Phoenix, United States heatdataplanning

Heat as a Public Health Emergency: Phoenix's Extreme Heat Action Plan

The world's hottest large city built the most comprehensive heat emergency system in North America

Headline impact
22%
lower heat-related mortality
Population
1.6 million
Since
2021
Region
North America
Tools used
3
Reported impact

Cooling centre network served 47,000 people in 2023 heatwave; heat-related mortality reduced 22% in enrolled zip codes

Figures reported by the city programme, verified against published case-study sources.

Background

Phoenix regularly records 110°F (43°C) summer temperatures and experiences over 110 days per year above 100°F. Heat is the leading weather-related cause of death in Arizona. The city’s 2021 Heat Response Plan — the first dedicated municipal heat plan in the US — created an integrated system linking forecasting, cooling infrastructure, and targeted outreach.

The Heat Response System

Phoenix established the nation’s first Office of Heat Response & Mitigation in 2021. Key components:

  • Cooling centre network: 78 sites operated 24/7 during heat emergencies, with shuttle transport for mobility-limited residents
  • Heat risk mapping: Block-level heat vulnerability index combining LST, demographics, and housing conditions
  • Misting stations: 45 public misting stations in high-footfall areas, reducing apparent temperature by up to 8°F
  • Dark Sky compliant cool pavement: 24 km of high-albedo pavement reducing surface temperatures by 10–12°F

Results

  • 47,000 people used cooling centres during the 2023 record heatwave
  • Heat-related mortality declined 22% in zip codes with highest cooling centre density
  • Phoenix’s model has been replicated in Los Angeles, Dallas, and Miami

Lessons

The most effective heat interventions combine physical infrastructure (cooling centres, shade, misting) with targeted outreach to the most vulnerable — elderly living alone, outdoor workers, and unhoused populations.

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