Heat waves are a major cause of weather-related deaths. With the current co
ncern for global warming it is reasonable to suppose that they may increase
in frequency, severity, duration, or areal extent in the future. However,
in the absence of an adequate definition of a heat wave, it is impossible t
o assess either changes in the past or possible consequences for the future
. A set of definitions is proposed here, based on the criteria for heat str
ess forecasts developed by the National Weather Service (NWS). Watches or w
arnings are issued when thresholds of daytime high and nighttime low heat i
ndex (H-i) values are exceeded for at least two consecutive days. The heat
index is a combination of ambient temperature and humidity that approximate
s the environmental aspect of the thermal regime of a human body, with the
NWS thresholds representing a generalized estimate of the onset of physiolo
gical stress. These thresholds cannot be applied directly nationwide. In ho
t and humid regions, physical, social, and cultural adaptations will requir
e that the thresholds be set higher to ensure that only those events percei
ved as stressful are identified. In other, cooler, areas the NWS criteria m
ay never be reached even though unusually hot events may be perceived as he
at waves. Thus, it is likely that a similar number of perceived heat events
will occur in all regions, with the thresholds varying regionally. Hourly
H-i for 178 stations in the coterminous United States was analyzed for the
1951-90 period to determine appropriate threshold criteria. Use of the NWS
criteria alone indicated that much of the nation had less than three heat w
aves per decade, and this value was adopted as the baseline against which t
o establish suitable thresholds. For all areas, a percentile threshold appr
oach was tested. Using all available data, daytime high and nighttime low t
hresholds were established separately for each specific percentile. Heat wa
ves were treated as occurring when conditions exceeded both the daytime hig
h and the nighttime low thresholds of the same percentile for two consecuti
ve days. Several thresholds were tested. For much of the South, 1% threshol
ds produced appropriate values. Consequently, a heat wave was defined as a
period of at least 48 h during which neither the overnight low nor the dayt
ime high H-i falls below the NWS heat stress thresholds (80 degrees and 105
degreesF, respectively), except at stations for which more than 1% of both
the annual high and low H-i observations exceed these thresholds, in which
case the 1% values are used as the heat wave thresholds. As an extension,
"hot spells'' were similarly defined, but for events falling between the 1%
values and NWS thresholds, with "warm spells'' occurring between the 2% an
d 1% values. Again, stations for which the 1% or 2% H-i values exceed the N
WS thresholds were given modified definitions. The preliminary investigatio
n of the timing and location of heat waves resulting from these definitions
indicated that they correctly identified major epidemiological events. A t
entative climatic comparison also suggests that heat waves are becoming les
s frequent in the southern and more frequent in the midwestern and eastern
parts of the nation.