With a harsh arid climate and summer temperatures that can reach 60° Celsius (140° Fahrenheit) between the months of May and September, Middle Eastern countries face a continuing challenge of how to conduct outdoor work without subjecting their workers to the harmful effects of heat stress. This year that challenge will be even greater with the occurrence of Ramadan, which requires fasting between sunrise and sunset, during the month of July. Employers should make plans now to protect their workers from heat stress during Ramadan.