Keep Your Cool in Extreme Heat Conditions

With the summer season in full swing, extreme heat conditions can pose a serious threat to our health and well-being. The Delaware Division of Public Health (DPH) reminds Delawareans that it is important to take extra precautions to stay safe and healthy. 

Prolonged exposure to high temperatures can lead to heat exhaustion, heat stroke and other serious health complications. Heat exhaustion can cause a variety of symptoms, including excessive sweating, dizziness, nausea, headache and muscle cramps. If left untreated, symptoms can progress to more severe conditions such as confusion, trouble breathing and even loss of consciousness. Although rare, heat stroke is a true medical emergency that should be addressed by getting out of the sun and seeking immediate medical attention.  

Delawareans are advised to follow these steps to avoid heat-related illnesses: 

Avoid direct sunlight and find a well-ventilated, air-conditioned place. If your home does not have air conditioning, spend some time in an air-conditioned public facility, such as a library or mall. Even if the windows are slightly open, children, individuals or pets should never be left in cars. To remind yourself that a child is in the car, the Centers for Disease Control (CDC) recommend keeping a stuffed animal in a car safety seat unless a child is buckled in it. When the child is buckled in, place the stuffed animal in the front with the driver. Be certain that everyone has exited the car. 

To prevent sunburn, apply sunscreen with an SPF of 15 or higher 30 minutes before going outside and reapply it as directed. 

Keep yourself hydrated. In the heat, CDC recommends drinking water every hour, regardless of activity level. Instead of drinking caffeinated, alcoholic and carbonated drinks, reach for water when you’re thirsty. Regular urination and pale or clear urine are signs that a person is drinking enough fluids. Dehydration symptoms include dark urine, thirst, dry mouth, dry lips, headaches and dizziness. In order to replace salt and minerals lost through heavy sweating, dehydrated individuals should drink a sports drink or fruit juice.  

Don’t drink more water than you need to quench your thirst. It is possible to develop hyponatremia, a potentially fatal loss of sodium levels, when you drink too much water. Monitor adults who are at risk of heat exhaustion or heat stroke twice a day. Children and infants require more frequent supervision. In case of severe symptoms such as nausea, vomiting, confusion, seizures or coma, call 911. 

Limit outdoor activity, especially mid-day when the sun is hottest. Exercise or hold sports team practices early in the morning or in the early evening. If you must be outside, wear lightweight, light-colored clothing. Wear a hat or use an umbrella for shade. Avoid taking a cold shower too soon after coming in from hot weather; it can cause hypothermia, especially in the elderly and children. It is better to use cool water than ice cold water in these cases. 

Stay informed. As well as knowing the warning signs of heat-related illnesses, be aware of local heat alerts. Infants and children younger than 4 years old, those 65 years and older, outdoor workers, athletes and obese people are at high risk of heat-related illness, along with those taking certain medications, having poor circulation, high blood pressure and living with mental illness. Fever, sunburn, dehydration and alcohol consumption are also risks. Check on a friend or neighbor during extreme heat events.  

For more information, visit the CDC website at cdc.gov/extremeheat/warning.html. 

Make a Heat Plan for Pets:

The Division of Public Health and its Office of Animal Welfare also urge pet owners to make a plan for caring for their pets. Animals at the greatest risk of stress from the heat include pregnant or lactating animals, very young and older animals, animals with darker coats, obese pets, short-nosed dog breeds and animals with chronic health conditions. Signs of heat stress can include panting, increased salivation, restlessness, muscle spasms, increased heartbeat and body temperature, weakness, lack of coordination, bright red or pale and sticky gums, vomiting, diarrhea and depression. 

  • Pets should not be left in vehicles, even in mild temperatures: Animals kept inside a vehicle in warm or hot temperatures are susceptible to heatstroke. According to the American Veterinary Medical Association (AVMA), the interior of a vehicle can reach 89 degrees in just 10 minutes when the temperature outside is just 70 degrees. At 80 degrees outside, a vehicle’s interior can reach 99 degrees in that time. Temperatures will continue to rise inside a vehicle, and the AVMA states that cracking windows does little to help. Call 911 immediately if you see a pet left unattended in a vehicle. 
  • Animals should have access to shade and water when outside: The best place for pets in hot temperatures is inside the home. If a pet must be outside in the heat, make sure the animal has a shaded area and fresh water to help stay cool. The interiors of cat and dog houses can get very hot in summer months and, therefore, do not provide adequate shade. 

