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Understanding Heatwaves: Their Effects on the Body and Who is at Risk

By Dr. Namrita Singh in Internal Medicine

Jan 05 , 2026 | 11 min read

What is Heatwave?

A heatwave, an atmospheric phenomenon characterised by high temperatures and prolonged discomfort, is more than just a meteorological occurrence. It's a force that transforms daily life, tests public health systems, and emphasises the importance of climate action. A heatwave, defined as a persistent period of extremely high temperatures, poses major threats to human health, infrastructure, and ecosystems. 

A heatwave is a prolonged period of unbearable heat that is higher than usual and can significantly influence society. Understanding the characteristics and effects of heatwaves is essential to effectively planning for and responding to them and safeguarding public health.

Causes of Heatwaves

Heatwaves are caused by human activity and climatic conditions that frequently result in extended hot periods. Understanding these factors is essential to reducing their effects and protecting communities.

Atmospheric Conditions: Heatwaves can develop when high-pressure systems stall over a region. These systems may trap warm air near the Earth's surface and prevent the regular flow of air masses, resulting in extended periods of hot weather.

Global Warming: Human activities, such as deforestation, the burning of fossil fuels, and industrial operations, are the leading causes of the long-term rise in Earth's average temperature, affecting the frequency and intensity of heatwaves.

Urban Heat Island Effect: High population densities, large expanses of concrete and asphalt surfaces, and limited vegetation all contribute to the absorption and retention of heat in urban areas, which results in localised areas of high temperature. The urban heat island effect has the potential to intensify heatwaves in urban areas.

Human Activities: On a smaller scale, local variables such as land use, deforestation, and irrigation techniques may change an area's surface characteristics and contribute to the formation of heatwaves.

Health Risks of Heatwaves

Extreme heat can affect anybody. Heat-related problems occur when our bodies cannot cool down well to maintain a healthy temperature. This can cause severe and fatal health problems. The primary way your body uses it to cool itself is by sweating. However, it takes more than sweat to keep you cool during high temperatures, especially when the humidity is high. Heat illness may occur if your body temperature rises to dangerously high levels.

Heat-Related Illnesses

Heat cramps:It is the mildest form of heat illness, consisting of severe muscle cramps and spasms that occur during or after strenuous exertion and sweating in high temperatures.

Heat exhaustion:This results from a loss of water and salt in the body and is more severe than heat cramps. Symptoms may include excessive sweating, weakness, nausea, headaches and dizziness. If left untreated, it can lead to heatstroke.

Heatstroke:Heatstroke is a severe heat illness in which the body temperature exceeds 104°F (40°C). It happens when the body's temperature-regulating mechanism fails, resulting in potentially fatal consequences like confusion, seizures, and loss of consciousness. Heat stroke needs immediate medical attention.

Dehydration: It is a severe heat-related illness caused by overexposure to the sun and inadequate water intake. Early symptoms may include headaches, dry skin, and decreased urine. Severe cases require immediate medical attention.

Causes of Heat-Related Health Problems

Heat-related health issues occur in various ways:

A significant increase in body temperature due to heat buildup causes symptoms such as heat exhaustion and, ultimately, heat stroke, a medical emergency.

The diversion of blood flow to the skin requires the heart to work harder than usual. The strain on the heart can cause complications for people with a cardiac ailment, such as triggering a heart attack.

Increased sweating can cause dehydration if fluid loss is not compensated for by enough drinking. Dehydration can induce weakness and fainting, kidney problems, and worsening of other medical conditions.

Effects of Heatwaves on the Body

Heatwaves can significantly affect human health and well-being. Here are a few effects of heatwaves on humans:

Worsening of Chronic Conditions:Heat can worsen chronic conditions such as respiratory, cardiovascular, and kidney diseases by altering the body's normal responses to heat and impairing its capacity to cope with high temperatures.

Sleep Disturbances: High night temperatures can interrupt sleep patterns, lowering sleep quality and duration. A lack of sleep may increase stress and affect mental performance.

Mental Health Impacts:Heatwaves can increase stress, anxiety, and other mental health conditions. They can also limit interaction with others by keeping individuals indoors to avoid the heat, thus leading to feelings of sadness and isolation.

Increased Infection Risk:Higher temperatures and humidity can encourage the growth and spread of pathogens. This includes foodborne illnesses, as bacteria multiply quicker at higher temperatures.

Identifying High-Risk Groups

Heatwaves can make everyone uncomfortable. It can affect anyone, but some groups are at higher risk than others. These high-risk groups include:

Elderly individuals: Elderly individuals, especially those over 65, face increased heatwave risk due to age-related changes in temperature regulation, decreased thirst sensation, and underlying health conditions or medication-related issues.

