As dangerously high temperatures continue across the region, Central Jersey Hatzolah Medical Director Dr. Josh Schwarzbaum has issued a medical directive urging the public to take extra precautions before and during the upcoming fast to reduce the risk of dehydration and heat-related illness.

The advisory encourages residents to begin hydrating well in advance by drinking plenty of water and electrolyte-containing fluids throughout the day before the fast. Dr. Schwarzbaum also recommends eating balanced, nutrient-rich meals that include complex carbohydrates, lean proteins, fruits and vegetables with high water content, and foods naturally rich in electrolytes, while avoiding excessive caffeine, alcohol, sugary drinks, and heavily processed or salty foods that can contribute to dehydration. Anyone taking medications is advised to consult their healthcare provider before making changes, as some medications should not be taken without food or fluids and others may increase the risk of dehydration.

During the fast, Central Jersey Hatzolah advises people to stay indoors in air-conditioned or well-ventilated spaces whenever possible, avoid direct sunlight, minimize physical activity, and rest during the hottest part of the day. Those without air conditioning are encouraged to identify a nearby cooling location in advance.

The medical directive notes that older adults, young children, pregnant women, individuals with chronic medical conditions, outdoor workers, people with a history of heat-related illness, and those living alone are at greater risk and should take extra precautions—or consider whether fasting is medically appropriate this year.

The advisory also reminds the public to watch for signs of heat exhaustion, including heavy sweating, dizziness, weakness, nausea, muscle cramps, pale clammy skin, and a rapid weak pulse. Symptoms of heat stroke—including a body temperature of 104°F or higher, confusion, loss of consciousness, hot dry skin, seizures, or a strong rapid pulse—require immediate emergency medical attention.

Central Jersey Hatzolah is urging everyone to check on elderly neighbors, relatives, and others living alone, closely monitor children, never leave children, elderly individuals, or pets inside parked vehicles, and call Hatzolah immediately if anyone appears confused, disoriented, or otherwise unwell because of the heat.