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Do you have an emergency plan? Hurricanes, floods, tornadoes and other extreme weather events such as wildfires, drought, extreme heat and cold are becoming a fact of life and the destruction from these catastrophic events goes beyond individual homes and health centers; they may completely destroy neighborhoods and entire communities in a few hours or even minutes or they inflict other deadly consequences. Extreme weather warnings in many States are happening with increased frequency, threatening storms, floods and fires of the highest level of intensity – a harsh reminder that emergency planning is more and more critical to survival. The time to Get Ready is Now.

Hurricane Ian brings Florida 150 mph winds and record storm surge.

Extreme Weather Season

Extreme weather is rapidly becoming the expected norm. The once annual fire season in the U.S. has now become a year-round threat, and the 2022 hurricane season continues as we mark the return of storms of the season with a vengeance. Our team in Puerto Rico is responding to the catastrophic flood damage from Hurricane Fiona. Hurricane Ian made landfall in Florida with frightening power and we are responding. Track the storms on our interactive weather map.

And with hurricane season, major flooding follows. The long track of Hurricane Ida in 2021 gave us a stark experience of the wind and water damage that these extreme storms can generate. Historic floods in Texas, Mississippi, Kentucky have inundated entire communities, with several deaths reported. The worst monsoon in over a decade has created epic flooding in Pakistan and has led to hundreds of deaths.

The brutal onslaught of tornadoes in the Midwest and South added another dimension to the extreme weather patterns. A storm cell that lasts for a matter of minutes can cause destruction that means years of recovery.

We are always ready to respond if and where we are needed. Keep an eye on the weather map (it is interactive so you can move to another ocean area). And this year the forecasting tools are stronger and more precise. Read more about the “hurricane track cone”.

Extreme heat created deadly conditions in the United Kingdom and elsewhere in Europe along with the accompanying wildfire threat. Fires are burning in the U.S West and Southwest. You can check the latest activity by clicking on this Wildfire Map link. And above all else, Get Ready Now.

Hurricane Fiona strikes Puerto Rico with torrential rains and damaging winds.
The Ramos family returns to the ruins of their home

Hurricanes, Tornadoes…

The 50+ inches of rain that flooded Houston with Hurricane Harvey, the fury of Hurricane Maria devastating Puerto Rico, the path of Hurricane Dorian that struck the Bahamas with such force, the monstrous EF-5 tornado that leveled Moore, Oklahoma, the swath of destruction cut by Typhoon Haiyan through the Philippines stand as testimony of the escalating threat from “100 year storms/floods” with more extreme weather events. The savage tornado outbreak in Kentucky, Tennessee and four other states, destroying entire towns and killing more than 80 people, illustrates another threat level: sudden storm systems . As the hurricanes form in the warming ocean and storm cells produce tornadoes, it’s past time to Get Ready Now.

Americares, while responding to the destruction of Hurricane Fiona on Puerto Rico, is reaching out to multiple partners in Florida in preparation for the impact of Hurricane Ian – a catastrophic storm that made landfall in Cuba and then struck the west coast of Florida with Category 4 strength.


While high winds cause great damage, storm surge can be the most deadly threat for coastal areas, along with major flooding from torrential rains. These storms can be tracked for days, however, and preparations can be made that save lives. 


A deadly funnel appears, giving only minutes of warning; the incredible power of the wind vortex can literally tear apart anything above ground.


While major floods are often “slow moving disasters,” flash floods catch people unprepared in cars or at home. Flooding rivers and broken dams can sweep away entire communities particularly in low lying areas. Floods also contaminate water supplies, leading to water borne disease outbreaks, as well creating conditions for deadly mudslides. 

Current Threats

Currently, the World Health Organization tells us that heat waves are considered among the most dangerous of natural hazards but rarely receive adequate attention because their death tolls and destruction are not always obvious. From 1998 to 2017, more than 166,000 people around the world died because of heat waves. The early summer deadly heat wave that hammered the Pacific Northwest killed dozens of people with temperatures rising past 120 degrees in some areas, as the extreme heat buckled roads and melted powerlines. A late July heat wave in the U.S. has put more than 100 million people in 28 states at risk. Check out the areas of the U.S. most at risk from extreme heat in the New York Times U.S. Heat Tracker. And this year parts of northern and central India recorded their highest average temperatures for April. Delhi has recorded a temperature of 116 degrees Fahrenheit. These record temperatures are especially deadly for the working poor. Read more about the development of “extreme heat belt” in the U.S. And in times of extreme heat, people with respiratory conditions are particular vulnerable to the accompanying reduction in air quality. For a current assessment of air quality in your region visit

The 2022 hurricane season began with Hurricane Agatha in the Pacific that made landfall Mexico, followed by named storms in both the Atlantic and Pacific. Forecasts called for a very active season, but several weeks were uncharacteristically quiet. The lull in storms ended in September as conditions became more favorable to storm development -creating Fiona and now Ian. Check in with the National Hurricane Center for regular updates on storm activity. But don’t wait. Get Ready Now.

