Beyond Urban Heat Islands, Rural Areas Face Their Own Threats In Age Of Weather Extremes

EDIT

A major factor: the median age of the rural population is older than in cities. That matters, because on a physiological level, older adults struggle more to cope with heat than the young. People living in rural communities also have double the rates of chronic health conditions that enhance the damage from heat like high blood pressure and emphysema compared to people living in urban ZIP codes. Rural infrastructure is another vulnerability. While there may be more forests and farms in the country that can cool the air, the buildings there are often older, with less adequate insulation and cooling systems for this new era of severe heat. Manufactured and mobile homes, more common in rural areas, are particularly sensitive to heat. In Arizona’s Maricopa County, home to Phoenix, mobile homes make up 5 percent of the housing stock but account for 30 percent of indoor heat deaths.

Even if rural residents have air conditioners and fans, they tend to have lower incomes and thus devote a higher share of their spending for electricity, up to 40 percent more than city dwellers, which makes it less affordable for them to stay cool. That’s if they can get electricity at all: Rural areas are more vulnerable to outages due to older infrastructure and the long distances that power lines have to be routed, creating greater chances of problems like tree branches falling on lines. According to the US Census Bureau, 35.4 percent of households in rural areas experienced an outage over the course of a year, compared to 22.8 percent of households in urban areas.

Sparsely populated communities also have fewer public spaces, such as shopping malls and libraries, where people can pass a hot summer day. Rural economies also depend more on outdoor labor, and there are still no federal workplace heat regulations. Farmworkers, construction crews, and delivery drivers are especially vulnerable to hot weather, and an average of 40 workers die each year from extreme heat. The health infrastructure is lacking as well. “There is a longstanding healthcare crisis in rural areas,” said Grace Wickerson, senior manager for climate and health at the Federation of American Scientists. There aren’t always nearby clinics and hospitals that can quickly treat heat emergencies. “To really take care of someone when they’re actually in full-on heat stroke, they need to be cooled down in a matter of minutes,” Wickerson said.

The Phoenix Fire Department has now started using ice immersion for heat stroke victims when transporting patients to hospitals to buy precious time. But rural emergency responders are less likely to have tools like this in their ambulances. “In Montana, which has not traditionally seen a lot of extreme heat, you would not have those tools on your truck and not have that awareness to do that cooling. When you see someone who has to also then travel miles to get care, that’s going to worsen their health related outcomes,” Wickerson said.

EDIT

https://grist.org/extreme-heat/extreme-heat-growing-threat-rural-america/