 

  • Practice caution when walking dogs in the heat: The best time of day to walk dogs in summer months is in the early morning or late evening when the sun’s heat is not as intense. A simple touch of the hand to any surface where a walk is planned will tell if it’s too hot for a dog. If it’s too hot for a human hand, it’s too hot for a dog’s paws. 
  • Pay attention to signs of heat stroke: Just like humans, dogs are susceptible to heat stroke in high temperatures, especially if there is increased activity or little ventilation. A dog that is drooling and panting due to heat can quickly progress to a heat stroke, which can be life-threatening. Immediate veterinary attention is suggested for dogs that have become over-heated. 

 

By following these steps, we can all stay healthy and safe during extreme heat conditions. Let’s make this a summer to remember for all the right reasons.


Stay Cool, Hydrated, And Informed to Prevent Heat-Related Illness

DOVER (June 1, 2022) – As temperatures soar into the high 80s this week and humidity rises, the Division of Public Health (DPH) reminds Delawareans how to avoid heat-related illnesses such as heat stroke, heat exhaustion, and heat cramps.

Heat-related illness occurs when body temperature rises faster than the body can cool itself. Heat exhaustion and heat stroke are the two most dangerous types of heat-related illnesses because they can damage the brain and other vital organs and cause death or permanent disability without emergency treatment, according to the Centers for Disease Control and Prevention (CDC).

Those at high risk of heat-related illness are infants and children 4 years old and younger; those 65 years of age and older; outdoor workers, athletes, and people who are obese; those who take certain medications, have poor circulation, high blood pressure, and are living with a mental illness. Other risks are fever, sunburn, dehydration, and drinking alcohol.

To avoid a heat-related illness, DPH advises Delawareans to:

Stay cool – Stay in an air-conditioned place and wear light, loose-fitting clothing. Those whose homes are not air-conditioned should spending time in air-conditioned public facilities such as public libraries and malls. During extreme heat events, do not rely on a fan as the primary cooling device. Use air conditioning in vehicles. Take cool showers or baths to cool down and limit outdoor activity, especially mid-day. Check on a friend or neighbor during extreme heat events.

Never leave children, individuals, or pets in cars even if the windows are slightly open. The CDC recommends keeping a stuffed animal in a car safety seat unless a child is buckled in it. When the child is buckled in, place the stuffed animal in the front with the driver. Be certain that everyone has exited the car.

Prevent sunburn by wearing sunscreen of SPF 15 or higher 30 minutes before going outside and reapply it according to package directions. When outdoors, wear a wide-brimmed hat, sunglasses, and cool clothing.

Stay hydrated – In the heat, the CDC recommends drinking more water than usual every hour, regardless of activity. Do not wait until you are thirsty to drink, and reach for water instead of caffeinated, alcoholic, and carbonated drinks. A person is drinking enough fluids if they urinate regularly and their urine is pale or clear colored. Symptoms of dehydration are dark urine, thirst, dry mouth, dry lips, headache, and dizziness. Dehydrated individuals should drink a sports drink or fruit juice to replace salt and minerals lost by heavy sweating.

Drink only enough water to relieve thirst. Too much water can cause hyponatremia, a potentially fatal drop in sodium levels. Visit adults at risk at least twice a day and closely watch them for signs of heat exhaustion or heat stroke. Infants and young children, of course, need much more frequent watching. Call 911 for severe symptoms such as nausea, vomiting, confusion, seizures, or coma.

Stay informed – Be aware of local heat alerts and the symptoms of heat-related illness:

Heat stroke is a medical emergency, so call 911 immediately to prevent death or permanent disability. The warning signs of heat stroke are a high body temperature (103° Fahrenheit or higher), red, hot, dry or damp skin; a fast, strong pulse; headache, dizziness, nausea, confusion, and unconsciousness. After calling 911, move the person to a cooler place and help lower their temperature with cool cloths, a cool bath, or spray them with water from a garden hose. Do not give the person anything to drink.

The warning signs of heat exhaustion are heavy sweating; cold, pale, and clammy skin; a fast and weak pulse, muscle cramps, nausea or vomiting, dizziness, fainting, tiredness or weakness, and headache. Move victims to a cool place, loosen their clothes, put cool, wet cloths on their body or have them take a cool bath, and have them sip water. Get medical attention right away if victims are throwing up, if symptoms worsen, and if symptoms last longer than one hour. Untreated heat exhaustion can lead to heat stroke.

