The health effects of extreme heat

African Journal of Primary Health Care & Family Medicine

 
 
Field Value
 
Title The health effects of extreme heat
 
Creator Lahri, Sa’ad
 
Subject Family Medicine; Emergency Medicine extreme heat; heat-related illness; climate change and health; heat stroke; climate-resilient health systems
Description Extreme heat is a significant direct health threat from climate change, with rising temperatures and frequent heatwaves increasingly stressing communities and health services across Africa. High baseline temperatures, widespread outdoor labour, limited cooling access and structural vulnerabilities heighten population exposure. The physiological impacts are severe: from extreme heat overwhelming thermoregulation, leading to dehydration, cardiovascular strain, direct cellular injury and potentially rapid progression to heat exhaustion, to the most severe and dangerous form, heat stroke, which is a medical emergency characterised by a core body temperature 40 °C and central nervous system dysfunction such as confusion, seizures or coma, leading to multiorgan dysfunction. Heat also exacerbates chronic conditions like heart failure, asthma and kidney disease. Beyond clinical presentations, community-level evidence shows heat causes sleep disturbance, irritability and significant reductions in productivity. Vulnerable groups include infants, older adults, pregnant women, individuals with chronic diseases and outdoor workers. Maternal and neonatal health is particularly at risk, with links to preterm birth, stillbirth and hypertensive disorders. Primary health care is central to addressing this threat through early recognition, prompt cooling, hydration, medication review and tailored counselling for low-resource settings and environments. A proactive integration of heat-health interventions into routine primary care is therefore critical to building climate-resilient health systems and safeguarding vulnerable populations.
 
Publisher AOSIS
 
Contributor Nil
Date 2026-04-30
 
Type info:eu-repo/semantics/article info:eu-repo/semantics/publishedVersion — Review
Format text/html application/epub+zip text/xml application/pdf
Identifier 10.4102/phcfm.v18i1.5372
 
Source African Journal of Primary Health Care & Family Medicine; Vol 18, No 1 (2026); 5 pages 2071-2936 2071-2928
 
Language eng
 
Relation
The following web links (URLs) may trigger a file download or direct you to an alternative webpage to gain access to a publication file format of the published article:

https://phcfm.org/index.php/phcfm/article/view/5372/9242 https://phcfm.org/index.php/phcfm/article/view/5372/9243 https://phcfm.org/index.php/phcfm/article/view/5372/9244 https://phcfm.org/index.php/phcfm/article/view/5372/9245
 
Coverage Africa 2020-2025 —
Rights Copyright (c) 2026 Sa’ad Lahri https://creativecommons.org/licenses/by/4.0
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