|Part of the nature series|
A heat wave is a period of excessively hot weather, which may be accompanied by high humidity, especially in oceanic climate countries. While definitions vary, a heat wave is measured relative to the usual weather in the area and relative to normal temperatures for the season. Temperatures that people from a hotter climate consider normal can be termed a heat wave in a cooler area if they are outside the normal climate pattern for that area.
The term is applied both to hot weather variations and to extraordinary spells of hot which may occur only once a century. Severe heat waves have caused catastrophic crop failures, thousands of deaths from hyperthermia, and widespread power outages due to increased use of air conditioning. A heat wave is considered extreme weather, and a danger because heat and sunlight may overheat the human body. Heat waves can usually be detected using forecasting instruments so that a warning call can be issued.
A definition based on Frich et al.'s Heat Wave Duration Index is that a heat wave occurs when the daily maximum temperature of more than five consecutive days exceeds the average maximum temperature by 5 °C (9 °F), the normal period being 1961–1990.
In the Netherlands, a heat wave is defined as a period of at least 5 consecutive days in which the maximum temperature in De Bilt exceeds 25 °C (77 °F), provided that on at least 3 days in this period the maximum temperature in De Bilt exceeds 30 °C (86 °F). This definition of a heat wave is also used in Belgium and Luxembourg.
In Denmark, a national heat wave (hedebølge) is defined as a period of at least 3 consecutive days of which period the average maximum temperature across more than fifty percent of the country exceeds 28 °C (82.4 °F) – the Danish Meteorological Institute further defines a "warmth wave" (varmebølge) when the same criteria are met for a 25 °C (77.0 °F) temperature, while in Sweden, a heat wave is defined as at least 5 days in a row with a daily high exceeding 25 °C (77.0 °F).
In the United States, definitions also vary by region; however, a heat wave is usually defined as a period of at least two or more days of excessively hot weather. In the Northeast, a heat wave is typically defined as three consecutive days where the temperature reaches or exceeds 90 °F (32.2 °C), but not always as this ties in with humidity levels to determine a heat index threshold. The same does not apply to drier climates. A heat storm is a Californian term for an extended heat wave. Heat storms occur when the temperature reaches 100 °F (37.8 °C) for three or more consecutive days over a wide area (tens of thousands of square miles). The National Weather Service issues heat advisories and excessive heat warnings when unusual periods of hot weather are expected.
In Adelaide, South Australia, a heat wave is defined as five consecutive days at or above 35 °C (95 °F), or three consecutive days at or over 40 °C (104 °F). The Australian Bureau of Meteorology defines a heat wave as "three days or more of maximum and minimum temperatures that are unusual for the location". Until the introduction of this new Pilot Heatwave Forecast there was no national definition that described heatwave or measures of heatwave severity.
In the United Kingdom, the Met Office operates a Heat Health Watch system which places each Local Authority region into one of four levels. Heatwave conditions are defined by the maximum daytime temperature and minimum nighttime temperature rising above the threshold for a particular region. The length of time spent above that threshold determines the particular level. Level 1 is normal summer conditions. Level 2 is reached when there is a 60% or higher risk that the temperature will be above the threshold levels for two days and the intervening night. Level 3 is triggered when the temperature has been above the threshold for the preceding day and night, and there is a 90% or higher chance that it will stay above the threshold in the following day. Level 4 is triggered if conditions are more severe than those of the preceding three levels. Each of the first three levels is associated with a particular state of readiness and response by the social and health services, and Level 4 is associated with more widespread response.
A more general indicator that allows comparing heat waves in different regions of the World, characterized by different climates, has been recently developed.  This was used to estimate heat waves occurrence at the global scale from 1901 to 2010, finding a substantial and sharp increase in the amount of affected areas in the last two decades. 
Heat waves form when high pressure aloft (from 10,000–25,000 feet (3,000–7,600 metres)) strengthens and remains over a region for several days up to several weeks. This is common in summer (in both Northern and Southern Hemispheres) as the jet stream 'follows the sun'. On the equator side of the jet stream, in the upper layers of the atmosphere, is the high pressure area.
Summertime weather patterns are generally slower to change than in winter. As a result, this upper level high pressure also moves slowly. Under high pressure, the air subsides (sinks) toward the surface, warming and drying adiabatically. This warmer sinking air creates a high level inversion that acts as a dome capping the atmosphere, inhibiting convection, thereby trapping high humidity warm air below it. Typically, convection is present along the periphery of the cap where the pressure becomes less. This peripheral convection, however, can add to the high pressure dome by ventilating the upper level outflow of the thunderstorms into it. The end result is a continual build-up of heat at the surface that people experience as a heat wave.
