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3. Climate Change Vulnerability Assessment <br />Figure 11 Projected Warm Nights in San Leandro39 <br />160 <br />140 <br />120 <br />s <br />E 100 <br />E <br />3 80 <br />ra <br />60 <br />Q <br />40 <br />20 <br />0 <br />1950 1960 1970 1980 1990 2000 2010 2020 2030 2040 2050 2060 2070 2080 2090 <br />-Observed -Medium emissions -High emissions <br />Extreme heat can interrupt sleep and daily activities, exacerbate respiratory and <br />cardiovascular conditions, and cause a variety of severe health impacts and illnesses, <br />including heat cramps, heat exhaustion, heat stroke, and death. The most vulnerable <br />populations are those that spend a disproportionately high amount of time outside, such <br />as children, outdoor workers, and persons experiencing homelessness; those who cannot <br />easily adjust to their environments in order to reduce heat exposure, such as households in <br />poverty; and those whose health makes them particularly sensitive to heat, including those <br />with sensitive or compromised immune systems, persons with chronic illnesses, and seniors. <br />On average, children spend more time than adults outdoors, which leaves them morn <br />susceptible to negative health outcomes from extreme heat. 40 Child athletes (due to high <br />levels of exertion and increased time spent outdoors) and children under the age of four <br />are considered to be at especially high risk. 41 <br />Outdoor workers are directly exposed to extreme heat due to the nature of their work. <br />Outdoor work is often physically intensive, and workers face higher risks of heat exhaustion, <br />sunstroke, and other heat -related medical conditions. Outdoor work may be suspended <br />during heat events; however, this can cause significant financial hardships. <br />Persons experiencing homelessness face greater exposure to extreme heat because they <br />lack access to permanent and often temporary shelter. Dehydration is common among <br />these persons, which makes health -related complications from extreme heat more likely. <br />San Leandro 2021 Climate Action Plan Page 51 <br />