Adapting to Heat

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People living in cities are at a higher risk from the impacts of heat waves because urban areas are already warmer than surrounding non-urban areas due to the heat island effect. But local governments can take steps to help residents, infrastructure, and systems reduce their vulnerability to heat, both in response to an extreme heat event and as part of longer-term planning to lessen future risks.

For example, to safeguard against the acute effects of extreme heat on people’s health in the short term, local officials can establish early warning systems and urban cooling centers  and raise awareness about risk factors, symptoms of heat-related illness, and when and how to seek treatment.  In addition, they can protect or modify roads, train tracks, and other infrastructure by using more resilient materials, as well as implement energy efficiency measures to reduce disruptions of city services and stress on electricity systems during heat waves.

To improve resilience to future extreme heat events, cities can incorporate heat island reduction strategies—such as green or cool roofs, cool pavements, or increased vegetation and trees—into long-term planning efforts to help lower urban temperatures. Such cooling measures help to reduce impacts on public health and urban systems from extreme heat events.

Cities can use the information and resources on this page to begin developing comprehensive plans to adapt to heat.

• Comprehensive Heat Response Planning
• Forecasting and Monitoring
• Education and Awareness
• Responses to Heat Waves
• Infrastructure Improvements

Comprehensive Heat Response Planning

The most effective way to reduce the negative impacts of an extreme heat event is to develop a comprehensive heat response plan that combines individual strategies into an integrated approach. Components of such a plan might include forecasting and monitoring, education and awareness, and heat wave response, as described in the sections below.

The International Federation of Red Cross’s Heatwave Guide for Cities provides information on typical notification and response options to include in a heat response plan or program. For examples of existing heat response plans, see:

• Arizona’s Heat Emergency Response Plan
• The Centers for Disease Control's summary of Heat Response Plans

Forecasting and Monitoring

Reliable weather forecasts allow city officials to warn planning agencies and citizens of heat waves in a timely manner and to prepare responses. The Centers for Disease Control and Prevention’s Heat & Health Tracker provides local heat and health information so communities can better prepare for and respond to extreme heat events. It also shares the National Weather Service’s (NWS) 5-day outlook to forecast and monitor heat.

In Philadelphia, for example, city staff works with the NWS to determine when a heat wave is approaching. When a heat alert is issued, news organizations provide educational information about heat waves and health. Though few studies have evaluated the efficacy of heat notification and response programs, one study concluded that during a 1999 heat wave Chicago more successfully mitigated adverse effects than it did during a 1995 heat wave (about 100 deaths in 1999 compared with approximately 700 deaths in 1995). This was partially attributed to improvements in public health response, including a first-time notification and response program.

Education and Awareness

Public health outreach helps ensure the health and safety of city dwellers during heat waves, especially among sensitive groups such as older adults, children, people who work outdoors, and low-income communities. In addition to providing extreme heat warnings, local officials should communicate information about:

• Potential risk factors (e.g., being very young or old, using certain medications, having physical or mental impairments that restrict mobility, homelessness or lack of access to air conditioned spaces, being socially isolated, working or spending extended time outside)
• Symptoms of excessive heat exposure (e.g., dizziness, nausea, confusion, muscle cramps)
• Recommended response and treatment (e.g., seek air-conditioned locations, stay hydrated)

If possible, start education and awareness efforts early, before the summer heat arrives: the first heat wave of the season, before people have acclimated to the heat, tends to be the deadliest. For example, Toronto Public Health hosts a media day each May before the start of the summer heat season. During this event, Toronto Public Health provides the media with information about the city’s heat event notification and response program and answers questions about health risks and impacts.

Responses to Heat Waves

During heat waves, local officials can take a number of steps to protect residents and infrastructure:

• Provide community cooling centers, particularly in areas with low-income, elderly, and young populations
• Ensure proper functioning of energy and water systems
• Encourage citizens to check on their family, friends, and neighbors to ensure they have access to air conditioning
• Communicate heat warning information and appropriate responses to the public (e.g., encourage staying indoors, provide symptom reminders)
• Establish systems such as hotlines to alert public health officials about high-risk or distressed individuals
• Encourage energy conservation to reduce demand on electricity systems
• Implement load restrictions for older roads, bridges, and rail to reduce traffic on vulnerable transportation infrastructure

Infrastructure Improvements

In addition to a comprehensive heat response plan, local officials can help urban areas adapt to extreme heat in the short-term by improving the resilience of infrastructure. Transportation planners can protect or modify roads, bridges, and other structures—for example, by using materials that are more resilient and heat tolerant—to help these systems withstand higher temperatures and reduce service disruptions (see the U.S. Department of Transportation's Sustainable Pavements Program for more information). They can also implement energy efficiency and conservation efforts to reduce stress on electricity systems during heat waves and help avoid power outages.

City officials can also incorporate heat island reduction strategies—such as green or cool roofs, cool pavements, or increased vegetation and trees—into long-term planning to help reduce temperature extremes during future heat waves. For example, cool pavements—which absorb less solar energy, and in the case of permeable pavements, evaporate more water, than traditional materials—can be used for roads and parking lots to help cool urban areas. Programs that install cool or green roofs and plant trees and vegetation can help keep buildings and their surroundings cooler. These measures also reduce electricity demand, which helps improve the reliability of the electric system, particularly during heat waves.

Sound urban planning that includes measures for adapting to extreme heat in both the short- and long term is an effective way for cities to respond to the heat island effect while fulfilling their mission to protect and provide vital services to the community.