Weather

Arizona’s emergency services brace for triple-digit heatwave as deaths mount


A dangerous heatwave is due to scorch large swathes of Arizona for the rest of the week, triggering the first extreme heat warning of the year as temperatures in Phoenix are forecast to top 113F (45C) on three consecutive days.

Day and nighttime temperatures are expected to reach 7F to 10F (4C to 6C) above normal for this time of the year, which could drive a surge in medical emergencies and deaths as people struggle to stay cool amid soaring energy prices and rising homelessness.

Extreme heat is America’s leading weather-related killer, and Phoenix, in Maricopa county, is the deadliest city.

Bar chart of heat-related deaths in Maricopa county since 2001, sharply increasing from 199 deaths in 2019 to 339 deaths in 2021.

The temperature in Phoenix hit 110F (43C) for the first time this summer on Wednesday, and the National Weather Service (NWS) has warned that a band of high pressure moving across the south-west may result in record breaking – or at least record equalling – daily highs in the state capital on Friday through Sunday.

Nighttime temperatures are unlikely to fall below 80F (27C) until at least the middle of next week, posing a danger for people without access to adequate shelter or air conditioning.

So far this year, the Maricopa county medical examiner is investigating 30 possible heat-related deaths dating back to April.

The sun sets in Phoenix, Arizona, behind a lone palm tree. The clouds and waning light create a dark red foreboding canvas in the sky.
High nighttime temperatures pose a danger as the body only begins to recover from heat exposure when temperatures drop below 80F. Photograph: Caitlin O’Hara/Getty Images

Energy prices are soaring across the country, but Phoenix has the highest inflation rate among big cities at 11%, according to the latest Bureau of Labor statistics.

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“We’re going to see very hot temperatures even by Phoenix’s standards and could see daily records broken,” said Paul Iñiguez, a meteorologist with the NWS in Phoenix.

“The heat risk is very high which means we’re likely to see deaths and illness increase, as well as costs associated with cooling … people should do everything they can to mitigate the impacts and check on folks who don’t have regular social contacts.”

Phoenix is America’s fifth largest city, a sprawling urban heat island without adequate shade, water, affordable housing or addiction services to meet the needs of the rapidly growing population.

Scatterplot graph representing the average daytime and nighttime temperatures for June in Phoenix since 1900, both trending upwards. In 2021, the highest average daytime temperature is 108.2F (42C) and the highest average nighttime temperature is 82.5F (28C).

As a result, rising temperatures and extreme heat events linked to the climate crisis have become increasingly deadly. Over the past decade, the heat death toll has more than tripled with 662 people dying in Maricopa county, which includes Phoenix, in the past two years.

The highest ever temperature recorded in Phoenix was 122F (50C) in June 1996. Such extreme highs remain rare, but the heat season has expanded – starting earlier and finishing later – and the average number of hot (>100F) and very hot days ( >110F) are increasingly common and predicted to rise significantly over the next 30 years, according to climate change models.

A person in a blue shirt carrying a red umbrella walks past a digital sign posting the temperature at 122F.
Phoenix’s highest ever recorded temperature was 122F in June 1996. Such extremes are rare, but it did meet that record in June 2017. Photograph: Ralph Freso/Getty Images

Nighttime temperatures have risen twice as fast as daytime highs over the past three decades, according to NWS data. The impact of heat is cumulative and the body only begins to recover when temperatures drop below 80F.

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For economically stable residents, such scorching temperatures are little more than an inconvenience or manageable problem, but for some extreme heat is a catastrophe, according to heat researcher Melissa Guardaro at Arizona State University.

It’s a matter of life and death for the city’s growing unsheltered population, who have accounted for almost half the county’s extreme heat deaths in recent years. Fentanyl addiction is rising and substance use contributed to three out of every five heat deaths in 2021.

Zechariah Stevenson, 29, is facing a tenth summer on the streets – where five people he knew died from heat related emergencies over the past two summers. “There’s no shade, no trees, and not enough water but I have to find a way to keep cool. I’ve got used to the heat but still sometimes I worry about dying from dehydration,” said Stevenson, who uses his food stamps to buy giant cold sodas at the nearby convenience store.

A man with his arms crossed stands in a homeless encampment that offers little shade.
Zechariah Stevenson is facing his tenth summer on the streets of Phoenix. The city has improved access to shelters and water, but it’s not enough. Photograph: Nina Lakhani/The Guardian

In the sprawling downtown homeless encampment, tents are squished together on the sidewalks, where the ground temperature can be 40F (22C) higher. While the city has recently improved access to shelters, water, and restroom facilities, it’s nowhere near enough.

“There is so much unmet need, and it’s getting worse, but the wheels of bureaucracy are running very, very slowly and there’s a lack of leadership in the state. This year could be even more deadly,” said Stacey Champion, a longtime heat activist.

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Heat related deaths and emergency room visits start in April, but rise during very hot spells, official figures show.

With hotter temperatures expected into the weekend, the HeatRisk will be on the high/very high side. This means that most if not all of the general population is at risk for heat-related illness if proper heat precautions are not taken. Please protect yourself! #azwx #cawx pic.twitter.com/AyZPhSD47u

— NWS Phoenix (@NWSPhoenix) June 8, 2022

Heat related illnesses range from an uncomfortable skin rash and cramps to heat exhaustion and deadly heat stroke. Dehydration exacerbates the risks, and health experts recommend drinking at least two litres of water per hour for those who must spend time outdoors in such sweltering temperatures. Those who can should stay indoors with the air conditioning on, and avoid foods high in protein that increase metabolic heat.

The current high pressure system is causing multiple problems.

An air quality alert is in effect for Phoenix as stagnant hot air boosts the formation of ozone, a toxic chemical compound that exacerbates respiratory conditions, and could further increase pressure on emergency rooms.

Dry thunderstorms are forecast for mountainous parts of south-east Arizona on Thursday, and lightning could spark wildfires in areas parched by drought. Fire officials have warned that Arizona’s wildfire season, which got off to an early start this year, could be even more devastating than in previous years.





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