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Research Article

Container buildings used for residential and business purposes in Johannesburg, South Africa and potential heat-related health risks

[version 1; peer review: 2 approved with reservations]
PUBLISHED 03 Aug 2023
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This article is included in the Climate gateway.

Abstract

Background: Outdoor and indoor air temperature affects human health and wellbeing. Climate change projections suggest that global temperatures will continue to increase and this poses a threat to health. Housing that can protect humans from the adverse effects of temperature is essential, especially in the context of climate change.

Method: In this cross-sectional study, we measured indoor temperature inside shipping containers comprising a seven-storey block of apartments and businesses in Johannesburg, South Africa. We assessed indoor temperature and relative humidity; evaluated measured temperatures in relation to thresholds known to be associated with adverse health risks; and sought to understand heat-health perceptions and symptoms of people living and working in shipping container units.

Results: Median indoor apparent temperature (AT) (a combination of temperature and relative humidity) was 16 °C with values ranging from 6 °C (observed at 8:00) to 42 °C (observed at 17:00). Insulated units had temperatures between 2°C and 9°C cooler than uninsulated units. Heat-health risks from AT exposure were likely in all units, although there was variation in the number of occurrences that AT measurements exceeded the four symptom bands of caution, extreme caution, danger and extreme danger. Some participants believed that their units were hot during hot weather and most people opened windows or did nothing during hot weather. Few participants reported experiencing adverse heat-health impacts, except for experiencing headaches (n=62, 58%) and feeling tired or weak (40%).

Conclusion: Container units should be insulated and have adequate windows for ventilation when used for residential and commercial purposes, especially in hot climates. Awareness regarding heat-health risks of living and working in hot spaces needs to be done, especially in the context of repurposed container units.

Keywords

Climate change, Environmental health, Temperature; Thermal comfort; Urban area

Introduction

Improved housing conditions can prevent disease, reduce poverty, and increase quality of life.1 Adequate, safe housing is essential in the current global context of urbanisation, ageing populations, and climate change. In South Africa, around 80% of the population (of around ~60 million people) live in formal dwellings, 11% live in informal dwellings such as shacks and 4% live in traditional dwellings (the remaining 5% remains unknown.2 Among the formal dwellings are the government-provided, low-cost housing or Reconstruction and Development Programme (RDP) housing that attempts to give every South African a home. In recent years, initiatives by developers have seen an increase in the use of shipping containers to provide low-cost dwellings for South Africans who earn little to afford other types of formal dwellings, beside government housing. The shipping containers have been combined as a single storey or stacked to make a multi-storey block of apartments. In wealthier countries, shipping containers have been used as a sustainable housing option, sometimes called an ‘eco-pod’.3 This form of housing has also been used during emergency relief after extreme weather events displace people from their homes, as was the case in the Philippines.4 Similarly, following Hurricane Katrina in 2005, the Christchurch earthquake in 2011 and the Victoria (Australia) Black Saturday bushfires in 2009, shipping container dwellings were used to temporarily house displaced populations.5

Of importance when making use of shipping containers as places to live or work is ensuring that the temperature inside the container is kept stable, thermally appropriate, and suitable for human habitation. Temperature measurements made inside shipping containers while they are on ships have shown that temperatures may exceed 60°C.6 Therefore, indoor temperatures in shipping containers may pose a challenge for their use as dwellings, especially in hot climates. Elrayies7 assessed thermal performance of shipping container architecture in hot and humid Port Said, Egypt and found indoor temperatures exceeded 44°C in some units, depending on the type of insulation applied (foam performed better than rock wool, wool, or straw). In the Philippines, different types of insulation such as foam and fibreglass batting did not improve the indoor thermal conditions of the shipping containers in a tropical (hot and humid) climate.4

No measurements have been made of temperature inside shipping containers converted into residences or business in South Africa, although, temperatures have been measured inside shipping container classrooms in Johannesburg, South Africa and were found to exceed 40°C during summer months.8 Therefore, we aimed to measure indoor temperatures inside shipping containers comprising a seven-storey block of apartments and businesses in Johannesburg, South Africa. There were three study objectives: 1) to assess temperature inside shipping container units used as dwellings and places of business; 2) to evaluate measured temperatures in relation to thresholds known to be associated with adverse health risks; and 3) to understand heat-health perceptions and symptoms of people living and working in shipping container units. These findings are important to inform policymaking and health awareness campaigns related to living and working in shipping containers in hot climates.

