Heat Stroke

(Muhammad Ashar Naeem, Karachi)

Heat Stroke:
A heat-wave constitutes an extended period of hot weather relative to the expected conditions of the area at a particular time of year. A heat-wave can also refer to a prolonged period of a hot weather, which may be accompanied by high humidity. The World Meteorological Organization (WMO) defines heat-wave as "when the daily maximum temperature of more than five consecutive days exceeds the average maximum temperature by 5 °C, from the normal temperature of an area. In Pakistan, the heat waves are common in premonsoon months (May & June) in the plains of the country.

The definition in terms of number of days and ambient temperature varies from region to region. Heat-waves have several significant characteristics. These include (i) the number of heat wave days and the annual number of summer heat wave events; (ii) the length of the longest heat wave in a season; (iii) the average excess temperature expected during a heat wave and the hottest day of a heat wave; and (iv) the occurrence of the first heat-wave event in a season (Steffen et al., 2014). These characteristics are important to understand for identification and deeper exploration of the nature of heat-waves AS mercury levels are soaring in Pakistan, being out in the sweltering heat can result in a heat stroke which can be extremely harmful and even fatal.

During summer season, Karachi has displayed very high occasional day temperatures. The historic data of maximum temperatures for the months of May and June for this mega urban center shows 47.8 °C on 9th May 1938 and 47 °C on 18th June 1979.

The maximum temperature record along with humidity and wind (speed & direction) data for the month of June for the normal period (1981-2010) and for the period 20132015 have been used to study heat wave conditions of 2015 heat-wave in this sub-region. According to PMD records, this severe heat wave event persisted for consecutive 5-days from 19-23 June. The daily temperature anomalies were more than 5°C for consecutive five days. The departure of maximum temperature from the normal ranged between 5.3 to 11ºC during severe heat wave as is evident. The highest maximum temperature in Karachi was 44.8 °C on 20th June 2015 with a departure of 11.1ºC from normal, which was the highest temperature for the month of June after year 2000 (45.5 °C). The heat wave was unprecedented in terms of persistence. There were incidences in Karachi when the temperature departures were +5°C or more but it lasted only for 1-2 days.

The summer afternoons in Karachi during the month of June (15-16) displayed a typical normal moisture quantity and transport into the area from the Arabian Sea (figure 4). The atmospheric conditions went anomalous after a ridge (extension of high pressure area) was extended over Baluchistan and adjoining parts of the country including Karachi. The formation of this ridge led to a weakened incoming sea breeze transport process from the Arabian Sea and consequently reduced the humidity levels below normal over Karachi on the afternoon of 17th June, 2015. The ridge further accentuated on 18th June and penetrated more into south and eastward parts of the country.

Symptoms of heat stroke can include a high body temperature, headache, dizziness, lack of sweating despite the heat, muscle weakness or cramps, nausea, vomiting, rapid heartbeat, rapid breathing, confusion, disorientation and unconsciousness.

Here are a few tips that will keep you safe from the scorching heat:
The most important measures to prevent heat strokes are to avoid becoming dehydrated and to avoid strenuous activities in hot and humid weather. Drink plenty of fluids even when not thirsty. Staying hydrated will help your body sweat and maintain a normal body temperature.

Avoid tea and coffee as they dehydrate the body. Always carry water while travelling.

Take cool showers or baths, especially before sleeping. This helps cool the body temperature. Wear lightweight and light colored clothes. Keep windows and curtains closed during the day, but open windows at night when the temperature has dropped.

Turn off non-essential lights and electrical equipment, as they generate heat.

Seek medical help if symptoms such as breathlessness, chest pain, confusion, weakness, dizziness or cramps persist and don’t go away.

Infants, the elderly, athletes and outdoor workers are more vulnerable to a heat stroke. Leaving infants or children in a car can lead to heat stroke. Babies and young children don’t have the ability to hydrate themselves. Never leave a child in a closed, parked vehicle, not even for a minute. Make sure babies and children drink plenty of fluids. During the hottest hours of the day, keep your children indoors.

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Muhammad Ashar Naeem
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