Summer's First Heat Wave

This episode of "Start Here" by ABC News delves into the escalating issue of heat waves across the US, exploring their intensity and potential links to climate change.

1. Heat waves are becoming more frequent, intense, and prolonged, a trend consistent with climate change predictions.
2. Current heat dome in the US is expected to cause record-breaking temperatures across multiple states.
3. The Supreme Court is poised to make significant rulings on several major issues, including presidential immunity and abortion.
4. Counterfeit weight loss drugs pose serious health risks, highlighted by recent warnings from health authorities.
5. Public needs to be vigilant about the symptoms of heat-related illnesses like heat stroke, which can escalate rapidly to dangerous levels.

1: Introduction

The episode begins with a discussion on the worsening scale of heat waves, indicating a shift in climate patterns. Ann Flaherty: "Is it just summer weather or are heat waves getting worse?"

2: Heat Wave Analysis

Meteorologist Ginger Z explains the science behind heat domes and their impact on weather patterns and temperature. Ginger Z: "This dome of high pressure...is trapping a lot of heat."

3: Supreme Court Decisions Preview

A look at critical pending Supreme Court rulings that could shape key aspects of US law and society. Ryan Reynolds: "They're really preparing for another blockbuster finale."

4: Health Risks of Counterfeit Medications

Discussion on the dangers of counterfeit medications, especially in the realm of weight loss drugs. Sony Salzman: "They found bacteria in some of them...some of them contained effectively nothing."

5: Preventative Health Measures

Guidance on recognizing and preventing heat stroke and the importance of being aware of the signs of heat-related illnesses. Announcer: "It can take only ten to 15 minutes for your body to go from a comfortable place to over 106 degrees."

1. Stay Informed: Keep updated with weather forecasts during heat waves to plan activities safely.
2. Hydration: Drink plenty of water before you feel thirsty to prevent dehydration.
3. Recognize Heat Illness Symptoms: Learn the signs of heat exhaustion and heat stroke; rapid intervention can save lives.
4. Avoid Counterfeit Medications: Purchase medications from reputable sources to avoid health risks.
5. Stay Prepared for Emergencies: Have a plan for staying cool during power outages or extreme heat.
6. Follow Legal Developments: Stay informed on important legal rulings that could impact your community.
7. Use Sun Protection: Wear sunscreen, hats, and light clothing to protect against sunburn and heat.
8. Check on Vulnerable Individuals: Ensure that elderly relatives or neighbors are safe during extreme heat.

The U.S. marks the start of summer with dangerous record-breaking temperatures. The Supreme Court rulings we’re still waiting for this term. And the concerns surrounding counterfeit weight loss drugs amid an ongoing shortage.

People

Ginger Z, Sony Salzman

Companies

ABC News

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Guest Name(s):

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Content Warnings:

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Ryan Reynolds
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It's Friday, June 21. Is it just summer weather or are heat waves getting worse? We start here.

Extreme heat bakes large parts of the.

Announcer
US more frequent, more intense, and longer lasting.

Ann Flaherty
What is a giant heat dome? And your other burning questions answered. The Supreme Court is saving some of its biggest decisions for last.

Ryan Reynolds
They're really preparing for another blockbuster finale.

Ann Flaherty
From Donald Trump's immunity claims to emergency abortion. We'll tell you what rulings to be on the lookout for. And it may be cheap online, but what's in it?

Sony Salzman
They said they found bacteria in some of them. You know, some of them contained effectively nothing.

Ann Flaherty
As demand surges for weight loss drugs, there's a new warning out against counterfeits.

From ABC News, this is start here. I'm Ann Flaherty.

Hey, Brad's out today, but I've got you covered. In the meantime, yesterday, the tiny town of Caribou, Maine, near the us canadian border, made national news when it issued its first ever excessive heat warning with a heat index of 103 degrees. We're lucky to live in the beautiful state of Maine, where we have lots of beautiful lakes and beaches and ponds. And it wasn't alone. Heat alerts are now in effect for more than a dozen states covering parts of the country that don't typically deal with dangerous heat. Cities like Boston and Manchester, New Hampshire, hitting record high highs of 98 degrees this week. ABC chief meteorologist Ginger Z is with us now. Ginger is the worst behind us. And how long do we expect these high temps to last?

