U.S. Climate Resilience Toolkit

Occupational exposure to heat can result in injuries, disease, reduced productivity, and death. To address this hazard, the National Institute for Occupational Safety and Health evaluated the scientific data on heat stress and hot environments and updated these criteria (last updated in 1986). This revision includes information about physiological changes that result from heat stress; evidence to redefine heat stroke and associated symptoms; and updated information on physiological monitoring and personal protective equipment and clothing that can be used to control heat stress.

This assessment strengthens and expands our understanding of climate-related health impacts by providing a more definitive description of climate-related health burdens in the United States. It builds on the 2014 National Climate Assessment and reviews and synthesizes key contributions to the published literature. The findings represent an improvement in scientific confidence in the link between climate change and a broad range of threats to public health, while recognizing populations of concern and identifying emerging issues. The overall findings underscore the significance of the growing risk climate change poses to human health in the United States.

The U.S. Environmental Protection Agency produced this publication with assistance from federal, state, local, and academic partners. It is designed to help community officials, emergency managers, meteorologists, and others plan for and respond to excessive heat events. The guidebook highlights best practices that have been employed to save lives during excessive heat events in different urban areas. Originally published in June 2006, its Appendix A—a list of federal resources—was updated in March 2016.

This report, by a federal working group led by the National Institute of Environmental Health Sciences, highlights 11 key categories of diseases and other health consequences that are occurring or will occur due to climate change. The report provides a starting point for coordination of federal research to better understand climate’s impact on human health. The recommendations of the working group include research to identify who will be most vulnerable, and what efforts will be most beneficial.