Recent History of Extreme Weather

In the 2020 Hurricane Season there were 30 named storms. Thirteen became hurricanes, including six major hurricanes with 12 named storms making landfall in the United States – the most active season on record.  Of the year’s storms, 9 were classified as “rapidly intensifying,” tying a record set in 1995 and matched in 2010. These types of storms are happening more often, leaving people with less time to prepare. The devastation left in the wake of multiple storms takes months, even years to restore and rebuild, and communities with the least resources are the ones facing the greatest challenges.

During the 2021 Hurricane Season, Hurricane Ida left a path of death and devastation. The 2021 season became only the third in history to use all of the names on the rotating seasonal list (the previous years were 2020 and 2005). The season ended with 21 named storms, 7 hurricanes, and 4 major hurricanes (Category 3 or higher).

And in 2021 a different extreme weather threat proved deadly in Texas. The Texas Cold Weather Crisis starkly demonstrated the impact that extreme weather can have on communities and basic infrastructure that have not adequately prepared for potential weather disasters.

And what about typhoons and cyclones? Physically, they are hurricanes by a different name. They are called hurricanes in the Atlantic and in the Eastern Pacific, typhoons in the West Pacific and cyclones around Australia and India.

Drought & Deadly Wildfires

The fire season has become a year round threat in the U.S. Already in 2022. wildfires are burning across California, Oregon, Washington, Idaho and Montana, with fires also in Utah and Wyoming. Combined they have burned over 800,000 acres since they started. These fires have resulted in some fatalities, thousands of people being evacuated, and numerous structures damaged or threatened by the fires. Additionally, wildfire smoke is resulting in unhealthy air quality across the western US. Americares has partners in all the affected states and has conducted wildfire response activities annually. Outreach is ongoing across affected states.

Extreme weather is manifesting itself in the form of record drought conditions that produce famine in some parts of the world.  Here in the U.S. drought followed by high winds and then combined with such phenomena as insect infestations in forest lands and manmade causes including land management and building code practices or electrical accidents have created some of the worst wildfires on record in California and in parts of the Southwest. The Camp Fire in northern California in late 2018 became the worst fire in the state’s history killing more than 80 people and destroying thousands of homes.

The 2021 fire season was devastating with fires burning in as many as 15 states at the peak of the season, including two fires east of Phoenix, AZ that burned more than 100,000 acres in less than a week. Oregon’s Bootleg Fire consumed more than 400,000 acres as the second round of heat waves saw dozens of fires ignite across Western States. The Dixie Fire in Northern California consumed over one million acres and is the second largest in the state’s history. And past the normal end of the season, a sudden and enormous outbreak in Colorado burned hundreds of homes and forced the evacuation of thousands of people as extreme weather continued to create conditions for fires across the western U.S.

Then we face the deadly results of extreme heat which is actually a top weather killer. Heat kills nearly twice as many Americans each year as tornadoes and almost three times more than hurricanes. It is particularly deadly for the elderly and the poor. Extreme heat conditions have affected large sections of the country in 2022. Climate change continues to intensify the deadly results of extreme weather events. Photo by Gene Blevins / REUTERS

Nebraska Floods

Epic Floods

In 2019 Americares emergency teams responded to major flooding disasters caused by major storms in Africa and the central plains of the U.S. Cyclone Idai followed by Cyclone Kenneth devastated Mozambique and then carried more death and destruction to Zimbabwe and Malawi, putting nearly 1,900 square miles underwater. Record rainfall and continued violent storms, spawning dozens of tornadoes in the U.S. Midwest brought historic flooding to Nebraska, Iowa, Oklahoma and other surrounding states, covering entire communities and caused massive damage to farms in the region. And in 2021, floods devastated some of the most vulnerable areas in the South. Lake Charles, LA, for example, that was so heavily damaged by Hurricane Laura in 2020, suffered major flooding from heavy rainfall in the region. And the 2022 floods in Pakistan have covered more than one-third of the country, creating an unimaginable humanitarian crisis.

