North Carolina
Burnin' up: State offers help for top weather-related killer | Coastal Review
It’s not hurricanes. It’s not tornadoes. It’s not floods.
Heat is the No. 1 weather-related killer in North Carolina, but also the most preventable, according to the state’s recently released Heat Action Plan Toolkit, designed to help communities adapt as climate change drives more frequent and intense heat events.
“Our days and nights are getting hotter as the planet warms,” State Climatologist Dr. Kathie Dello told Coastal Review recently.
“We’re seeing more instances of record daily maximum temperatures than daily minimum records. But we’re also seeing more relentless heat — days and nights that are consistently above the temperatures that we’re used to, but maybe not Earth-shattering. And we’re seeing the hot days and nights starting earlier,” Dello said, adding that the temperature in Raleigh hit 92 degrees May 2, “Our first day over 90, about a week and a half earlier than normal.”
Children, older adults, athletes, outdoor workers and those who are pregnant, with chronic health conditions or without access to air conditioning are most vulnerable to the effects of extreme heat, but everyone is at risk.
North Carolina Office of Recovery and Resiliency Resilience Policy Analyst Andrea Webster said that deaths and heat-related illnesses from extreme heat are 100% preventable.
“While residents are used to hot temperatures, North Carolina’s coast has a high number of outside visitors in the summer months. If they come from a much cooler area, their bodies are likely less adapted to extreme heat. Messaging about symptoms, cooling and hydration strategies, and resources to stay cool can drastically reduce health impacts and emergency department visits,” Webster said.

This is where the toolkit comes in.
The 72-page document features a template with fill-in-the-blank language for local governments, health departments and other entities to write its own heat action plan, as well as about the causes and symptoms of heat-related illnesses, groups most at risk, and where to look for funding. Supplemental materials for getting the word out to the public such as sample graphics, factsheets, brochures, and scripts to warn of impending high heat are on the toolkit website.
“With the frequency and severity of extreme weather increasing, it’s more important than ever to build local resilience that will help protect people and save lives,” Gov. Roy Cooper said when the plan was announced in late April. “The new toolkit provides valuable resources that will help local governments prepare for and respond to these potentially life-threatening events. The project also underscores how state partnerships are critical to finding climate solutions that benefit all North Carolinians.”
About the toolkit
The Office of Recovery Resiliency led the effort in partnership with Dello’s State Climate Office of North Carolina, the N.C. Division of Public Health, Duke University Heat Policy Innovation Hub and the National Oceanic and Atmospheric Administration Carolina’s Climate Adaptation Partnership.
The idea for the toolkit came about as part of the Regions Innovating for Strong Economies & Environment, or RISE, program, according to the website. Participants from across the state said a heat action plan template was a priority resilience project.
Dr. Rebecca Ward, a postdoctoral research scholar, was lead developer of the toolkit and collaborated heavily with Webster. Ward is with North Carolina State University’s Coastal Resilience and Sustainability Initiative and the NOAA Carolina’s CAP.
Ward explained that developing the Heat Action Plan Toolkit took about a year, from initial idea to final product.
“Throughout the whole process, I’ve been continually delighted with how many different groups and individuals have shared their time and expertise to help create content and give feedback. We’ve done our best to make sure that this will be useful and usable — very ‘plug-n-play’ — for its target audiences of local governments, primarily health departments and emergency management,” Ward said.
Webster said that local and county governments, health departments and other leaders can use the toolkit to ensure there is a plan in place for when a heat wave is in the forecast, and to ensure that community partners are developing and pursuing resources that help residents and visitors cool down when it’s hot.
“We know that local government leaders are juggling so much — and the more invisible hazards, like heat, may not be top of mind for folks. We’re also just dealing with summers like we haven’t seen in our past,” Dello said. “What used to be a once in a generation hot summer is now happening more frequently. We designed it so it would be helpful and accessible for everyone.”
Webster said the meat of the toolkit is the template heat action plan.
“This word document is already designed with draft text. We want to encourage jurisdictions and community partners to work together to pick out the suggested heat resilience actions that work best for their community and start implementing the actions in the plan,” Webster said.
A list of resources is included for community leaders to contact for help filling in the template ahead of an extreme heat event, and provides instructions on how to identify census tracts with high concentrations of residents especially vulnerable to extreme heat, such as the elderly, she said.