In the Eastern United States a heat wave can occur when a high pressure system originating in the Gulf of Mexico becomes stationary just off the Atlantic Seaboard (typically known as a Bermuda High). Hot humid air masses form over the Gulf of Mexico and the Caribbean Sea while hot dry air masses form over the desert Southwest and northern Mexico. The SW winds on the back side of the High continue to pump hot, humid Gulf air northeastward resulting in a spell of hot and humid weather for much of the Eastern States.
In the Western Cape Province of South Africa, a heat wave can occur when a low pressure offshore and high pressure inland combine to form a Bergwind. The air warms as it descends from the Karoo interior, and the temperature will rise about 10 °C from the interior to the coast. Humidities are usually very low, and the temperatures can be over 40 °C in summer. The highest official temperatures recorded in South Africa (51.5 °C) was recorded one summer during a bergwind occurring along the Eastern Cape coastline.
|80 °F (27 °C)||82 °F (28 °C)||84 °F (29 °C)||86 °F (30 °C)||88 °F (31 °C)||90 °F (32 °C)||92 °F (33 °C)||94 °F (34 °C)||96 °F (36 °C)||98 °F (37 °C)||100 °F (38 °C)||102 °F (39 °C)||104 °F (40 °C)||106 °F (41 °C)||108 °F (42 °C)||110 °F (43 °C)|
|40%||80 °F (27 °C)||81 °F (27 °C)||83 °F (28 °C)||85 °F (29 °C)||88 °F (31 °C)||91 °F (33 °C)||94 °F (34 °C)||97 °F (36 °C)||101 °F (38 °C)||105 °F (41 °C)||109 °F (43 °C)||114 °F (46 °C)||119 °F (48 °C)||124 °F (51 °C)||130 °F (54 °C)||136 °F (58 °C)|
|45%||80 °F (27 °C)||82 °F (28 °C)||84 °F (29 °C)||87 °F (31 °C)||89 °F (32 °C)||93 °F (34 °C)||96 °F (36 °C)||100 °F (38 °C)||104 °F (40 °C)||109 °F (43 °C)||114 °F (46 °C)||119 °F (48 °C)||124 °F (51 °C)||130 °F (54 °C)||137 °F (58 °C)|
|50%||81 °F (27 °C)||83 °F (28 °C)||85 °F (29 °C)||88 °F (31 °C)||91 °F (33 °C)||95 °F (35 °C)||99 °F (37 °C)||103 °F (39 °C)||108 °F (42 °C)||113 °F (45 °C)||118 °F (48 °C)||124 °F (51 °C)||131 °F (55 °C)||137 °F (58 °C)|
|55%||81 °F (27 °C)||84 °F (29 °C)||86 °F (30 °C)||89 °F (32 °C)||93 °F (34 °C)||97 °F (36 °C)||101 °F (38 °C)||106 °F (41 °C)||112 °F (44 °C)||117 °F (47 °C)||124 °F (51 °C)||130 °F (54 °C)||137 °F (58 °C)|
|60%||82 °F (28 °C)||84 °F (29 °C)||88 °F (31 °C)||91 °F (33 °C)||95 °F (35 °C)||100 °F (38 °C)||105 °F (41 °C)||110 °F (43 °C)||116 °F (47 °C)||123 °F (51 °C)||129 °F (54 °C)||137 °F (58 °C)|
|65%||82 °F (28 °C)||85 °F (29 °C)||89 °F (32 °C)||93 °F (34 °C)||98 °F (37 °C)||103 °F (39 °C)||108 °F (42 °C)||114 °F (46 °C)||121 °F (49 °C)||128 °F (53 °C)||136 °F (58 °C)|
|70%||83 °F (28 °C)||86 °F (30 °C)||90 °F (32 °C)||95 °F (35 °C)||100 °F (38 °C)||105 °F (41 °C)||112 °F (44 °C)||119 °F (48 °C)||126 °F (52 °C)||134 °F (57 °C)|
|75%||84 °F (29 °C)||88 °F (31 °C)||92 °F (33 °C)||97 °F (36 °C)||103 °F (39 °C)||109 °F (43 °C)||116 °F (47 °C)||124 °F (51 °C)||132 °F (56 °C)|
|80%||84 °F (29 °C)||89 °F (32 °C)||94 °F (34 °C)||100 °F (38 °C)||106 °F (41 °C)||113 °F (45 °C)||121 °F (49 °C)||129 °F (54 °C)|
|85%||85 °F (29 °C)||90 °F (32 °C)||96 °F (36 °C)||102 °F (39 °C)||110 °F (43 °C)||117 °F (47 °C)||126 °F (52 °C)||135 °F (57 °C)|
|90%||86 °F (30 °C)||91 °F (33 °C)||98 °F (37 °C)||105 °F (41 °C)||113 °F (45 °C)||122 °F (50 °C)||131 °F (55 °C)|
|95%||86 °F (30 °C)||93 °F (34 °C)||100 °F (38 °C)||108 °F (42 °C)||117 °F (47 °C)||127 °F (53 °C)|
|100%||87 °F (31 °C)||95 °F (35 °C)||103 °F (39 °C)||112 °F (44 °C)||121 °F (49 °C)||132 °F (56 °C)|
The heat index (as shown in the table above) is a measure of how hot it feels when relative humidity is factored with the actual air temperature. Hyperthermia, also known as heat stroke, becomes commonplace during periods of sustained high temperature and humidity. Sweating is absent from 84–100% of those affected. Older adults, very young children, and those who are sick or overweight are at a higher risk for heat-related illness. The chronically ill and elderly are often taking prescription medications (e.g., diuretics, anticholinergics, antipsychotics, and antihypertensives) that interfere with the body's ability to dissipate heat.
