B.C.’s Lower Mainland is experiencing more extreme winter weather. It’s important to take proper precautions in wet, windy, low- visibility or very cold conditions.

Everyone is vulnerable to winter health hazards, however, seniors, young children, those with chronic health conditions, underhoused and unhoused populations are more vulnerable.

Learn more about how to prepare for emergencies, winterize your home, stay warm and dry, and avoid injuries while getting around this winter. To get yourself and your loved ones ready for wet and cold weather, please use and share our checklist:

  • Emergency preparedness

    General preparedness

    Some winters bring more intense weather than others.

    • Make sure you and your loved ones have emergency kits/grab-and-go-bags with water, lights and food in case of prolonged power outages.
    • Have adequate stocks of any medications you or your loved ones may need.
      • If you need to travel and you do not have your medication, you can use your BC Health Card or ID and Personal Health Number at any pharmacy. Find more information at Toward the Heart.
    • Be sure to have plans in place and ways to check on friends, family and neighbours – especially those who are seniors or who live alone

    Visit the Government of B.C.’s getting prepared for severe weather page for resources to help you prepare.

    Power outages

    During winter storms or floods, power outages can be common. Practical guidance for everyone can be found here:

    • Prepare your home for a power outage (checklist)
    • What to do during a power outage (checklist)

    Concerns during a power outage for people who take certain medications or use powered medical devices:

    • If you use a medication that needs to be refrigerated, talk to your pharmacist about how to prolong its life during a power outage. Some medications may be stable for a number of days at room temperatures and some may be kept stable in a cooler with ice packs, while others may need to be replaced.
    • If you use medical equipment that needs power (such as home oxygen, a continuous positive airway pressure (CPAP) machine, ventilator, nebulizer, etc.), have a plan to keep your device working during a power outage. The US Food and Drug Administration has a booklet for preparing and handling power outages for home medical device users.
    • Check the instructions or with the product manufacturer to make sure the backup power source will work for your device. Let your power company and emergency responders know you are using a medical device that needs power. Talk to your neighbors who may have a generator and ask them to check in on you during a severe weather event.
  • Keeping your home safe

    Heating

    During the winter, heating bills can increase and be difficult to pay. If you are having difficulty, check if your city or town has a rent bank (Surrey/Langley/White Rock/Delta, New Westminster/Burnaby/Pitt Meadows/Maple Ridge and Tri-Cities).

    If this is not an option, you could also look into the BC Hydro Crisis Fund.

    If your home is drafty, visit BC Hydro’s winter home heating tips and be sure to investigate government subsidy programs including:

    Using electric space heaters safely

    Keeping yourself and your family warm during the winter is very important, and so is making sure you are doing so safely. Electric heaters can be an option, but they can be a fire hazard if not used safely.

    Tips to decrease your risk include:

    • Only use heaters that have been safety certified (CSA, UL, ULC)
    • Never use a heater with suspected damage, ensure plug fits tightly into the wall socket
    • Don’t operate unattended or while sleeping
    • Device safety features (tip-over and overheat auto-shutoff )
    • Avoid placement near flammable objects, avoid use of extension cords,
    • Dangers of under-rated wiring (if plug, cord, wall outlet or faceplate is not, discontinue use)
    • Never hide heater cords under a carpet or floor coverings.

    For more information, you can visit Technical Safety BC.

    While electric space heaters can offer warmth and comfort during colder days, they may also present a fall hazard if not used carefully. Here are a few simple tips to help prevent trips and falls around household items:

    • Keep floors clear from any clutter.
    • Secure cords neatly and ensure they don’t cross common walking areas.
    • Use night lights to improve visibility in dimly lit areas, making it easier to see where you're walking.

    Learn more in our resource Your Guide for Independent Living

    Tree safety

    Very cold and windy weather can impact the health and strength of trees around your home and neighbourhood, which can pose a hazard to your health and home. As the weather turns colder, make sure you or your landlord contacts a professional arborist or your local government to assess the health of your trees. As more extreme weather can impact different species in different ways, it may also be helpful to ask whether your trees are resilient to a changing climate and how to best care for them. You may also wish to contact your local government if you are worried about any trees in the community that seem unhealthy or unsafe.

