About Building Resilience Against Climate Effects (BRACE) Framework

What to know

The Building Resilience Against Climate Effects (BRACE) framework is a five-step process that allows health officials to develop strategies and programs to help communities prepare for the health effects of climate change.


The BRACE Framework has five sequential steps:

A circle with the 5 steps of the BRACE framework on it. Inside the circle is the acronym BRACE and what each letter represents.
The BRACE framework is a five-step process.

Step 1: Anticipate climate impacts and assess vulnerabilities

Identify the scope of climate impacts, associated potential health outcomes, and populations and locations vulnerable to these health impacts.

Climate Models and the Use of Climate Projections: A Brief Overview for Health Departments

Assessing Health Vulnerability to Climate Change: A Guide for Health Departments

Step 2: Project the disease burden

Estimate or quantify the additional burden of health outcomes associated with climate change.

Projecting Climate-Related Disease Burden: A Guide for Health Departments

Projecting Climate-Related Disease Burden: A Case Study on Methods for Projecting Respiratory Health Impacts

Step 3: Assess public health interventions

Identify the most suitable health interventions for the identified health impacts of greatest concern.

Climate and Health Intervention Assessment: Evidence on Public Health Interventions to Prevent the Negative Health Effects of Climate Change

Step 4: Develop and implement a climate and health adaptation plan

Develop a written adaptation plan that is regularly updated. Disseminate and oversee implementation of the plan.

Adaptation Action and Evaluation Plan Template (AAEP)

Adaptation in Action: CRSCI Grantee Success Stories

Step 5: Evaluate impact and improve quality of activities

Evaluate the process. Determine the value of information attained and activities undertaken.

CDC's Climate and Health Evaluation page provides more information on monitoring and evaluating the effectiveness of climate and health work.

More in-depth information about the BRACE framework can be found in the document titled Building Resilience against Climate Effects—A Novel Framework to Facilitate Climate Readiness in Public Health Agencies. An animated video describing the BRACE framework is also available.

Justice, Equity, Diversity, and Inclusion (JEDI)

Because justice, equity, diversity, and inclusion (JEDI) principles are crucial to climate change adaptation planning, CDC has partnered with the American Public Health Association (APHA) to create the Climate Change and Health Playbook: Adaptation Planning for Justice, Equity, Diversity, and Inclusion. This comprehensive, step-by-step resource is designed to supplement BRACE and support public health departments and adaptation planners as they blend JEDI into their climate and health efforts. Learn more about climate justice and how CDC is supporting public health departments and climate adaptation planners as they incorporate JEDI principles into their BRACE efforts.

A circular symbol with green and the left side, a sun in the top left, fire on the top right, water on the right, and a water drop in the middle.
APHA is a key partner for CDC's climate change efforts.