The California Department of Health has issued an All Facilities Letter to all long-term care health facilities, reminding them of the importance of monitoring weather predictions for extreme temperatures and ensuring appropriate air conditioning equipment is operating effectively. The letter emphasizes that the elderly and health-compromised individuals are more susceptible to extreme temperatures and dehydration. Facilities must have contingency plans in place for loss of air conditioning or when no air conditioning is available, and should use portable fans and other temporary cooling devices when necessary. Recommended measures include dressing in lightweight clothing, staying hydrated, minimizing physical activities during the hottest parts of the day, and using cool compresses, misting, showers, and baths. Staff should be alert to adverse changes in patient conditions that may be heat-related and develop a system to monitor hydration status. Facilities must report any emergency or disaster-related occurrences that threaten patient welfare, safety, or health to the Department of Public Health.

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