KARACHI: Extreme heat makes one feel hot and sweaty, which may cause dehydration and result in a heat stroke severe enough to require hospitalization. Groups at risk include young children, people over 65 years, and those with pre-existing medical conditions like diabetes and heart disease. Between 2030 and 2050, weather extremes are expected to cause around 250,000 additional annual deaths from malnutrition, malaria, diarrhoea and heat stress, according to the World Health Organization.
Weather extremes are the new normal, and this year, central and western India is in the grip of a heat wave. Temperatures touched 47°C in the first week of May in parts of Rajasthan and Andhra Pradesh. Even the hills are scorching, with the foothills of Uttarakhand and Himachal Pradesh recording temperatures 3-4 degrees above normal.
Even though heat strokes lead to neurological signs such as lack of coordination, confusion, seizures, and unconsciousness, very few people are truly aware of how profoundly hot weather can affect the mind and mood. Most people feel cranky and irritable when they are feeling hot and uncomfortable, but summer heat makes some turn aggressive, hostile, and violent. A relatable example is road rage. High temperature leads to aggressive driving behaviour, measured by more honking on the road, as revealed by a study from Arizona, US. Another US study found that one standard deviation of temperature increased interpersonal violence by 4% and gang violence by 14%.
Heat waves raised the risk of road accidents by 7.7% in Spain, as revealed by an analysis of 118489 car crashes in 2015 during heat waves compared to warm days. The violence manifests at every social level. Each degree Celsius increase in annual temperatures on raised homicides on average by 6%, found a study on the effect of climate change on violence levels in 57 countries. The outcome was the highest in Africa and Asia and the least in colder countries like the Russian Federation.
Hot weather heightens anxiety, depression, post-traumatic stress disorder, and suicide in people with mental health problems. Mental health-related emergency department visits and hospital admissions go up in hot weather, with the evidence being strongest for increased suicide risk, found a review of 35 studies published in the journal, Public Health, in 2018. The study examined six broad mental health categories, suicide; bipolar disorder, mania and depression; schizophrenia; organic mental health outcomes, including dementia; alcohol and substance abuse; and hospitalizations.
Several medicines used to treat mental illness impair the body’s heat regulatory functioning, making people more susceptible to heat stroke. These include anti-depressants, antipsychotics used to treat delusions, hallucinations, paranoia or disordered thoughts, mainly associated in schizophrenia and bipolar disorder, and anticholinergic to treat Parkinson’s disease, chronic obstructive pulmonary disease (COPD), bladder conditions, and gastrointestinal disorders.
Hot weather also lowers brain function, learning, and working memory, which was tested using spatial span test and pattern recognition. Students struggle to learn and underperform in uncomfortably warm classrooms, showed data from 10 million American students from the high school classes of 2001 to 2014 who took the PSAT exam multiple times.
The study found a significant drop in academic scores, with students losing an average of 1% of a year’s learning for each additional °Fahrenheit rise in temperature during the year before the exam. Low-income and minority students were the worst affected, which suggests that the global temperature rise will lower learning and potential future income in hot tropical countries, like India.