NEW YORK STATE OFFICE FOR THE AGING ENCOURAGES OLDER NEW YORKERS AND CAREGIVERS TO PREPARE FOR EXTREME HEAT THIS SUMMER DURING PANDEMIC

High Temperatures and Humidity Can Profoundly Affect the Health and Safety of Older Adults, Who Remain at High Risk for COVID-19

​The New York State Office for the Aging (NYSOFA) is urging older New Yorkers and their family members to take precautions in extreme heat, as high temperatures and humidity, coupled with COVID-19, can create hazardous conditions for older adults. Exposure to extreme heat can cause a variety of health problems, including heat stroke and death.
 
“Extreme heat and humidity can be serious, and can be particularly dangerous for older adults, who are also at highest risk for COVID-19,” said NYSOFA Acting Director Greg Olsen. “Older adults, especially those who are low-income, live alone, have chronic conditions or who take certain medications, are more susceptible to heat-related illness. In these summer months, particularly during a heat wave in this pandemic, neighbors and family members should check in with older individuals daily to make sure they are healthy and safe.”
 
According to the federal Centers for Disease Control and Prevention (CDC), heat causes more than 600 preventable deaths in the United States yearly. And COVID-19 presents particular challenges this summer since many places where people generally go to cool off, including cooling centers, libraries, and malls may be closed. Finding ways to stay cool and safe, both at home and outside, are more important than ever in this environment.
 
Staying cool during extreme heat and COVID-19

• Know the signs of heat-related illnesses.
  • Headaches, dizziness, nausea, confusion, cramps, high body temperature, or a fast pulse. If you are experiencing any of these symptoms, seek medical help immediately and move to a cooler place. Learn more.
• Stay hydrated.
  • Keep drinking water, even if you don't feel thirsty. Drink two to four glasses of cool fluids every hour. 
  • Avoid alcoholic drinks and too much caffeine and sugar. 
  • Take water with you wherever you go outside, since public water fountains are currently turned off due to the COVID-19 pandemic. 
• Protect yourself from the sun.
  • Use sunscreen that is SPF 15 or higher and look for those that say “broad spectrum” or “UVA/UVB protection” on their labels. 
  • Wear loose-fitting and light-colored clothing to keep cool. You can also wear a hat and sunglasses.
  • Plan ahead. It’s important to plan ahead if you are going to stores or supermarkets. Capacity limitations in stores might mean that you have to wait outside in the sun. Try to plan shopping trips early in the morning to avoid the hottest part of the day.
• Make sure to wear your mask or face covering.
  • Switch to a cotton bandana if your face mask is too heavy or thick to wear in the heat.
  • If you are feeling overheated while wearing your mask, take it off for a moment and breathe making sure that you are six feet apart from others. Be sure to put it back on when you are ready to continue.
• Stay cool indoors.
  • Close windows and blinds during the day. 
  • Take cool showers. 
  • Use air conditioning or fans whenever possible.
  • Income eligible households may receive a cooling assistance benefit through the Home Energy Assistance Program (HEAP).
• Limit outdoor activities to mornings and evenings when it is cooler. Be sure to decrease your overall level of physical exertion.
• Check on neighbors, especially older adults, those who live alone, those with medical conditions, those who may need additional assistance, and those who may not have air conditioning. You can call, text, video call, or meet by staying 6 feet apart. 
• Call 911 in an emergency.
  • If you or someone is showing signs of heat stroke call 911 immediately. Signs of heat stroke include:
    • A body temperature over 103 degrees; hot, red, dry, or moist skin; a rapid and strong pulse; and possible unconsciousness. 
    • While waiting for help to arrive, move the person into a cool area, help cool them down with wet towels or a cool bath, and DO NOT give them fluids. It is safe to call 911 and go to the hospital during this COVID-19 time. 

 
Those most at risk for heat-related illnesses and COVID-19

While everyone is at risk for heat-related illness, some people are at greater risk and should be sure to take special precautions, especially in these times of COVID-19. These populations include:

• People 65 and older, children younger than two, and people with pre-existing medical conditions such as cardiovascular disease, diabetes, or respiratory illness are at greatest risk for heat-related illness.
• People who work outside or spend a lot of time outdoors such as athletes. 
• People who may be socially isolated, including older adults and individuals experiencing homelessness.
• Those infected with, or recovering from, COVID-19 may be more vulnerable to heat stress.
• People taking certain medications. Be sure to consult a doctor about the medications you are taking and extreme heat.
• Those who are overweight and obese.
• People who are pregnant.
• People wearing personal protective equipment (PPE) in places that are not temperature controlled.
• Vulnerable populations may also be in more precarious social and economic conditions due to COVID-19, including from lost wages, increased isolation, and strains or gaps in social networks. This can increase vulnerability to extreme heat risk by limiting health care access, transportation options, food security, and access to utilities like air conditioners. 

 
Protect family, friends, and neighbors

• Never leave children or pets in cars, even for a few seconds. Cars can heat up to dangerous temperatures in a very short time, even with the windows open. Make sure your loved ones drink plenty of water and stay hydrated throughout the day, including pets.
• Connect with older neighbors and others at risk during a heat wave. You can call, text, video call, or meet by staying 6 feet apart. 
• Young children and people with chronic health conditions should also be monitored for heat-related illnesses. 
• Call 911 if you see someone with signs of heat stroke or clearly in need of medical assistance. Hospitals are safe and it’s important that people receive care, especially emergency care, even during the COVID-19 pandemic.

 
Prepare for, and help prevent, power outages

• Plan ahead. Have supplies in case there is a power outage including batteries, flashlights, and nonperishable food. 
• If you have life-support devices, such as home dialysis, breathing machines, or other medical equipment or supplies, that depend on electricity:
  • Talk to your health care provider about how to use them during a power outage;
  • Contact your local electric company and equipment suppliers about your power needs. Some utility companies will put you on a "priority reconnection service" list;
  • Let the fire department know that you are dependent on life-support devices; and
  • If you have medication that requires refrigeration, check with your pharmacist for guidance on proper storage during an extended outage.
• Monitor the weather. Watch your local news for advisories and alerts.
• If there are advisories and alerts, fully charge your cell phone, laptop, and other electronic devices in case there is a power outage.
• Conserve as much energy as possible to avoid power disruptions. Turn off all nonessential appliances and lights in unoccupied rooms.

 
What to do during a power outage

• Call your utility company to report power outages and learn when your power will be restored. Do not call 911 to report an outage or to ask about power restoration. 
• Stay away from downed utility wires. Always assume a downed power line is live. Call 911 to report emergencies including downed power lines or if you are dependent on equipment that requires electricity and you need medical assistance.
• Make sure you and your loved ones stay hydrated.
• Keep refrigerator and freezer doors closed. An unopened refrigerator will keep food cold for about four hours. A full freezer will keep the temperature for about 48 hours.
• If possible, use flashlights instead of candles. If you must use candles, place them in safe holders away from anything that could catch fire. Never leave a burning candle unattended.

 
Swimming Locations

New York State pools and beaches across the New York State Park system are open for individuals to cool off during hot days.

• Pools: New York state pools are open, with density reduction measures in effect. Visitors will be asked to sign-in with contact information to enable potential contact tracing measures.
• Beaches: State Park beaches are open at 50% capacity or less and with heightened precautions. You must practice social distancing at a state beach.
• View the full list of statewide swimming lakes, ocean beaches and pools. Call ahead to confirm hours.

 
For more information on how to stay safe during periods of excessive heat , please visit the New York State Department of Health website.
 
For information on long term care services and supports for older adults and caregivers, please visit NY Connects or call 800-342-9871.

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