Emergencies & environment
Extreme heat in Indonesia: signs of heat stroke, first aid and staying safe
Heat exhaustion vs heat stroke, first aid, when to call 119 or go to A&E, who is most at risk, workplace heat rules and BMKG weather information in Indonesia.
English edition. Official forms and source documents may be in Indonesian.
QUICK ANSWER
What are the signs of heat stroke, what is the first aid, and how do I stay safe in hot weather?
Heat stroke is a medical emergency: body temperature climbs very high, sweating can stop, and the person becomes confused, has a seizure or collapses. Call 119 or go to A&E, and meanwhile move the person into the shade and cool them with wet cloths, cold compresses or a fan. Heat exhaustion is milder, with a headache, heavy sweating, pale clammy skin and nausea; treat it with rest somewhere cool, fluids and cooling the body, and see a health worker if the symptoms do not go away.
See 17 official references ↓Check the BMKG weather forecast ↗cuaca.bmkg.go.id
Guide contents
What to have ready
- A water bottle so you can drink a little throughout the day without waiting until you are thirsty.
- A hat or umbrella, and loose, light, light-coloured clothing.
- Sunscreen of at least SPF 30 for skin not covered by clothing.
- The Info BMKG app or access to cuaca.bmkg.go.id to follow the weather forecast.
- A cloth or towel and a water spray to cool the body.
- The 119 number and the address of the nearest puskesmas or hospital A&E.
How to stay safe in hot weather
Follow BMKG forecasts and advice
Check the forecast for your location in the Info BMKG app or at cuaca.bmkg.go.id, and BMKG’s weekly outlook. In its outlook for 13–19 October 2026, BMKG asked people to keep preparing for the effects of hot weather and drier air.
Plan when you are outdoors
The Ministry of Health (Kemenkes) advises staying in the shade as much as possible between 11:00 and 15:00. If you must do heavy work or exercise, WHO suggests choosing the coolest time of day, such as the early morning, and resting in the shade.
Drink before you are thirsty and protect your skin
Drink water regularly without waiting for thirst. Kemenkes advises avoiding caffeinated drinks, energy drinks, alcohol and sugary drinks in hot weather, and wearing a hat or using an umbrella, loose light-coloured clothing and sunscreen of at least SPF 30.
Look after the people most at risk
Check on relatives or neighbours who are older, live alone or have heart, lung or kidney disease, and make sure children drink enough. Never leave anyone in a parked vehicle, whether the windows are open or closed.
Deal with heat exhaustion early
If someone has a headache, heavy sweating, pale clammy skin, fast breathing, nausea or aching muscles, move somewhere cool straight away, drink water, replace lost electrolytes (the body’s mineral salts), spray the body with water and rest for at least 30 minutes. If symptoms continue, get checked at a health facility.
Call 119 if you suspect heat stroke
If someone who is overheated becomes confused, talks nonsense, has a seizure, collapses or has hot, dry skin, call 119 or take them to A&E. While you wait, move them into the shade, loosen their clothing and cool them with wet cloths, a fan or cold compresses on the neck, armpits and groin.
Cost of weather information and emergency help
Free. BMKG weather information on its website and the Info BMKG app costs nothing, and calls to the 119 medical emergency service are free under Communications Minister Regulation 14/2018. Check-ups and treatment at health facilities follow your JKN (BPJS Kesehatan) membership status.
| Aspect | Heat exhaustion | Heat stroke |
|---|---|---|
| Main signs | Headache, heavy sweating, pale, clammy and cool skin, fast breathing, nausea, aching muscles | Very high body temperature, hot dry skin, confusion or agitation, seizures, collapse |
| Sweating | Heavy | May stop; Kemenkes says the body can no longer sweat |
| First aid | Move somewhere cool, drink and replace electrolytes, spray the body with water, rest for at least 30 minutes | Call 119 first, move into the shade, loosen clothing, cool with wet cloths, a fan or cold compresses |
| When to get medical help | If symptoms do not improve after rest and fluids, or muscle cramps last more than an hour | Immediately, because heat stroke is a medical emergency |
At work, Minister of Manpower Regulation 5/2018 requires employers and/or managers to meet occupational safety and health (K3) standards for the working environment, including measuring and controlling the working climate where there is a heat source or poor ventilation. We found no Ministry of Manpower rule that sets a weather temperature limit for outdoor work.