Heat edema presents as a transient swelling of the hands, feet, and ankles and is generally secondary to increased aldosterone secretion, which enhances water retention. When combined with peripheral vasodilation and venous stasis, the excess fluid accumulates in the dependent areas of the extremities. The heat edema usually resolves within several days after the patient becomes acclimated to the warmer environment. No treatment is required, although wearing support stocking and elevating the affected legs with help minimize the edema.
Heat rash, also known as prickly heat, is a maculopapular rash accompanied by acute inflammation and blocked sweat ducts. The sweat ducts may become dilated and may eventually rupture, producing small pruritic vesicles on an erythematous base. Heat rash affects areas of the body covered by tight clothing. If this continues for a duration of time it can lead to the development of chronic dermatitis or a secondary bacterial infection. Prevention is the best therapy. It is also advised to wear loose-fitting clothing in the heat. However, once heat rash has developed, the initial treatment involves the application of chlorhexidine lotion to remove any desquamated skin. The associated itching may be treated with topical or systemic antihistamines. If infection occurs a regimen of antibiotics is required.
Heat cramps are painful, often severe, involuntary spasms of the large muscle groups used in strenuous exercise. Heat cramps tend to occur after intense exertion. They usually develop in people performing heavy exercise while sweating profusely and replenishing fluid loss with non-electrolyte containing water. This is believed to lead to hyponatremia that induces cramping in stressed muscles. Rehydration with salt-containing fluids provides rapid relief. Patients with mild cramps can be given oral .2% salt solutions, while those with severe cramps require IV isotonic fluids. The many sport drinks on the market are a good source of electrolytes and are readily accessible.
Heat syncope is related to heat exposure that produces orthostatic hypotension. This hypotension can precipitate a near-syncopal episode. Heat syncope is believed to result from intense sweating, which leads to dehydration, followed by peripheral vasodilation and reduced venous blood return in the face of decreased vasomotor control. Management of heat syncope consists of cooling and rehydration of the patient using oral rehydration therapy (sport drinks) or isotonic IV fluids. People who experience heat syncope should avoid standing in the heat for long periods of time. They should move to a cooler environment and lie down if they recognize the initial symptoms. Wearing support stockings and engaging in deep knee-bending movements can help promote venous blood return.
Heat exhaustion is considered by experts to be the forerunner of heat stroke (hyperthermia). It may even resemble heat stroke, with the difference being that the neurologic function remains intact. Heat exhaustion is marked by excessive dehydration and electrolyte depletion. Symptoms may include diarrhea, headache, nausea and vomiting, dizziness, tachycardia, malaise, and myalgia. Definitive therapy includes removing patients from the heat and replenishing their fluids. Most patients will require fluid replacement with IV isotonic fluids at first. The salt content is adjusted as necessary once the electrolyte levels are known. After discharge from the hospital, patients are instructed to rest, drink plenty of fluids for 2–3 hours, and avoid the heat for several days. If this advice is not followed it may then lead to heat stroke.
One public health measure taken during heat waves is the setting-up of air-conditioned public cooling centers.
