If you must go out in the sun during peak hours, do wear sunscreen and use a hat or umbrella for protection. — istockphoto.com
As temperatures soar across Malaysia, the heatwave gripping the nation is more than just a matter of discomfort – it poses a real threat to public health.
Earlier this week, the Malaysian Meteorological Department (MetMalaysia) issued Level 1 heatwave alerts (caution) for six areas nationwide.
This alert is triggered when maximum daily temperatures range between 35°C and 37°C.
The heat is largely attributed to the southwest monsoon, which typically brings drier weather and intense heat – conditions expected to last until September.
Warning signs
Extreme heat can quickly lead to a spectrum of health issues, especially when the body’s core temperature rises above 40°C.
At that point, vital organs begin to suffer.
Recognising early symptoms and responding quickly is crucial.
Among the first signs is heat rash (or prickly heat), an itchy red irritation caused when sweat ducts become blocked.
Heat cramps, on the other hand, result from salt and fluid loss due to excessive sweating, causing painful muscle spasms – often during or after strenuous activity.
If the heat strain continues, it can lead to heat exhaustion – the body’s way of signalling dehydration and salt depletion.
Symptoms include nausea, headache, dizziness, fatigue, excessive thirst and heavy sweating.
Left untreated, this can escalate into heat stroke, a life-threatening emergency in which the body loses its ability to cool down.
Warning signs include confusion, unconsciousness, and seizures – and unlike the earlier stages, sweating may stop entirely.
What to do in an emergency
Prompt action can save lives.
If someone shows early signs of heat-related illness such as:
> Heat rash or heat cramps
Stop all activity, move into the shade, rest and hydrate, preferably with isotonic drinks, which help replenish electrolytes lost through sweat.
> Heat exhaustion
Seek immediate medical attention at the nearest clinic or hospital.
Left untreated, it can progress to heat stroke.
> Heat stroke
This is a medical emergency.
Call 999 immediately.
Move the person to a cool place, remove excess clothing and begin cooling methods such as fanning, applying damp towels or using cool water.
If the person is conscious, offer small sips of isotonic drinks.
Never leave the individual alone until help arrives.
Stay healthy
Heat-related illnesses are largely preventable.
The key is awareness and proactive care.
Here are some essential tips to beat the heat:
> Stay hydrated
Drink water consistently throughout the day – not just when thirsty.
Avoid alcohol and caffeine.
Isotonic drinks are helpful, especially during prolonged outdoor exposure.
> Dress smart
Wear loose, breathable, light-coloured clothing to reflect sunlight and allow heat to escape.
> Avoid peak heat hours
Limit outdoor activities between 11am and 3pm.
If you must go out, use hats or umbrellas for shade. > Protect the vulnerable
Check in regularly on the elderly, young children and those with chronic health conditions.
Many may dismiss the rising temperatures, thinking, “We’re used to the heat.”
But this is not just typical Malaysian weather. Ignoring the warning signs could prove dangerous.
This heatwave is more than a seasonal shift – it’s a test of our awareness and preparedness.
Let’s not wait until a preventable tragedy strikes.
Assoc Prof Dr Shahrul Nizam Ahmad Zamzali is a consultant emergency physician.
