A hot work environment killed at least 13 people in 2012 and 2013 (not counting cases from nineteen states, including California, that operate their own OSHA programs). On The Pump Handle, Celeste Monforton writes "the report shows the diversity of jobs and situations in which workers are at risk of suffering a heat-related illness or death." Kim Krisberg says "most of the people worked outdoors, though seven of the cases happened indoors in work settings with a powerful heat source." Nine of the thirteen died during their first three days on the job, showing that the human body needs time to acclimate to a hot new schedule. Krisberg continues "heat illness prevention programs were either incomplete or entirely absent from the workplaces in question." Considering that workplaces in the study were as hot as 106° Fahrenheit, and that heat stroke can damage the brain and organs as well as kill you, simple interventions like providing water, shade, and rest should be a top priority for any employer.