Leaders can access region-specific heat thresholds to know when to send out heat awareness messaging, which is part of the toolkit. There is sample messaging, graphics, fact sheets, checklists, sample community surveys to understand how residents currently deal with extreme heat. Many of the toolkit’s supplemental materials are also available in Spanish.
“NCORR plans to offer workshops for communities to begin developing their heat action plans. Sign up for our e-newsletter to learn about upcoming offerings,” Webster said.
Ward said that the workshops are to take place over the next few months with target users to work through the toolkit.
“I think these will be great opportunities to advance our state’s resilience to extreme heat, and any feedback collected during these workshops will ultimately improve the Toolkit, making it more useful and usable — and we hope used — by local governments across the state,” Ward added.
Webster said that so far, the public health preparedness coordinators are particularly excited about the toolkit, and Chatham County used a draft of the Heat Action Plan Toolkit to publish the first Heat Action Plan in the state.
“Heat affects our residents’ health, and it’s often overlooked as a health concern. Having easy-to-use resources at their fingertips is helpful,” Webster said.
Heat illnesses in numbers
The state Department of Health and Human Services has been recording reported heat-related illnesses for some time.
Every year during the heat season May 1 to Sept. 30, the department’s climate and health program publishes heat-related illness surveillance reports. The first report of the year is expected to be on the website by Wednesday, May 15.
In past years, the reports provided statewide data on heat-related illness. This year, weekly reports will also include regional summaries and some county-level information, the department said.
Last year, North Carolina had more than 3,900 emergency department visits for heat-related illness between May 1-Sept. 30, with 497 of those in North Carolina’s 20 coastal counties.
The department’s numbers show that between 2016 and 2023, these counties had around 4,300 total reported heat-related illness emergency department visits.
Department officials noted that the annual number of visits are based on the patient’s county of residence, not where they sought medical attention.
For example, a visitor to Wake County, who seeks help at an emergency department for heat-related illness in Carteret County, may not be included in Carteret’s count.
“Heat-related illness can affect anyone. People who are accustomed to this weather should still watch for the signs and symptoms of heat-related illness and take precautions to protect their health,” a health department spokesperson said. “Take the heat seriously and do not ignore danger signs like nausea, headache, dizziness or lightheadedness, confusion, and rapid or erratic pulse. They can all be signs of trouble. Get to a cool place, drink water slowly and seek medical help if conditions don’t improve.”
The long-term heat forecast
Webster said her office relies on predictions in the 2020 North Carolina Climate Science Report, which states that, for the coastal plain, “climate models project a substantial increase in the number of these very hot days and very warm nights by mid- to late century under both scenarios.”
By 2100, the number of very hot days is projected to increase by 11 to 49 under the lower scenario and 42 to 94 under the higher scenario, compared to the 1996–2015 average. The number of very warm nights is projected to increase by 14 to 45 under the lower scenario and 48 to 87 under the higher scenario, she sited from the report, adding that the State Climate Office regularly updates their projections, so it’s possible that they may have newer data that aren’t published as a report yet.
“We need to start preparing for more frequent heat waves and high nighttime temperatures. That continued stress on our bodies leads to health impacts such as heat cramps, heat exhaustion, heat stroke and even mortality,” Webster said.
Resources
Webster said that residents can sign up to receive heat alerts when the weather is forecast to reach unhealthy temperatures.
The emails from the state health department’s Heat Health Alert System notify when the heat index is forecast to reach unhealthy levels in their county. The sign-up form is available in English and Spanish.
Other resources include the federally funded Crisis Intervention Program administered by the state Department of Social Services that assists those experiencing crises related to temperature, and Operation Fan Heat Relief for eligible adults to receive fans through their local Area Agency on Aging.
Warning signs and symptoms can be found on the Center for Disease Control and Prevention’s webpage on extreme heat symptoms as well as tips for preventing heat-related illness.
Webster said that visitors and everyone spending time outdoors or in unairconditioned spaces throughout the summer months should pay attention to how they feel in high temperatures.
“Stay hydrated, take breaks in the shade, and cool off in cold water. Watch out for dizziness, nausea, heavy sweating, heat cramps and painful muscle cramps in the abdomen, arms or legs following strenuous activity,” Webster said.