Methods

Study design

We applied the STROBE reporting guideline to plan and execute this study which was a cross-sectional study conducted in the suburb of Maboneng located in the City of Johannesburg, South Africa. Maboneng is a mixed-use neighbourhood within the central business district of the city. Here, there is a building made of 140 shipping containers (Figure 1) repurposed into 107 units that are either residential apartments (n=103) or businesses (n=4). We aimed to install temperature loggers in ten units from the 12 September to 25 September 2021 after obtaining permission from the owner of the building and the tenants/owners of the units. We also administered a short survey questionnaire to occupants of the units after obtaining their informed consent.

f632847a-91de-43ec-9024-d106204f2ab4_figure1.gif

Figure 1. Street view of the container building comprising businesses and residences.

(Photo credit: Driveline Studios).

Ethical approval

Research ethics clearance was obtained from the University of Johannesburg Faculty of Health Sciences Research Ethics Committee (REC-1055-2021, 4 June 2021).

Informed consent

Written informed consent was obtained from all participants for participation in the study as well as publication of their self-reported data.

Temperature measurements

Temperature loggers called iButtons were installed in the container units to measure indoor temperature. iButtons are small, portable sensors that record temperature and relative humidity onboard for download after monitoring. iButtons were installed against a piece of furniture like a cupboard away from the walls in each of the ten containers from the 12 September to 25 September 2021. This approach was made instead of suspending the iButton from the ceiling to minimise intrusion of the instrument to the inhabitant and has been done successfully before.9 Data were downloaded as.txt files and imported into R software10 for analysis.

Ambient temperature and relative humidity data for the meteorological station closest to the container building were obtained from the South African Weather Service (SAWS). Wind data were also available. Meteorological data were provided at 10-minute intervals which were converted to hourly interval calculations.

Apparent temperature calculations and heat-health risks

Indoor and ambient temperature and relative humidity data were used to calculate indoor and outdoor apparent temperature (AT), respectively. AT is a calculation that considers ‘real-feel’ temperature and is an indicator of thermal comfort as well as gives an indication of potential heat-health impacts based on defined thresholds.11 AT was calculated as follows:

(1)
AT=Ta+0.33xe0.70xws4.00

Where:

Ta = dry bulb temperature (°C)

e = water vapour pressure (hPa)

ws = wind speed (set to 0 for indoor conditions, and using the SAWS wind speed data for outdoors)

Water vapour was calculated using Equation 2:

(2)
E=RH/100×6.105×exp(17.27×Ta/237.7+Ta

AT is given in degrees Celsius (°C) and was calculated for hourly intervals.

AT measurements made inside the shipping container units were considered in relation to thresholds known to be associated with adverse health impacts (Table 1).

Table 1. Apparent temperature (AT) thresholds and potential health impacts.11

Symptom bandClassificationAT range (°C)Classified “Effect on Body”
ICaution27–32Fatigue possible with prolonged exposure and/or physical activity
IIExtreme caution33–39Heat stroke, heat cramps, or heat exhaustion possible with prolonged exposure and/or physical activity
IIIDanger40–51Heat cramps or heat exhaustion likely, and heat stroke possible with prolonged exposure and/or physical activity
IVExtreme Danger>51Heat stroke highly likely

Survey questionnaire

The questionnaire was used to gather information from randomly selected participants (simple random sampling with equal chance of selection) about demographic and socio-economic characteristics, heat-related symptoms ever experienced while occupying the container units, perceptions around heat, and container characteristics. Participants were eligible for the study when they lived in an apartment in the container building or worked in one of the businesses in the container building; they were 18 years old or older; and they consented to participate using an informed consent process.