Announcer
So it depends on who us is. If you're in New England and you were hitting some of those all time or tying your all time records, you do get a break. So after that front went through last night, you're gonna see those temperatures still warm, but nothing like the record breakers that said this dome of high pressure, which is, by the way, a real meteorological term, it's just where a bunch of sinking air is trapping a lot of heat. It doesn't move on like we usually see. It retrogrades or moves backward over the southeastern US. And so it's gonna center itself kind of on the mid south. And anybody from Oklahoma City to Little Rock, Nashville, Washington DC, as we go through the latter half of the weekend, all have a shot of breaking records.

Ann Flaherty
Her school, they don't have ac yet, so it's one of those where I.

Ryan Reynolds
Think from what she said today, they.

Ann Flaherty
Pretty much just stayed outside for the entire day.

Ryan Reynolds
Anything over like 72 degrees should be criminal.

Announcer
So we're not done with it. It just kind of moving around a bit.

Ann Flaherty
Well, and is that different from heat waves in past years? Cause I live in DC, I'm used to hot weather. I feel like heat dome is a term I had to get used to years ago because of this city. Is this different?

Announcer
No, it's not that it's different. But we are seeing as we anticipated with climate change and one of the strongest confidences we have with the impact of human emissions is confidence with the impact to heat waves. So we do see and expect more frequent, more intense and longer lasting. And that's probably why you're hearing about it, because if we brought the heat dome in and then it moved out, we wouldn't still be talking about it by next week. But I will be. Outside is hot, inside is even hotter.

Ryan Reynolds
So it's always ten degrees more.

Announcer
But yeah, it's really hard and it's trapped under that, you know, jet stream that's way up by Greenland. And that's why we've all been feeling this super summer super early.

Ann Flaherty
And then the National Weather Service even named their first storm that came through, Tropical Storm Alberto. What can you tell us about that?

Announcer
Yeah, so you know, that, by the way, is almost, compared to the last decade, a little late. But the average first named storm of the season happens on the 20 June. So we were right on time getting Alberto and the impacts, even though the storm made landfall in Mexico, were big, you know, even two to 4ft of surge. You see how much that pile of water can do to the coast. And you saw that in the south Galveston Bay, all the way down through Corpus Christi, up to ten inches of rainfall.

Ann Flaherty
It's definitely worse than I expected or I'd have been gone.

Announcer
You know, that was just with this quick moving tropical storm, this is at the beginning of what is anticipated to be a very big season. So above average season as we've left El Nino now in kind of a neutral phase, we anticipate that the wind shear is going to be less, which allows for hurricanes to not just develop, but to sustain. And we all know that the water temperatures have remained at unprecedented levels. Right now in the ocean looks more like it does at the peak of hurricane season in late August or September, when we see our hottest temperatures. And here we are only mid to late June.

Ann Flaherty
Well, and one of the things I've heard in this latest heat wave is how much more likely you are to wind up with a dead car battery or a blown out tire in the heat. What about your own body? What are some signs of heat stroke and what should people be doing to prevent that from happening?

Announcer
You know, for about two decades in my career, I read these types of things and said, this has got to just be for older folks or for young kids and all the people they say are super vulnerable.

Until two summers ago, when I was covering excessive heat, I did not think that I pushed it too hard. I was hydrated. I had no alcohol in my system for days before.

And I was nearly to the point of having to go to the hospital. Probably should have the signs and symptoms come on really fast. It can take only ten to 15 minutes for your body to go from a comfortable place to over 106 degrees. And that is where it's beyond uncomfortable and can be incredibly dangerous and get you to that heat stroke.

Ann Flaherty
We think about, you know, tornadoes and hurricanes and blizzards, things that we can see. The problem with heat, it's one of the biggest killers, and we can't see it. It's invisible.

