"The groundwork of all happiness is health." - Leigh Hunt

Hot days and warmer nights make us hotter and unhealthier

Editor's Note: As the world experiences record-breaking temperatures and worsening climate challenges, it's easy to feel overwhelmed. Discover how you can align your personal interests with effective steps and learn how you can become involved Climate Week NYC 22-29. September.

August 19, 2024 – As summer involves an end, 2024 is etched within the record books.

According to a study, July 22 of this 12 months is currently the most well liked day ever recorded on Earth NASA analysis.

But for the reason that first days of summer, tens of tens of millions of individuals within the United States have been affected by alcohol Heat advisories as heat domes expanded and contracted From coast to coast over humid weeks. Global130 monthly national temperature records are shattered.

My conversations with colleagues, patients, and neighbors who live in Atlanta inevitably revolve across the heat. Most share that the summer months have develop into a time of terror.

As temperatures rose relentlessly, my 81-year-old neighbor told me he tossed and turned all night, unable to flee the oppressive heat that enveloped him in his modest home. Even though the fan by his bed hummed, the air felt thick and warm, leaving him drenched in sweat and sometimes gasping for relief. So he ended up installing a window air conditioner within the room where he spends most of his time.

“I don’t remember it ever being this bad,” he told me. “Even when I was younger, the nights were cooler. We could open the windows and feel a breeze. Now it’s like it just won’t stop.”

My neighbor's problems with the warmth will not be nearly comfort, but additionally about health. His age and health conditions – hypertension and diabetes – make him more vulnerable to the hazards of sustained high temperatures in a warmer world.

The health dangers of prolonged heat

Although the risks of a heat wave will not be as clear as other climate change-related disasters corresponding to wildfires or hurricanes, intense heat is dangerous and in some cases deadly.

Heat has historically been the number one cause of death in extreme weather eventssays John Balbus, MD, MPH, director of the U.S. Office on Climate Change and Health Equity.

But, he said, the dangers of the heat are increasing rapidly – driven by record temperatures and heatwaves of record length.

“Things are different and we have to react,” Balbus said. “We're seeing this huge increase, where Maricopa County (Arizona) had 645 deaths last year, just in a county where the state average used to be 700.”

Most of us know that heat waves may cause illnesses starting from heat cramps to heat cramps Heat exhaustionand that heatstroke can have devastating consequences. Heat-related illnesses include rather more than these conditions. Heart and lung disease complications, premature birth and pregnancy complications, kidney stones and electrolyte problems are amongst an ever-growing list Heat hazards.

In fact, death by a heart attackand other sorts of heart disease or lung disease are rather more common immediately after a heat wave than death from heat stroke itself. Heat-related cardiovascular deaths could triple in the following few a long time if we proceed to heat Earth's atmosphere at our current rate.

Because heat stress just isn't only a results of overheating; it's a results of “overspeeding”. Our bodies go into overdrive to maintain us at our “Goldilocks” or ideal temperature. This puts strain on organs throughout our body – our blood vessels, our heart, our kidneys and our brain. The longer we stay on this mode, the upper the chance of entering dangerous territory.

How our body reacts to heat

As our body heats up, the blood vessels near our skin dilate to bring more blood to the surface. In order to push large amounts of blood toward the skin, our heart has to pump faster and harder and fewer blood flows to our internal organs. The heat from our core is released into the air so long as the air around us is cooler than the traditional body temperature of about 98°F (37°C).

When air temperatures reach 95 F (35 C) or warmerIt becomes rather more difficult to release body heat into the air. This is where our sweat response becomes crucial. When sweat evaporates, our skin cools down.

High humidity significantly affects the cooling ability of our sweat. Humidity saturates the air with moisture – so less sweat evaporates into the air.

This is why high heat and high humidity are so dangerous for us. Even after we sweat loads – as a substitute of evaporating, the sweat collects and drips off our body, leaving us dehydrated without the advantage of cooling. In a vicious cycle, dehydration puts additional strain on our heart and blood vessels and affects other organs corresponding to our kidneys and brain.

