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Report: Maryland is second most- prepared state for climate change

Updated: Oct 1, 2021

Maryland is the second-most prepared stated in the union for upcoming climate change according to estimates of a new report from researchers at Trust for America's Health and the Johns Hopkins Bloomberg School of Public Health.

Only Utah beats out Maryland as the most prepared state, according to the report.

The report was released today at the 3rd annual Bloomberg American Health Summit. The Summit brings together national innovators and experts to discuss how to transform the nation's public health system.

The researchers calculated each state's vulnerability by looking at a range of factors.

Environment and geography are crucial, but in addition, social and demographic factors also play a key role.

State assessments were based on three indicators: vulnerability, public health preparedness, and climate-related adaptation. All of the report's findings are relative, i.e., based on comparisons between states.

Many of the states most at risk from climate change are also the least ready to deal with it,

This group of states faces increased hazards including hurricanes, floods, heat waves, and vector-borne diseases, but have done the least to prepare, according to the report Climate Change & Health: Assessing State Preparedness.

"We wanted to better understand the risks posed to individual states and their level of readiness to protect residents," said the report's lead author, Matt McKillop, Senior Researcher at Trust for America's Health. "Our hope is that the report will give officials at all levels actionable information to better prepare."

Americans face formidable challenges from climate change. The explanation can be seen on the chart from the report below:

The report assessed all 50 states and the District of Columbia on their level of preparedness for the health effects of climate change. The researchers found a great deal of variation:

Some states have made significant preparations, while others have barely begun this process. Eight states in particular are both most vulnerable to the health impacts of climate change and least prepared.

States in the most-vulnerable/least-prepared group were: Georgia, Kentucky, Mississippi, Oklahoma, South Carolina, Tennessee, Texas, and West Virginia.

Overall, the more vulnerable a state was, the less prepared it tended to be. Many of these high vulnerability/low preparedness states are in the Southeast or Southern Great Plains.

Another group of states: Colorado, Maine, Maryland, New Hampshire, Utah, Vermont, Wisconsin, and the District of Columbia – have done much more to prepare.

The researchers emphasized that every state, including those rated as most prepared, can do much more to protect residents from the harmful health impacts of climate change.

"The impacts of climate change on our health demand that policymakers respond," said Megan Latshaw, a scientist at the Johns Hopkins Bloomberg School of Public Health.

"Our goal is that every single state will take this as a clarion call and think of this report as a starting point to do more to help make residents' lives safer."

Some climate-related events, such as hurricanes and wildfires, have immediate health impacts.

Others are more insidious, including more frequent heat waves; deteriorating air quality; chronic flooding; and increases in vector, water, and food-related disease.

These threats already exist. But climate change exacerbates them, and also shifts or expands the regions and populations at risk. In addition, all of these effects can take a severe toll on mental health and well-being.

Some populations and communities are especially vulnerable.

High-risk residents include those who are very young or very old, people with a disability, and those living in poverty. Often, the legacy and continued presence of systemic racism, including patterns of deprivation and discrimination, makes communities of color especially vulnerable.

The report makes recommendations for federal and state action including:


  • Congress should enact legislation creating a national climate-readiness plan.

  • The incoming administration and Congress should fully fund the Centers for Disease Control and Prevention's (CDC) Climate and Health program and the National Environmental Public Health Tracking Network.

  • The federal government should strengthen the national public health system and workforce, including by modernizing data and surveillance capacities.


  • Complete all steps of the CDC's Building Resilience Against Climate Effects (BRACE) framework.

  • Bolster core public health preparedness capacity, and establish and sustain dedicated funding and staffing for climate-related preparations.

  • Work with communities on preparedness planning.

Trust for America's Health is a nonprofit, nonpartisan organization that promotes optimal health for every person and community and makes the prevention of illness and injury a national priority. On Twitter at: @healthyamerica1

Founded in 1916 as part of the Johns Hopkins University, Johns Hopkins Bloomberg School of Public Health is the world's oldest and largest independent school of public health. Every day, the Bloomberg School works to keep millions safe from illness and injury by pioneering new research, deploying its knowledge and expertise in the field, and educating tomorrow's scientists and practitioners in the global defense of human life. During the COVID-19 pandemic, Bloomberg School experts are offering science- and evidence-based insights at

The Bloomberg American Health Initiative was created in 2016 with a $300 million gift from Bloomberg Philanthropies to the Johns Hopkins Bloomberg School of Public Health. The Initiative is tackling key public health challenges in the U.S., focusing primarily on addiction and overdose, adolescent health, the environment, obesity and the food system, and violence. It is also working to train a new generation of professionals committed to improving health in America.

SOURCE: PR Newswire/Trust for America's Health (