Announcer
So if you have a severe headache, if you have dizziness, nausea, diarrhea, you can have a blistering rash that comes up. And obviously, if someone is acting confused or passes out, they are well past the point of just having a little heat illness. And I think a lot of people, myself included, have no idea how quickly that can happen. And I'm a relatively healthy, pretty, relatively young woman, and that just came over me. So I think any of those signs or symptoms need to be taken really seriously. Heat is no joke. And the other thing I'll add is when we're talking about heat and then heat stroke and then heat deaths, people will often say, well, listen, I've lived in Phoenix my whole life, or I've lived in Houston my whole life. I've done this.

Ann Flaherty
I did live in Texas for a little while, so I'm a little bit used to it.

Announcer
You haven't. That's kind of the point.

Having these long duration heat waves, like in Phoenix last year when they broke their record of 110 plus degree days and also within that had a broken record of overnight lows not going below 90 degrees. When your body doesn't have a chance to cool down, you haven't done it.

Ann Flaherty
So hydrate early, hydrate before stay in the shade. My understanding is even five degrees cooler can make a difference. Ginger Z thank you so much.

Announcer
Thank you.

Ann Flaherty
Next up on start here, what does the Supreme Court have planned for its grand finale of the term? More after the break.

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Ann Flaherty
Last fall, the Supreme Court agreed to hear some 62 cases. So far, they've weighed in on bump stocks for guns, abortion restrictions, voting maps, all big issues. But nearly a third of the cases in front of the Supreme Court have yet to be decided, or at least their decisions announced to the public. And yet, there are only few days left before the high court is expected to go into their summer recess, which means a lot of news is going to be coming fast. So to break down what could happen next, let's bring in ABC senior Washington reporter Devin Dwyer, who covers the Supreme Court for us. Devin, is this unusual to be waiting for so many cases at this point.

Ryan Reynolds
This is a really unusual year for the Supreme Court with so many major decisions, and a lot of them, Ann, were argued late in the year. It was sort of a sleeper term at the beginning in the fall, as you talked about. But, yeah, 17 cases still left to come down from the Supreme Court, more than half of those of major political and social significance. We can talk about some of those issues, but a lot is going to be packed into the next seven days or so before the justices go on their summer break and the security fencing is up around the Supreme Court. They're really preparing for another blockbuster finale.

Ann Flaherty
So what are the big cases that you're watching? What still has to be decided?

Ryan Reynolds
Well, the biggest case, arguably, of the final days here is whether or not president, former President Donald Trump has absolute immunity from criminal prosecution by special counsel Jack Smith. This is the case, of course, that was brought by the special counsel seeking to hold Trump accountable for his actions to overturn the results of the 2020 election. And what Trump has done is he said that presidents have absolute immunity from any criminal prosecution.

Ann Flaherty
Presidential immunity is imperative, or you practically won't have a country anymore.

Ryan Reynolds
This is a historic question. It's never been answered by the court.

And during all arguments, the justices were really split. They didn't seem to buy Trump's argument that he is absolutely immune. But what will they say? What part of his conduct around the 2020 election could be protected? What part could he see trial for? When will that trial happen? Huge questions, and, of course, huge questions for the presidency going forward. So we'll wait to see what they say there. A lot of big, hot button social issues. Abortion. Yes, the Supreme Court last week upheld those restrictions around the abortion pill. But what about abortion access for women in emergency situations, even in states where abortion is banned?

Ann Flaherty
The legal uncertainty that providers are facing in states like Idaho is leading ob gyns to flee states with abortion bans.

Ryan Reynolds
Can doctors use their discretion?

Must they be able to provide abortions to women in those circumstances? The court's gonna weigh in on that. The first time they've talked about an abortion ban since they overturned Roe v. Wade. Another big case, Ann, comes in the area of homelessness.

Announcer
They complain about the garbage, but they put padlocks on the dumpsters.

They complain about us being out here, but there's no place for us to go.

