{"id":3324,"date":"2021-03-11T15:32:05","date_gmt":"2021-03-11T15:32:05","guid":{"rendered":"https:\/\/integratedcarejournal.com\/?p=3324"},"modified":"2022-07-21T15:35:28","modified_gmt":"2022-07-21T15:35:28","slug":"heatwaves-killing-thousands-every-year","status":"publish","type":"post","link":"https:\/\/integratedcarejournal.com\/heatwaves-killing-thousands-every-year\/","title":{"rendered":"Heatwaves are killing thousands every year \u2013 it will get worse"},"content":{"rendered":"
Seventy thousand people died during the 2003 heatwave in Europe \u2013 a fact that should pose frightening questions if scientific projections that suggest climate change will increase the frequency of heatwaves turn out to be correct. Yet, because the death toll and drastic impacts of heatwaves are not always so immediate and obvious, they rarely received adequate attention from policymakers and the public.<\/p>\n
\u201cWhen hot days come, people think it\u2019s just time to go to the beach. They don\u2019t think about the fact that heat can make people sick, it can kill them. Maybe it\u2019s just human nature, but why doesn\u2019t it spur public attention?\u201d asks Kathy Baughman McLeod, founding member of the Extreme Heat Resilience Alliance (EHRA) and SVP and Director of the Adrienne Arsht\u2013Rockefeller Foundation Resilience Center at the Atlantic Council. The EHRA, formed by more than 30 global organisations, seeks \u201cto tackle the growing threat of extreme urban heat for vulnerable people worldwide\u201d.<\/p>\n
Of the impacts of climate change, heatwaves are considered to have one of the deadliest health impacts. According to The Lancet Countdown on Health and Climate Change 2020 report, \u201cfrom 2000 to 2018, heat-related mortality in people older than 65 years increased by 57 per cent and, in 2018, reached 296,000 deaths. The majority of these occurred in Japan, Eastern China, Northern India and Central Europe.\u201d<\/p>\n
What exactly defines a heatwave? Because they can vary significantly depending on a range of factors such as humidity, heatwaves do not have a universally accepted definition. One of the most common definitions that is attributed to them relates to an intensity that exceeds a certain threshold (there is no worldwide accepted threshold) and a duration that lasts a certain length of time.<\/p>\n
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How heatwaves impact human health, and who is most at risk?<\/h3>\n
Experts in the UK and US have concluded that extreme heat can cause a variety of negative health impacts depending on the intensity and duration of the heatwave. Some research shows direct correlations between increasing heat and an increasing number of excess deaths, which often double on particularly hot days. The main causes of illness or death during a heatwave are cardiovascular, respiratory disease and heatstroke.<\/p>\n
Other heat-related illnesses:<\/p>\n
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Heat exhaustion<\/strong> \u2013 the most common. It occurs as a result of water or sodium depletion, with no-specific features of malaise, vomiting and circulatory collapse, and is present when the core temperature is between 37\u00b0C and 40\u00b0C. Left untreated, it may evolve into heatstroke<\/li>\n
Heat<\/strong> cramps<\/strong> \u2013 caused by dehydration and loss of electrolytes, often following exercise<\/li>\n
Heat rash<\/strong> \u2013 small, red itchy papules<\/li>\n
Heat<\/strong> oedema<\/strong> \u2013 dizziness and fainting, due to vasodilation and retention of fluid<\/li>\n
Heatstroke<\/strong> \u2013 can become a point of no return whereby the body\u2019s thermoregulation mechanism fails. This leads to a medical emergency, with symptoms of confusion; disorientation; convulsions; unconsciousness; hot dry skin; and core body temperature exceeding 40\u00b0C for between 45 minutes and eight hours. It can result in cell death, organ failure, brain damage or death<\/li>\n<\/ul>\n
(Source: Heatwave Advice, Department of Health)<\/p>\n
People most at risk are those over the age of 65, people with disabilities or pre-existing medical conditions and those working outdoors for long hours in non-cooled environments. Other factors that can increase risk include; limited access to green spaces, living in cities with high population density, living on a top floor and being homeless. Nowhere is immune to extreme heat but populations in the Europe and Eastern Mediterranean regions have been the most vulnerable of all the WHO regions, the 2020 Lancet report found.<\/p>\n
People with chronic or severe illness are likely to be at particular risk, including the following conditions:<\/p>\n
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Respiratory disease<\/li>\n
Cardiovascular and cerebrovascular conditions<\/li>\n
Diabetes and obesity<\/li>\n
Severe mental illness<\/li>\n
Parkinson’s disease and difficulties with mobility<\/li>\n
Renal insufficiency<\/li>\n
Peripheral vascular conditions<\/li>\n
Alzheimer’s or related diseases<\/li>\n<\/ul>\n
(Source: Heatwave Advice, Department of Health)<\/p>\n