Children:Infants and young children are more susceptible to heat stress during heatwaves due to their immature thermoregulatory systems and reliance on caregivers. They are less efficient at dissipating heat through sweating and may struggle to recognise heat-related illnesses. Dependence on caregivers for hydration, shade, and supervision also increases vulnerability.

Individuals with chronic illness:Chronic illnesses like heart disease, diabetes, and autoimmune conditions are at higher risk during heatwaves due to impaired temperature regulation. Medications to manage these conditions may also affect hydration levels and exacerbate heat sensitivity. Heatwaves can worsen underlying health conditions, leading to complications.

Outdoor workers:Outdoor workers in industries like construction, agriculture, landscaping, and transportation face increased risks of heat-related illnesses due to physical exertion, direct sun exposure, and limited access to shade or cooling facilities. Despite occupational health and safety regulations, outdoor workers still face significant risks, necessitating proper hydration, frequent breaks, protective clothing, and acclimatisation programs.

Tips to Stay Safe During Heatwaves

Heatwaves can be dangerous, especially for vulnerable groups like children, elderly, and those with underlying health conditions. Below are some simple but useful tips to help you stay safe during the hot summer months.

1. Stay Hydrated

When the temperature rises, your body loses fluids due to sweating, underscoring the importance of staying hydrated. Drink plenty of water throughout the day, even if you don’t feel thirsty. Avoid sugary drinks, alcohol, and caffeine, as they can dehydrate you.

  • Carry a water bottle with you to remind yourself to drink.
  • Opt for water-rich foods like fruits and vegetables (cucumbers, watermelon, and oranges are great choices).

2. Avoid Direct Sunlight During Peak Hours

The sun is strongest between 12 p.m. and 4 p.m., which means it's the most dangerous time to be outside during a heatwave. If you need to go out, wear protective clothing like a wide-brimmed hat, sunglasses, and lightweight, long-sleeved clothing to shield yourself from the sun’s rays.

  • Try to schedule outdoor activities for early morning or evening, when temperatures are cooler.
  • Use sunscreen with a high SPF to protect exposed skin from sunburn.

3. Use Air Conditioning or Fans

If possible, stay indoors in air-conditioned spaces, as they are the most effective way to keep your body temperature regulated. If air conditioning isn’t available, use fans to circulate air, or spend time in public places like shopping malls or libraries to stay cool.

  • Close blinds and curtains during the day to block the sun's heat.
  • Create a cross-breeze by opening windows in the morning or evening when the outside air is cooler.

4. Dress in Light, Loose-Fitting Clothes

Your clothing can have a significant impact on how well you handle the heat. Wear light-coloured, loose-fitting clothes made of breathable fabrics like cotton or linen. Dark colours absorb more heat, so light shades are better for reflecting sunlight and keeping your body cool.

  • Opt for a wide-brimmed hat or cap to protect your face and neck from the sun.
  • Avoid wearing tight clothing or synthetic fabrics that trap heat.

5. Keep Your Living Space Cool

It’s important to create a cool environment indoors, especially if you don’t have access to air conditioning. Here’s what you can do:

  • Close all windows and blinds during the hottest parts of the day.
  • If you don’t have air conditioning, try placing a bowl of ice in front of a fan for a cooling effect.
  • Use a damp cloth on your forehead or neck to help lower your body temperature.

6. Avoid Strenuous Activities

Physical exertion during a heatwave increases your risk of heat exhaustion and heatstroke. Try to avoid heavy exercise or work outdoors, especially during the hottest parts of the day.

  • If you must exercise, do so in the early morning or late evening when the heat is less intense.
  • Take frequent breaks in the shade or indoors, and drink water regularly.

7. Keep an Eye on Vulnerable Individuals

Certain people, including the elderly, children, and those with chronic illnesses, are at greater risk during a heatwave. If you have elderly family members, neighbours, or young children, check on them regularly to make sure they are coping well with the heat.

  • Offer to run errands for them, so they don’t need to go outside during peak hours.
  • Encourage them to drink water frequently and stay in a cool place.

8. Recognise the Signs of Heat-Related Illnesses

It’s crucial to know the symptoms of heat exhaustion and heatstroke, both of which can be life-threatening if not addressed quickly. Common signs of heat-related illnesses include:

  • Heat Exhaustion: Heavy sweating, weakness, dizziness, nausea, headache, and rapid pulse.
  • Heatstroke: High body temperature (above 40°C), confusion, loss of consciousness, rapid breathing, and hot, dry skin.