Ryan Reynolds
The court has not taken up an issue like this in more than 40 years. And they're answering whether cities and states trying to deal with those homeless encampments that have crowded sidewalk spaces caused blight in corners of major cities across America? Whether those cities and municipalities can punish homeless people, whether they can issue tickets and fines for people who violate camping.

Ann Flaherty
Bans, this is a difficult policy question, Justice Sotomayor. It is.

Announcer
Where do we put them if every.

Ann Flaherty
City, every village, every town lacks compassion?

Ryan Reynolds
Huge stakes in that case as cities grapple with that, another big decision involving guns.

Since 1994, the federal government has banned the ability of people under domestic violence restraining orders from possessing weapons that's fed into the background check. If you're under one of those orders.

Ann Flaherty
This statute actually ends up disarming a bunch of law abiding or otherwise good people. Access to a gun is a death sentence for women in domestic violence situations.

Ryan Reynolds
Is that constitutional? Gun rights groups? And a man named Zaki Rahimi out of Texas is challenging that, saying someone under a restraining order isn't necessarily been convicted of a crime. Yet the second Amendment still applies. Will the Supreme Court allow that ban to stand, or will they say, in fact, it's unconstitutional, opening the door now to people, potentially violent people, getting weapons? So those are just a handful of the cases I could go on and on.

Really, Ann, it's hard to really overstate the significance of what's still to come.

Ann Flaherty
And should we read anything into why they are leaving? These are huge, you know, almost culture war issues. Why are they leaving this to the very final days?

Ryan Reynolds
Well, in part, it's practicality for a bunch of different reasons. They took some of these huge issues late last year, early this year, and by virtue of accepting them late, they've scheduled them late. So some of these cases say, for example, the Trump immunity case. That was the last case they heard. That was just a few weeks ago in April. And so it takes them some time. Remember, the Supreme Court is not known for acting quickly in terms of writing these things. I mean, there's still a bit in the stone Age, if you will. They are writing things on paper. They're trading drafts. They're not sitting in a conference room or on slack drafting an opinion. So this is a back and forth that takes a long time, literally, on paper.

Ann Flaherty
Do you think there's a chance they would actually eat into their vacation, or do they tend to always take it?

Ryan Reynolds
You know, having met with these justices and covered this beat for a long time, they want to get on their summer vacation. So I will be shocked if they don't finish their work by the end of next week. That's June 28. Get out of here for the 4 July holiday. But it's not inconceivable.

During the COVID era, they, a couple terms ran into July, something they don't normally do, but that, I think at that time was really because of some of the practicalities of COVID So we should see them really hand these down. And we know Chief Justice John Roberts, who's driving this train, is a stickler for tradition and precedent. He wants to show that the court is functioning and at least getting their work done, even at this very divisive time. So I'd be shocked if this was dragged out much longer than it need be.

Ann Flaherty
Wow. A lot at stake. ABC's Devin Dwyer, thanks so much.

Ryan Reynolds
Thanks, Anne.

Ann Flaherty
The other day, I was scrolling on social media when an ad caught my eye. It was for one of those weight loss medications that everyone seemed to be talking about, the ones like Ozempic, Munjaro, Wegovi, Sepbound, that can help you shed pounds if you're struggling with obesity by curbing your appetite. My first thought was, okay, so we can buy this stuff online now, just like that. Well, turns out what the ad was trying to sell me was not the drug itself, but something like it, claiming they had the same active ingredient for a fraction of the price. And as you can imagine, the companies that make these drugs aren't staying quiet about this. Buyer beware. These popular weight loss medications can be hard to find and expensive. And now Eli Lilly, pending an open letter urging caution for people, let's turn to Sony Salzman from ABC's medical unit. Sony, what's going on here? Is there any indication that these sites could be legit?

Sony Salzman
Hey, Ann. So what is going on here is a really complicated market for extremely popular medications. Now, as you know, these drugs are approved to treat people with diabetes and obesity. But there is extraordinary demand.

Ann Flaherty
In one given afternoon, I believe I tried to contact between 20 and 25 pharmacies. I've had patients have to drive 100 plus miles to find their appropriate dose.