The warning signs of heat cramps are heavy sweating during intense exercise and muscle pain or spasms. Those with heat cramps should stop physical activity, move to a cool place, and drink a sports drink or water. Get medical help right away if cramps last longer than one hour, if you are on a low-sodium diet, or if you have heart problems.

For more information, visit https://www.cdc.gov/disasters/extremeheat/index.html.  An online heat illness prevention course, which is ideal for coaches and athletes, is available at https://www.cdc.gov/disasters/extremeheat/athletes.html.

 ###

Anyone who is deaf, hard of hearing, Deaf-Blind or speech disabled can contact DPH by dialing 711 first using specialized devices (i.e., TTY, TeleBraille, voice devices). The 711 service is free and to learn more about how it works, please visit delawarerelay.com.

The Delaware Department of Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations.


DPH Advises Residents to Prepare For Dangerously High Temperatures This Week

DOVER – The Division of Public Health (DPH) is asking Delaware residents to prepare for extreme heat this week and prevent heat-related illness as temperatures rise. Temperatures are expected to reach the upper 90s through the weekend, with the heat index values as high as 110 degrees. The National Weather Service has issued an Excessive Heat Warning for New Castle County through 10 p.m. Sunday, July 21, and a Heat Advisory for Kent County and inland Sussex County through 8 p.m. Wednesday. Additional Heat Advisory days are possible.

On hot days and warm nights, our bodies have less chance to recover, placing everyone at risk for heat-related illness. When temperatures and humidity are high, sweat ceases to evaporate and the body’s natural cooling system slows down or shuts down completely. Hot weather can cause heat exhaustion, heat stroke, and severe respiratory conditions, which can be fatal.
Extreme heat is especially dangerous for seniors, young children, people with disabilities, and people with breathing conditions and other chronic medical conditions, such as asthma, chronic obstructive pulmonary disease, and other respiratory problems. Higher temperatures, not even in the extreme, have also been associated with higher levels of inflammation in patients with preexisting heart health conditions. Also at risk are people without access to air-conditioning, fans, or cooling shelters.
DPH suggests that every household make a heat wave plan in case of a power outage. Air-conditioners should be serviced and electric fans should be obtained before the heat rises to dangerous levels. Residents should keep cases of bottled water on hand and listen to local news reports for the locations of community “cooling centers,” which are often public libraries or churches. During days of extreme heat, Delawareans should check on vulnerable members of their families and neighbors, including seniors and those with access and functional needs.

For those who may need additional assistance, Delaware 2-1-1 connects Delawareans with critical services and support. Eligible callers can receive referrals to crisis assistance, and nearby cooling centers.

Tips to prevent heat illness:
• Do not leave people or pets alone in a parked car, even for a minute.
Call 911 if you see anyone (a child, or adult with access and functional needs) who is unable to open a door or window and is left unattended in a vehicle. Keep your car locked when you’re not in it so children don’t get in on their own. If you see a pet left in a car, even with air-conditioning running, call 911 or Delaware Animal Services at 302-255-4646.
Also remember that any equipment left in a car can quickly become hot to the touch, especially metal pieces in child car seats, seatbelt handles, and wheelchairs. Check the temperature of these items prior to use to avoid potential burns.
Carry water with you and drink continuously even if you do not feel thirsty. Avoid drinks containing sugar, alcohol, or caffeine, which dehydrate the body. Check with a doctor before increasing fluid intake if you have epilepsy, heart, kidney, or liver disease, or if you are on a fluid-restrictive diet. Avoid using salt tablets unless directed to do so by a physician. Visit http://www.cdc.gov/healthywater/drinking/nutrition/index.html for more information.
Stay indoors on the lowest floor possible. When outdoors, wear lightweight, light-colored clothing. Wear a hat or use an umbrella. Use sunscreen with SPF 30+. Sunburn slows the skin’s ability to cool itself, and has been linked to skin cancer.
Avoid extreme temperature changes. Be careful trying to cool down too quickly; a cold shower immediately after coming in from hot temperatures can lead to hypothermia, particularly for the elderly and children. In these cases, cool water is better than ice cold water.
Limit outdoor activity, especially mid-day when the sun is hottest. Work out or hold team practices early in the morning or in the early evening. A Centers for Disease Control and Prevention (CDC) online course for coaches, athletic trainers, students, school nurses, parents, and teachers is available at: cdc.gov/nceh/hsb/extreme/Heat_Illness/index.html.
Heed the following heat danger warning signs and take suggested actions:
o Heat cramps occur in the muscles of the limbs or abdomen during or after physical activity in high heat. Sweating results in a loss of fluids and salts that cause muscle cramps. Address heat cramps by resting in a cool place and drinking plenty of water.
o Heat exhaustion is more severe, occurring when a person is overheated, along with reduced or unbalanced intake of fluids. Symptoms include dehydration, fatigue, weakness, clammy skin, headache, nausea and/or vomiting, rapid breathing, irritability, and fainting. Take these simple steps to reduce heat exhaustion: Move the person indoors or into shade. Loosen or remove the person’s clothing. Encourage the person with heat exhaustion to eat and drink. Get the person to a cool shower or bath. Call your doctor for further advice.
o Heat stroke occurs when the body can no longer cool itself, and can be a life-threatening event. Prompt medical treatment is required. Symptoms include: flushed, hot and dry skin with no sweating; high body temperature (above 103 degrees F, taken orally); severe, throbbing headache; weakness, dizziness, or confusion; sluggishness or fatigue; decreased responsiveness; and loss of consciousness. If heat stroke occurs, take these steps: Call 9-1-1 immediately. This is a medical emergency. Get the heat stroke victim indoors or into shade. Get the person into a cool shower or bath or wipe them down with continuously soaked cool washcloths while awaiting emergency responders.