If you or someone else shows signs of heat exhaustion, move to a cooler area, drink water, and rest. If symptoms persist, seek medical attention immediately.

9. Plan for Power Outages

Heatwaves often lead to power outages, especially if the demand for air conditioning increases. Be prepared in case you lose power:

  • Have backup fans or battery-operated cooling devices on hand.
  • Store extra water and non-perishable foods in case refrigeration isn’t available.

10. Stay Informed

Finally, stay updated on weather forecasts and heat advisories. Knowing when extreme heat is expected can help you prepare in advance. Pay attention to local heat warnings, and follow the advice of local authorities regarding when to stay inside or limit outdoor activities.

Conclusion

Understanding the risks and consequences of heatwaves is essential for ensuring public health. We can reduce the effects of heatwaves by identifying vulnerable groups, understanding the symptoms of heat-related diseases, and implementing preventative steps. Staying well-informed, hydrated, and safe during heatwaves minimises health risks and ensures overall well-being. Be prepared and take proactive measures to reduce the impact of heatwaves on yourself and others around you.

Frequently Asked Questions

How can I tell if someone is experiencing heat exhaustion?

Heat exhaustion is a warning sign that the body is becoming dangerously overheated. Symptoms include heavy sweating, weakness, dizziness, nausea, and headaches. If someone is experiencing heat exhaustion, it's important to move them to a cooler place, have them lie down, and offer fluids. If symptoms worsen or the person collapses, seek medical help immediately.

Can a heatwave affect my sleep?

Yes, heatwaves can significantly affect sleep quality, especially if nighttime temperatures remain high. This can lead to disturbed sleep patterns, fatigue, and increased stress. To combat this, try to cool the room by opening windows or using fans and light bedding. Staying hydrated before bedtime can also help you stay cooler during the night.

Are there any long-term effects of heat exposure on the heart?

Prolonged exposure to extreme heat can increase strain on the cardiovascular system, particularly for those with pre-existing heart conditions. The heart has to work harder to pump blood to the skin to help regulate temperature, which can worsen heart-related issues. It's important for those with heart conditions to take extra precautions during a heatwave and consult a doctor if they experience any discomfort.

Can heatwaves affect my immune system?

Yes, extreme heat can compromise the immune system by stressing the body, which can lower its ability to fight off infections. High temperatures can also increase the spread of certain bacteria and viruses, further putting the body at risk. It’s essential to stay hydrated, avoid prolonged sun exposure, and maintain good hygiene during a heatwave to protect your immune health.

What should I do if I don’t have access to air conditioning during a heatwave?

If air conditioning is unavailable, consider using fans to circulate air and keep the temperature in your living space lower. If possible, wet a towel or cloth and place it on your forehead, or take a cool shower to help reduce body temperature. Try to stay in shaded areas, and if temperatures are extremely high, consider seeking air-conditioned spaces like public libraries or shopping centres.

Are elderly people more susceptible to heatwaves?

Yes, elderly individuals are at a higher risk during heatwaves due to several factors, including reduced ability to regulate body temperature, age-related health conditions, and medication that may affect hydration. It's important to ensure they are hydrated, keep them in cool environments, and check on them regularly during extreme heat.

How does a heatwave impact pregnant women?

Pregnant women should be extra cautious during heatwaves as they are more susceptible to dehydration and heat stress. It's vital to stay hydrated, avoid going outside during peak heat hours, and wear loose, breathable clothing. Prolonged heat exposure can also increase the risk of heat-related complications, so seeking cool, shaded areas is essential.

Can heatwaves lead to foodborne illnesses?

Yes, high temperatures can cause food to spoil quickly, increasing the risk of foodborne illnesses. Be cautious with food storage and handling during a heatwave. Refrigerate perishable items promptly, avoid leaving food out in hot weather, and ensure your food is cooked and stored properly to prevent bacterial growth.

Can drinking cold drinks during a heatwave worsen dehydration?

While it may seem tempting to drink cold beverages during a heatwave, extremely cold drinks can cause your body to lose heat quickly, which could make you feel more uncomfortable. It’s better to drink water that is cool, not ice-cold, and avoid drinks with caffeine or alcohol, as they can lead to dehydration.

How can I prepare my home for a heatwave?

To prepare your home for a heatwave, ensure your windows and blinds are closed during the day to block out the sun. Use fans to circulate air and create cross-ventilation. If possible, consider applying heat-reflective window films or installing shades. Additionally, stock up on water, non-perishable food, and any necessary medications before the heatwave hits.

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