The health department recommends taking the following steps during heat season:
- Increase fluid intake.
- Wear sunscreen of 15 SPF or higher. Sunburn affects your body’s ability to cool down.
- Spend some time in a cool or air-conditioned environment.
- Reduce normal activity levels.
- Cool off by taking cool baths or showers, or placing ice bags or wet towels on the body.
- Stay out of direct sunlight, put shades over the windows, and use cross-ventilation and fans to cool rooms if air conditioning is not available.
- Wear lightweight, light-colored, loose-fitting clothing that permits sweat to evaporate.
- Drink plenty of liquids such as water and sports drinks to replace the fluids lost by sweating. As a person ages, thirst declines.
- Limit intake of alcoholic beverages or sugary drinks. If you are on a low-salt diet or have diabetes, high blood pressure, or other chronic conditions, talk to your doctor before drinking sports drinks.
- Check up on friends or neighbors who live alone.
- Never leave children or pets unattended in vehicles, even for a few minutes, as temperatures inside a car can reach a deadly level quickly.
- This can also be a good time to join your local senior center or take advantage of buildings made accessible to seniors during excessive heat. Your community’s public information office can be contacted for additional information.
- Residents are encouraged to speak with their healthcare provider about how to stay safe. Certain medications make you more vulnerable to heat-related illness.
- Keep your medicines in a cool, dry place.
North Carolina
North Carolina Rep. Valerie Foushee holds narrow lead over challenger Nida Allam
Nida Allam in 2022; Rep. Valerie Foushee (D-NC) in 2025.
Jonathan Drake/Reuters; Andrew Harnik/Getty Images
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Jonathan Drake/Reuters; Andrew Harnik/Getty Images
Incumbent Rep. Valerie Foushee holds a narrow lead over challenger Nida Allam in the Democratic primary for North Carolina’s 4th Congressional district as ballots continue to be counted.
In a race seen as an early test of whether Democratic voters desire generational change within the party, Foushee holds a lead of just over 1,000 votes with 99% of results in so far, according to the Associated Press.
Under state law, provisional votes will be counted in the coming days in a district that includes Durham and Chapel Hill. If the election results end up within a 1% margin, Allam could request a recount.
Successfully ousting an incumbent lawmaker is often extremely difficult and rare. However, there have been recent upsets in races as some voters are calling for new leaders and several sitting members of Congress face primary challengers this cycle.
Allam, a 32-year-old Durham County Commissioner, is running to the left of Foushee, 69, framing her candidacy as part of a broader rejection of longtime Democratic norms.
On the campaign trail, Allam ran on an anti-establishment message, pledging to be a stronger fighter than Foushee in Congress, both in standing up against President Trump’s agenda and when pushing for more ambitious policy.
“North Carolina is a purple state that often gets labeled red, but we’re not a red state,” she told NPR in an interview last month, emphasizing the need to address affordability concerns. “We are a state of working-class folks who just want their elected officials to champion the issues that are impacting them.”
She drew a contrast with the congresswoman on immigration, voicing support for abolishing U.S. Immigration and Customs Enforcement. Foushee has declined to go that far, advocating instead for ICE to be defunded and for broader reforms to the federal immigration system.
Allam also clashed with Foushee over U.S. policy towards Israel. As a vocal opponent of Israel’s war in Gaza, Allam swore off campaign donations from pro-Israel lobbying groups, such as AIPAC, and repeatedly criticized Foushee for previously accepting such funds.
Though Foushee announced last year that she would not accept AIPAC donations this cycle, she and Allam continued to spar over the broader role of outside spending in the race.
Their matchup comes four years after the candidates first squared off in 2022, when Allam lost to Foushee in what became the most expensive primary in the state’s history, with outside groups spending more than $3.8 million.
However, this year is poised to break that record. Outside groups have reported spending more than $4.4 million on the primary matchup, according to Federal Election Commission filings.
WUNC’s Colin Campbell contributed to this report.
North Carolina
Building for tomorrow’s storms: North Carolina updates flood strategy
North Carolina is beginning to plan for floods that have not happened yet.
State officials this year advanced the next phase of the state’s Flood Resiliency Blueprint, incorporating updated modeling that factors in heavier rainfall, future development and sea-level rise — a shift away from relying solely on historic data and FEMA’s regulatory maps.