For more information, visit the CDC at cdc.gov/extremeheat/warning.html.
Make a Heat Plan for Pets:

DPH also urges pet owners to make a plan for caring for their pets. Animals at the greatest risk of stress from the heat include pregnant or lactating animals, very young and older animals, animals with darker coats, obese pets, short-nosed dog breeds, and animals with chronic health conditions. Signs of heat stress can include panting, increased salivation, restlessness, muscle spasms, increased heartbeat and body temperature, weakness, lack of coordination, bright red or pale and sticky gums, vomiting, diarrhea, and depression.
Pets should not be left in vehicles, even in mild temperatures: Animals kept inside a vehicle in warm or hot temperatures are susceptible to heatstroke. According to the American Veterinary Medical Association (AVMA), the interior of a vehicle can reach 89 degrees in just 10 minutes when the temperature outside is just 70 degrees. At 80 degrees outside, a vehicle’s interior can reach 99 degrees in that time. Temperatures will continue to rise inside a vehicle, and the AVMA states that cracking windows does little to help. Call 911, or Delaware Animal Services at 302-255-4646 immediately, if you see a pet left unattended in a vehicle.
Animals should have access to shade and water when outside: The best place for pets in hot temperatures is inside the home. If a pet must be outside in the heat, make sure the animal has a shady area and fresh water to help stay cool. The interiors of cat and dog houses can get very hot in summer months and, therefore, do not provide adequate shade.
Practice caution when walking dogs in the heat: The best time of day to walk dogs in summer months is in the early morning or late evening when the sun’s heat is not as intense. A simple touch of the hand to any surface where a walk is planned will tell if it’s too hot for a dog. If it’s too hot for a human hand, it’s too hot for a dog’s paws.
Pay attention to signs of heat stroke: Just like humans, dogs are susceptible to heat stroke in high temperatures, especially if there is high humidity, increased activity or little ventilation. A dog that is drooling, excessively panting, or unsteady can be signs of heat stroke, which can be life-threatening. Seek immediate veterinary attention if your dog has become over-heated and is showing any of these symptoms.

A person who is deaf, hard-of-hearing, deaf-blind or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit http://delawarerelay.com.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, and drink almost no sugary beverages.


Beat the Heat: Cool Strategies

DOVER – Delaware is in the midst of a classic summer heat wave with soaring temperatures and long, humid days. Very hot weather can cause heat exhaustion, heat stroke, and severe respiratory conditions, which can be fatal. Extreme heat especially endangers seniors, young children, people with disabilities, and individuals with breathing conditions and other chronic medical conditions, such as asthma, chronic obstructive pulmonary disease, and other respiratory and cardiovascular problems.

The Division of Public Health recommends that every household be prepared for soaring summer temperatures. Keep air conditioners on and use electric fans. Drink lots of water and carry bottled water when running errands or spending time outside. Check in regularly with vulnerable family members and neighbors. In the event of power outages, listen to news reports of the location of community ‘“cooling centers”’ (often public libraries or churches) which may be opened to help beat the heat when the power goes down.