The Heat index – a measure of relative humidity and air temperature – is a solution to track how “hot it feels” beyond air temperature. With a heat index of 90 F or higherThe risk of warmth exhaustion or heat stroke increases, especially for individuals who spend long periods of time outdoors or engage in any physical activity.

S. Tony Wolf, PhD, a physiology researcher and assistant professor within the Department of Kinesiology on the University of Georgia, warns that heat and humidity alerts will not be a one-size-fits-all solution to heat risk. The risk of warmth stress varies depending on age, health status and activity level.

Wolf points to research from his team that shows that older adults suffer from heat stress more often than younger people when temperatures and humidity are lower. “As they move from resting, just sitting in a chair, to minimal physical activity, those combinations of temperature and humidity are reduced even further,” he said.

While anyone can suffer from heat stress, some individuals are more susceptible, including pregnant women, individuals with chronic illnesses, infants, young children and older adults. Outdoor athletes, outdoor staff and homeless individuals are also at higher risk.

Hot recent world

Unlike heat waves of the past, modern heat events have develop into more frequent, last more and are sometimes more intense – with higher humidity and unrelenting heat that lasts well into the night in lots of parts of the world.

“What we have all observed over the last two years is the increasing number of unprecedented heat waves,” he says Kristie Ebi, PhD, MPH, professor of world health on the University of Washington.

These will not be the warmth waves of our grandparents' or parents' generation.

“The temperatures Are different,” said Ebi.

Temperatures are forecast to proceed rising and heatwaves will last more, develop into more frequent and more intense, at the least over the following two to 3 a long time.

“And after the middle of the century, what matters is what happens to our greenhouse gas emissions,” Ebi said.

Humid days and tropical nights

Hot and humid days will not be only harmful to our health, rising temperatures at night also increase the health risk.

As global temperatures soar, nights are not any longer the relief they once were. In the past, hot days were punctuated by cooler night temperatures – providing a temporary respite. However, recent trends suggest a worrying deviation from this pattern. Since records began in 1895, summer nighttime lows within the U.S. have warmed nearly twice as fast as daytime highs.

“Tropical nights”, wherein night temperatures are above 20°C, have gotten increasingly common. This is especially worrying in parts of the country that will not be used to such conditions. Accordingly Climate control centerThe frequency of hot summer days turning into night has increased in 202 U.S. cities, or 84% of the 241 cities analyzed by Climate Central researchers for the reason that Seventies.

Experts consider that global warming and urbanization are causing nights to warm more quickly. The increase in greenhouse gases traps more heat within the atmosphere, while urban areas – sometimes called “heat islands” – increase the impact. Concrete, asphalt, and an absence of trees and other vegetation cause cities to soak up and retain heat, blanketing town and causing temperatures to stay high even after sunset.

When prolonged periods of warmth extend beyond daylight, our bodies have less time to get well overnight. Prolonged exposure to heat causes our bodies to work at full speed and never have enough time to rest, get well and rebuild, especially for many who live without reliable air con. Heat also reduces that Quality of our sleepwhich may also harm our health.

“You start each day with a higher baseline, and then it takes a lower level of exposure to push people into heat stress,” Ebi said.

The recent age of warmth presents alarming health challenges as increasing heat extremes impact our bodies' ability to manage.

Health experts are already seeing the implications for his or her patients' health.

Renee Salas, MD, MPH, a climate and health expert and emergency physician at Massachusetts General Hospital at Harvard, worries that individuals could also be lulled right into a false sense of security in relation to heat due to their history of tolerating high temperatures.

She told the story of a patient who ended up within the emergency room in Boston with heat exhaustion.

“He was a healthy, fit, middle-aged man who went running – as he always does – but did so during a severe heat advisory day,” Salas said. Although he had run on hot days before, this was a very hot and humid day. Although his emergency room detour got here as a surprise to him, health experts across the country are seeing its impact on increasingly patients who may not consider themselves in danger.

“The effects of heat are insidious,” Salas said. And, she said, we're only on the tip of the melting iceberg in relation to understanding how this recent era of warmth will affect our health and the health care system.