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Massachusetts Surveys Climate Readiness of Public Health Departments

Massachusetts Public Health Survey Report Cover
Massachusetts Public Health Survey Report Cover

Climate change threatens human health through a variety of pathways including more frequent extreme weather events, decreased air quality, and increased spread of vector-borne diseases. Massachusetts — recognizing this risk — surveyed its local boards of public health to gauge the state’s level of public health preparedness for climate change.

The Massachusetts Department of Health was interested in the local boards’ current understanding, level of preparedness, and response capabilities for projected climate change risks. The survey covered surveillance, planning, and intervention activities associated with heat stress, hazardous weather events, indoor air quality, food supply/agricultural issues, vector-borne diseases, and water quality issues. The survey helped identify communities that may be more vulnerable to projected climate change risks.

State and local communities can use this knowledge to increase resiliency and adaptive capacity by more effectively guiding and targeting resources and actions to vulnerable health departments.

How Did They Do It? Applicable EPA Tools
Assessed the state public health system’s current perceived capacity to deal with projected climate risks.
  • The Massachusetts Department of Health worked with the regional coordinators of the five Massachusetts public health regions and the 15 Emergency Preparedness Regional Coalitions to survey the 351 municipalities in the commonwealth.
  • Less than a quarter (24%) of responding health departments identified climate change preparations as a priority, yet only a fifth (21%) felt they had adequate resources to address climate risks.
  • Only a small minority of respondents identified and systematically tracked many of the threats projected to be exacerbated by climate change such as indoor and outdoor air quality, respiratory conditions, and extreme heat.
  • Half the respondents identified current efforts to increase resiliency to extreme heat events, such as having developed or in the process of developing plans for siting cooling centers for operation during heat events.

CDC's Health Vulnerability: Climate Change Guide For Health Departments helps communities assess capacity and vulnerability to climate risks.

Health Vulnerability: Climate Change Guide For Health Departments

* (This is a non-EPA resource from the Centers for Disease Control and Prevention.)

Prepared a final report with recommended steps to increase public health system’s adaptive capacity.
  • The Department of Public Health “should create region-specific vulnerability maps identifying and quantifying specific environmental and public health threats".
  • The survey can be used in combination with Massachusetts’ Environmental Public Health Data Tracking (EPHT) portal to help communities better prepare for future health impacts.
    • Massachusetts’ Environmental Public Health Data Tracking (EPHT) portal

EPA's Climate Impacts on Health Page provides information to better increase knowledge of the expected human health risks from climate change.

Understanding the Connections Between Climate Change and Human Health


Similar Cases and More Information

Massachusetts acknowledged that while the survey has helped identify prospective vulnerabilities, they are unable to tie this data to projected vulnerabilities without further research. To see an example of how a community has identified projected public health vulnerabilities, see the Minnesota Climate Health case study. To see an example of specific steps to reduce vulnerabilities and adapt to changing conditions, view Chicago’s Adaptation to Extreme Heat Events, or for how to increase adaptive capacity of vulnerable populations, view Chicago’s Heat Emergency Response.

  • Minnesota Climate Health Case Study
  • Chicago’s Adaptation to Extreme Heat Events
  • Chicago’s Heat Emergency Response

Submit a Case Study

References

  • Massachusetts Environmental Public Health Tracking
  • Massachusetts Executive Office of Health and Human Services: Climate Change

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Last updated on February 12, 2025
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