Delaware 2-1-1 connects Delawareans with critical services and supports. By dialing 2-1-1, eligible callers can receive referrals to summer cooling and crisis assistance and the City of Wilmington’s Free Electric Fan Program for seniors.

Tips to prevent heat illness:

  • Do not leave a child or pets alone in a parked car, even for a minute. Call 911 if you see a child left unattended in a vehicle. Carry water with you and drink continuously even if you do not feel thirsty. Avoid drinks containing sugar, alcohol and caffeine, which dehydrate the body. (Check with a doctor before increasing fluid intake if you have epilepsy, heart, kidney or liver disease, or if you are on a fluid-restrictive diet. Avoid using salt tablets unless directed to do so by a physician.) Visit cdc.gov/nutrition/everyone/basics/water.html for more information.
  • Stay indoors on the lowest floor possible. Wear lightweight, light-colored clothing. Wear a hat or use an umbrella. Use sunscreen. Sunburn slows the skin’s ability to cool itself, and has been linked to skin cancer. Avoid extreme temperature changes. Be careful trying to cool down too quickly; a cold shower immediately after coming in from hot temperatures can lead to hypothermia, particularly for the elderly and children. In these cases, cool water is better than ice cold water.
  • If you have no air conditioning, visit public places with air conditioning such as shopping malls and libraries.
  • Limit outdoor activity, especially mid-day when the sun is hottest. Work out or hold team practices early in the morning or early evening. A CDC online course for coaches, athletic trainers, students, school nurses, parents, and teachers is at cdc.gov/nceh/hsb/extreme/Heat_Illness/index.html

Heed the following heat danger warning signs and take suggested actions:

  • Heat cramps occur in the muscles of the limbs or abdomen during or after physical activity in high heat. Sweating results in loss of fluids and salts, which causes muscle cramps. Address heat cramps by resting in a cool place and drinking plenty of water.
  • Heat exhaustion is more severe, occurring when a person is overheated along with reduced or unbalanced intake of fluids. Symptoms include dehydration, fatigue, weakness, clammy skin, headache, nausea and/or vomiting, rapid breathing, irritability, and fainting. Take these simple steps to reduce heat exhaustion: Move the person indoors or into shade. Loosen or remove the person’s clothing. Encourage the person with heat exhaustion to eat and drink. Get the person to a cool shower or bath. Call your doctor for further advice.
  • Heat stroke occurs when the body can no longer cool itself, and can be a life-threatening event. Prompt medical treatment is required. Symptoms include: flushed, hot and dry skin with no sweating; high body temperature (above 103 F, taken orally); severe, throbbing headache; weakness, dizziness, or confusion; sluggishness or fatigue; decreased responsiveness; and loss of consciousness. If heat stroke occurs, take these steps: Call 9-1-1 immediately. This is a medical emergency. Get the heat stroke victim indoors or into shade. Get the person into a cool shower or bath, or wipe them down with continuously soaked cool washcloths while awaiting emergency responders.
    For more information, visit the CDC at cdc.gov/extremeheat/warning.html.

A person who is deaf, hard-of-hearing, deaf-blind, or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit delawarerelay.com.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, drink almost no sugary beverages.

###

Rita Landgraf, Secretary
Emily Knearl, DPH Director of Communications
302-255-9047, Cell 302-354-2852
Email: emily.knearl@delaware.gov

Delaware Health and Social ServicesDivision of Public Health


Beat The Heat

BEAT THE HEAT: HAVE A PLAN

DOVER – Do you have a heat wave plan? Heat ranks among the top weather-related killers in the United States, according to the Centers for Disease Control and Prevention (CDC).

The Delaware Division of Public Health (DPH) advises Delawareans to expect more heat waves, when temperatures exceed 95 degrees. Climate change is causing the average high temperature to increase and for there to be longer and more frequent periods of extreme heat. Our bodies have less chance to recover during hot days and warm nights, placing everyone at risk for heat illness. When temperatures and humidity are high, sweat ceases to evaporate and the body’s natural cooling system slows down or shuts down completely. Very hot weather can cause heat exhaustion, heat stroke, and severe respiratory conditions, which can be fatal.

Extreme heat especially endangers seniors, young children, people with disabilities, and individuals with breathing conditions and other chronic medical conditions, such as asthma, chronic obstructive pulmonary disease, and other respiratory and cardiovascular problems. Those without air-conditioning, fans, or access to cooling shelters are also at risk.

