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            Climate Services for Coping with Climate Change, Drought, and
          
        
        
          
            Extreme Heat in the México-U.S. Border Region
          
        
        
          Workshop participants identified five key challenges and research
        
        
          needs:
        
        
          1. Translation of climate and health research into
        
        
          evidence-driven interventions and actionable strategies;
        
        
          2. Co-production of discipline-specific environmental
        
        
          and health information to support decisions on all
        
        
          timescales;
        
        
          3. Improved risk communication strategies to inform all
        
        
          populations  of the public health risks of extreme heat,
        
        
          and to inspire behavior changes that reduce risks;
        
        
          4. Enhanced coordination and communication among
        
        
          emergency management entities; and
        
        
          5. Improved public health surveillance and monitoring,
        
        
          coupled with improved climate prediction skill, at
        
        
          timescales from weeks to interannual.
        
        
          At the workshop, participants gathered into groups, based on five
        
        
          focal areas previously identified by NIHHIS leaders. Each group
        
        
          identified strengths, opportunities, knowledge gaps, research
        
        
          needs, and potential collaborators, and they proposed strategies
        
        
          and actions. Below is a selection of insights and recommendations
        
        
          from the groups.
        
        
          
            Historical Climatology and Vulnerability
          
        
        
          . Participants identified
        
        
          vulnerability assessment, and data synthesis and analysis, as
        
        
          key priorities for further actions to improve understanding of
        
        
          extreme heat risks. In particular, they specified a critical need
        
        
          to quantify regional vulnerabilities of diverse populations, and
        
        
          to develop indicators and metrics of heat-related illnesses, with a
        
        
          focus on populations identified as vulnerable (e.g., infants, elderly,
        
        
          mentally ill). They noted the value of developing mutually agreed
        
        
          upon, region-specific vulnerability assessment criteria, based on
        
        
          common data, assessment indicators, methods, and mapping.