Extreme weather does not spare even the most developed and wealthy regions as evidenced by the deadly and unprecedented floods in Western Europe, particularly in Germany where nearly 200 people died and many more went missing. In China, in what experts described as the heaviest rains in 1,000 years, deadly floods affected more that 1.2 million people. In Tennessee, dozens died as historic rainfall inundated communities with flash floods that swept houses and lives away. In India, the state of Maharashtra was hit by the heaviest July rainfall in four decades. And the remnants of Hurricane Ida in 2021 unleashed historic rainfall levels in the Northeast U.S. where the speed and severity of the flooding killed dozens of people. The effects of flooding are often exacerbated by human activity (i.e. building in flood zones, inadequate infrastructure, loss of wetlands and increasingly climate change). Where is the greatest flood risk in the U.S.? Click here to see a map of areas at risk.  Photo by Scott Olson/Getty Images

Extreme Threats

Extreme weather events create some specific challenges for Americares Emergency Response Team and our health care partners, and good planning provides response solutions. Building Resilience in the health system as the threats from climate change multiply becomes more and more critical. For example:

Abstract graphic of a shelter


Wind and subsequent water damage to roof, windows and doors of the facility — destroying equipment, medicine & supplies, rendering the facility inoperable when it is most needed.


Provide emergency repairs or a temporary facility, restock medicines/supplies, replace equipment and then build back better. And beyond repairs, the next step is to help build Climate Resilient Health Centers.

Abstract graphic of a power loss


Loss of power and thus loss of medicines that require refrigeration such as insulin and vaccines.


Generators and/or fuel to run them along with rapid resupply of lost medicines. Tetanus and chronic diseases are life threatening without vaccines, medicines and supplies.

Abstract graphic of an map


Loss of access to ongoing health care due to remote location and/or infrastructure damage. A particular threat to people with chronic disease, expectant mothers and children.


Send emergency medical teams to communities and house-to-house if necessary to provide primary health care and referrals for specialized care.

Abstract graphic of an evacuation


Evacuations to temporary shelters or to makeshift camps.


Hygiene kits, emergency medicine and supplies for those who had to flee quickly without their personal belongings or medications. Supplies such as mosquito bed nets, insect repellant, water purification and cleaning materials and tetanus vaccine are also important for those who return to their homes in the aftermath and face possible water and vector borne diseases and cleanup injuries.

Abstract graphic of an hug


Trauma and other extreme stress for survivors including health workers in the immediate aftermath of the storm.


Trained health workers to identify trauma and support programs for those most at risk, and especially support for health workers who are often survivors themselves.

As we get ready for the next super storm, we know that we can’t do it without you.

Please help your neighbors near and far with a gift right now.

Our Work:
Responding to Extreme Weather and other Natural Disasters

A grandmother tends to a hurt child.
An injured child being attended to by a doctor.
vintage photo of an Americares field vehicle

Protecting the Vulnerable

Americares has expanded and deepened emergency programs to meet the formidable challenges of storm destruction on an ever-larger scale. We actively engage with our partners in regions particularly at risk for these storms to prepare for the next one by building greater resilience and capacity in each local health center and for every health worker. And in storm-prone regions, we often seek out and serve the most vulnerable members of a community – children, elderly, the very poor, single-parent families, expectant mothers and those with chronic disease. A person with diabetes will still need insulin after the storm and a mother about to give birth will still need a safe place to deliver. Emergency teams constantly evaluate and deploy new tools and programs that target local concerns and needs. The growing demand for mental health support in disasters has led to offer more mental health services to meet those needs. Better weather forecasting and tracking of storms allows us to deploy a team early, connect with our local partners and respond more rapidly when the storm strikes.  But even with better technology, we have learned to “expect the unexpected” in each disaster and be ready to adapt to conditions on the ground and respond accordingly.  In 2020 and again in 2021, we faced the enormous challenges of responding in the midst of the Global COVID-19 Pandemic. Our commitment remains the same: to respond where help is needed.

Americares worker loading medicines and supplies

We Expect

Emergency programs at Americares represent a continuous cycle of ReadyRespondRecover and then get Ready again, only better. Each disaster presents a new set of challenges to lay the foundation for a better response the next time around.  It is a dynamic process, ever changing as more extreme weather and unforeseen manmade crises arise – always demanding that we increase our knowledge and capabilities. In that work, we are ever mindful and incredibly grateful for the ongoing support of our individual and corporate donors along with the presence of local partners who have the ground sense and skill necessary to meet the challenges and often only lack resources to prepare for them.

Mother and Child at a shelter
satellite photo of a hurricane