Climate change is expected to exacerbate the urban heat island (UHI) effect in cities worldwide, increasing the risk of heat-related morbidity and mortality. Solar reflective ‘cool pavement’ is one of several mitigation strategies that may counteract the negative effects of the UHI effect. An increase in pavement albedo results in less heat absorption, which results in reduced surface temperatures (T _surface). Near surface air temperatures (T _air) could also be reduced if cool pavements are deployed at sufficiently large spatial scales, though this has never been confirmed by field measurements. This field study is the first to conduct controlled measurements of the impacts of neighborhood-scale cool pavement installations. We measured the impacts of cool pavement on albedo, T _surface, and T _air. In addition, pavement albedo was monitored after installation to assess its degradation over time. The field site (∼0.64 km²) was located in Covina, California; ∼30 km east of Downtown Los Angeles. We found that an average pavement albedo increase of 0.18 (from 0.08 to 0.26) corresponded to maximum neighborhood averaged T _surface and T _air reductions of 5 °C and 0.2 °C, respectively. Maximum T _surface reductions were observed in the afternoon, while minimum reductions of 0.9 °C were observed in the morning. T _air reductions were detected at 12:00 local standard time (LST), and from 20:00 LST to 22:59 LST, suggesting that cool pavement decreases T _air during the daytime as well as in the evening. An average albedo reduction of 30% corresponded to a ∼1 °C reduction in the T _surface cooling efficacy. Although we present here the first measured T _air reductions due to cool pavement, we emphasize that the tradeoffs between T _air reductions and reflected shortwave radiation increases are still unclear and warrant further investigation in order to holistically assess the efficacy of cool pavements, especially with regards to pedestrian thermal comfort.

Water consumption from electricity systems can be large, and it varies greatly by region. As electricity systems change, understanding the implications for water demand is important, given differential water availability. This letter presents regional water consumption and consumptive intensities for the United States electric grid by region using a 2014 base year, based on the 26 regions in the Environmental Protection Agency’s Emissions & Generation Resource Integrated Database. Estimates encompass operational (i.e. not embodied in fixed assets) water consumption from fuel extraction through conversion, calculated as the sum of induced water consumption for processes upstream of the point of generation (PoG) and water consumed at the PoG. Absolute water consumption and consumptive intensity is driven by thermal power plant cooling requirements. Regional consumption intensities vary by roughly a factor of 20. This variability is largely attributed to water consumption upstream of the PoG, particularly evaporation from reservoirs associated with hydroelectricity. Solar and wind generation, which are expected to continue to grow rapidly, consume very little water and could drive lower water consumption over time. As the electricity grid continues to change in response to policy, economic, and climatic drivers, understanding potential impacts on local water resources can inform changes.

Significant mortality and morbidity in pregnant women and their offspring are linked to premature rupture of membranes (PROM). Epidemiological evidence for heat-related PROM risk is extremely limited. We investigated associations between acute heatwave exposure and spontaneous PROM. We conducted this retrospective cohort study among mothers in Kaiser Permanente Southern California who experienced membrane ruptures during the warm season (May-September) from 2008 to 2018. Twelve definitions of heatwaves with different cut-off percentiles (75th, 90th, 95th, and 98th) and durations (≥ 2, 3, and 4 consecutive days) were developed using the daily maximum heat index, which incorporates both daily maximum temperature and minimum relative humidity in the last gestational week. Cox proportional hazards models were fitted separately for spontaneous PROM, term PROM (TPROM), and preterm PROM (PPROM) with zip codes as the random effect and gestational week as the temporal unit. Effect modification by air pollution (i.e., PM_2.5 and NO₂), climate adaptation measures (i.e., green space and air conditioning [AC] penetration), sociodemographic factors, and smoking behavior was examined. In total, we included 190,767 subjects with 16,490 (8.6%) spontaneous PROMs. We identified a 9-14% increase in PROM risks associated with less intense heatwaves. Similar patterns as PROM were found for TPROM and PPROM. The heat-related PROM risks were greater among mothers exposed to a higher level of PM_2.5 during pregnancy, under 25 years old, with lower education and household income level, and who smoked. Even though climate adaptation factors were not statistically significant effect modifiers, mothers living with lower green space or lower AC penetration were at consistently higher heat-related PROM risks compared to their counterparts. Using a rich and high-quality clinical database, we detected harmful heat exposure for spontaneous PROM in preterm and term deliveries. Some subgroups with specific characteristics were more susceptible to heat-related PROM risk.