Sony Salzman
There is so much demand that the pharmaceutical companies that make them cannot keep pace even as they open new factories and, and work to ramp up production. So what that has created is a lot of opportunity for black market and kind of gray market products to crop up and try to fill that need. And so that is what you are seeing online now in an open letter to patients, to consumers, to people everywhere. Eli Lilly, one of the companies that makes these products, said that they never sell legitimate product on social media and that if you're seeing it there, you have a lot of questions to be asking.

Ann Flaherty
So is this a health issue or is this just a money issue? Can I trust these products that are online or we just don't know it.

Sony Salzman
Is a health issue? There have been reports of patient harm. The FDA is tracking this and they've issued warnings. The World Health Organization came out with a big warning. There are real concerns. In fact, some products that are posing as ozempic, let's say, or some of these other products have been found to have nothing in them. Maybe there's a saline solution, or very worryingly, they've been found to have things like insulin in them, and that can be dangerous. Right now, the people who are selling these products, like I said, it is a wide range of actors. Some of them are criminals, right? That's selling black market products. They're completely made up. Some of the issues here are a little more complicated. Right. They're about maybe legitimate products that. That can't be verified if they're high quality, or maybe they're compounded products, which is a legal way to make products that are in shortage. But there have been these growing concerns about, within that legal industry, some bad actors potentially pushing the envelope and making products that are not high quality as well.

Ann Flaherty
Yeah, I was gonna say, I mean, technically, you can use a compounding pharmacy amid an ongoing drug shortage, which is what we have here. But the FDA is raising concerns about this, that it's not necessarily all good actors in this space. Is that what's going on?

Sony Salzman
Yeah, that's exactly right. So the compounding pharmacy system started as a way to meet a need. So if you can imagine, pharmaceutical companies make mass produced products for the average person. Right. But sometimes there are very specific niche scenarios where maybe it's a child that needs a very specific type of cancer medication, but they're very, you know, they have a different weight. A compounding pharmacy could come in and step in and make that product legally. In the case of drug shortages, compounding pharmacies are legally allowed to step in and make these products legally. The problem is, is that the demand for these products has been so extraordinary and has blown so many people away that so many compounding pharmacies have rushed in and not all of them are making high quality products. In fact, in this recent open letter, Eli Lilly said that they've been testing the quality of compounded products. And they said they found bacteria in some of them. You know, some of them contained effectively nothing active in them. So they found some serious issues in the quality of products that are being made in a compounded way. And the FDA has also raised some of those concerns.

Ann Flaherty
So, Sony, you're not supposed to get anything online, but at the same time, like, we've had telehealth explode since COVID So, you know, it seems reasonable to look at some of these telehealth sites and say, well, maybe that can be my doctor who I talk to. Are those legitimate with telehealth, a doctor.

Sony Salzman
Is, like, involved in the process, right?

Ann Flaherty
Oh, so they can actually write the prescription?

Sony Salzman
Yes, there's a real prescription. It's a zoom consultation, and they're writing you, like, a real prescription. And then you take that to a real pharmacist versus, like, all of these websites out there advertising, you know, semaglutide at really low prices.

And you don't have to have a doctor involved in that process. You just put your credit card information in. That's where you should really be, you know, concerned and thinking twice.

Ann Flaherty
So how do you protect yourself here? It just sounds like the bottom line is you have to talk to your doctor.

Sony Salzman
Yeah, I think ultimately that's it. It may be frustrating for people because we are in a shortage, but try to get these drugs through your doctor, through a legitimate pharmacist.

Reverse Auctioneer
I suggest you never inject yourself with something you bought off social media.

Sony Salzman
Doctors we talk to are hopeful that this is a problem that will ease in the future as that production ramps up.

Reverse Auctioneer
Whenever we see shortages, we also see crime. And so the faster they can do that, the faster we can protect patients.

Sony Salzman
But certainly for the time being, it can continue to be a scramble for patients.

Ann Flaherty
Sony Salzman, thanks so much.

Sony Salzman
Thank you, Anne.

