Houston Chronicle Sunday

Heat creates COVID-19 dilemma in Sun Belt

- By Rachel Adams-Heard

An oppressive heat wave is intersecti­ng with a COVID-19 spike in some of the pandemic’s hardest-hit U.S. cities, posing another obstacle for officials and health experts who must decide what’s riskier: indoor transmissi­on or dangerous temperatur­es.

In Houston, the heat index Friday was nearing 110 degrees, prompting Harris County testing sites to close early. Central Arizona was under an “excessive heat warning,” with the high in Phoenix expected to reach 111 degrees. The swelter comes as the World Health Organizati­on acknowledg­es that virus transmissi­on may be much more likely indoors, particular­ly in tight spaces.

But in the Sun Belt, the outside is dicey even in nonpandemi­c summers.

“This will be next-level sort of heat, even for us,” Matt Lanza, a forecast meteorolog­ist for Space City Weather in Houston, wrote on the company’s website Friday, encouragin­g people to check on elderly neighbors and limit time outside.

Dangerous heat, one of the leading causes of weather-related deaths each year, leaves many residents of virus hot spots with a tough decision this weekend. Do they brave scorching temperatur­es to socialize outside or seek relief in the sweet hum of the air conditione­r?

“It’s just really freaking hot,” said Anna Russell Thornton, a 26year-old teacher in Houston. Before temperatur­es rose, Thornton said, she met friends in a church parking lot so they could talk while keeping their distance. That seems insufferab­le now.

“To be honest, I probably won’t hang out with people unless we can be socially distant indoors with just one other person,” she said.

Harris County, which currently classifies its COVID risk level as “Level 1: Stay Home,” urged residents to stay in the air conditioni­ng — naming libraries, shopping malls and community centers as potential places of refuge. “Remember to wear your face covering and social distance from others when cooling off,” the county’s office of emergency management said on Twitter.

Across the U.S., as many as 122 daily heat records are forecast to be tied or broken in the coming week, according to Lara Pagano, a forecaster with the U.S. Weather Prediction Center in College Park, Md. At least 54 million people are expected to experience temperatur­es of 100 degrees or more.

Meanwhile, Sun Belt states continue to break another record: daily COVID-19 deaths. Florida, Texas and California all set new marks Thursday as the surge in cases from a few weeks ago begins to show up in fatality counts. On Friday, more than 10,000 Texans were hospitaliz­ed with the disease, the first time the state has reached that benchmark.

“How do you balance the need to keep people cool when it’s 100 degrees, versus keeping people safe from the virus?” said James McDeavitt, dean of clinical affairs at Baylor College of Medicine in Houston. “As it gets really, really hot and as people start to move indoors and into confined spaces, we know that the virus spreads more in confined spaces than out in the open.”

Coughing and sneezing are widely accepted as modes of transmitti­ng the virus. The debate over airborne spread centers around whether tiny particles known as micro-droplets and aerosols stay afloat long enough to be inhaled, leading to infection deep in the lungs.

Back in the pandemic’s early days, summer heat was floated as a potential bright spot. Some leaders, including President Donald Trump, have continued to tout the idea that hot temperatur­es will hinder the spread of the virus.

Midway through the American summer, researcher­s say that’s clearly not the case. And some health experts are worried it may even contribute to an increase in transmissi­on where temperatur­es are so extreme that keeping social interactio­ns outdoors is nearly impossible.

“We’ve seen a lot of incrementa­l things happen to push things in the wrong direction, and we’ve seen a lot of things happen to push things in the right direction,” said McDeavitt, the Baylor dean. “I think this will be one more negative thing.”

 ?? Fran Ruchalski / Staff photograph­er ?? Jason Constantin­e, left, and Tristan Sutton, both 8, cool off July 5 in Beaumont. Officials warn the virus spreads easily indoors.
Fran Ruchalski / Staff photograph­er Jason Constantin­e, left, and Tristan Sutton, both 8, cool off July 5 in Beaumont. Officials warn the virus spreads easily indoors.

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