Extreme temperatures
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Extreme cold
Although climate change is predicted to reduce the frequency and intensity of extreme cold, extreme cold events in the Southeast Public Health region can still occur.
Environment and Climate Change Canada (ECCC) issues cold weather warnings when the temperature or wind chill is expected to reach -35°C for at least two hours.
Visit the Environment and Climate Change Canada weather page for active weather information and alerts.
Health impacts
When your core body temperature drops, or your body is exposed to severe cold, it increases your risk of severe injury and harmful effects such as:
- Frostbite: an injury to the skin that is caused by freezing. The risk of frostbite increases when the wind chill rises. Early signs include pink or reddish areas that may feel numb. As frostbite progresses, the affected area will become white and waxy in appearance.
- Hypothermia: occurs when the body is exposed to cold temperatures, and it begins to lose heat faster than it can be produced. The result is an abnormally low body temperature that can affect brain and muscle function.
- Windburn: occurs when cold wind removes the top layer of oil from the skin causing excessive dryness, redness, soreness, and itchiness.
It is important to watch for signs of frostbite and hypothermia and seek medical attention when necessary. Contact Health811 at 1-866-797-0000 for free medical advice.
Who is at risk?
While anyone who isn’t dressed warmly is at risk in cold weather conditions, health risks are greatest for: infants and young children, older adults, people living in homes that are poorly insulated (no heat or power), people with chronic medical conditions (e.g., diabetes, peripheral neuropathy, diseases affecting blood vessels, etc.), people who are taking certain medications (e.g., beta-blockers), winter sports enthusiasts, people experiencing homelessness, and people who work outdoors.
Staying safe during extreme cold
Being prepared is key to protecting yourself from negative health impacts due to the cold. Southeast Public Health recommends taking the following actions to prevent cold injuries such as hypothermia and frostbite:
- Wear several layers of clothing and make sure that the outer layer protects you from wind and wetness.
- Cover exposed skin (with hats, mittens, face masks, etc.) to protect against frostbite.
- Drink warm liquids that do not contain caffeine or alcohol, to prevent dehydration.
- Maintain a heated indoor environment above 20°C; hypothermia can even occur indoors when temperatures are 16°C or lower.
- Avoid strenuous outdoor exercise during cold spells.
- Check in frequently on elderly and vulnerable people; ensure they are in a safe and warm environment.
- Warming centre availability may vary, and some regions may establish temporary locations in response to forecasted weather events. As such, residents are encouraged to contact their local municipality to confirm warming centre locations and hours of operation.
The Government of Canada has more information on how to protect yourself from extreme cold conditions.
Extreme heat
Extreme heat events, often called « heat waves » involve high temperatures and sometimes high humidity. Climate change is likely to increase the frequency and intensity of heat waves, representing a growing risk to health.
Environment and Climate Change Canada (ECCC) issues heat warnings when:
- There is a forecast of two or more consecutive days with daytime maximum temperatures of 31°C or warmer, together with nighttime minimum temperatures of 20°C or warmer; or
- When there is a forecast of two or more consecutive days with humidex values expected to reach 40°C or higher.
Visit the Environment and Climate Change Canada weather page for active weather information and alerts.
Health impacts
Conditions during high heat and humidity have the potential to cause dehydration and heat illnesses, which include heat stroke, heat exhaustion, heat fainting, heat edema (swelling of hands, feet, and ankles), heat rash, and heat cramps (muscle cramps). Watch for the following symptoms of heat illness:
- Dizziness or fainting
- Nausea or vomiting
- Headache
- Rapid breathing and heartbeat
- Extreme thirst
- Decreased urination with unusually dark yellow urine
If you experience any of these symptoms during extreme heat, immediately move to a cool place and drink liquids. Water is best. If you are taking medication or have a health condition, ask your doctor or pharmacist if it increases your health risk in the heat and follow their recommendations.
Heat stroke is a medical emergency. Call 911 if you are caring for someone who has a high body temperature and is either unconscious, confused, or has stopped sweating. Contact Health811 at 1-866-797-0000 for free medical advice.
Who is at risk?
During heat events everyone is at risk; however, health risks are greatest for infants and young children, older adults, people who are pregnant, people who live alone, people with chronic medical conditions (e.g., heart disease, respiratory conditions, diabetes, etc.) or mental illnesses (e.g., schizophrenia, depression, dementia), people who are underhoused or experiencing homelessness, people with limited physical mobility, people who are on certain types of medication (for high blood pressure, for mental illnesses, etc.), people who exercise vigorously outdoors, and people who work outdoors.
If you or a loved one is at an increased risk for heat-related health risks, Southeast Public Health recommends designating someone, a friend or neighbour, to do a wellness check on you or them throughout the duration of a heat event.
