There is a pressing need for strategies to prevent the heat-health impacts of climate change. Cooling urban areas through adding trees and vegetation and increasing solar reflectance of roofs and pavements with higher albedo surface materials are recommended strategies for mitigating the urban heat island. We quantified how various tree cover and albedo scenarios would impact heat-related mortality, temperature, humidity, and oppressive air masses in Los Angeles, California, and quantified the number of years that climate change–induced warming could be delayed in Los Angeles if interventions were implemented. Using synoptic climatology, we used meteorological data for historical summer heat waves, classifying days into discrete air mass types. We analyzed those data against historical mortality data to determine excess heat-related mortality. We then used the Weather Research and Forecasting model to explore the effects that tree cover and albedo scenarios would have, correlating the resultant meteorological data with standardized mortality data algorithms to quantify potential reductions in mortality. We found that roughly one in four lives currently lost during heat waves could be saved. We also found that climate change–induced warming could be delayed approximately 40–70 years under business-as-usual and moderate mitigation scenarios, respectively.

Extreme heat in the United States is a leading cause of weather-related deaths, disproportionately affecting low-income communities of color who tend to live in substandard housing with limited indoor cooling and fewer trees. Trees in cities have been documented to improve public health in many ways and provide climate regulating ecosystem services via shading, absorbing, and transpiring heat, measurably reducing heat-related illnesses and deaths. Advancing “urban forest equity” by planting trees in marginalized neighborhoods is acknowledged as a climate health equity strategy. But information is lacking about the efficacy of tree planting programs in advancing urban forest equity and public wellbeing. There is a need for frameworks to address the mismatch between policy goals, governance, resources, and community desires on how to green marginalized neighborhoods for public health improvement—especially in water-scarce environments. Prior studies have used environmental management-based approaches to evaluate planting programs, but few have focused on equity and health outcomes. We adapted a theory-based, multi-dimensional socio-ecological systems (SES) framework regularly used in the public health field to evaluate the Tree Ambassador, orPromotor Forestal, program in Los Angeles, US. The program is modeled after the community health worker model—where frontline health workers are trusted community members. It aims to address urban forest equity and wellbeing by training, supporting, and compensating residents to organize their communities. We use focus groups, surveys, and ethnographic methods to develop our SES model of community-based tree stewardship. The model elucidates how interacting dimensions—from individual to society level—drive urban forest equity and related public health outcomes. We then present an alternative framework, adding temporal and spatial factors to these dimensions. Evaluation results and our SES model highlight drivers aiding or hindering program trainees in organizing communities, including access to properties, perceptions about irrigation responsibilities, and lack of trust in local government. We also find that as trainee experience increases, measures including self- and collective efficacy and trust in their neighbors increase. Findings can inform urban forestry policy, planning, and management actions at the government and non-profit levels that aim to increase tree cover and reduce heat exposure in marginalized communities.

There is an urgent need for strategies to reduce the negative impacts of a warming climate on human health. Cooling urban neighborhoods by planting trees and vegetation and increasing albedo of roofs, pavements, and walls can mitigate urban heat. We used synoptic climatology to examine how different tree cover and albedo scenarios would affect heat-related morbidity in Los Angeles, CA, USA, as measured by emergency room (ER) visits. We classified daily meteorological data for historical summer heat events into discrete air mass types. We analyzed those classifications against historical ER visit data to determine both heat-related and excess morbidity. We used the Weather Research and Forecasting model to examine the impacts of varied tree cover and albedo scenarios on meteorological outcomes and used these results with standardized morbidity data algorithms to estimate potential reductions in ER visits. We tested three urban modification scenarios of low, medium, and high increases of tree cover and albedo and compared these against baseline conditions. We found that avoiding 25% to 50% of ER visits during heat events would be a common outcome if the urban environment had more tree cover and higher albedo, with the greatest benefits occurring under heat events that are moderate and those that are particularly hot and dry. We conducted these analyses at the county level and compared results to a heat-vulnerable, working-class Los Angeles community with a high concentration of people of color, and found that reductions in the rate of ER visits would be even greater at the community level compared to the county.

Heat exposure poses health risks that disproportionately burden disadvantaged communities. Trees protect against heat, but significant barriers exist to growing robust urban forests. In drier climates, complex logistics of watering during a multi-year establishment period pose a challenge because street trees are typically unirrigated and funding for maintenance is generally unavailable. This study tested the impacts of varying theory-guided community engagement approaches on beliefs, attitudes, knowledge, and behaviors related to foster street tree stewardship and individual-level heat mitigation actions in 116 households in Los Angeles County, USA. We tested a control intervention against experimental messaging focused on either public health or environmental health, and also segmented participants by the degree of prior household engagement with a local tree planting group. Outcomes measured were soil moisture, tree health, and survey responses indicating benefits and barriers related to tree stewardship. Results indicate that intervention messages had limited effect on these outcomes, and that level of engagement by the tree planting group was a stronger predictor of tree stewardship. We also found that tree stewardship correlated positively to heat protection measures, suggesting that environmental engagement may be an effective portal to reducing heat risk.

As the planet warms, heat-vulnerable communities in cities face increased heat-related risks including lost productivity, reduced learning outcomes, illness, and death. Despite the growing threat of heat, effective approaches to alleviate urban heat are available. Tree planting has received investment in a growing number of cities around the world, but there are significant gaps in our understanding of the cooling potential of trees in the urban context, particularly the impacts on indoor spaces where urban dwellers spend most of their time. Our study engaged community scientists in Los Angeles County, USA to collect data on the impacts of trees on indoor and outdoor thermal conditions in residential sites. Participants created a thermal sensor network that contributed continuous readings for the study period. We mimicked an experimental research design using a difference-in-differences approach where “treehouses” with more trees and “non-treehouses” with fewer trees were compared on hot days (>90°F or 32°C) and non-hot days. We found that on hot days indoor temperatures in treehouses warm less than in non-treehouses, but that trees provide relatively less benefit at night. We also found that exposure to extreme heat reaches dangerous levels in older residences without trees or air conditioning. underscoring the need for swift action to cool heat-vulnerable communities.