The HeatWise Policy Partnership Summit is a key component of a cyclical two-year program that encompasses stakeholder engagement, event planning, biannual convening, reporting key findings, and outreach to policymakers.

This white paper presents an application designed to help North Carolina water utilities complete federally required lead service line inventories. Using available datasets, the application simplifies the inventory process, reduces software barriers,  details development and utility engagements, and proposes enhancements for broader use. The paper highlights methods and future improvements, aiming to extend the tool's reach to help utilities nationwide manage lead contamination efficiently. 

With climate change driving more frequent and intense heat events, North Carolina's Heat Action Plan Toolkit aims to help communities adapt and build resilience to extreme heat. Primarily targeted for use by local governments, including health and emergency management departments, the toolkit focuses on approaches to reduce the human health impacts of increasing temperatures and heat waves.

The 2023 Durham Community Health Assessment was produced as part of the accreditation process for the Durham County Department of Public Health and Affordable Care Act requirements for Duke Health. Nicholas Institute experts Ashley Ward and Jordan Clark contributed to a section on extreme heat, highlighting the disparate impact of extreme heat on Durham residents and current and future resources to mitigate the worst impacts of extreme heat exposure.

This research assesses the accuracy of wet bulb globe temperature (WBGT) forecasts. WBGT is a heat stress index that accounts for impacts of air temperature, humidity, wind, and radiation. It is widely used in occupational, athletic, and military settings for heat stress assessment, yet WBGT forecasting in the United States is a relatively new development. These forecasts can be used by decision-makers to better plan activities.

Wet bulb globe temperature (WBGT) is a heat stress index that accounts for the effects of air temperature, humidity, wind, and radiation on humans. However, WBGT is not routinely measured at weather stations. This work demonstrated the accuracy of estimating WBGT with methods from Liljegren et al. (2008), finding it to be more accurate than measurements from a popular handheld meter, the Kestrel 5400 Heat Stress Tracker. Variations in WBGT that result in different danger levels were found between measurements over a tennis court and a neighboring grass field, and between sun and shade conditions. Understanding the magnitude of these differences and the biases with WBGT estimates and measurements can inform the planning of outdoor activity to robustly safeguard health.

High school athletic associations (HSAAs) bear the responsibility of ensuring the health and safety of student-athletes. Exertional heat illness poses a significant risk, making this a task of increasing urgency in light of climate change and rising temperatures. This policy brief builds on prior research to offer recommendations to HSAAs as part of an ongoing commitment to safeguard student-athletes from heat-related illnesses.

US states must have a FEMA-approved state hazard mitigation plan (SHMP) to apply for certain nonemergency disaster funds and funding for mitigation projects. SHMPs indentify the hazards that may impact a state and detail corresponding mitigation strategies. This report assesses the treatment and definition of heat as a hazard in each state's most recent plan. The importance of extreme heat—the leading cause of weather-related death in the United States—is often understated because it does not fit easily into current SHMP guidelines. The authors provide recommendations to help states adequately evaluate the threat of extreme heat as they update their SHMPs.

Heat stress poses serious health risks to maternal health, including an increased probability of preterm labor and preterm birth. Yet the Southeastern US, where extreme heat exposure is high and maternal outcomes are some of the most challenging in the nation, has seen insufficient research and action on this issue. This study reveals significant impacts to pregnant women exposed to heat over a 5-year period during North Carolina’s annual warm season (May–September).