The Escalating Toll of Extreme Heat on Public Health

Christopher Nial
What Matters in Global Health
3 min readJul 27, 2023

In a world increasingly burdened by climate changes, the relentless rise in temperatures uncovers an unseen yet critical issue of our era — the growing public health crisis from extreme heat. Previously a rarity, heatwaves now punctuate our summers with a predictable regularity, swamping our homes, offices, and cities in a pervasive heat. Yet the implications stretch far beyond mere discomfort; they pose a potent threat to our health that intensifies with each degree of rising mercury.

The health repercussions of extreme heat are complex and multi-dimensional, requiring a nuanced understanding. Our bodies, in their wisdom, aim to keep a tight equilibrium — an optimal temperature for our organs to function. As temperatures surge, this balance topples.

The internal havoc wreaked by this thermoregulatory disruption can manifest in heat-related illnesses, escalating from heat exhaustion to potentially fatal heat stroke. Shockingly, extreme heat claims more lives every year than any other weather-related catastrophe, a tragic trend that shows no signs of abating amidst our escalating climate crises.

Simultaneously, our bodies struggle to combat the heat often culminates in dehydration. It’s not just about slaking a thirst; dehydration carries the potential for severe health outcomes, precipitating kidney failure and catalysing dangerous electrolyte imbalances.

Further, our cardiovascular system bears the brunt of our body’s desperate fight to cool itself. This laborious cooling process accelerates heart rates, increases blood flow, and strains the heart. These exertions can elicit cardiovascular events in those with pre-existing heart conditions and initiate new ones in previously healthy individuals.

Equally critical are the respiratory challenges accentuated by extreme heat. A sweltering day can render breathing a formidable task for those grappling with chronic respiratory conditions like asthma or obstructive pulmonary disease.

While not as apparent, the psychological toll of extreme heat should not be underestimated. Extended heat waves can induce stress, exacerbate mental health conditions, and disturb sleep patterns. Emerging evidence suggests a link between soaring temperatures and heightened aggression rates, adding a societal layer to the health implications.

Notably, the impact is not evenly distributed. The most vulnerable among us — children, the elderly, those with existing health conditions, and individuals disadvantaged socio-economically — disproportionately shoulder these health hazards, spotlighting extreme heat as a pressing issue of health equity and social justice.

Regrettably, these severe health risks have greatly eluded the public’s attention. We’ve mastered monitoring the air quality index and UV radiation, yet the health dangers tied to soaring ambient temperatures often remain overlooked.

As we steel ourselves for an increasingly hotter future, recognising extreme heat as a critical public health challenge — not just an environmental or meteorological issue — is crucial. It underscores the need for government-led interventions to safeguard our communities, particularly the most vulnerable. Extreme heat is a formidable foe of public health that we must acknowledge and confront.

The climate crisis tells us that the era of extreme heat is far from over. As temperatures rise, so too should our determination to mitigate the health hazards of extreme heat. The call to action is unambiguous: to protect our collective health, we must amplify our efforts in climate action.

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Christopher Nial
What Matters in Global Health

Senior Partner, EMEA Public Health within Global Public Health at FINN Partners | Watching How Climate will Change Global Public Health