Appendix E: Extreme Heat

Extreme heat can cause dehydration, heat exhaustion, and heatstroke in children, whose bodies are less able to regulate temperature. Young children are especially at risk due to their lower body weight, high activity levels, and immature cooling systems.

Discussion Prompts for Children's Programs

• Have there been any reports from staff or parents about heat-related illnesses, such as heat exhaustion or heatstroke, especially among children in shelters, hotels, or co-housing situations?

• How are families managing the heat in their temporary living conditions? Are there concerns about insufficient access to cooling devices like fans, air conditioning, or shaded outdoor spaces?

• Are there any areas near the school or shelters that have poor air circulation or limited access to shade or cooling areas, where children or families might be exposed to unsafe heat levels?

• Have you received any public health advisories about heat-related safety, such as recommendations for hydration, limiting outdoor activities, or cooling stations for residents?

• Given the heat and lack of cooling, have any activities been canceled or adjusted to keep children safe?

• Have you observed any issues with access to fresh water for families or students, especially in shelters or temporary housing, as dehydration is a key concern during extreme heat?

• Has there been any feedback from parents, community members, or children about the effectiveness of cooling options in schools or shelters, and whether they feel they are sufficient?

Ideas for Mitigation & Intervention

• School-Based Cooling Kits: Distribute basic "cooling kits" (e.g., spray bottles, cold packs, portable fans) to schools and after-school programs, paired with education on recognizing heat-related illness in kids.

• Heat Safety Education via Mobile Clinics: Deliver simple, family-friendly heat safety tips through mobile health units and school meal distribution points, including advice on hydration, cooling, and recognizing heat stress.

• Youth-Led Heat Mapping & Education: Support tribal youth groups in mapping the hottest areas of their communities and presenting solutions (e.g., tree planting, water stations) at tribal council and school meetings.

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.