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US local action on heat and health: are we prepared for climate change?

  • Original Article
  • Published:
International Journal of Public Health

Abstract

Objectives

Global climate change is increasing the frequency of heat waves, hot weather, and temperature variability, which contribute to mortality and illness. Baseline information on local efforts to reduce heat vulnerability, including public advisories; minimizing greenhouse gas emissions; and mitigating urban heat islands, is lacking.

Methods

We designed a survey about local government programs to prevent health problems and reduce heat exposure during heatwaves and administered it to 285 US communities.

Results

Of 70 respondents, 26 indicated that excessive heat events are a significant issue for the local government; 30 had established preventive programs. Local government leadership and public health impacts of heat were cited most frequently as extremely important determinants of preventive programs, followed by implementation costs, economic impacts of hot weather, and greenhouse gas emissions mitigation. Cool paving materials and vegetated roofs were common heat mitigation strategies. Fact sheets and case studies were desired guidance for protecting communities during hot weather.

Conclusions

New partnerships and financial resources are needed to support more widespread local action to prevent adverse health consequences of climate change and promote environmental sustainability.

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Acknowledgments

Funding was provided by the Robert Wood Johnson Health & Society Scholars Program at University of Michigan and US Environmental Protection Agency grant R-832752010 from the National Center for Environmental Research.

Conflict of interest statement

The authors report no conflicts of interest.

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Corresponding author

Correspondence to Marie S. O’Neill.

Additional information

This paper belongs to the special issue “Climate changes health”.

This article has not been subjected to the Agency’s peer and policy review and therefore does not necessarily reflect the views of the Agency and no official endorsement should be inferred.

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O’Neill, M.S., Jackman, D.K., Wyman, M. et al. US local action on heat and health: are we prepared for climate change?. Int J Public Health 55, 105–112 (2010). https://doi.org/10.1007/s00038-009-0071-5

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  • DOI: https://doi.org/10.1007/s00038-009-0071-5

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