Sample size was determined by the number of fieldworkers (n=3) and the number of fieldwork days available for the study (n=14) together with the required time to conduct the survey (~20 minutes). Some of the participants were not conversant in English so the researchers communicated in other languages such as Zulu, Sotho and Tshwane during data collection. All participants were considered exposed. Responses were anonymised and coded prior to analysis in STATA (version 16) (StataCorp, 2019).12

Statistical analyses

Descriptive statistics were used to summarize participant characteristics, diurnal and daily patterns of indoor AT and outdoor AT in the shipping containers. Missing data were left as is and no data were inferred. Paired t-tests were used to assess differences between indoor and outdoor AT. A 0.05 level of significance was used for all statistical analysis and data were analysed using R, a language and environment for statistical computing.10 No sensitivity analyses were done.

Results

We were able to analyse temperature and relative humidity data from seven container units and a total of 62 participants (58%) answered the survey.20 Other residents and business owners (n=45) in the building were not available to participate during the study period.

Apparent temperature findings

The study took place during the austral spring (i.e., September) when average ambient temperatures in Johannesburg are ~8°C (minimum) and ~24°C (maximum).13 We successfully measured temperature and relatively humidity in seven container units (three of the iButtons failed during the study campaign). Indoor AT measurements made in the container units displayed similar diurnal patterns with the warmest temperatures occurring in the mid-afternoon (Figure 2). Median indoor AT was 22°C with values ranging from 12°C (observed at 6:00 in unit 9) to 33°C (observed at 15:00 in unit 10). For ambient conditions, median AT was 14°C with values ranging between 6°C to 23°C.

f632847a-91de-43ec-9024-d106204f2ab4_figure2.gif

Figure 2. Trends in hourly apparent temperature (°C) indoor measurements made inside a random selection of the container building’s apartments and businesses during the study period from 12 September to 25 September 2021.

The whiskers indicate the 95th and 5th percentile, the box indicates the interquartile range, and the middle line is the median.

A comparison of indoor and outdoor AT showed that indoor AT was ~ 7°C higher on average compared to the ambient AT during the study campaign (Figure 3). However, indoor and outdoor conditions were very similar in the afternoon between 13:00 and 17:00 with an AT difference of ~ 1°C. Also, indoor AT fluctuated more than outdoor AT with steep increases observed in the morning and steep decreases recorded in the afternoon.

f632847a-91de-43ec-9024-d106204f2ab4_figure3.gif

Figure 3. Trends in hourly indoor (blue line) and outdoor (red line) during the study period from 12 September to 25 September 2021.

Units 2 (residential), 4 (residential), 5 (residential), 6 (residential), 8 (residential), and 10 (business) had insulation installed in the container walls and roof in an attempt to moderate the impacts of ambient temperature on indoor temperature. Unit 9 (business) did not have insulation. Figure 4 illustrates the difference that insulation makes in relation to AT recorded inside the container units with and without insulation. The amplitude of the AT measurements made inside insulated units was smaller than that seen for the non-insulated units for both minimum and maximum indoor AT. The difference in AT for insulated versus non-insulated units ranged between ~2–9°C.

f632847a-91de-43ec-9024-d106204f2ab4_figure4.gif

Figure 4. Diurnal trends in indoor AT (°C) in a container apartment without insulation (red line) and with insulation (blue line) during the study period from 12 September to 25 September 2021.

Heat-health risks from AT exposure occurred in all units although there was variation in the number of occurrences that AT measurements exceeded the four symptom bands (Table 2). AT in unit 5 reached the ‘danger’ threshold of between 40 to 51°C once during the study period. In unit 10 there were 13 hourly exceedances of the ‘extreme caution’ threshold of 33–39°C. All units in which AT was measured experienced some exceedances of the ‘caution’ threshold with the greatest occurrences taking place in units 9 (uninsulated) and 10 (insulated).

Table 2. Mean (hourly range) AT measurements made in each of the seven units and the number of occurrences (hourly) when AT levels exceeded the four heat-health symptom bands.

