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American Focus > Blog > Environment > It’s not just the cities. Extreme heat is a growing threat to rural America.
Environment

It’s not just the cities. Extreme heat is a growing threat to rural America.

Last updated: June 28, 2025 6:35 am
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It’s not just the cities. Extreme heat is a growing threat to rural America.
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Extreme heat can exacerbate existing health conditions in older adults, leading to heat-related illnesses such as heat stroke and dehydration. Additionally, many rural areas lack access to air conditioning, making it difficult for residents to escape the sweltering temperatures.

Another issue in rural areas is the lack of healthcare infrastructure. Many rural communities have limited access to healthcare facilities, which can make it challenging for residents to receive timely medical treatment for heat-related illnesses. Emergency response times may also be longer in rural areas, further increasing the risk of health complications from extreme heat.

Furthermore, rural communities often have higher rates of poverty, which can impact residents’ ability to afford cooling measures such as air conditioning or fans. Limited financial resources can also make it difficult for residents to access adequate hydration and nutritious food, which are essential for staying healthy during extreme heat events.

The reliance on outdoor occupations in rural areas also exposes workers to higher risks of heat-related illnesses. Farmworkers, construction workers, and others who work outside are particularly vulnerable to the effects of extreme heat. Heat stress can impair cognitive function and physical performance, increasing the risk of accidents and injuries on the job.

In light of these challenges, it is crucial for policymakers and public health officials to prioritize the needs of rural communities during extreme heat events. This includes improving access to cooling centers, increasing outreach and education on heat safety, and implementing policies to address the unique vulnerabilities of rural populations.

As extreme heat events become more frequent and intense due to climate change, it is essential to ensure that all communities, including rural areas, are adequately prepared to cope with the impacts of rising temperatures. By addressing the specific challenges faced by rural communities, we can help protect the health and well-being of all residents, regardless of where they live.

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Improving the resilience of rural communities to extreme heat requires a multi-faceted approach that addresses the underlying vulnerabilities that make these areas more susceptible to heat-related health risks. One key aspect is upgrading rural infrastructure to better withstand the impacts of heat waves. This includes retrofitting older buildings with improved insulation and cooling systems, especially in manufactured and mobile homes that are prevalent in rural areas.

Additionally, efforts should be made to enhance access to cooling resources for rural residents, many of whom have lower incomes and struggle to afford the high costs of electricity needed to run air conditioners and fans. Addressing issues such as power outages and unreliable electricity supply in rural areas is crucial to ensuring that residents can stay cool during extreme heat events.

Public spaces that provide relief from the heat, such as libraries and shopping malls, are also essential in rural communities where such amenities may be scarce. Furthermore, implementing federal workplace heat regulations to protect outdoor laborers, such as farmworkers and construction crews, is critical to preventing heat-related illnesses and fatalities among vulnerable populations.

Improving access to healthcare services in rural areas is another crucial step in mitigating the health impacts of extreme heat. Establishing more clinics and hospitals in rural communities and equipping emergency responders with the necessary tools and training to treat heat emergencies can help save lives during heat waves.

Ultimately, addressing the unique challenges faced by rural communities in coping with extreme heat requires a coordinated effort from policymakers, healthcare providers, and community leaders. By investing in infrastructure upgrades, expanding access to cooling resources, and enhancing healthcare services, we can better protect rural residents from the growing threat of extreme heat and its associated health risks. Extreme heat poses a significant threat to communities across the United States, highlighting the urgent need for infrastructure upgrades to ensure the health and safety of residents. These upgrades must include more robust energy delivery systems, increased shade and green spaces, better insulation, cool roofs, and more energy-efficient cooling options.

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In addition to these infrastructure improvements, addressing extreme heat also requires significant investments in healthcare infrastructure. The ongoing rural healthcare crisis, characterized by a shortage of doctors, hospital closures, and longer emergency response times, must be reversed. However, the proposed budget cuts by the Republican party could exacerbate this crisis, leading to the closure of dozens of hospitals, particularly in rural areas.

Policy changes are also essential to protect individuals from dangerous heat exposure. Currently, most states lack worker protections for extreme heat conditions. The Occupational Safety and Health Administration is working on creating the first federal heat safety standard for employers, which would mandate breaks, water, and shade for employees during hot weather. However, the strength of this regulation remains uncertain, given the previous efforts to weaken rules by the Trump administration.

Furthermore, cities and local governments can implement regulations that prevent utilities from disconnecting power to customers during heatwaves, similar to existing regulations that limit disconnections during the winter months.

Despite these adaptation efforts, there are limits to how much individuals can withstand increasingly hotter temperatures. Even in areas with a history of managing heat waves, there has been a rise in heat-related deaths and hospitalizations. Therefore, reducing greenhouse gas emissions to mitigate the ongoing warming trend and slow climate change must be a crucial part of the solution.

In conclusion, addressing extreme heat requires a multi-faceted approach that encompasses infrastructure upgrades, healthcare investments, policy changes, and climate action. By implementing these measures, communities can better protect their residents from the dangers of extreme heat and ensure a safer, more resilient future for all.

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