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I think your idea about wearing the cooling device under the PPE is key... by being worn underneath it will not be contaminated, and if it is a separate component from the PPE perhaps it can be re-worn and re-used (rather than being thrown out after each use) in order to keep cost down.

Also, am I understanding this correctly that the current PPE is essentially like wearing a plastic bag? It seems to me that keeping the temperature down and removing moisture would both be important. Your idea in conjunction with the desiccant idea might work well.