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Susan M. Bernard, JD, DrPH, MPH and Michael A. McGeehin, PhD, MSPH

At the time of this research, Susan M. Bernard was with the Johns Hopkins Bloomberg School of Public Health, Baltimore, Md. Michael A. McGeehin is with the Division of Environmental Hazards and Health Effects, National Center for Environmental Health, Centers for Disease Control and Prevention, Atlanta, Ga.

Correspondence: Requests for reprints should be sent to Michael A. McGeehin, PhD, MSPH, Division of Environmental Hazards and Health Effects, National Center for Environmental Health, 1600 Clifton Rd NE, Mail Stop E-19, Centers for Disease Control and Prevention, Atlanta, GA 30333 (e-mail: mam7{at}cdc.gov).

Approximately 400 people die from extreme heat each year in the United States, and the risk of heat waves may increase as a result of global climate change. Despite the risk of heat-related morbidity and mortality, many cities lack written heat response plans. In a review of plans from 18 cities at risk for heat-related mortality, we found that many cities had inadequate or no heat response plans. This is an important area for further investigation and government attention.