Monday, August 25, 2025

Phoenix Heat Relief: Fixing Deadly Hot Bus Stops

Phoenix Heat Relief: Fixing Deadly Hot Bus Stops

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The Challenge of Heat at Bus Stops in Phoenix

On a summer day in the Sonoran Desert, where temperatures often soar to 110 degrees Fahrenheit, waiting for a bus can be uncomfortable — even deadly. In 2023, at least 21 people died from heat exposure at bus stops in Phoenix, Arizona, according to data from the city’s health department. With over 4,000 bus stops across the city, only 77.5% currently have shade structures. While the city has pledged to add shade to each stop by 2050, recent studies suggest that not all shade structures are equally effective.

Assessing the Current Shade Structures

In 2017, Phoenix partnered with Arizona State University students to redesign its bus stops. The new design used perforated steel panels to optimize ventilation and reduce heat retention. It also aimed to prevent vandalism. The project won an award and began the manufacturing process. However, a 2021 study from Arizona State University raised concerns about the effectiveness of these designs.

The study found that while shaded bus stops reduced the "physiological equivalent temperature" (PET) by up to 38 degrees, the mean PET score was still 113 degrees — nearly 13 degrees above the acceptable thermal comfort threshold. About half of the riders surveyed reported feeling "hot or very hot." Additionally, man-made surfaces like concrete and metal benches reached temperatures as high as 111 degrees, which is at or above the skin-burn threshold.

Psychological factors also played a role. Riders at more aesthetically pleasing bus stops felt cooler, even when there were no significant changes in the surrounding environment. This suggests that design elements such as art, vegetation, and structure can influence how people perceive heat.

Innovative Strategies in Other Cities

Phoenix is not alone in tackling this issue. In Seville, Spain, a pilot bus structure uses solar panels to power a passive cooling system that circulates water beneath the shelter, reducing temperatures by up to 36 degrees. The structure costs approximately $30,566, compared to $18,500 for standard bus shelters in Phoenix.

In Florida, researchers are using artificial intelligence to assess heat exposure at bus stops. Xiang "Jacob" Yan, an assistant professor at the University of Florida, developed a "Transit Heat Exposure Index" to determine how hot it gets for people waiting for public transit. This helps cities prioritize upgrades to the most vulnerable areas.

Testing Reflective Materials

Arizona State University collaborated with 3M to test reflective film on bus shelter roofs in Tempe, a suburb of Phoenix. The material reflected sunlight and radiated heat skyward, making the area under the shelter cooler. Riders under the shelters with the film felt 2-4 degrees cooler than those without it. However, Tempe officials paused further testing due to limited resources.

Lessons from Phoenix's Light Rail System

Phoenix's light rail system, operated by Valley Metro, offers a model for other cities. Light rail stops have both vertical and horizontal shade structures, providing coverage during late afternoon and morning hours. These stations also incorporate drought-resistant trees and vegetation. However, light rail stops are fewer in number — only 28 across the metro area — compared to thousands of bus stops. This makes it more challenging to allocate resources for every single stop.

City-Wide Efforts and Challenges

Phoenix is evaluating a range of shade and heat mitigation strategies through partnerships with the Smart Surfaces Coalition and the National League of Cities. Valley Metro and the city also provide information on cooling centers and water locations. They distribute fans and sunscreen and train staff to recognize signs of heat illness. Last summer, the city spent about $3 million on broader heat response programs.

Despite these efforts, the system faces challenges. Heat-related emergency calls often involve individuals who have used drugs or alcohol. In 2023, 81% of the 21 deaths at bus stops involved substance use, which is significantly higher than the overall rate for heat deaths.

A Personal Perspective

Steve Drotman, an 84-year-old regular bus rider, relies on public transit due to declining vision. He chooses morning routes and wears a wide-brimmed hat to avoid the worst of the heat. However, he sometimes waits 30 minutes for a bus, searching for shade. Despite the challenges, he remains loyal to public transit.

Others are less positive. Some riders complain about late or missed buses, leading to long waits. Public transportation is also seen as slower than driving, with a 28-mile trip taking about 91 minutes. There is also a stigma that the system serves only the most vulnerable.

Phoenix's Vision for the Future

Despite these challenges, Phoenix aims to become the world's most sustainable desert city by 2050. This includes doubling the current tree and shade canopy to cover 25% of the city. Research shows that trees provide greater cooling benefits than shelters, reducing the risk of extreme heat.

During the record-breaking 2023 summer, a study in Tucson found that ground temperatures at bus stops without shade reached 124 degrees, while those with tree shade reached 108 degrees. This 16-degree difference can be critical for survival.

As Phoenix continues to improve its infrastructure, the goal is to ensure that all residents, especially those who rely on public transit, can navigate the city safely and comfortably. Every action taken to address heat exposure is a step toward a more equitable and sustainable future.

