MONTANA HEALTH PROFESSIONALS FOR A HEALTHY CLIMATE
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Drought

Drought is common in Montana, and has some surprising health effects. Luckily, there are many things you can do to protect your health and our environment during droughts.
We've sorted information for patients and providers below.
Patients

What stage of drought are we in?

There are four stages of drought: D0 (abnormally dry) through D4 (exceptional drought). The Missouri River Basin *Drought Early Warning (DEW) System keeps track of this for every county in Montana.

Check your drought stage
As well as keeping tabs on the weather with meteorological data, the National Integrated Drought Information System (NIDIS) keeps track of what people like you are noticing. You can help with drought research right now by sharing your local drought conditions to the National Drought Mitigation Center. You don't need to know any specific rainfall numbers or data, just your own experiences.
Report drought impacts

How does drought affect health?

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WATER

Water that’s usually flowing can shrink to a stagnant pool during drought. This is the perfect habitat for mosquitos, who carry diseases, and blue-green algae, which can poison water. When water evaporates, pollutants also get more concentrated, so test private well water quality during long droughts.

Make sure to cover up when near mosquito habitat and wear insect repellent. When possible, remove standing water near your home.
How to spot cyanobacteria (also called blue-green algae):
  • green "dust" or "pea soup" with no leaves or roots
  • not stringy like other algae
  • not yellow, like tree pollen.
If you see it, report it and STAY AWAY. Do not let livestock close.
To prevent algae blooms near your home, use only phosphorous-free fertilizer and limit your use.
Report a harmful algae bloom
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AIR
Dust and smoke get worse during droughts. Studies show more deaths from lung problems, especially in older folks and children. Rural areas are hit hardest by these health problems.

You can always check your local air quality on AirNow.gov. They have an app, too, and many fire departments and libraries fly the air quality flags. If your air is unsafe from dust or wildfire smoke, avoid being outside when you can, and wear an N95 mask when you can't. Being in an enclosed cab with filtered A/C is also better for you than being exposed (source).

Our Wildfire Smoke page also has instructions for how to make a DIY air filter for your home.
Check your air quality
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MIND

It’s normal for drought to cause distress - 3/4 of Montana’s farmers and ranchers report feeling this way.
Pie chart of farmer & rancher self-reported anxiety. 74% reported low to moderate anxiety, and 26% reported high anxiety.
Howard et al. 2020
The good news is, you have resources - both financial and emotional. Montana Drought Management has collected info and financial assistance programs for you at drought.mt.gov/resources. Beyond the Weather and Frontier Psychiatry are teaming up to offer agricultural workers free counseling - just call Frontier at 406-200-8471 and mention the program.

Reach out to your friends and neighbors and talk to each other. If you're losing sleep or feeling more irritable or anxious, counseling is a great tool. Psychology Today has a great therapist finder. And remember to put 988 in your phone in case of a suicide emergency - suicidal impulses, like a heart attack, are a medical crisis.
Free therapy for ag workers
Providers
Many of your patients will not know how drought affects their health, or how to protect themselves. Download our patient handout, poster, and floor banner below: click the » symbol to save or download, or tap "Download" on a mobile device.

Tri-fold Handout

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Poster

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Floor Banner

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Drought affects the entire body.

Go to section:
Mental Health
Respiratory
Cardiac
Infectious Disease
Injuries
Risk Factors
 
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Mental Health

74% of Montana farmers and ranchers in one survey reported experiencing moderate to high levels of anxiety over the effects of climate change on their mental health (Howard et al, 2020). This was often attributed to financial impacts, especially due to drought. Strategies to cope with this stress include social connection, crop diversification, and financial assistance (Caldwell & Boyd, 2009).

Multiple studies have found a 15% increase in suicide rates for working age men during severe drought; it is a potentially deadly natural disaster happening slowly (Hanigan et al, 2012, Berman et al, 2017).
 

Respiratory

Dust is a major respiratory concern during drought, especially in eastern Montana where summer tillage exacerbates dust issues (Gage et al, 2016). Wildfires are also more common during drought. For more on wildfire smoke, see our Wildfire page.
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Cardiac

Drought is linked to higher cardiovascular mortality rates in the Northern Rockies (Gwon et al, 2024). Suggested causes for this link include the rural nature of the area, the exposure to poor air quality due to dust, and the relatively high number of geriatric individuals in our region.
 

Infectious Disease

Droughts encourage standing water, leading to greater mosquito populations. This is likely to lead to more cases of West Nile Virus in Montana (Adams et al, 2021). Dust-related diseases like coccidioidomycosis are also more common during drought (Head et al, 2022).
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Injuries

Some injuries caused by drought are obvious - previously safe diving spots become unsafe when water tables are lower. Other injuries are more unexpected: dry seasons lead to higher nitrates in corn. When corn is harvested in silos, it breaks down into NO2. This has occasionally led to hospitalizations (Stanke et al, 2013).
 

Risk factors

  • During drought, death rates are consistently higher for infants and children than adults (Stanke et al 2013).
  • People with asthma and other respiratory illnesses are also at greater risk (Machado-Silva et al, 2020).
  • Because people of color show consistently higher rates of respiratory illness, they may also be at greater risk (Boze et al, 2022).
  • Migrant agricultural workers are also at risk, and may be forced to immigrate due to the economic impacts of droughts (Murray-Tortarolo & Salgado, 2021).
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Many thanks to our sponsors for making this page possible:
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MTHPHC is grateful for the continued leadership of the foremost authorities on climate health in this place: the Selish, Ql̓ispe,& Ksanka, Niitsitapi (Pikuni), Annishinabe (Ne-i-yah-wahk), A’aninin, Nokado & Nakona, Lakota & Dakota, Tsetshessthase & So'taa'eo'o, Apsáalooke, and Annishinabe/Metis (Little Shell Band) nations. We endeavor to follow their examples, remembering those who have passed before us, and caring for future generations.
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  • News
    • Newsletters
  • Events
    • Farm Summit 2025
  • Health Toolkit
    • Wildfire Smoke
    • Heat
    • Drought
    • Pregnancy
    • Mental Health
    • Sustainable Health Systems
    • Foundational Reading >
      • C2H2 Report
      • Montana Climate Organizations
      • National Climate & Health Organizations
  • Get Involved
    • Climate Health Stewards
    • Air Quality Flags
    • Lobby Displays
    • '25 Audubon Art Collaborative
    • Boys and Girls Club Climate Change Project
    • Students
    • Climate Stories
    • Contact your Elected Officials
  • About Us
    • About & Contact
    • Board & Team
    • Montana Medical Allies
    • Annual Reports
  • Donate