Staying safe during extreme heat
Heat illnesses are preventable, and being prepared is key to protecting yourself from negative health impacts due to heat. Southeast Public Health recommends taking the following actions to stay cool:
- Drink plenty of cool liquids, especially water, before feeling thirsty. Find Blue W locations to refill your water bottle with free tap water.
- Avoid direct sun exposure, for example, sit under a tree, wear a wide-brimmed, breathable hat, or use an umbrella.
- Prepare meals that don’t need to be cooked in your oven and block out sun by closing awnings, curtains, or blinds during the day.
- Take breaks from the heat by spending a few hours in a cool place; take cool showers.
- Reschedule strenuous outdoor activity or plan outdoor activities during cooler parts of the day.
- Wear loose-fitting, light-coloured clothing made of breathable fabric.
- Prepare a basement, or cooler part of your home, for occupancy throughout and during the heat event.
- Block the sun out by closing awnings, curtains, or blinds during the day, especially on the westerly side of the home or building.
- Never leave people or pets in your care inside a parked vehicle or in direct sunlight.
- Cooling centre availability may vary, and some regions may establish temporary locations in response to forecasted weather events. As such, residents are encouraged to contact their local municipality to confirm cooling centre locations and hours of operation.
The Canadian Red Cross has more information on how to stay safe during heat waves.
Frequently asked questions
Extreme heat
Workplaces
What can I do if I work outdoors and I'm worried about heat-related illnesses?
- It’s important to know the signs and symptoms of heat-related illnesses
- If you need to work outdoors, check with your provincial occupational health and safety association
Resources
- Temperature Conditions – Hot – Canadian Centre for Occupational Health and Safety
- Heat Stress Toolkit – Occupational Health Clinics for Canadian Workers Inc.
Tenants
What can I do if it is too hot in my rental unit?
In Ontario, the Residential Tenancies Act sets out the rights, responsibilities and rules for landlords and tenants. You would need to check your lease for specifics on being provided or using an air conditioner.
It is important to know:
- How to keep your space cool:
- Make meals that don’t need to be cooked in an oven.
- Block the sun by closing awnings, curtains or blinds during the day.
- If possible, open your windows at night to let cooler air into your home.
- If you have an air conditioner, be sure to turn it on before it gets hot. If you are using a window air conditioner, cool only one room where you can go for heat relief.
- What to do if your space is extremely hot:
- Take cool showers or baths until you feel refreshed.
- Spend time in a cool place. It could be a tree-shaded area, swimming facility or an air-conditioned space like a shopping mall, grocery store or public library.
- Use a fan to help you stay cool and aim the air flow in your direction.
Resources
- Air conditioning: Ontario housing law basics – Canadian Centre for Housing Rights
Landlords can learn more on our climate change frequently asked questions page.
Individuals who are underhoused
Where can I go to cool down?
Cooling centre availability may vary, and some regions may establish temporary locations in response to forecasted weather events. As such, residents are encouraged to contact their local municipality to confirm cooling centre locations and hours of operation.
Extreme cold
Workplaces
What can I do if I work outdoors and I'm worried about cold-related illnesses?
- It is important you know the signs and symptoms of cold-related illnesses
- If you need to work outdoors, check with your provincial occupational health and safety associations
Resources
- Cold Environments: Working in the Cold – Canadian Centre for Occupational Health and Safety
- Cold and Work – National Institute for Occupational Health and Safety, Centre for Disease Control
- Working in the cold – Occupational Health Clinics for Ontario Workers Inc.
Tenants
What can I do if there is no heat or it is too cold in my rental unit?
In Ontario, the Residential Tenancies Act sets out the rights, responsibilities, and rules for landlords and tenants. According to Ontario Regulation 517/06, if a landlord provides heat, it must be kept at a minimum temperature of 20°C from September 1 to June 15. However, some municipal standards may be higher.
Concerned tenants can contact the Rental Housing Enforcement Unit of the Ministry of Municipal Affairs and Housing or your municipality to inquire about applicable property standard bylaws.
Resources
- Maintenance and Repairs – Tribunals Ontario
Landlords can learn more on our climate change frequently asked questions page.
Individuals who are underhoused
Where can I go to warm up?
Warming centre availability may vary, and some regions may establish temporary locations in response to forecasted weather events. As such, residents are encouraged to contact their local municipality to confirm warming centre locations and hours of operation.
How can I identify frostbite?
Mild frostbite (frostnip) makes skin look yellowish or white, but it is still soft to the touch. During the warming process, skin may turn red but will return to a normal colour once completely warmed.
Severe frostbite makes skin look discoloured and black and can cause permanent tissue damage. You may lose feeling in the affected area, which is a sign of severe nerve damage. Blisters will also occur after some time. If the skin is broken and becomes infected, gangrene can set in which can result in loss of limbs. If you suspect severe frostbite, seek medical attention immediately.
Resources
Extreme Cold – Government of Canada