Multnomah County Health Department
This workshop project was developed by the Climate and Built Environment work group within the Healthy Homes and Communities team (HHC) at the Multnomah County Health Department. The client expressed the need for this project now due to the increasing severity of heat events and the necessity for longer-term interventions to mitigate the impacts of heat on the community.
Source: Multnomah County Health Department
In the Summer of 2021, Multnomah County experienced a heat dome that resulted in the tragic deaths of 75 people and caused 258 individuals to seek medical care in emergency rooms and urgent care facilities. While heat related treatment had been experienced in previous heat waves, no heat related deaths had been recorded by the county prior to the Heat Dome. Since 2021, heat-related fatalities have remained elevated above the pre-2021 baseline. Medical visits for illness and injury also remain elevated from 2021 onwards.
Many of the more easily implementable short-term solutions have already been implemented in Portland, and the HHC team is looking to plan for deeper changes to physical infrastructure to limit the extent to which the built environment amplifies ground-level temperature during extreme heat events. Further, this project from HHC calls for building relationships to improve adaptive capacity during extreme heat.
Multnomah County Health Department works with communities to advance health equity, protect our most vulnerable, and promote health and wellness for everyone.
We are a leader in addressing leading causes of death through a racial equity lens.
For the Healthy Homes and Communities team and Doug Fir Partners, equitable and thoughtful community engagement was essential to identifying interventions to increase adaptive capacity that align with what the community wants, needs, and will utilize. The Doug Fir Partners team developed six goals for the engagement process, with the overall engagement approach outlined in Figure XX.
Doug Fir Partners’ Community Engagement Goals:
Direct, inclusive engagement with residents, community leaders, and local organizations, including sharing information about local heat hazards and impacts.
Build trust and the foundations of lasting relationships between community partners, community members, and the Multnomah County HHC team.
Evaluation of community interest in, and priorities regarding, extreme heat intervention ideas.
Determine which interventions are most desired, culturally appropriate, and likely to be used and maintained by the community of the selected HRFA.
Identify synergies or complementary capabilities to work towards building collective capacity for long-term heat resilience implementation.
Engagement efforts will be focused on feedback from technical experts, community organizations, and community members with lived experience, prioritizing depth of knowledge rather than trying to hear from as many people as possible.