Ann Flaherty
Okay, one more quick break. When we come back, they say you can always pick out the Americans traveling abroad by the shoes we wear, or maybe it's the ammunition in our luggage. One last thing is next.

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Ann Flaherty
And one last thing in the news recently, there have been several stories about Americans getting into trouble overseas. There was the american staff sergeant who followed his girlfriend to Russia, where he was charged with theft and assault.

Ryan Reynolds
The visit apparently turned sour, the woman claiming she, in black had a domestic.

Ann Flaherty
Dispute and another American arrested after a night of binge drinking, after which he climbed into a children's library in Moscow and stripped off his clothes before being discovered by police. You run a tremendous risk by traveling to Russia of being detained, being imprisoned, being convicted. And in both of these cases, the us government said, hey, unless these charges are bogus and you're being wrongfully detained, there's not much we can do. When you travel to another country, you have to follow the laws there. Enter Ryan Watson.

Ryan Reynolds
But I just hope that they know that at the end of the day, this was an accident.

Ann Flaherty
A father to two young kids from Oklahoma who was celebrating his 40th birthday in Turks and Caicos when he was arrested for carrying four rounds of ammunition in his luggage. I looked at Ryan and I asked, I said, what are those? And he was like, I think those are my hunting. Like deer hunting bullets. And that's the bag he uses for weekend trips. And turns out that Turks and Caicos, a string of islands south of the Bahamas known for its luxury resorts and barrier reefs, also doesn't have a constitutional right to carry firearms. In fact, its laws say that no one, not even tourists, can possess an unlicensed firearm or any ammunition. It's not just a slap on the wrist, either, if you break the law. At the time of Watson's arrest, Turks and Caicos imposed a twelve year minimum mandatory jail sentence.

Ryan Reynolds
Officer said, no, you don't understand, like, you guys are both going to prison for twelve years.

And that's when my wife, she broke down. And then when I heard her break down, I lost it as well.

Ann Flaherty
It wasn't just Watson who found himself in jail on his vacation. Four other american tourists were arrested after going through airport screening with loose ammunition in their bags. 131 year old dad, for example, said he had been shooting at a gun range with friends before leaving on his vacation and said he completely forgot he was carrying ammunition. Another American, a mom from Florida celebrating Mother's Day with her daughter, said she wasn't even sure how ammunition ended up in her bag.

Reverse Auctioneer
When citizens of other countries come to.

Ann Flaherty
The United States, we expect them to abide by United States law and we hold them accountable if they don't. And that is true, true for people traveling overseas. The State Department said there wasn't much they could do other than issue these travel warnings on their website. It's just great to work together and to be a part of helping reunite this family. Us lawmakers even got involved traveling to the islands to lobby for changes to the law. Well, yesterday Watson got what could be good news ahead of his sentencing hearing today.

The Turks and Caicos government just changed their laws allowing courts in the country to have more discretion in sentencing, essentially dropping the twelve year minimum jail time. We'll see what happens later today. And if the court takes the new law into account, given it wasn't enacted at the time of his arrest, of course, Watson could still face a hefty fine, making that a seriously expensive vacation. One thing I found interesting is that Watson is out on bond, but has been forced to stay in the country until his case is resolved. Along with one other American also still facing charges. The other three Americans have been released. All a good reminder to check the laws of any place you travel, or at least get the bullet points.

I'm pretty sure that climbing into a library drunk at night and taking your clothes off is illegal anywhere you go. Starred here is produced by Kelly Torres, Jen Newman, Brenda Salinas Baker, Vika Aronson, Cameron Chertavian Anthony, Ali, Maru Muwaki and Emira Williams. Arielle Chester is our social media producer. Josh Cohan is director of podcast programming. Brad Milke is our managing editor. Laura Mayer is our executive producer. Thanks to Lakia Brown, John Newman, Tara Gimble, and Liz Alessi. Special thanks this week to Chris Berry, Jessica Hopper, and Jonah Haskell. I'm Anne Flaherty, in for Brad Milke. Have a great week.

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Ann Flaherty
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Ann Flaherty
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