Unit number in study (type, storey)AT mean (hourly range)Frequency of hourly occurrences n (%)
Caution 27–32°CExtreme caution 33–39°CDanger 40–51°CExtreme danger >51°C
2 (residential, 2nd)6–30°C22 (100)---
4 (residential, 4th)6–28°C8 (100)---
5 (residential, 4th)6–42°C28 (90)2 (6)1 (3)
6 (residential, 5th)6–30°C22 (100)---
8 (residential, 6th)6–28°C7 (100)---
9 (business, ground)6–32°C62 (98)1 (1)--
10 (business, ground)6–34°C80 (86)13 (13)--

Questionnaire findings

The majority of the participants were older than 26 years of age, were male and had completed high school (Table 3). At the time of the survey, the building was 5 years old (built in 2017) and was units were available to rent (and buy) hence most renting occupants had lived in the building for less than 6 months. All surveyed occupants reported that their units had windows and were occupied by one or more people.

Table 3. Descriptive characteristics of the study participants who lived in the residential apartments (N=62).

VariableFrequency (n)Frequency (%)
Age (years):
Younger than 1800
18 – 252540
26 – 353353
36 – 4546
Missing00
Gender:
Male4166
Female2133
Missing00
Highest level of education:
No formal education00
Primary school completed00
Attended high school23
Completed high school1117
Attended university1930
Completed university3048
Missing00
Duration living/working in container:
Less than a month34
1 month11
3 months1117
6 months1422
More than 6 months3353
Missing00
Number of occupants in unit:
13759
2-32133
3-546
>500
Missing00

All participants reported that their container units had windows and two-thirds said that these windows, when opened, helped to cool down their units (Table 4). Findings were ambivalent regarding whether participants believed that their units were hot during hot weather and most people opened windows or did nothing during hot weather. Few participants reported experiencing adverse heat-health impacts, except for experiencing headaches (58%) and feeling tired or weak (40%) (Table 5).

Table 4. Participants’ perceptions related to heat and heat-behaviours (N=62).

VariablesFrequency (n)Frequency (%)
Are there windows in the unit?
Yes62100
No00
Missing00
Do the windows help to cool down the unit?
Yes5995
No35
Missing00
Do you think the temperatures inside the containers are comfortable during hot weather conditions?
Yes3354
No2946
Missing00
What do you use to keep your unit cool on hot days?*
An air conditioner23
An electric fan1117
Open windows2032
Nothing2946

* Participants could select multiple responses.

Table 5. Heat-related symptoms were reported by the study participants (N=62).

Self-reported heat-related symptomsFrequency (n)Frequency (%)
Headache
Yes3658
No2642
Missing00
Dizziness
Yes69
No5691
Missing00
Nausea or vomiting
Yes915
No5385
Missing00
Heat cramps
Yes46
No5894
Missing00
Heat stroke
Yes12
No6198
Missing00
Heat rash
Yes1016
No5284
Missing00
Losing consciousness (fainting)
Yes12
No6198
Missing00
Tiredness or weakness
Yes2540
No3760
Missing00
Excessive sweating
Yes1423
No4877
Missing00
Confusion
Yes46
No5894
Missing00
Low concentration
Yes1016
No5284
Missing00

Discussion

This study has shown the significant variation in indoor temperatures in shipping container units used for living and business purposes in the metropolitan city of Johannesburg. Indoor and outdoor temperatures followed a similar diurnal pattern with far less variation for indoor conditions compared to outdoors. On average, indoor temperatures were consistently warmer than outdoor temperatures and with some non-optimal high temperature exceedances presenting a reason for concern regarding people’s heat-health risks. Laksitoadi and As Syarif14 measured temperatures inside shipping containers repurposed into offices in Badung, Indonesia which has a hot, wet climate. They found that indoor temperatures were on average cooler than outdoor temperatures – differing from our findings here – and that the location of the offices in the building by floor did not influence indoor temperatures. The latter is true for our study findings; there was no consistent pattern in indoor temperatures by storey/level.

All units in which measurements were made had exceedances of the heat-health risk threshold values related to ‘caution’, ‘extreme caution’, ‘danger’ and ‘extreme danger’. Two container units had the highest frequency of occurrences of temperatures reaching the ‘caution’ (27–32°C) threshold – one unit was insulated and the other was not – that are associated with fatigue possible with prolonged exposure and/or physical activity. This suggests that insulation might not be the sole solution for maintaining consistent temperatures in shipping container units. Alternative means to ensure thermal comfort inside shipping container residential and business units include green/vegetated roofs and outside walls and double-glazing on windows.15 Solar-powered air-conditioning may also be an alternative energy source for indoor cooling, especially in energy-constrained environments such as South Africa. Window shading with awnings or blinds may also help maintain cool indoor temperatures.