“We can make decisions and plan for that future, not just the exposure to flooding that we see now,” said Stuart Brown, who manages the Flood Resiliency Blueprint for the North Carolina Department of Environmental Quality.
For a state that has endured record-breaking rainfall from Hurricane Helene in the mountains to Tropical Storm Chantal in the Triangle, the move reflects a growing recognition: past standards no longer capture present risk.
Beyond outdated flood lines
Multiple North Carolina studies have found that between 43% and 60% of flood damage occurs outside FEMA’s regulatory flood zones. Those maps shape insurance requirements and local zoning decisions, yet they are largely based on historical rainfall data.
“A lot of the regulatory floodplains really haven’t kept up with what we know is happening,” said Elizabeth Losos, executive in residence at Duke University’s Nicholas Institute for Energy, Environment and Sustainability.
Climate data show rainfall intensity in the Triangle has increased by about 21% since 1970. Warmer air holds more moisture, fueling heavier downpours that overwhelm drainage systems designed for a different climate.
“Fixing what we know is flooding right now is good,” Losos said. “It’s better than nothing, but it’s definitely not enough.”
Brown said the blueprint incorporates projections for future precipitation and development — a critical factor in one of the fastest-growing states in the country.
“Development can be an issue for flooding in two categories,” Brown said. “One is when that development is occurring in areas that are flood prone. The other is when that development is done in ways that don’t account for the additional stormwater that will be produced.”
Thousands of projects, limited dollars
Unlike states that rely on massive levee systems, North Carolina’s flood risk is scattered across river basins, coastal plains and rapidly developing suburbs. Brown said resilience here will require thousands of localized projects.
“We were asked by the General Assembly to provide specific, actionable projects,” Brown said. “We want to know what specific geography and what specific action is proposed.”
That planning push comes as federal support for flood research and mitigation is shrinking.
The Trump administration has proposed a roughly 30% cut to NOAA’s 2026 budget, targeting climate research and ocean services that provide the rainfall and coastal data states use to model flood risk. At FEMA, the administration has cut staff by more than 6%, reduced funding for local hazard mitigation projects and added new approval layers for grants.
For North Carolina, that means fewer dollars for buyouts, drainage upgrades and flood control projects — and less federal data to guide long-term planning — just as the state is trying to build a more forward-looking flood strategy.
Brown said North Carolina is trying to “leverage the limited dollars that we have in the state with any federal sources that are available” and embed resilience into routine investments in transportation, water treatment and conservation.
“Funding is always going to be an issue,” Brown said.
The policy gap
Researchers have long argued that resilience investments save money. Studies show every $1 spent on mitigation can yield $4 to $13 in avoided losses.
“The problem is that the policies don’t align the people who pay the cost with the people who get the benefit,” Losos said.
A developer may not directly benefit from downstream flood reduction. A town may shoulder upfront infrastructure costs while insurers, neighboring communities or future taxpayers capture part of the savings.
Without policy changes that align costs and benefits, resilience can remain politically and financially difficult.
“In the most severe cases, there are some communities that will have to eventually abandon if they don’t begin to think about how they can adapt to these conditions,” Losos said.
North Carolina now has updated tools to better measure future flood risk. Whether the state can secure stable federal support — and align its own policies with the risks ahead — will determine how effectively communities prepare for the next storm rather than recover from the last one.
North Carolina
North Carolina primary could mean Roy Cooper vs Michael Whatley in pivotal fall Senate race
RALEIGH, N.C. — North Carolina’s primary will be the official starting gun for one of the country’s most closely watched U.S. Senate campaigns, likely pitting former Democratic Gov. Roy Cooper against former Republican National Committee Chairman Michael Whatley.
Each candidate is the most high-profile contender for their party’s nomination, which should be sealed on Tuesday. Scores of other races also are on the ballot, including for the U.S. House, state legislature and judicial seats.
North Carolina, a traditional battleground where Democrats have been able to hold the governor’s seat even as voters helped send President Donald Trump to the White House, is one of three states kicking off this year’s midterm elections, along with Texas and Arkansas. Tuesday’s slate of primaries comes against the backdrop of the U.S. and Israel attack on Iran.