DPH recommends that every household have a heat wave plan in case of power outages. Have air conditioners serviced and obtain electric fans now. Keep cases of bottled water on hand. Listen to news reports of the location of community ‘cooling centers’ – often public libraries or churches — so household members know where they are located if the power goes out. During extreme heat days, Delawareans should check on their vulnerable family members and neighbors.

Delaware 2-1-1 connects Delawareans with critical services and supports. Eligible callers can receive referrals to summer cooling and crisis assistance, the City of Wilmington’s Free Electric Fan Program for seniors, and nearby cooling centers.

Tips to prevent heat illness:

• Do not leave a child or pets alone in a parked car, even for a minute. Call 911 if you see a child left unattended in a vehicle. Carry water with you and drink continuously even if you do not feel thirsty. Avoid drinks containing sugar, alcohol and caffeine, which dehydrate the body. (Check with a doctor before increasing fluid intake if you have epilepsy, heart, kidney or liver disease, or if you are on a fluid-restrictive diet. Avoid using salt tablets unless directed to do so by a physician.) Visit www.cdc.gov/nutrition/everyone/basics/water.html for more information.

• Stay indoors on the lowest floor possible. Wear lightweight, light-colored clothing. Wear a hat or use an umbrella. Use sunscreen. Sunburn slows the skin’s ability to cool itself, and has been linked to skin cancer. Avoid extreme temperature changes. Be careful trying to cool down too quickly; a cold shower immediately after coming in from hot temperatures can lead to hypothermia, particularly for the elderly and children. In these cases, cool water is better than ice cold water.

• Limit outdoor activity, especially mid-day when the sun is hottest. Work out or hold team practices early in the morning, or in the early evening. A CDC online course for coaches, athletic trainers, students, school nurses, parents, and teachers is at www.cdc.gov/nceh/hsb/extreme/Heat_Illness/index.html
Heed the following heat danger warning signs and take suggested actions:

• Heat cramps occur in the muscles of the limbs or abdomen occurring during or after physical activity in high heat. Sweating results in loss of fluids and salts that cause muscle cramps. Address heat cramps by resting in a cool place and drinking plenty of water.

• Heat exhaustion is more severe, occurring when a person is overheated along with reduced or unbalanced intake of fluids. Symptoms include dehydration, fatigue, weakness, clammy skin, headache, nausea and/or vomiting, rapid breathing, irritability, and fainting. Take these simple steps to reduce heat exhaustion: Move the person indoors or into shade. Loosen or remove the person’s clothing. Encourage the person with heat exhaustion to eat and drink. Get the person to a cool shower or bath. Call your doctor for further advice.

• Heat stroke occurs when the body can no longer cool itself, and can be a life-threatening event. Prompt medical treatment is required. Symptoms include: flushed, hot and dry skin with no sweating; high body temperature (above 103 F, taken orally); severe, throbbing headache; weakness, dizziness, or confusion; sluggishness or fatigue; decreased responsiveness; and loss of consciousness. If heat stroke occurs, take these steps: Call 9-1-1 immediately. This is a medical emergency. Get the heat stroke victim indoors or into shade. Get the person into a cool shower or bath, or wipe them down with continuously soaked cool washcloths while awaiting emergency responders.

For more information, visit the CDC at http://www.cdc.gov/extremeheat/warning.html.

A person who is deaf, hard-of-hearing, deaf-blind, or speech-disabled can call the DPH phone number above by using TTY services. Dial 7-1-1 or 800-232-5460 to type your conversation to a relay operator, who reads your conversation to a hearing person at DPH. The relay operator types the hearing person’s spoken words back to the TTY user. To learn more about TTY availability in Delaware, visit delawarerelay.com.

Delaware Health and Social Services is committed to improving the quality of the lives of Delaware’s citizens by promoting health and well-being, fostering self-sufficiency, and protecting vulnerable populations. DPH, a division of DHSS, urges Delawareans to make healthier choices with the 5-2-1 Almost None campaign: eat 5 or more fruits and vegetables each day, have no more than 2 hours of recreational screen time each day (includes TV, computer, gaming), get 1 or more hours of physical activity each day, drink almost no sugary beverages.

###
Rita Landgraf, Secretary
Jill Fredel, Director of Communications
302-255-9047, Cell 302-357-7498
Email: jill.fredel@delaware.gov

Delaware Health and Social ServicesDivision of Public Health