Climate-Ready States & Cities Initiative

What to know

The CDC uses its public health expertise to help health departments prepare for and respond to the health effects that a changing climate may bring to their communities.

A neighborhood experiencing a flood.

Climate-Ready States and Cities Initiative (CRSCI)

CDC's Climate-Ready States and Cities Initiative (CRSCI) is helping grant recipients from 13 jurisdictions use the five-step Building Resilience Against Climate Effects (BRACE) framework to identify likely climate impacts in their communities, potential health effects associated with these impacts, and their most at-risk populations and locations. The BRACE framework then helps our grant recipients develop and implement health adaptation plans and address gaps in critical public health functions and services.

For more information on the CRSCI or our work with tribes and territories, please contact our program at


The Climate and Health Program also funds partners through the "Strengthening Public Health Systems and Services Through National Partnerships to Improve and Protect the Nation's Health" program managed by CDC's, National Center for State, Tribal, Local, and Territorial Public Health Infrastructure and Workforce. These partners support tribes and territories' climate and health work.

Specifically, the National Indian Health Board funds tribes through the Climate-Ready Tribes Program, while the Association of State and Territorial Health Officials supports climate and health work in territorial health departments. In addition, the National Association of County and City Health Officials supports three jurisdictions in their ongoing climate change and health adaptation initiatives at the local level.

Success Stories ‎

For more information on health department activities funded by CDC, see our Success Stories webpage, or download our factsheet, "Preparing for the Regional Health Impacts of Climate Change in the United States."