Be Safe and Healthy in the Summer Sun, Heat, and Crowds

Summer has arrived in the United States. Over the following months, it will be important to protect ourselves from the health risks posed by the sun and heat. Regardless of skin color, exposure to the sun carries many dangers to one’s skin — from wrinkles often associated with aging to freckles, sunburns, benign tumors, or cancerous skin lesions. Exposure to heat can also have many negative impacts on one’s health ranging from a rash, exhaustion, fainting, or even death. During the ongoing and evolving coronavirus pandemic, being in crowded areas — even outside — without appropriate protection measures can pose significant health risks.


The Food and Drug Administration (FDA) encourages everyone — especially those with pale skin; blond, red, or light brown hair; or who has a personal or family history of skin cancer — to practice care while in the sun. The sun’s ultraviolet (UV) rays can damage skin in as little as 15 minutes, and the best tool in combating that skin damage is sunscreen. The American Academy of Dermatology suggests applying SPF 30 (at least) liberally 15 minutes before going outside, and to reapply at least every two hours to remain protected.


An often-overlooked risk of summer to health is biting insects. Mosquito- and tick-borne illnesses have increased in the United States in recent years. Mosquitoes can spread viruses like Zika, West Nile, chikungunya, Eastern equine encephalitis (EEE), and dengue; ticks can infect people or pets with Lyme disease, Rocky Mountain spotted fever, and other conditions. People are encouraged to protect themselves by using insect/bug repellent, wearing light colored long-sleeved clothing, and being mindful to check for ticks after spending time outside, especially in wooded areas or in tall grass. Pet owners should use a veterinarian-approved tick collar or preventative medicine to protect their dogs or outdoor cats.


To further protect your skin where sunscreen and bug spray are ineffective, the Centers for Disease Control and Prevention (CDC) suggests wearing long-sleeved shirts and pants when possible, and at least a t-shirt when the heat makes long clothing uncomfortable. Hats and sunglasses also protect vulnerable areas from the sun. Staying in the shade or avoiding the outdoors altogether during the midday hours can also lower one’s risk of skin damage from the sun. Over 1,000 heat-related deaths occur annually in recent years in the U.S. The CDC recommends staying in air-conditioned or climate-controlled areas, taking cool showers or baths, drinking more water than usual to stay hydrated, avoiding alcohol or sugary drinks, and being aware of local weather reports. Climate change increases heat-related health risks all over the country. 


The effects of climate change have a tremendous impact on global public health: worsening chronic illnesses, increasing the spread of infectious diseases, disrupting food and water supplies, and increased stress and trauma for people living all over the world. People who are already at risk for poor health due to social and economic factors — poverty, racism, unsafe housing and neighborhoods, incarceration, and lack of access to quality medical and mental health care — fare worse in a changing climate than those with wealth and resources.


It is vital to know the symptoms of heat-related illnesses such as heat exhaustion or heat stroke. Muscle cramping is often the first sign of heat exhaustion followed by heavy sweating, weakness, clammy skin, fast weak pulse, nausea, and fainting. Heat stroke, a medical emergency, is the diagnosis if body temperature rises above 103°F with rapid and strong pulse or unconsciousness. Call 911 immediately if heat stroke is suspected. In either case, try to cool the person until help arrives. In times of extreme heat, people are encouraged to check on friends and neighbors who are at higher risk to the heat such as people aged 65 and older, infants and children, people with chronic medical conditions, outdoor workers, and people with low income.


For low-income households, there is the Low-Income Home Energy Assistance Program (LIHEAP). The program provides federally-funded assistance in managing costs associated with home energy bills or weatherization, helping those in need stay cool in the summer or warm in the winter. You can find your local LIHEAP service provider on their website.


Despite claims from early in the pandemic, the summer heat does not have an appreciable effect on the COVID-19. In fact, studies found higher temperatures and humidity are associated with reduced survival. As of the most recent weekly CDC COVID Tracker, 80% of the U.S. had a high to medium COVID-19 Community Level with a 7-day average of over 125,000 new cases every day. Even with rising cases, only 34% of people who are eligible for a COVID-19 booster and 29% of people over 50 years who are eligible for a second booster have received one. This means millions of people are not fully protected because they are not up to date on their COVID-19 vaccines at a time when mask mandates and social distancing restrictions are nearly nonexistent while transmission and hospitalizations are at an all-time high throughout much of the country. 


It is important to know the dangers of sun and heat exposure, and that there are resources available for those in need. NeedyMeds has information on national Diagnosis-Based Assistance programs (DBAs) offering testing for those at risk for skin cancer or Lyme disease as well as financial assistance for those already diagnosed. There are even resources for those who have been impacted by COVID-19. For those looking for information on receiving a coronavirus vaccine, eligibility has opened to include anyone over 6 months old and anyone over 5 years can get a booster five months after their initial dose(s). Search online for your area’s locations and appointment availability. The free NeedyMeds Drug Discount Card can be used by anyone to help save money on their prescribed medication — even certain brands of sunscreen, after-sun care, or bug spray if prescribed by a doctor. The card is available physically via mail, in a printable form, or as a smartphone app for Apple and Android devices. For more help finding information on available assistance, call our toll-free helpline Monday-Friday 9am-5pm Eastern Time at 1-800-503-6897. We hope everyone enjoys the beautiful weather this summer while staying safe and healthy.


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Welcome to the NeedyMeds Voice! We look forward to presenting you with timely, provocative pieces on healthcare reform, patient advocacy, medication and healthcare access, and other health-related news. Our goals are to educate, enlighten, and elucidate; together, we will try to make sense of the myriad and ongoing healthcare-related changes in the U.S. today.