As heat records fall, how hot is too hot for the human body?

Extreme heat has been breaking records across Europe^[1], Asia^[2] and North America^[3], with millions of people sweltering in heat and humidity well above “normal” for days on end.

Death Valley hit a temperature of 128 degrees Fahrenheit^[4] (53.3 degrees Celsius) on July 16, 2023 – not quite the world’s hottest day on record, but close. Phoenix broke a record heat streak with 19 straight days^[5] with temperatures above 110 F (43.3 C), accompanied by a long string of nights that never got below 90 F (32.2 C), leaving little opportunity for people without air conditioning to cool down. Globally, Earth likely had its hottest week on modern record^[6] in early July.

Heat waves are becoming supercharged as the climate changes^[7] – lasting longer, becoming more frequent and getting just plain hotter.

One question a lot of people are asking is: “When will it get too hot for normal daily activity as we know it, even for young, healthy adults?”

The answer goes beyond the temperature you see on the thermometer. It’s also about humidity. Our^[8] research^[9] is designed to come up with the combination of the two, measured as “wet-bulb temperature.” Together, heat and humidity put people at greatly increased risk, and the combination gets dangerous at lower levels^[10] than scientists previously believed.

The limits of human adaptability

Scientists and other observers have become alarmed about the increasing frequency of extreme heat paired with high humidity.

In the Middle East, Asaluyeh, Iran, recorded an extremely dangerous maximum wet-bulb temperature^[12] of 92.7 F (33.7 C) on July 16, 2023^[13] – above our measured upper limit of human adaptability to humid heat. India^[14] and Pakistan^[15] have both come close, as well.

People often point to a study published in 2010^[16] that theorized that a wet-bulb temperature of 95 F (35 C) – equal to a temperature of 95 F at 100% humidity, or 115 F at 50% humidity – would be the upper limit of safety, beyond which the human body can no longer cool itself by evaporating sweat from the surface of the body to maintain a stable body core temperature.

It was not until recently that this limit was tested on humans in laboratory settings. The results of these tests show an even greater cause for concern.

The PSU H.E.A.T. Project

To answer the question of “how hot is too hot?” we brought young, healthy men and women into the Noll Laboratory at Penn State University^[17] to experience heat stress in a controlled environmental chamber.

These experiments provide insight into which combinations of temperature and humidity begin to become harmful for even the healthiest humans.

Each participant swallowed a small telemetry pill^[20] that continuously monitored their deep body or core temperature. They then sat in an environmental chamber, moving just enough to simulate the minimal activities of daily living, such as showering, cooking and eating. Researchers slowly increased either the temperature in the chamber or the humidity in hundreds of separate experiments and monitored when the subject’s core temperature started to rise.

That combination of temperature and humidity at which the person’s core temperature starts to continuously rise is called the “critical environmental limit^[21].”

Below those limits, the body is able to maintain a relatively stable core temperature over long periods of time. Above those limits, core temperature rises continuously and the risk of heat-related illnesses with prolonged exposures is increased.

When the body overheats, the heart has to work harder to pump blood flow to the skin to dissipate the heat, and when you’re also sweating, that decreases body fluids. In the direst case, prolonged exposure can result in heat stroke, a life-threatening problem that requires immediate and rapid cooling and medical treatment.

Our studies on young healthy men and women show that this upper environmental limit is even lower^[22] than the theorized 35 C. It occurs at a wet-bulb temperature of about 87 F (31 C) across a range of environments above 50% relative humidity. That would equal 87 F at 100% humidity or 100 F (38 C) at 60% humidity.

Dry vs. humid environments

Current heat waves around the globe are exceeding those critical environmental limits, and approaching, if not exceeding, even the theorized 95 F (35 C) wet-bulb limits.

In hot, dry environments the critical environmental limits aren’t defined by wet-bulb temperatures, because almost all the sweat the body produces evaporates, which cools the body. However, the amount humans can sweat is limited, and we also gain more heat from the higher air temperatures.

Keep in mind that these cutoffs are based solely on keeping your body temperature from rising excessively. Even lower temperatures and humidity can place stress on the heart and other body systems.

A recent paper from our laboratory showed that heart rate begins to increase^[24] well before our core temperature does, as we pump blood to the skin. And while eclipsing these limits does not necessarily present a worst-case scenario, prolonged exposure may become dire for vulnerable populations such as the elderly and those with chronic diseases.

Our experimental focus has now turned to testing older men and women, since even healthy aging makes people less heat-tolerant. The increased prevalence of heart disease, respiratory problems and other health problems, as well as certain medications, can put them at even higher risk of harm. People over the age of 65 comprise some 80% to 90% of heat wave casualties^[25].

How to stay safe

Staying well hydrated and seeking areas in which to cool down – even for short periods – are important in high heat.

While more cities in the United States are expanding cooling centers^[26] to help people escape the heat, there will still be many people who will experience these dangerous conditions with no way to cool themselves^[27].

Even those with access to air conditioning might not turn it on because of the high cost of energy^[28] – a common occurrence in Phoenix – or because of large-scale power outages^[29] during heat waves or wildfires, as is becoming more common in the western U.S.

All told, the evidence continues to mount that climate change is not just a problem for the future. It is one that humanity is currently facing and must tackle head-on.

This is an update to an article originally published^[30] July 6, 2022.

References

1. ^{^} across Europe (www.copernicus.eu)
2. ^{^} Asia (www.dw.com)
3. ^{^} North America (www.cnn.com)
4. ^{^} 128 degrees Fahrenheit (twitter.com)
5. ^{^} 19 straight days (www.azcentral.com)
6. ^{^} hottest week on modern record (public.wmo.int)
7. ^{^} becoming supercharged as the climate changes (doi.org)
8. ^{^} Our (scholar.google.com)
9. ^{^} research (scholar.google.com)
10. ^{^} gets dangerous at lower levels (doi.org)
11. ^{^} Mark Wilson/Getty Images (www.gettyimages.com)
12. ^{^} maximum wet-bulb temperature (www.weather.gov)
13. ^{^} July 16, 2023 (twitter.com)
14. ^{^} India (www.indiatimes.com)
15. ^{^} Pakistan (www.telegraph.co.uk)
16. ^{^} study published in 2010 (doi.org)
17. ^{^} Noll Laboratory at Penn State University (hhd.psu.edu)
18. ^{^} Patrick Mansell/Penn State (www.psu.edu)
19. ^{^} CC BY-NC-ND (creativecommons.org)
20. ^{^} telemetry pill (www.nasa.gov)
21. ^{^} critical environmental limit (doi.org)
22. ^{^} is even lower (doi.org)
23. ^{^} CC BY-ND (creativecommons.org)
24. ^{^} heart rate begins to increase (pubmed.ncbi.nlm.nih.gov)
25. ^{^} 80% to 90% of heat wave casualties (doi.org)
26. ^{^} cooling centers (www.cdc.gov)
27. ^{^} no way to cool themselves (www.latimes.com)
28. ^{^} high cost of energy (dx.doi.org)
29. ^{^} large-scale power outages (apnews.com)
30. ^{^} originally published (theconversation.com)