Health Topics: /HOT WEATHER

HOT WEATHER

 Extremely hot days have the potential to cause adverse health effects.

 

Who is at risk in hot weather?

 

All people may feel the effects of extremely hot weather but certain groups are more vulnerable:

 

   Elderly people (particularly women, those with medical problems, who live alone, are socially isolated or reliant on others)

 

       Children (especially babies and young children)

 

       People who work outdoors

 

       Obese and overweight people

 

       Hospital inpatient and nursing home residents

 

       People with medical problems/chronic disease

 

Protecting yourself and your family in hot weather

 

       Plan your day to avoid going out during the hottest part of the day

 

       Drink plenty of water to stay hydrated. Don't wait until you get thirsty. If going out, take some water with you. Always keep a bottle of water in the car

 

       Take regular breaks in the shade when outdoors

 

       Wear light coloured, loose fitting clothing made of natural fibres such as cotton. Place a damp cloth/scarf/handkerchief on the back of the neck - Re-wet as needed

 

       Park your car in a shady spot or in a covered car park building: never leave children or animals unattended in cars

 

       Use sunscreen and re-apply regularly. Wear a hat, sunglasses and carry an umbrella to use as a sun shade. Splash or spray some water on arms and feet to cool off

 

       Avoid alcoholic, caffeinated, hot or sugary drinks. Avoid heavy meals, eat salads and fruits instead

 

       Have cool showers or baths. Take a dip at the beach or swimming pools to cool off. Always ensure you adhere to water safety practices

 

       Avoid strenuous outdoor activity or exercise. Try and plan it for early morning or in the evening

 

When planning trips, take account of possible longer travelling times. Keep your home and office first-aid kit and disaster management packs up to date.

 

Remember that pets and animals are also prone to heat effects – keep them in the shade and provide plenty of water.

 

Staying cool indoors when it's hot outside

 

    If the room is cooler than outside, keep windows closed and blinds down. Open the windows once the    temperature outside is cooler

 

       Use a fan or air-conditioning unit where possible

 

       Consider using pale curtains or other reflective materials on windows

 

       Keep curtains closed or drapes drawn in rooms that get a lot of sun

 

       Try not to use the stove or oven very often

 

       Move to the coolest room in the house

 

Older people who live alone may need to be checked on daily to ensure they are well.


How do I help myself or someone who may be suffering from heat-related illness

 

If you feel weak, anxious, dizzy, have intense thirst and a headache, do the following as soon as possible:

 

       Move to a cool place

 

       Drink some water or fruit juice to rehydrate

 

       Rest immediately in a cool place if you have painful muscular spasms and drink oral rehydration    solutions containing electrolytes. Medical attention is required if heat cramps are sustained for more    than one

A heat stroke can occur suddenly and may progress rapidly to unconsciousness. If you suspect someone may be suffering the effects of a heat stroke, refer him/her to the hospital.

 

While waiting for the ambulance to arrive:

 

       Move the person to somewhere cooler if possible

 

       Increase ventilation if you're in a room by opening a window or turning on a fan

 

       Loosen their clothes, sprinkle with cool water or wrap them in a damp sheet to cool them down

 

 

Symptoms and basic management of heat-related conditions

 

Heat-related condition

Signs and symptoms

Initial management

 

Mild and Moderate

 

 

 

 

 

Dehydration

A feeling of thirst, fatigue and light

Drink water or oral solutions

 

headedness. Can be associated

containing electrolytes.

 

with headaches. Constipation may

Rest in a cool area.

 

occur with dehydration (especially

If symptoms do not improve seek

 

in the elderly).

medical attention.

 

 

 

If constipated discuss treatment

 

 

options with a medical professional.

Heat rash

Small red itchy rash on the face,

Rash usually improves without

 

neck, upper chest, under breast,

treatment.

 

 

groin and scrotum areas. Infection

Minimise sweating by staying in an

 

may occur.

air-conditioned environment, taking

 

 

frequent showers and wearing light

 

 

clothes.

 

 

 

Keep the affected area dry.

 

 

Topical antihistamine and antiseptic

 

 

creams may reduce discomfort and

 

 

prevent secondary infection.

Heat oedema

Swelling of the lower limbs,

Treatment is not

required.

 

usually ankles.

Usually subsides

following

 

 

acclimatisation to the heat.

Heat syncope

Brief loss of consciousness or

The person affected should rest in a

 

dizziness on standing.

cool place and lie down with legs and

 

 

hips elevated.

 



 

 

Seek medical attention to rule out

 

 

other causes of faints.

Heat cramps

Painful muscular spasms, often in

Immediate rest in a cool place.

 

the legs, arms or abdomen.

Stretch muscles and massage

 

Usually occurs at the end of

gently.

 

sustained exercise.

Oral rehydration may be needed

 

 

using a solution containing

 

 

electrolytes.

 

 

Medical attention should be sought if

 

 

heat cramps are sustained for more

 

 

than one hour.

Heat exhaustion

Symptoms of intense thirst,

Move to a cool shaded room or air-

 

weakness, discomfort, anxiety,

conditioned place.

 

dizziness, fainting and headaches.

Apply cold wet sheet or cold water

 

 

spray and use a fan if available.

 

 

 

 

 

 

 

Severe and Life-Threatening

 

 

 

Heat stroke

Symptoms of confusion,

Shift patient to the hospital

 

disorientation, convulsions and

 

 

unconsciousness.

 

Worsening of pre-

This is especially of concern in

Seek medical attention if you have a

existing illness

people with heart disease,

chronic condition and develop new

 

strokes, and respiratory disease.

symptoms.

 

Symptoms can vary from mild to

If any severe symptoms, refer to the hospital

 

severe, depending on the disease.

 

 

This can include but is not limited

 

 

to chest pains, shortness of

 

 

breath, dizziness or confusion.

 

 

 

References

 

Table adapted from WHO Heat Health Action Plans Guidance, 2008

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