrual justice by calling for labour policy reforms and medical research to lessen menstrual pain without compromising menstruators’ health. These reforms aim to provide working women with adequate rest and necessary provisions during menstruation. Addressing these gaps is essential and has been largely overlooked in global health policies.