ArticleBMC public health2023
Survey of extreme heat public health preparedness plans and response activities in the most populous jurisdictions in the United States.
Article in BMC public health, 2023. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 15 papers, 1 of them a synthesis that pooled it.
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The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
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Who cites it
15 citing papers in PubMed, 1 synthesis or guideline pooled it.
- Impacts of extreme temperatures on mood disorders: A systematic review.European psychiatry : the journal of the Association of European Psychiatrists · 2025Pooled it
- Article
- Daytime and nighttime heatwave intensity and acute care utilization for mental and neurological disorders in California.Environmental research, health : ERH · 2026Article
- State-of-Art in Studying the Public Health Effects of Heat: A Literature Review.Global challenges (Hoboken, NJ) · 2025Review
- A qualitative study on utilization of vulnerability assessment tool for heatwave-related health adaptation intervention in Australia.Health promotion international · 2025Article
- Extreme heat preparedness and response implementation: a qualitative study of barriers, facilitators, and needs among local health jurisdictions in the United States.Environmental research, health : ERH · 2025Article
- Heat-related illnesses: a scoping review of health system strategies, emergency responses and interventions in heat-prone areas.BMC public health · 2025Article
- [Heat dome in Germany and how well we are prepared for it].Zeitschrift fur Gerontologie und Geriatrie · 2025Article
- Novel Method for Measuring Ambient Heat Exposure-Acute Healthcare Utilization Associations Within a Safety Net: A Retrospective, Longitudinal Study.Journal of general internal medicine · 2025Article
- A global assessment of urban extreme weather early warning systems and public health engagement.Bulletin of the World Health Organization · 2025Article
- Lessons learnt from the 2021 Pacific Northwest heat dome: a qualitative study of western Washington's healthcare community response.BMJ open · 2025Article
- Urban heat mitigation by green and blue infrastructure: Drivers, effectiveness, and future needs.Innovation (Cambridge (Mass.)) · 2024Review
- Climate change and health: rethinking public health messaging for wildfire smoke and extreme heat co-exposures.Frontiers in public health · 2024Review
- Preparing for Extreme Heat: Are Cooling Outdoor Spaces Accessible by People with Disabilities?Environmental health perspectives · 2023Article
- Perceptions of the health risk from hot days and the cooling effect of urban green spaces: a case study in Xi'an, China.Frontiers in public health · 2023Article
Corrections and comments
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Authors and funding
10 authors.
Funding
Abstract
backgroundIncreasingly frequent and intense extreme heat events (EHEs) are indicative of climate change impacts, and urban areas' social and built environments increase their risk for health consequences. Heat action plans (HAPs) are a strategy to bolster municipal EHE preparedness. The objective of this research is to characterize municipal interventions to EHEs and compare U.S. jurisdictions with and without formal heat action plans.
methodsAn online survey was sent to 99 U.S. jurisdictions with populations > 200,000 between September 2021 and January 2022. Summary statistics were calculated to describe the proportion of total jurisdictions, as well as jurisdictions with and without HAPs and in different geographies that reported engagement in extreme heat preparedness and response activities.
resultsThirty-eight (38.4%) jurisdictions responded to the survey. Of those respondents, twenty-three (60.5%) reported the development of a HAP, of which 22 (95.7%) reported plans for opening cooling centers. All respondents reported conducting heat-related risk communications; however, communication approaches focused on passive, technology-dependent mechanisms. While 75.7% of jurisdictions reported having developed a definition for an EHE, less than two-thirds of responding jurisdictions reported any of the following activities: conducting heat-related surveillance (61.1%), implementing provisions for power outages (53.1%), increasing access to fans or air conditioners (48.4%), developing heat vulnerability maps (43.2%), or evaluating activities (34.2%). There were only two statistically significant (p ≥ .05) differences in the prevalence of heat-related activities between jurisdictions with and without a written HAP, possibly attributable to a relatively small sample size: surveillance and having a definition of extreme heat.
conclusionsJurisdictions can strengthen their extreme heat preparedness by expanding their consideration of at-risk populations to include communities of color, conducting formal evaluations of their responses, and by bridging the gap between the populations determined to be most at-risk and the channels of communication designed to reach them.
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