The examples and perspective in this section may not represent a worldwide view of the subject. (July 2015) (Learn how and when to remove this template message)
Heat waves are the most lethal type of weather phenomenon in the United States. Between 1992 and 2001, deaths from excessive heat in the United States numbered 2,190, compared with 880 deaths from floods and 150 from hurricanes. The average annual number of fatalities directly attributed to heat in the United States is about 400. The 1995 Chicago heat wave, one of the worst in US history, led to approximately 739 heat-related deaths over a period of five days. Eric Klinenberg has noted that in the United States, the loss of human life in hot spells in summer exceeds that caused by all other weather events combined, including lightning, rain, floods, hurricanes, and tornadoes. Despite the dangers, Scott Sheridan, professor of geography at Kent State University, found that less than half of people 65 and older abide by heat-emergency recommendations like drinking lots of water. In his study of heat-wave behavior, focusing particularly on seniors in Philadelphia, Phoenix, Toronto, and Dayton, Ohio, he found that people over 65 "don't consider themselves seniors." One of his older respondents said: "Heat doesn't bother me much, but I worry about my neighbors."
According to the Agency for Health care Research and Quality, about 6,200 Americans are hospitalized each summer due to excessive heat, and those at highest risk are poor, uninsured or elderly. More than 70,000 Europeans died as a result of the 2003 European heat wave. Concern is now focusing on predicting the future likelihood of heat waves and their severity. In addition, because in most of the world most of those suffering the impacts of a heat wave will be inside a building, and this will modify the temperatures they are exposed to, there is the need to link climate models to building models. This means producing example time series of future weather. Other work has shown that future mortality due to heat waves could be reduced if buildings were better designed to modify the internal climate, or the occupants better educated about the issues, so they took action in time.
The number of heat fatalities is likely highly underreported due to lack of reports and misreports. Part of the mortality observed during a heat wave, however, can be attributed to a so-called "harvesting effect", a term for a short-term forward mortality displacement. It has been observed that for some heat waves, there is a compensatory decrease in overall mortality during the subsequent weeks after a heat wave. Such compensatory reduction in mortality suggests that heat affects especially those so ill that they "would have died in the short term anyway".
Another explanation for underreporting is the social attenuation in most contexts of heat waves as a health risk. As shown by the deadly French heat wave in 2003, heat wave dangers result from the intricate association of natural and social factors.
In addition to physical stress, excessive heat causes psychological stress, to a degree which affects performance, and is also associated with an increase in violent crime. High temperatures are associated with increased conflict both at the interpersonal level and at the societal level. In every society, crime rates go up when temperatures go up, particularly violent crimes such as assault, murder, and rape. Furthermore, in politically unstable countries, high temperatures are an aggravating factor that lead toward civil wars.
Additionally, high temperatures have a significant effect on income. A study of counties in the United States found that economic productivity of individual days declines by about 1.7% for each degree Celsius above 15 °C (59 °F).
Abnormally hot temperatures cause electricity demand to increase during the peak summertime hours of 4 to 7 p.m. when air conditioners are straining to overcome the heat. If a hot spell extends to three days or more, however, nighttime temperatures do not cool down, and the thermal mass in homes and buildings retains the heat from previous days. This heat build-up causes air conditioners to turn on earlier and to stay on later in the day. As a result, available electricity supplies are challenged during a higher, wider, peak electricity consumption period.
Heat waves often lead to electricity spikes due to increased air conditioning use, which can create power outages, exacerbating the problem. During the 2006 North American heat wave, thousands of homes and businesses went without power, especially in California. In Los Angeles, electrical transformers failed, leaving thousands without power for as long as five days. The 2009 South Eastern Australia Heat Wave caused the city of Melbourne, Australia to experience some major power disruptions which left over half a million people without power as the heat wave blew transformers and overloaded a power grid.
If a heat wave occurs during a drought, which dries out vegetation, it can contribute to bushfires and wildfires. During the disastrous heat wave that struck Europe in 2003, fires raged through Portugal, destroying over 3,010 square kilometres (1,160 sq mi) or 301,000 hectares (740,000 acres) of forest and 440 square kilometres (170 sq mi) or 44,000 hectares (110,000 acres) of agricultural land and causing an estimated €1 billion worth of damage. High end farmlands have irrigation systems to back up crops with.
Heat waves can and do cause roads and highways to buckle and melt, water lines to burst, and power transformers to detonate, causing fires. See the 2006 North American heat wave article about heat waves causing physical damage.
Heat waves can also damage rail roads, such as buckling and kinking rails, which can lead to slower traffic, delays, and even cancellations of service when rails are too dangerous to traverse by trains. Sun kinking is caused when certain types of rail design like short section rails welded together or fish plate rails expand and push on other sections of rail causing them to warp and kink. Sun kinking can be a serious problem in hotter climates like Southern USA, parts of Canada, the Middle East, etc.