Heat-Related Illnesses on the Rise in North Carolina

by | Aug 1, 2025

Heat-related illnesses are becoming an increasing concern in North Carolina, with a sharp uptick in emergency department visits this year. The North Carolina Department of Health and Human Services (NCDHHS) is urging residents to take extra precautions as the state experiences a significant surge in heat-related emergencies.

Between May 1 and July 12, 2025, more than 3,300 people visited emergency departments across the state due to heat-related illnesses—the highest number reported in the past five years.

Common Heat-Related Illnesses and Symptoms

  • Heat Stroke
    A medical emergency marked by a body temperature of 103°F or higher, hot and dry or damp skin, a rapid and strong pulse, confusion, dizziness, headache, nausea, and potential loss of consciousness.
  • Heat Exhaustion
    Symptoms include heavy sweating, pale or clammy skin, a fast but weak pulse, nausea, vomiting, muscle cramps, fatigue, dizziness, headache, and fainting.
  • Heat Cramps
    Painful muscle cramps, often in the legs or abdomen, typically triggered by physical activity.
  • Heat Syncope
    Sudden dizziness or fainting, especially after standing for long periods or rising quickly.
  • Other Heat Effects
    Includes heat rash and other conditions caused by prolonged exposure to high temperatures.

Who Is Most at Risk?

Certain groups are especially vulnerable to heat-related illnesses, including:

  • Outdoor workers
  • Infants and young children
  • Older adults
  • Pregnant individuals
  • Athletes
  • People with underlying medical conditions
  • Low-income individuals without reliable access to cooling

Tips to Prevent Heat-Related Illness

  • Stay Hydrated: Drink plenty of water regularly, even if you don’t feel thirsty.
  • Limit Strenuous Activity: Avoid heavy exertion during the hottest parts of the day. Rest in the shade or take frequent breaks.
  • Dress Smart: Choose light-colored, loose-fitting, and breathable clothing.
  • Find Cool Spaces: Spend time in air-conditioned buildings or cooling centers.
  • Know the Warning Signs: Be alert to symptoms of heat-related illness and seek medical care immediately if they occur.

Staying informed and taking simple precautions can help prevent serious health outcomes during extreme heat events. For more resources and updates, visit the NCDHHS website.