Thursday, August 21, 2025

8 Hidden Heat Stroke Warning Signs Doctors Can't Ignore

8 Hidden Heat Stroke Warning Signs Doctors Can't Ignore

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Understanding Heat Stroke: Causes, Symptoms, and Immediate Actions

There are few things that feel better than a brisk walk outside on a warm, sunny day. However, if you're working hard in sweltering temperatures, you may be putting yourself at risk for heat stroke. While it does take time for heat exhaustion to develop into heat stroke, knowing the possible heat stroke symptoms can be the difference between staying safe and healthy and putting your body in a dangerous position.

Heat exhaustion and heat stroke are similar but have some key differences. Heat exhaustion comes down to a couple of factors: exposure to uncomfortably high temperatures over several days and a lack of fluids. This can lead to lots of sweating, rapid breathing, and a fast but weak pulse.

Types of Heat Stroke

There are two forms of heat stroke, explained by J. Luke Pryor, Ph.D., A.T.C., C.S.C.S., a kinesiologist and researcher in the Hydration, Exercise, and Thermoregulation Laboratory in the Department of Exercise and Nutrition Sciences at the University of Buffalo.

Classic Heat Stroke

Classic heat stroke generally comes on gradually and affects very young and elderly people who have trouble maintaining their core body temperature. People who don’t have a way of cooling down—say, folks who live in a building without air conditioning during a heat wave—are also at risk of classic heat stroke. In these instances, the person may not realize they’ve become hot because their body temperature is steadily rising over many hours or days.

Exertional Heat Stroke

Exertional heat stroke is more sudden and occurs in people who are active in high temperatures. In fact, heat-related illness can come on within hours on particularly hot and humid days. It can affect anyone exercising in the heat, but those who are doing strenuous activity—such as endurance athletes (like runners and soccer players), football players (who sweat it out in stifling equipment), and laborers (like construction workers)—face the highest risk.

“When we begin to exercise, we produce an incredible amount of heat,” Pryor explained. Typically, our sweat cools us down, but with exertional heat stroke, that doesn’t happen. When your organs overheat (which can occur during outdoor workouts on sweltering days) your body’s temperature-control center can malfunction.

So in turn, your internal temperature rises—and when it reaches 104 or 105°F, that’s when things start to get really dangerous. When you get that hot, the cells inside of your intestines get damaged, which can leak toxic substances into your blood and cause multiple organs to fail, Pryor said.

8 Heat Stroke Symptoms to Look For

How do you know if you're dealing with heat stroke? Experiencing one or more of these signs means it's time to take action.

  1. High Body Temperature
    If your body temperature hits 104°F or higher, you could be dealing with heat stroke. If you take someone’s temperature and it’s lower than that—but they still exhibit other heat stroke symptoms or feel that something is wrong—you should still do what you can to cool them down and get medical help.

  2. Muscle Cramps
    Also known as heat cramps, muscle cramps can be one of the earliest symptoms of heat-related illness during exercise. You may experience painful spasms—particularly in your legs, arms, or abdomen—when you sweat it out in high heat.

  3. A Lack of Sweat—or an Abundance of It
    When you spend a long time in extreme heat, your body stops trying to maintain its core internal temperature. So during traditional heat stroke, you may actually stop sweating. However, you’ll probably start sweating like crazy if you’re experiencing exertional heat stroke.

  4. Confusion or Trouble Walking
    Exertional heat stroke throws your central nervous system out of whack, so a lack of coordination, confusion, aggression, or the inability to walk are huge red flags.

  5. A Poundin Headache
    A throbbing headache is another common sign of heat stroke. This symptom is typically due to dehydration or the overall impact heat stroke has on the central nervous system.

  6. Dizziness, Nausea, or Vomiting
    As you continue to sweat, your body will become increasingly dehydrated. The heat will start to affect various organs, all of which can exacerbate any of the heat stroke symptoms on this list and can lead to dizziness, fainting, nausea, or vomiting.

  7. Skin Redness
    In instances of both traditional and exertional heat stroke, the body directs blood flow toward the skin as it tries to cool itself down, making it appear red.

  8. Elevated Heart Rate or Trouble Breathing
    Your heart is put under an immense amount of stress when you overheat. Why? It needs to pump harder and faster to make sure your body’s natural cooling systems are working to keep your temperature balanced.

What to Do If You Think Someone Has Heat Stroke

The best thing you can do is rapidly and aggressively cool the person down while you wait for help to arrive. Here are a few measures he said you can take:

  • Move the person to a cooler place. Get them out of the sun and into the shade or a cool room indoors.
  • Fill a tub with ice water and have the person soak for 15 to 20 minutes.
  • If a tub is not available, hose them down with cold water, pour a bottle of water over their body, or take them to a nearby lake, river, or anywhere with cool water.
  • Get them to drink water or a sports drink. This might be difficult if the person is extremely light-headed, confused, and irritable, so you might need to wait until they cool down before they can tolerate fluids.