Appendix E: Extreme Cold

Extreme cold increases the risk of hypothermia and frostbite in children, whose bodies are less able to regulate temperature.

Discussion Prompts for Children's Programs

• Have there been any reports of families or children experiencing cold-related illnesses, such as frostbite or hypothermia, especially those living in shelters or temporary housing?

• How are families and children managing heating in shelters or temporary housing? Are there concerns about exposure to unsafe heating sources, like space heaters or open flames, that could lead to carbon monoxide poisoning or fire risks?

• Have any schools, shelters, or other community spaces had difficulty maintaining a safe indoor temperature due to damaged heating systems or lack of proper insulation?

• Have you noticed any concerns about people trying to stay warm in unsafe or unventilated spaces, such as basements, attics, or cars, that might pose a risk for carbon monoxide buildup or other hazards?

• What steps are being taken to ensure that families in shelters, hotels, or co-housing situations have access to warm clothing, blankets, and other essential supplies to protect them from the extreme cold?

• Are there any public health advisories or community programs in place to help families manage the cold, like warming stations or support for those without reliable heat in their homes?

• Have you seen any increase in cold-related injuries, such as falls or accidents due to icy conditions outside or poor road conditions? 

Ideas for Mitigation & Intervention

• Neighborhood "Warm Watch" Program: Encourage PTAs or local neighborhood groups to check on families with young children during extreme cold events, sharing resources and safe heating practices.

• Cultural Warmth Education: Host intergenerational workshops where elders teach youth traditional methods for staying warm and safe in winter (e.g., traditional layering, safe indoor heating), reinforcing cultural knowledge and health.

Cultivating Allies 

• Coordinate with state, tribal, territorial, and local public health agencies to identify which agencies or departments have responsibilities, roles, or authority related to asbestos.

• Research local and regional networks that offer education, advocacy, or direct services related to asbestos, such as nonprofits, coalitions, or service providers.

• Identify subject matter experts from federal agencies, academic institutions, or the private sector who can support assessment, interpretation, or planning activities.