    Carbon monoxide (CO)

    Carbon monoxide poisoning occurs most often in the winter. Carbon monoxide is a colourless, odourless gas made when fuel burns, including wood, gasoline, coal, natural gas or kerosene. Higher indoor levels of carbon monoxide are usually due to malfunctioning appliances. Breathing in carbon monoxide fumes prevents the body from using oxygen properly, which can harm the brain, heart and other organs. People with health problems, such as heart and lung disease, are at greater risk for harm. Infants, children, pregnant people and older adults are also at greater risk. Take these steps to help keep you and your home safe:

    • Have your furnace and fireplace cleaned and checked annually.
    • Only use fuel-burning heaters that are vented outside or are used in spaces that are well-ventilated with outdoor air. Electrical space heaters pose no danger of carbon monoxide poisoning, unlike those that burn fuels, such as kerosene.
    • Do not start or leave cars, trucks or other vehicles running in an enclosed area, such as a garage, even with the outside door open.
    • Do not use fuel-burning portable heaters or lanterns while sleeping in enclosed areas, such as tents, campers and other vehicles. This is even more important at high altitudes, where the risk of carbon monoxide poisoning is increased.
    • When using a gas-powered generator for electricity, be sure to keep it a safe distance away from the home.
    • Install carbon monoxide detectors in your home to warn you if carbon monoxide levels begin to rise.
    • Ensure heating vents are kept clear of snow.
    • If your home loses power due to a storm, do not use fuel-burning appliances indoors to warm your home; go to a warming centre instead.

    Seek medical attention right away if you think you or a member of your family has carbon monoxide poisoning. Signs and symptoms of carbon monoxide poisoning may include:

    • Dull headache
    • Weakness
    • Dizziness
    • Nausea or vomiting
    • Shortness of breath
    • Confusion
    • Blurred vision
    • Loss of consciousness

    Carbon monoxide poisoning can be particularly dangerous for people who are sleeping or intoxicated. For more information on indoor air quality, please see our air quality page.

    Flooding

    B.C. is seeing an increase in rainfall and flooding events. Please be sure to make sure all your drains are clear of leaves and debris and have a plan for what to do if flooding occurs in your area.

    For a number of guides related to hazards to your home in the winter, visit the Institute for Catastrophic Loss Reduction.

  • Weather alerts

    Monitor alerts and forecasts issued by Environment Canada.

    For keeping up with extreme weather alerts:

  • Exposure to the elements

    Frostbite

    Frostbite is damage to the skin from exposure to cold weather. It is extremely painful and can lead to complications, including amputation. Many people think that BC does not get cold enough for people to get frostbite in the winter, but we are seeing longer periods of dangerously cold weather than we are used to, and frostbite can happen at any temperature below zero degrees.

    Who is at risk?

    Anyone is vulnerable when the temperature gets low, but some people are more at risk than others:

    • Unhoused populations - those who lack shelter and/or proper clothing.
    • People who may be using drugs or alcohol, as it may impair ability to sense cold.
    • The elderly and the very young, as their bodies are less able to adapt to cold.
    • People with certain conditions, including diabetes and Raynaud’s phenomenon.
    • People taking medication that constricts blood vessels, such as beta-blockers.
    • Workers who work outside without proper equipment.
    • Sport enthusiasts such as hikers or skiers. 

    Download this information as a printable PDF.

    Hypothermia

    Hypothermia happens when the body’s temperature gets so low that it is hard for oxygen to get to the brain. It doesn’t need to be below freezing to get hypothermia. People can become hypothermic from a short exposure to severe cold or longer exposure to mild to moderate temperatures. Wind-chill and rain makes the risk of hypothermia higher. Hypothermia can begin at temperatures of up to 10 degrees, especially if it is wet or windy.

    Who is at risk?

    Anyone is vulnerable when the temperature gets low, but some people are more at risk:

    • The elderly - especially those who may have poor quality housing, clothing and/ or food
    • Unhoused populations - those who lack shelter, proper clothing and food
    • Workers - people who work outdoors without proper equipment
    • Sport enthusiasts – such as hikers or skiers

    Download this information as a printable PDF.

  • Dressing appropriately

    Staying warm and dry is key to remaining comfortable and safe when outdoors. Whether you are outside in the cold rain or in freezing temperatures, it’s important to be aware of the risks of hypothermia and exposure to cold temperatures.

    Wear appropriate clothing to protect you from heat loss. In much of the Fraser Health region, this often means wearing rain gear to stay dry, and warm hats, scarves and gloves when temperatures drop. In very cold conditions, cover as much exposed skin as possible. Consider wearing layers so that you can stay warm without overheating. Wear flat shoes with good traction to avoid falling.

    If you have gently used winter clothing you are not using, consider donating them to a local organization.

