The heatstroke death toll since July has reached 101 in Tokyo’s 23 wards, topping 100 for the second straight year, officials at Tokyo Metropolitan Government’s office of medical examiners said Monday.

For 2018, the death toll stood at 164 in the heavily populated capital, according to the office.

Of the 101 people in their 40s to 90s who died from heatstroke between July 1 and Sunday, 91 were aged 65 or older.

Those in their 70s accounted for 42, the largest by age group.

The office is calling for citizens to use air conditioners appropriately, drink water and consume sufficient amounts of salt.

Of the total, 94 died indoors. Forty had air conditioners, but 38 of them did not use them.

Forty-eight people had no air conditioner, according to the office.

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