As a response to extreme temperatures (staying at or above 33°C [cumulative average] during the day and does not go below 20°C at night), the health and municipal authorities of the Montreal Region have established a heat response action plan. These adaptation strategies include awareness campaigns in high-risk neighbourhoods, establishing cooling centres, keeping public pools open longer, door-to-door household checks, and creating a map of refreshment points in the city. The impact of these strategies can be seen by the reduction in heat-related deaths in the region. The focus on low-income neighbourhoods has ensured that the health gap between the high- and low-income neighbourhoods decreased as well as decreasing the mortality gap between the elderly and younger adults.
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