Extreme Heat: Tips and Harm Prevention
As record-breaking temperatures sweep the country, it is important for people who use drugs (PWUD) to be aware of the increased risks associated with hot weather. Extreme heat is not only a direct risk to our health, but it can also worsen existing health conditions.
Understanding the Risks
Dehydration: Excessive sweating and fluid loss increases the risk of dehydration. For people who use drugs, stimulants and other substances further contribute to dehydration because they affect the body’s fluid balance.
Cardiovascular strain: Extreme heat is an additional stress on the cardiovascular system which includes the heart and blood vessels. This system may already be compromised due to existing health conditions or drug use. Altogether, this strain can lead to increased heart rates, elevated blood pressure, or a serious cardiovascular event.
Respiratory issues: For people with respiratory conditions and those who are heavy smokers, extreme heat can worsen symptoms, making it harder to breathe and increasing the risk of respiratory distress especially during air quality alerts.
Heat-related illnesses: Prolonged exposure to extreme heat can result in heat exhaustion or heat stroke. The body’s ability to regulate temperature is impacted by drugs like stimulants or opioids. Many PWUD can be more susceptible to these conditions.
Medication interactions: Medications like antipsychotics, antihistamines, and others can also impact the body’s ability to regulate temperature and increase the risk of heat-related illnesses.
Harm Reduction Tips
Hydration is key: Drink plenty of water, even when you don’t feel thirsty. Avoid alcohol and caffeinated beverages if possible because they can contribute to dehydration. It’s important to adjust your fluid intake when using any substances that dehydrate the body.
Seek shade and cool environments: Minimize heat exposure by staying in shaded areas or airconditioned spaces whenever possible. Airflow from fans and open windows also reduce the risk of catching COVID.
Plan drug use accordingly: Consider the impact of hot weather on drug effects. Reduce your dose and your frequency, and use your drugs in safe, familiar places with people you trust. Remember that extreme heat can intensify the effects of some drugs and increase the risk of overdose.
Medication management: If you take medications regularly, look into potential interactions or adjustments needed during hot weather. Follow medical recommendations for the correct management of your health conditions.
Access to healthcare: There may be resources near you like cooling centers or other emergency services for heat waves and extreme weather.
Watch out for warning signs: Be vigilant and watch out for dizziness, nausea, rapid heartbeat, or confusion. These are warning signs for dehydration, heat exhaustion, and heatstroke. If you are feeling hot but stop sweating, your body is struggling to keep you cool. Clammy skin is another warning sign for heat-related illness, and you should seek a cool area, water to drink, and rest. If your symptoms are severe, you may want to seek medical assistance to prevent long term damage or death.
Connect with support networks: Maintain connections with trusted friends, support groups, or harm reduction organizations that can provide assistance and support during hot weather. If you have elderly or infirm people in your community, check up on them too!
Stay informed: Stay updated on weather forecasts, heat advisories, and local health recommendations.
Remember that harm reduction is about taking steps to minimize harm and prioritize health. Be safe and take your time!
Bonus Tips
Extreme heat can cause swelling in your lower extremities. Be mindful when choosing an injection site, and take caution if you already suffer from edema. Keep your legs elevated and try compression socks to improve circulation.
We recognize that many hospitals can be unwelcoming and unhelpful to people who use drugs because of stigma. However, if you’re feeling unwell due to extreme heat, IV fluids can help you feel better quickly and prevent further heat-related illnesses. If you worry about your vein health and being judged, remember that medical professionals have many options for treating dehydration and you deserve to be treated with compassion and dignity.