  • Getting around

    Winter in the Lower Mainland, where it is often cold, dark or wet, presents some unique challenges for getting around safely.

    If driving, make sure you and your vehicle are prepared for winter by following these tips:

    • Slow down. Maintain more distance from other road users than you would under ideal conditions, and allow for extra time to reach your destination. Ensure you have enough space between your car, and the car ahead of you, to be able to comfortably stop in time.
      • Make sure your tires are suitable for winter driving. 
    • In bad weather, check the DriveBC.ca website for up-to-date information on road conditions.
    • Clear your vehicle of all snow and ice before starting to move—it is required by law that you must remove snow and ice from all windows and mirrors, and the roof and hood of your vehicle.
    • In low light and low visibility conditions, such as rain or fog, use your low-beam headlights, slow down and keep a special eye out for pedestrians and cyclists or for “unexpected” distractions, such as animals or debris on the road.
    • Beware of standing water on the road which may cause your vehicle to hydroplane and lose control. Ensure your vehicle’s tires are in good condition with deep tread for safety.
    • If walking or cycling:
      • Wear warm and waterproof footwear that provides good grip.
        •  You can check if your footwear has good treads on RateMyTreads
      • Wear reflective gear
      • Watch for ice or slippery leaves that might cause a fall.
      • Be extra vigilant for drivers that might not see you.
      • When cycling avoid riding through puddles—they might hide damaged pavement or obstructions that could cause a crash.
      • When cycling, use lights to ensure you can see and be seen.
  • When you have to shovel snow

    When shoveling driveways and walkways, avoid injuries by following these safe snow shovelling tips:

    • Wear warm clothes and layers so that you don’t overheat when working.
    • Warm up your muscles before starting.
    • Shovel many light loads instead of fewer heavy ones.
    • Take frequent breaks.
    • Drink plenty of water.
    • Don’t feel that you need to clear every flake of snow from your property; you may want to limit shoveling to what is legally required or needed for safety.
    • If you are worried about your health or that of a loved one when shoveling snow, come up with a plan: talk to a neighbour, investigate if your city has a snow removal program, have a nearby loved one come by or hire a service.

    People who have pre-existing heart conditions may experience worsening of their condition during snow shoveling. Head indoors right away if your chest starts hurting, you feel lightheaded or short of breath, your heart starts racing or you are having other concerning symptoms. If you think you are having a heart attack, call 9-1-1.

    You may want to limit shoveling to what is legally required or needed for safety. Check with your local government if you are not familiar with the requirements

    For more snow shovelling tips, visit the Canadian Centre for Occupational Health and Safety’s webpage about shovelling snow.

  • Resources for community organizations

    Cold and wet weather can pose serious health risks to many vulnerable populations, especially our unhoused neighbours, frail seniors and those with lower incomes.

  • Information for local governments

    Fraser Health recognizes the critical part that local governments play in cold and wet weather response. The following elements can be considered for inclusion in cold response planning:

    • In partnership with Fraser Health, investigate the creation of communication pathways to check on socially isolated individuals during extreme events. This may include:
      • Conducting tabletop exercises with partner organizations already active in your community.
      • Establishing/expanding Snow Angel or similar programs where neighbours support each other to clear driveways or rain gutters.
      • Establishing neighbourhood emergency preparedness programs whereby local government staff educate and support readiness in neighbourhoods and/or multi-unit buildings, to help residents take care of themselves and their neighbours during a catastrophic event.
      • Using pre-prepared social media messaging on cold weather and flooding from the Government of B.C.
      • Share information on home energy retrofits, particularly for low-income residents. See Effects of home energy efficiency and heating interventions on cold-related health for more information.
    • Explore options for warming centres and/or cold weather shelters. Connect with BC Housing and/or the Ministry of Emergency Management and Climate Resilience for opportunities.
    • Promote government programs that combat energy poverty, such as the BC Hydro Crisis Fund or local Rent Banks, where possible.
    • Establish or update flood plans. Examples of local government flood planning strategies can be found here, while planning for various extreme weather, including wind, avalanches and winter storms can be found here.
      • Establish an Adopt-a-Catch basin program. Snow, leaves, and other debris can block these and cause flooding on private and public property. Asking community members to take responsibility for a catch basin helps them protect themselves and their neighbours while also protecting sensitive water courses. Examples of such programs include Coquitlam and Vancouver.
      • Assess the vulnerability of water supply systems to extreme weather events. Your Fraser Health drinking water environmental health officer is able to answer questions regarding planning for drinking water supply system resilience.
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