Several factors influence indoor temperature in dwellings such as the size of the dwelling, number of doors and windows, shading and human behaviour in relation to ventilation and heating/cooling. Shipping containers are a standard size (~14 m2 to 30 m2) – in this apartment block, the open plan studio units were made from containers varying between 28–56 m2 and each had an open landing outdoor space on the ‘inside-facing’ sides of the building. These spaces were less likely to receive natural wind-driven ventilation due to the nature of the balcony location between the two ‘wings’ of the building above the central courtyard (see Figure 1). It will be important for future buildings to consider ventilation and through breezes in their design and construction to ensure indoor temperatures may be reduced, especially in hot climates.

Study participants were ambivalent regarding whether their units were hot during hot weather; this may be since they had only lived in the unit for around 6 months and had yet to experience the heat of summer between December to February. Few people reported adverse heat-health impacts except for experiencing headaches and feeling tired/weak. Several symptoms and health effects are associated with exposure to non-optimally high indoor temperatures. High indoor temperature exposure has been associated with respiratory, cardiovascular, and mental health effects.16 While our study participants were relatively young, they are also vulnerable to the health impacts of extreme heat. A recent study found stronger associations between days of extreme heat and a higher risk of emergency department visits for any cause, heat-related illness, renal disease, and mental disorders among young and middle aged compared to older adults.16

While shipping containers are perceived to be a good alternative for building dwellings, businesses, school classrooms, relief shelters etc. due to their relative low cost, ease of availability, speed to completion during the build, low maintenance, weather-resistant, supposedly relatively low environmental impact (low carbon footprint since at end-of-life at sea/on the road, it is repurposed/upscaled), they may release toxic substances if they had a history of carrying chemicals and they need insulation since the metal frames do not possess insulating properties. The latter is particularly important, especially in light of global warming. South Africa is projected to experience an increase in average ambient temperature between 4–6°C by 2100.17 Furthermore, a heat stress assessment study found that the CBD of the city of Johannesburg, which is where the containers were located, exhibited urban heat island characteristics due to high building densities and sparse vegetation. Thus, residents are at increased risk of heat stress because of exposure to high night and daytime temperatures. Simulations of future local climates estimated increases of up to 5°C, therefore efficient means of maintaining indoor thermal comfort are necessary.18,19 When indoor temperatures inside shipping container units used for living and working mimic outdoor temperatures, and outdoor temperatures are likely to increase, there is reason for concern regarding the health and wellbeing of the occupants. Housing is a constitutional right in South Africa; however, the thermal comfort of the housing requires attention given future climate risks.

There were several study limitations. We only had ten iButtons available to us which limited our sample size and some of the iButtons failed so data were lost. In future, two iButtons should be placed side-by-side to have a back-up device in the event that one logger fails to prevent data loss. Most of the participants mentioned that they would be out of the city for the holidays so that limited our sample period and sample size. The study period was relatively short (i.e., 14 days) and took place in spring; additional measurements should be made in summer when ambient temperatures are likely higher compared to temperatures in spring. We should have asked business owners working in the business units about the nature of their business to understand whether indoor temperatures were affected by business activities, e.g., the use of hair dryers in a hair salon. We should have also recorded whether the units were north- or south-facing. It would be useful in future studies to conduct physiological measurements of inhabitants of container homes to assess possible heat-health related impacts during hot weather. One may also consider having the participants wear temperature-logging wearables to estimate personal exposure while living and/or working in container-made buildings.

Conclusion

Housing characteristics influence indoor temperature, and this has an impact on human health and wellbeing. Shipping containers upscaled into living and working units in a modular apartment block is a viable alternative to low-cost housing, however, it is important to consider and factor into the building design indoor temperature stability and by inference, thermal comfort. Given the potential health symptoms and threats associated with non-optimal indoor temperatures, interventions and solutions for thermal comfort must be considered when building residential and business spaces with shipping containers in Africa and elsewhere around the world.