Heat exhaustion and heat stroke: two different stages
Kemenkes describes heat exhaustion as the stage before heat stroke. The signs are a headache, heavy sweating, pale, clammy and cool skin, fast breathing, nausea and aching muscles. It can be managed by drinking enough water, replacing lost electrolytes, spraying the body with water and resting for at least 30 minutes.
Heat stroke is the most serious effect of hot weather, when the body can no longer control its temperature. According to Kemenkes, body temperature can rise quickly to 41°C within 10–15 minutes and the body stops sweating. Another Kemenkes article lists signs such as a body temperature above 40°C, confusion, agitation, headache, nausea and vomiting, a pounding heart, muscle weakness, seizures and fainting.
WHO calls heat stroke a medical emergency with a high death rate. The first step is to call the emergency services, then cool the person by any means available while waiting for help. WHO also says aspirin or paracetamol should not be given to someone with heat stroke, and that an unconscious person should be placed on their side.
Who is most at risk
According to WHO, the highest risk is among people over 65, people with heart, lung or kidney disease, disabled people, people who live alone, and babies and children. Kemenkes also names children and people who are already ill as vulnerable when temperatures rise.
Outdoor and manual workers, athletes and field staff are exposed to heat through their work. A Kemenkes article distinguishes heat stroke caused by long periods of heavy physical activity in a hot environment from classic heat stroke, which more often affects older people, people with chronic illness, alcohol users and very young children.
So check on vulnerable relatives and neighbours on hot days. WHO advises staying in the shade, spending 2–3 hours a day somewhere cool, and keeping windows and blinds closed during the day and opening them at night.
Outdoor workers and hot workplaces
Minister of Manpower Regulation (Permenaker) 5/2018 on occupational safety and health (K3) in the working environment requires employers and/or managers to meet K3 standards, including keeping physical factors such as the working climate below the threshold limit value (NAB). Heat stress at work is assessed with the wet bulb globe temperature index (ISBB), calculated from dry air temperature, natural wet bulb temperature and globe temperature.
Article 9 requires the working climate to be measured and controlled in workplaces with a heat source and/or poor ventilation. If the results exceed the threshold, controls can include removing, replacing or isolating the heat source, providing ventilation, providing drinking water, setting or limiting exposure time, and suitable work clothing and personal protective equipment.
For people working in the sun, we found no Ministry of Manpower (Kemnaker) rule that sets a weather temperature limit, so the general advice from BMKG, Kemenkes and WHO applies: drink enough, wear protection and sunscreen, rest in the shade and move heavy work to cooler times. Breaches of K3 standards can be reported to labour inspectors through Lapor Menaker (lapormenaker.kemnaker.go.id); Kemnaker says the reporter’s identity is kept confidential.
Temperature and hot-weather information from BMKG
BMKG, the meteorology agency, publishes forecasts for your location at cuaca.bmkg.go.id and in the Info BMKG app, and a weekly outlook that includes advice during hot weather. It also posts updates on social media as @InfoBMKG, and the BMKG contact centre is on 196.
According to BMKG, hot weather around October is mainly caused by the sun’s apparent position south of the equator and dry easterly winds (the Australian monsoon) with little cloud. In 2021 BMKG explained that a heatwave means hot air lasting 5 or more days in a row with daily maximum temperatures 5°C or more above average, and said this does not happen in Indonesia.
On 22 September 2026 BMKG said a very strong El Niño was under way and that the start of the 2026/2027 rainy season was expected to be late in 61.08% of seasonal zones; in many areas rain is not expected until November or December 2026. In its outlook for 13–19 October 2026, BMKG advised using sunscreen and drinking enough, especially for people active outdoors during the day.
Things to check carefully
- Waiting until you are thirsty to drink, or swapping water for sugary, caffeinated, energy or alcoholic drinks.
- Leaving a child, anyone else or a pet in a parked vehicle, even briefly and with a window slightly open.
- Giving aspirin or paracetamol to someone who may have heat stroke; WHO says these should not be given.
- Treating confusion, nonsense talk or a seizure in hot weather as ordinary tiredness and putting off calling 119.
- Believing forwarded messages about extreme temperatures or heatwaves without checking official BMKG information.
Frequently asked questions
What is heat stroke?
Heat stroke is the most serious effect of hot weather, when the body can no longer control its temperature. According to Kemenkes, body temperature can rise to 41°C within 10–15 minutes and the body stops sweating. WHO classes it as a medical emergency.
What is the difference between heat stroke and heat exhaustion?
