Arizona, California and Texas account for about a third of the 700 average heat deaths a year in the United States. Heat-related illness and deaths are a "very big deal" in Arizona, which unfortunately leads the nation in the number of migrants who die in the desert, said Daniel Derksen, associate vice president for Health Equity, Outreach and Interprofessional Activities and a health policy expert at the University of Arizona. People often don't realize they need to drink much more water, even after the sun sets and folks go out to play tennis or baseball, he said.