America’s exit from the Paris climate change agreement will lead to more punishing summer heat waves and thousands of additional heat-related deaths each year in major U.S. cities, a new report claims.

Conducted by the Natural Resources Defense Council (NRDC), the report projected that all 51 of the country’s urban areas with more than 1 million people will experience more dangerously hot summer days both in the middle and late parts of this century.

In 45 of the largest cities, excess deaths on dangerously hot days could increase 10-fold, from an average of about 1,360 each summer between 1975 and 2010 to 13,860 by the mid-2040s, the report concluded.

“That’s the equivalent of 150 American deaths every summer day,” said report author Juanita Constible, special projects director of the NRDC Climate Center.

In the report, Constible and her colleagues looked at deaths that have historically occurred during dangerously hot summer days between 1975 and 2010, and then projected how many more deaths could occur as climate change increases the frequency of heat waves.

Historically, only a handful of U.S. urban areas have more than 25 percent dangerous days during summer, and those are all located in the west — Salt Lake City, Las Vegas, Phoenix and Riverside, Calif., the report said.

Unless action is taken to curb climate change, the NRDC projected that more than 75 percent of summer days could be dangerously hot in 43 out of the 51 urban areas by the end of the century.

Constible pointed to Pittsburgh as an example, since President Donald Trump cited that city when he pulled out of the Paris Agreement earlier this month. “I was elected to represent the citizens of Pittsburgh, not Paris,” the president said at the time.

“In less than 30 years, Pittsburgh could see 10 times more dangerous summer days than it did late last century, and 24 times more summertime deaths,” Constible said.

Projections for other cities show that:

  • New York City will have 47 more dangerously hot days every summer by mid-century, and more than 4,200 excess heat-related deaths.
  • Philadelphia will have 45 more dangerous days and nearly 650 additional deaths.
  • Chicago will have 29 additional hot days and nearly 650 excess deaths.
  • Boston will have 37 more hot days and nearly 550 additional deaths.
  • Baltimore will have 38 more dangerous heat days and nearly 500 excess deaths.

Northern cities will be more vulnerable to the effects of heat waves because their citizens are less accustomed to protecting themselves from dangerous heat, said Laurence Kalkstein, a professor of public health at the University of Miami’s Miller School of Medicine.

“They have variable summer climates,” Kalkstein said. “I like to tell students that more people die from heat in Toronto than they do in Phoenix, because Toronto has that type of highly variable weather situation. In Phoenix, people are much more aware of how to deal with heat.”

City dwellers also are particularly at risk due to the “urban heat island” effect, explained Cecil Corbin-Mark, deputy director of WE ACT for Environmental Justice, an advocacy group in New York City.

Urban areas are mostly covered in dry, heat-absorbing building materials, the report said, so daytime temperatures can be 18 to 27 degrees hotter in urban areas. The materials also tend to hold heat longer, extending the period of punishing heat on the street.

“We are also concerned that built environments like people’s apartments in New York City actually retain and have a more stable elevated high temperature over the period of a day,” Corbin-Mark said. “People like the elderly, especially those who don’t get out of their homes, are often experiencing elevated temperatures over longer periods of time.”

The report argues that sticking with the Paris agreement would save lives — 3,110 per year in New York City by the end of the century, 1,660 in Philadelphia, 1,630 in Chicago and 710 in Boston.

But Constible warned that even if the United States chooses to go well beyond the terms of the Paris agreement, there will remain a short-term period of deadly warming with which health officials will have to contend.

“Climate change is affecting us right now,” Constible said. “Even if we make really rapid strides to cut carbon pollution, we’re still locked in to at least some near-term warming. Health professionals across the country are going to be facing this threat.”

More information

To read the report, visit the National Resources Defense Council.