Heat exhaustion is milder, with heavy sweating, pale clammy skin, a headache, nausea and fast breathing. Heat stroke is more serious: very high body temperature, hot dry skin, and the person may be confused, have a seizure or collapse. Kemenkes describes heat exhaustion as the stage before heat stroke.
What is the first aid for heat stroke?
Call 119 first, then move the person into the shade or an air-conditioned room, loosen their clothing and cool them with wet cloths, a fan or cold compresses on the neck, armpits and groin. Watch them until help arrives, and lay them on their side if they are unconscious.
Can I give paracetamol to someone with heat stroke?
No. WHO says aspirin and paracetamol should not be given to someone with heat stroke. What they need is cooling as fast as possible and medical help through 119 or A&E.
When should I go to A&E or call 119?
Straight away if someone who is overheated becomes confused, talks nonsense, is very agitated, has a seizure, collapses or has hot, dry skin. If heat exhaustion symptoms do not improve after resting somewhere cool and drinking, or muscle cramps last more than an hour, get checked at a health facility.
Who is most at risk of heat-related illness?
Older people, babies and children, people with heart, lung, kidney or other long-term illness, disabled people and people who live alone, according to WHO and Kemenkes. Outdoor workers and anyone doing heavy physical activity in the heat are also at risk.
Is Indonesia having a heatwave?
Generally not, according to BMKG. BMKG defines a heatwave as hot air for 5 or more days in a row with daily maximum temperatures 5°C or more above average, whereas hot weather in Indonesia is usually driven by the sun’s apparent position and clear skies. Check the latest information on the BMKG website or app.
What must an employer do if the workplace is very hot?
Under Permenaker 5/2018, employers and/or managers must measure and control the working climate where there is a heat source or poor ventilation. If it exceeds the threshold, controls include ventilation, drinking water, limits on exposure time and personal protective equipment. Breaches of K3 standards can be reported through Lapor Menaker.
Sources and review
Editorial review of public information: . This is not a review by an agency officer or a professional adviser. Reviewed by Kaiser Khan, publisher of Panduan Warga. Official document titles are retained below.
- Kemenkes: kenali tanda-tanda heat stroke (27 Mei 2022) ↗kemkes.go.id · Accessed 14 October 2026
- Kemenkes: tips menghadapi cuaca panas tak biasa (25 April 2023) ↗kemkes.go.id · Accessed 14 October 2026
- Kemenkes (Keslan): tips cegah heat stroke (10 Januari 2025) ↗keslan.kemkes.go.id · Accessed 14 October 2026
- WHO: what to do if you see signs of heat stroke (bahasa Inggris) ↗cdn.who.int · Accessed 14 October 2026
- WHO: Heatwaves, how to stay cool (11 Oktober 2024, bahasa Inggris) ↗www.who.int · Accessed 14 October 2026
- WHO: Climate change, heat and health (31 Juli 2026, bahasa Inggris) ↗www.who.int · Accessed 14 October 2026
- WHO Europe: without preparation the heat can be deadly (18 Juli 2023, bahasa Inggris) ↗www.who.int · Accessed 14 October 2026
- Permenaker 5/2018 tentang K3 Lingkungan Kerja (Berita Negara 2018 No. 567) ↗peraturan.go.id · Accessed 14 October 2026
- JDIH Kemnaker: Permenaker Nomor 5 Tahun 2018 ↗jdih.kemnaker.go.id · Accessed 14 October 2026
- Kemnaker: peluncuran kanal Lapor Menaker (12 November 2025) ↗kemnaker.go.id · Accessed 14 October 2026
- BMKG: prakiraan cuaca Indonesia sepekan 13–19 Oktober 2026 ↗www.bmkg.go.id · Accessed 14 October 2026
- BMKG: El Niño sangat kuat, musim hujan 2026/2027 diprediksi mundur (22 September 2026) ↗www.bmkg.go.id · Accessed 14 October 2026
- BMKG: penyebab suhu panas Oktober (15 Oktober 2025) ↗www.bmkg.go.id · Accessed 14 October 2026
- BMKG: penjelasan tentang gelombang panas (17 Mei 2021) ↗www.bmkg.go.id · Accessed 14 October 2026
- BMKG: prakiraan cuaca ↗cuaca.bmkg.go.id · Accessed 14 October 2026
- Kemenkes: layanan kegawatdaruratan medis 119 ↗www.kemkes.go.id · Accessed 14 October 2026
- JDIH BPK: Permenkominfo 14/2018 tentang nomor pelayanan darurat ↗peraturan.bpk.go.id · Accessed 14 October 2026
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