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Extreme heat straining health systems: WHO
Extreme heat straining health systems: WHO
by AFP Staff Writers
Geneva (AFP) July 19, 2023

The extreme heat in the northern hemisphere is putting an increasing strain on healthcare systems, hitting those least able to cope the hardest, the World Health Organization said Wednesday.

The WHO said the heat often worsens pre-existing conditions, saying it was particularly concerned about those with cardiovascular diseases, diabetes and asthma.

Millions of people across three continents are enduring a sustained spell of dangerous heat on Wednesday as temperature records tumble.

"Extreme heat takes the greatest toll on those least able to manage its consequences, such as older people, infants and children, and the poor and homeless," said WHO chief Tedros Adhanom Ghebreyesus.

"It also puts increased pressure on health systems," he told a news conference.

"Exposure to excessive heat has wide-ranging impacts for health, often amplifying pre-existing conditions and resulting in premature death and disability."

The WHO was working with the World Meteorological Organization (WMO), its fellow Geneva-based UN agency, to support countries in developing hot-weather action plans to coordinate preparedness and reduce the impacts of excessive heat on health, he added.

- Finding those at risk -

Maria Neira, the WHO's public health and environment chief, said the agency was particularly concerned about pregnant women and people with diabetes and cardiovascular diseases, and asthma, as air pollution would be part of the problem.

Local and national governments needed to identify all those potentially at risk, while hospitals should ensure they had an action plan in place, she added.

Neira also said communities needed to get the message out on avoiding sport during the hottest part of the day, finding a cool place indoors, looking out for the vulnerable, and being aware of heat stroke or heat exhaustion.

Experts have blamed the heatwaves on climate change, driven by the burning of fossil fuels releasing the greenhouse gas carbon dioxide into the atmosphere.

Besides immediate measures to cope with the heat in the coming days, Neira said that in the longer term, countries needed to decarbonise to mitigate the causes of climate change, which is "exacerbating and increasing the frequency, the intensity and the duration of those heatwaves.

"That will be helping us to reduce the heatwaves in a very important way."

City officials needed to think through their urban planning to ensure people had refuges in times of extreme heat, she added.

The UN's WMO weather agency has said repeated high overnight temperatures are a particular health risk because the body is unable to recover from hot days, leading to more heart attacks and deaths.

How heatwaves are dangerous to human health
Paris (AFP) July 19, 2023 - Record-breaking heatwaves across the Northern Hemisphere have again sparked concerns about the danger such blistering temperatures pose to people's health, particularly children and the elderly.

Such sustained heatwaves -- which experts say are becoming more common due to human-driven climate change -- can put human bodies under extreme pressure, sometimes leading to dehydration, heatstroke and death.

Research recently found that more than 61,000 people died due to the heat in Europe last summer -- and 2023 is shaping up to be even hotter.

- The immediate effect -

As temperatures rise, the body fights to maintain its normal temperature around 37 degrees Celsius (98 Fahrenheit).

The heart ups the tempo, sending sweat to cool down the surface of the skin, the body's front line against the heat.

The skin's blood vessels also dilate, releasing heat.

- The impact on health -

But if the heat overwhelms these temperature regulators, it can cause symptoms such as fatigue, headaches, fever and disturbed sleep.

Another early sign is dehydration, which occurs when the body loses more fluids than it takes in.

Heatstroke, which strikes when the body cannot stop its temperature rising past 40C, is considered to be the most serious heat-related illness.

The World Meteorological Organization has warned that repeatedly high overnight minimum temperatures are particularly dangerous to human health, because the body never gets a chance to recover.

Such high overnight minimums -- which parts of the United States, Europe and China have been suffering through this week -- can lead to heart attacks and death, according to the WMO.

"Whilst most of the attention focuses on daytime maximum temperatures, it is the overnight temperatures which have the biggest health risks, especially for vulnerable populations," the UN agency said.

- The added threat of humidity -

Humidity during heatwaves can also overwhelm the body.

Sweating helps cool bodies by evaporating off the skin -- but if it is too humid, the sweat cannot evaporate.

The combination of heat and humidity is measured by what is known as a "wet bulb" temperature.

Researchers have warned that a wet-bulb temperature of 35 degrees Celsius can kill a healthy young adult within six hours.

This threshold of human survivability has only been reached a couple of times -- but experts warn the number of instances will increase as the globe warms.

- The most vulnerable -

Most vulnerable during heatwaves are the elderly, people who already have health problems, and children -- particularly those under five years old.

As people get older, they have fewer sweat glands, making the elderly less able to control their temperature.

During heatwaves, these sweat glands work day and night.

After a few days, the sweat glands get exhausted and produce less sweat, increasing the body's core temperature.

Most of the estimated 61,672 people who died due to the heat in Europe last summer were over the age of 80, according to research.

- Other factors -

Where people live and what they do can also put them more at risk during heatwaves.

Living in a city, particularly in densely populated areas or poorly insulated homes, can further expose people to the blistering heat.

People who work outside, such as construction workers, are also at an increased risk.

Those who play sports are doubly at risk because exercise also raises the body's temperature.

The homeless are particularly exposed, having few ways to escape the heat.

Some drugs can also add to health problems during heatwaves, such as diuretics which reduce the amount of water in the body.

- What to do -

During heatwaves people should drink plenty of water and try to stay as cool as possible.

Health authorities recommend people avoid going outside during the hottest part of the day -- and if possible spend a couple of hours in a cool place, such as an air-conditioned cinema, library or museum.

They also advise people avoid physical exertion or drinking alcohol.

And, because social isolation can be a factor, it is advisable to regularly check in with friends and family.

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