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.

WILMINGTON, Del. – Delaware, along with several other states, will experience excessive heat over the weekend and into next week. The National Weather Service issued an Excessive Heat Warning for most of Delaware and a Heat Advisory for Delaware’s beaches, which begin Sunday, July 19, at noon through Monday, July 20, at 8:00 p.m. The severe weather may continue beyond Monday. Delawareans and visitors are advised to be aware of the dangers that accompany the severe temperatures, learn how to avoid heat-related illness or death, and monitor local weather forecasts for the latest information. 

“In addition to remaining vigilant against COVID-19, I urge all Delawareans to practice heat safety during this stretch of high temperatures expected in Delaware and our region,” said Governor Carney. “We want our residents and visitors to follow the advice of health officials and take steps to beat the heat. Please never leave children or pets in cars, stay hydrated, learn the signs of heat illness, and take appropriate precautions to stay safe in these hot temperatures and all summer.”

Health officials also advise the public to stay in air-conditioned spaces, avoid strenuous outdoor activities, wear light clothing, and drink plenty of water. Delawareans should check on vulnerable members of their families and neighbors, including seniors and those with disabilities.

Authorities also stress that temperatures inside a closed vehicle can rise to lethal levels quickly. Do not leave children, pets, or vulnerable adults inside closed vehicles even for a few minutes. Parents and caregivers are urged to make it a habit to check the back seat every time they exit a car.

If possible, bring outdoor pets inside. If they are outside, make sure to provide plenty of water and replace it frequently.

—

Additional information from the Delaware Division of Public Health:

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 an adult with disabilities) 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 drills early in the morning or in the early evening. 
• 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 a loss of fluids and salts that cause muscles to cramp. 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 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: The Division of Public Health 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. Per Senate Bill 139, dog owners are prohibited from leaving their dog outside and unattended for longer than 15 minutes during hazardous weather advisories or when hazardous weather conditions pose a serious risk to the health and safety of the dog.
• 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.

###

DOVER, Del. – Delaware, along with many other states, is in an extended heatwave with the most dangerous days to come. The National Weather Services issued an Excessive Heat Warning through Sunday night for the entire state, and the state also issued a Code Orange Air Quality Alert. Delawareans and visitors are advised to be aware of the dangers that accompany the severe temperatures, as well as ways to avoid heat-related illness or death. 

“With the excessive heat warnings and air quality alerts issued for Delaware and our region, I urge all Delawareans to practice heat safety during this stretch of high temperatures,” said Governor Carney. “We want our residents and visitors to follow the advice of health officials and take steps to beat the heat. Please never leave children or pets in cars, stay hydrated, learn the signs of heat illness, and take appropriate precautions to stay safe in hot temperatures and all summer.”    

Health officials also advise the public to stay in air conditioned spaces, avoid strenuous outdoor activities, wear light clothing, and drink plenty of water. Delawareans should check on vulnerable members of their families and neighbors, including seniors and those with access and functional needs.

Authorities also stress that temperatures inside a closed vehicle can rise to lethal levels quickly. Do not leave children, pets, or vulnerable adults inside closed vehicles even for a few minutes. Parents and caregivers are urged to make it a habit to check the back seat every time they exit a car.

If possible, bring outdoor pets inside. If they are outside, make sure to provide plenty of water and replace it frequently.

.

Additional information from the Division of Public Health:

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:

• • 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.
  • 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 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.

###

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.

DOVER – As many Delawareans head outside for Fourth of July festivities, the Division of Public Health (DPH) encourages Delaware residents to prepare for extreme heat early this week and prevent heat-related illness as temperatures rise. Temperatures are expected to reach the mid-90s through Tuesday, with the heat index values as high as 105 degrees. The National Weather Service has issued an Excessive Heat Warning for New Castle County through 8 p.m., Tuesday, July 3, and a Heat Advisory for Kent County and inland Sussex County through 8 p.m., Monday, July 2.

Our bodies have less chance to recover during hot days and warm nights, 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 anyone 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. When traveling with a young child in your car, create reminders to check your backseat, by putting something next to your child such as a briefcase, a purse or a cell phone that is needed at your final destination. This is especially important if you’re not following your normal routine.

• 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:

• 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.
• 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 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 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 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.

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.