The war, which began over the weekend, has killed at least six U.S. service members, spiraled into a regional confrontation as Iran retaliated and sent oil and natural gas prices soaring. The president, who campaigned on an isolationist “America First” agenda and went to war without authorization from Congress, faces mounting questions over its rationale and an exit strategy.
North Carolina’s election this year could be crucial for determining which party controls the U.S. Senate, where Republicans currently have the majority. The seat is open because Sen. Thom Tillis decided to retire after clashing with President Donald Trump. Political experts say a typhoon of outside money could make the race the most expensive Senate campaigns in U.S. history, perhaps reaching $1 billion.
Many Democrats see Cooper, who served two terms as governor and has been successful in state politics for decades, as the party’s best shot at victory. Democrats need to pick up four seats to take back control of the Senate, and they view the most likely path as winning in North Carolina, Maine, Alaska and Ohio.
Cooper faces five lesser-known rivals on Tuesday. Other Republicans on the Senate ballot include Navy officer Don Brown and Michele Morrow, who was the party’s nominee for state schools chief in 2024.
Republican U.S. Senate candidate Michael Whatley, arrives to an early voting site to cast his vote on Thursday, Feb. 12, 2026, in Gastonia, N.C. Credit: AP/Erik Verduzco
Cooper formally entered the race weeks after Tillis announced last summer he wouldn’t seek a third term, as did Whatley, who was buoyed by Trump’s backing when the president’s daughter-in-law Lara Trump declined to enter. The two candidates have been campaigning for months against each other with little focus on intraparty opposition.
Whatley promises to keep pushing Trump’s agenda if elected, one that he says has cut taxes and spending and restored U.S. military might.
“It’s very important for us to have a conservative champion and for President Trump to have an ally in the Senate,” he said while voting early in Gastonia. “We’re going to be fighting for every family and every community in North Carolina.”
Some primary voters say Congress needs Democratic control as a counterweight to Trump and what they consider disastrous policies.
President Donald Trump listens as Michael Whatley speaks to soldiers and their families at Fort Bragg, N.C., Friday, Feb. 13, 2026. Credit: AP/Matt Rourke
“I think we need to send a message. And I think the more Democrats that show up, and the more independents that show up for this midterm election, and the more seats we can take from the Republicans, the more he might get the message,” said Lisa Frucht, 67, said as she cast a ballot for Cooper at an early voting site north of Raleigh.
Republican voter Gary Grimes, who chose Whatley, said Democratic control of Congress could lead to more impeachment efforts against Trump that ultimately won’t succeed.
“It’ll be a repeat of what they did to Trump in the first term,” said Grimes, 71, “And they can’t see anything except getting Trump, at any cost.”
A Democrat hasn’t won a Senate race in North Carolina since 2008. Meanwhile, Cooper, 68, hasn’t lost a North Carolina election going back to first running for the state House in the mid-1980s, leading to 16 years as attorney general and eight as governor through 2024.
Whatley, 57, previously worked in President George W. Bush’s administration, for then-North Carolina Sen. Elizabeth Dole and as an energy lobbyist.
Cooper and his allies have centered campaign attacks on Whatley’s allegiance to the president and Trump policies, saying he backs higher tariffs and Medicaid spending reductions and must take blame for slow Hurricane Helene recovery aid.
Voting recently in Raleigh, Cooper said he wants to “make sure that I’m a strong, independent senator who can work with this president when I can, stand up to him when I need to and recognize that people are struggling right now.”
Whatley, Trump and other Republicans have blistered Cooper on criminal justice matters, accusing him of promoting soft-on-crime policies while governor. They’ve repeatedly highlighted last August’s fatal stabbing of Ukrainian refugee Iryna Zarutska on a Charlotte light-rail train. Trump identified Zarutska’s mother in attendance at last week’s State of the Union address.
Cooper told reporters recently that his career is about “prosecuting violent criminals and keeping thousands of them behind bars.”
Tuesday’s election also includes primary elections in all but one of North Carolina’s U.S. House districts. They include a five-candidate GOP primary in the northeastern 1st Congressional District, which is currently represented by Democratic Rep. Don Davis, who faced no primary opposition.
The Republican-controlled General Assembly created last fall a more right-leaning 1st District to join Trump’s multistate redistricting campaign ahead of the 2026 elections to retain the House. Davis won in 2024 by less than 2 percentage points.
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