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Mfamadi T, Chivimbo K, Mogadime P et al. Container buildings used for residential and business purposes in Johannesburg, South Africa and potential heat-related health risks [version 1; peer review: 2 approved with reservations]. F1000Research 2023, 12:929 (https://doi.org/10.12688/f1000research.138968.1)
NOTE: If applicable, it is important to ensure the information in square brackets after the title is included in all citations of this article.
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Key to Reviewer Statuses VIEW
ApprovedThe paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approvedFundamental flaws in the paper seriously undermine the findings and conclusions
Version 1
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PUBLISHED 03 Aug 2023
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Reviewer Report 06 Oct 2023
Sarah Roffe, Agricultural Research Council, Pretoria, South Africa 
Approved with Reservations
VIEWS 20
This article, assessing indoor (and outdoor) thermal comfort in container buildings, is very relevant in the context of South Africa's housing crisis and the need to explore alternative, cheaper housing options while bearing in mind thermal health-related risks associated with ... Continue reading
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Roffe S. Reviewer Report For: Container buildings used for residential and business purposes in Johannesburg, South Africa and potential heat-related health risks [version 1; peer review: 2 approved with reservations]. F1000Research 2023, 12:929 (https://doi.org/10.5256/f1000research.152205.r206272)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
  • Author Response 13 Apr 2024
    Caradee Wright, Environment and Health Research Council, South African Medical Research Council, Pretoria, South Africa
    13 Apr 2024
    Author Response
    Reviewer 2

    APPROVED WITH RESERVATIONS
    This article, assessing indoor (and outdoor) thermal comfort in container buildings, is very relevant in the context of South Africa's housing crisis and the ... Continue reading
COMMENTS ON THIS REPORT
  • Author Response 13 Apr 2024
    Caradee Wright, Environment and Health Research Council, South African Medical Research Council, Pretoria, South Africa
    13 Apr 2024
    Author Response
    Reviewer 2

    APPROVED WITH RESERVATIONS
    This article, assessing indoor (and outdoor) thermal comfort in container buildings, is very relevant in the context of South Africa's housing crisis and the ... Continue reading
Views
17
Cite
Reviewer Report 03 Oct 2023
Lee Yee Yong, Department of Civil Engineering, Faculty of Engineering, Universiti Malaysia Sarawak, Kota Samarahan, Sarawak, Malaysia 
Approved with Reservations
VIEWS 17
This article measured the indoor temperature inside shipping containers comprising a seven-story block of apartments and businesses in Johannesburg, South Africa. This study is good as it could potentially give an important insight into another type of sustainable housing by ... Continue reading
CITE
CITE
HOW TO CITE THIS REPORT
Yee Yong L. Reviewer Report For: Container buildings used for residential and business purposes in Johannesburg, South Africa and potential heat-related health risks [version 1; peer review: 2 approved with reservations]. F1000Research 2023, 12:929 (https://doi.org/10.5256/f1000research.152205.r206274)
NOTE: it is important to ensure the information in square brackets after the title is included in all citations of this article.
  • Author Response 13 Apr 2024
    Caradee Wright, Environment and Health Research Council, South African Medical Research Council, Pretoria, South Africa
    13 Apr 2024
    Author Response
    Reviewer 1

    1. This article measured the indoor temperature inside shipping containers comprising a seven-story block of apartments and businesses in Johannesburg, South Africa. This study is good as ... Continue reading
COMMENTS ON THIS REPORT
  • Author Response 13 Apr 2024
    Caradee Wright, Environment and Health Research Council, South African Medical Research Council, Pretoria, South Africa
    13 Apr 2024
    Author Response
    Reviewer 1

    1. This article measured the indoor temperature inside shipping containers comprising a seven-story block of apartments and businesses in Johannesburg, South Africa. This study is good as ... Continue reading

Comments on this article Comments (0)

Version 3
VERSION 3 PUBLISHED 03 Aug 2023
Comment
Alongside their report, reviewers assign a status to the article:
Approved - the paper is scientifically sound in its current form and only minor, if any, improvements are suggested
Approved with reservations - A number of small changes, sometimes more significant revisions are required to address specific details and improve the papers academic merit.
Not approved - fundamental flaws in the paper seriously undermine the findings and conclusions
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