There is nothing quite like the Fourth of July in Hampton Roads. From fireworks over the water to backyard cookouts and beach days, it is a time to gather with family and friends and enjoy everything our coastal community has to offer.
As we celebrate America’s 250th anniversary, it is also important to keep safety in mind. The combination of summer heat, outdoor activity, and holiday celebrations can increase the risk of preventable injuries and illness.
Fourth of July: By the Numbers
Independence Day is one of the busiest holidays for emergency departments across the country.
- An estimated 14,700 people were treated in U.S. emergency departments for fireworks-related injuries in 2024, with burns accounting for 37% of injuries.
- Hands and fingers accounted for 36% of fireworks injuries, while head, face, and ear injuries accounted for 22%.
- Approximately 1,700 emergency department visits were linked to sparklers alone in 2024.
- During the Fourth of July holiday period from 2020–2024, 2,719 people were killed in traffic crashes nationwide, and 38% of drivers killed were impaired by alcohol.
- Alcohol remains the leading known contributing factor in fatal boating accidents, contributing to approximately 20% of boating fatalities nationwide.
So, before you head out, here is your guide to a safe and healthy Fourth of July weekend.
Fireworks Safety: Celebrate Without Injury
Fireworks are a staple of Independence Day, but they are also a common cause of injuries. In 2024, nearly 15,000 Americans were treated in emergency departments for fireworks injuries. The most injured areas were the hands, fingers, face, and eyes, and burns were the most frequent cause of injury.
Sparklers burn at extremely high temperatures (up to 2,000°F) and can cause serious burns. Handheld fireworks and firecrackers are among the most dangerous, especially for children.
To stay safe:
- Attend public fireworks displays when possible
- Keep a safe distance from all fireworks
- Never allow young children to handle fireworks
- Keep water or a hose nearby in case of fire
“As an emergency physician, we see a spike in burn and eye injuries every year around the Fourth of July,” says Dr. Imran Kabir, Emergency Medicine Physician at Riverside Regional Medical Center.
“Many of these injuries are preventable by keeping a safe distance and leaving fireworks to trained professionals.”
Seek immediate medical care for burns, eye injuries, or severe pain.
Heat and Humidity: Take It Seriously
Hampton Roads summers bring high heat and humidity that can quickly become dangerous. Early signs of heat exhaustion include dizziness, nausea, heavy sweating, headache, and fatigue. Heat stroke is a medical emergency and may cause confusion, rapid pulse, or loss of consciousness.
To protect yourself:
- Drink water regularly throughout the day
- Limit alcohol, which contributes to dehydration
- Take breaks in shaded or air-conditioned spaces
- Wear light, breathable clothing
- Avoid strenuous activity during the hottest part of the day
Children, older adults, outdoor workers, and those with chronic medical conditions are especially vulnerable and should be monitored closely.
Cookout Safety: Prevent Foodborne Illness
Outdoor meals are a holiday favorite, but improper food handling can lead to illness.
Keep these guidelines in mind:
- Keep cold foods refrigerated or in coolers with ice
- Do not leave food out for more than two hours, or one hour in high heat
- Cook meats to proper internal temperatures
- Use separate utensils and surfaces for raw and cooked foods
Seafood is especially popular in Hampton Roads and should be properly stored and cooked to avoid contamination.
Water Safety: Stay Aware Around the Coast
With access to beaches, rivers, and the Chesapeake Bay, water safety is essential during the holiday weekend.
Best practices include:
- Wear a life jacket when boating or participating in water sports
- Never swim alone
- Swim in areas with lifeguards when available
- Follow posted safety flags and advisories
Be aware of rip currents at the beach. If caught in a current, remain calm and swim parallel to shore until you are free.
Alcohol and water activities can be a dangerous combination. Stay sober on the water and plan to ensure everyone gets home safely.
Listen to Your Body
It can be easy to ignore symptoms during a busy holiday weekend, but some warning signs should never be dismissed.
Seek medical attention if you experience:
- Chest pain or pressure
- Shortness of breath
- Sudden dizziness or fainting
- Severe injury or uncontrolled pain
“One of the biggest risks during holiday weekends is that people delay getting care because they do not want to interrupt their plans,” said Dr. Imran Kabir. “If something feels serious or out of the ordinary, it is always better to get evaluated right away.”
Knowing when to seek care can make a critical difference.
Celebrate Safely in Hampton Roads
While many of the injuries seen around the Fourth of July are reflected in national statistics, the same risks exist here in Hampton Roads—from our beaches and waterways to backyard cookouts and fireworks displays.
By taking a few simple precautions, you can reduce your risk of injury and focus on making meaningful memories with family and friends.
We wish you a safe, healthy, and happy Fourth of July.
Need Care This Holiday Weekend?
If you need medical attention over the holiday weekend, knowing where to go can help you get the right care quickly.
- Emergency Care: For serious or life-threatening conditions such as chest pain, difficulty breathing, severe injuries, or signs of heat stroke
- Urgent Care: For non-life-threatening concerns such as minor burns, cuts, sprains, or illness
If your concern can wait, consider following up with your primary care provider after the holiday.
