Increasing climate variability, ranging from extreme heat to sea level rise, has a multitude of health effects across the U.S. While city and county climate action plans have been progressively incorporating public health perspectives (Fox et al. 2019; Mendez 2015), it is less common for these entities to develop discrete public health climate adaptation plans. In order to address this gap, a five-step process called the Building Resilience Against Climate Effects (BRACE) framework was developed by the CDC in 2017. As the program shifts to its third iteration, this project presents a review of climate health adaptation plans by 14 jurisdictions. This includes interviews of 12 separate program managers and project investigators which provide a key component to plan evaluations by accounting for regional situational factors such as socio-ecological and political contexts. This assessment brings insight to the extent of systematic plan development as well as innovative strategies carried out by public health departments, and can help inform future public health adaptation plans.
