Monday 8 July 2013

Heatwave Plan for England 2013

Protecting health and reducing harm from severe heat and heatwaves
Key Public Health Messages

Stay out of the heat
      Keep out of the sun between 11.00am and 3.00pm
      If you have to go out in the heat, walk in the shade, apply sunscreen and wear a hat and light scarf
      Avoid extreme physical exertion
      Wear light, loose-fitting cotton clothes

Cool yourself down
      Have plenty of cold drinks, and avoid excess alcohol, caffeine and hot drinks
      Eat cold foods, particularly salads and fruit with a high water content
      Take a cool shower, bath or body wash
      Sprinkle water over the skin or clothing, or keep a damp cloth on the back of your neck

Keep your environment cool:
      Keeping your living space cool is especially important for infants, the elderly or those with chronic health conditions or who can’t look after themselves
      Place a thermometer in your main living room and bedroom to keep a check on the temperature
      Close curtains that receive morning or afternoon sun. However, care should be taken with metal blinds and dark curtains, as these can absorb heat – consider replacing or putting reflective material in-between them and the window space
      Turn off non-essential lights and electrical equipment – they generate heat
      Keep indoor plants and bowls of water in the house as evaporation helps cool the air
      If possible, move into a cooler room, especially for sleeping
      Electric fans may provide some relief, if temperatures are below 35°C *

Longer Term
      Consider putting up external shading outside windows
      Use pale, reflective external paints
      Have your loft and cavity walls insulated – this keeps the heat in when it is cold and out when it is hot
      Grow trees and leafy plants near windows to act as natural air-conditioners (see  " Making the Case ")

Look Out for Others
      Keep an eye on isolated, elderly, ill or very young people and make sure they are able to keep cool
      Ensure that babies, children or elderly people are not left alone in stationary cars
      Check on elderly or sick neighbours, family or friends every day during a heatwave
      Be alert and call a doctor or seek medical attention if someone is unwell or further help is needed

If you have a health problem
      Keep medicines below 25 °C or in the refrigerator (read the storage instructions on the packaging)
      Seek medical advice if you are suffering from a chronic medical condition or taking multiple medications

If you or others feel unwell
      Try to get help if you feel dizzy, weak, anxious or have intense thirst and headache; move to a cool place as soon as possible and measure your body temperature
      Drink some water or fruit juice to rehydrate
      Rest immediately in a cool place if you have painful muscular spasms (particularly in the legs, arms or abdomen, in many cases after sustained exercise during very hot weather), and drink oral rehydration solutions containing electrolytes
      Medical attention is needed if heat cramps last more than one hour
      Consult your doctor if you feel unusual symptoms or if symptoms persist

Adapted from: WHO Europe public health advice on preventing health effects of heat


* Use of Fans: At temperatures above 35C fans may not prevent heat related illness. Additionally fans can cause excess dehydration (Cochrane Review). The advice is to place the fan at a certain distance from people, not aiming it directly on the body and to have regular drinks. This is especially important in the case of sick people confined to bed.



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