Climate Vulnerability Assessment 3332 City of Boston: Climate Ready Boston
CASES OF MEDICAL ILLNESS
Symptoms of existing medical illnesses are often
exacerbated by hot temperatures. For example,
heat can trigger asthma a acks or increase already
high blood pressure due to the stress of high
temperatures put on the body. Climate events can
interrupt access to normal sources of healthcare
and even life-sustaining medication. Special
planning is required for people experiencing
medical illness. For example, people dependent on
dialysis will have diff erent evacuation and care
needs than other Boston residents in a climate
event.
NEIGHBORHOOD VULNERABILITY
AND CONNECTIVITY
The Vulnerability Assessment analyzes personal
characteristics (like income or race) that heighten
vulnerability in a climate event and also considers
vulnerabilities that occur at a neighborhood
scale. If a neighborhood has less access to a
certain resource, its residents can be even more
vulnerable. Neighborhoods need redundancy
in their resource networks in the same way that
individuals do.
Communities with overlapping vulnerabilities
are at greater risk. Risk is increased even further
in the context of chronically under-resourced
neighborhoods.
Neighborhood connectivity is a signifi cant factor
in community resilience. Neighborhoods that are
less well served by public transit or with fewer
OLDER ADULTS CHILDREN PEOPLE OF COLOR
PEOPLE WITH LIMITED
ENGLISH PROFICIENCY
47
LOW-TO
NO-INCOME
DISABILITY MEDICAL ILLNESS
48
COMMUNITY TOTAL POPULATION # % # % # %
Allston/ Brighton 75,000 6,100 8% 4,600 6% 25,400 34%
9,700 13% 21,000 28% 6,200 8% 29,200 n/a
Back Bay/ Beacon Hill 22,600 2,800 12% 1,900 8% 3,600 16%
600 3% 2,600 11% 1,000 5% 9,500 n/a
Charlestown 16,400 1,800 11% 3,300 20% 4,000 24%
1,600 10% 4,200 25% 1,500 9% 6,500 n/a
Dorchester 87,400 8,500 10% 21,000 24% 62,500 72%
35,100 40% 26,600 30% 12,400 14% 31,800 36%
Downtown 30,000 4,100 14% 2,000 7% 9,400 31%
4,000 13% 6,800 23% 2,600 9% 12,400 n/a
East Boston 40,500 4,100 10% 8,700 21% 25,500 63%
17,400 43% 13,700 34% 5,200 13% 14,800 n/a
Fenway/ Kenmore 44,300 2,100 5% 600 1% 14,400 33%
3,700 8% 11,200 25% 2,700 6% 16,000 n/a
Harbor Islands - - - - - - -
Hyde Park 32,300 4,200 13% 7,000 22% 23,200 72%
4,600 14% 5,700 18% 3,800 12% 12,500 n/a
Jamaica Plain 42,100 4,100 10% 6,300 15% 19,200 46%
4,900 12% 14,500 34% 4,200 10% 16,400 n/a
Mattapan 33,700 3,900 11% 9,600 29% 32,100 95%
5,800 17% 11,900 35% 6,000 18% 12,500 n/a
Roslindale 37,700 3,800 10% 7,100 19% 16,700 44%
5,400 14% 6,800 18% 4,100 11% 12,500 n/a
Roxbury 71,600 5,800 8% 16,700 23% 59,200 83%
11,400 16% 27,700 39% 10,400 15% 24,000 n/a
South Boston 31,800 3,200 10% 4,900 15% 7,100 22%
2,600 8% 8,200 26% 3,000 9% 13,500 n/a
South End 38,600 3,300 9% 4,900 13% 16,500 43%
5,800 15% 11,600 30% 4,300 11% 12,800 n/a
West Roxbury 30,400 5,400 18% 6,100 20% 8,100 27%
3,000 10% 3,500 11% 3,000 10% 12,400 n/a
Boston Total 634,400 63,200 104,700 327,300
98,200 176,100 70,700 236,900
Percent of Boston 100% 10% 17% 52%
SOCIALLY VULNERABLE GROUPS BY NEIGHBORHOOD
road connections overall are more vulnerable in a
climate event. If a neighborhood only has one bus
or subway line connecting it to the transportation
system, residents who depend on transit can
more easily be cut off from their employment or
healthcare. The GoBoston 2030 planning eff ort is
evaluating and planning for Boston’s neighborhood
connectivity.
Neighborhood connectivity spans more than just
transportation access; connections between people
also create more resilient communities. Strong
community organizations reduce risk from social
isolation and connect residents to resources and
information regarding climate change impacts.
Limited access to resources at a neighborhood scale
can also exacerbate social vulnerability. East Boston,
for example, has high concentrations of medical
illness but no hospitals. If the tunnels and bridges
became inaccessible in a fl ood event, those in need
of acute medical care could be less able to access it;
access to much-needed medications has historically
been an issue in large coastal fl ood events.
The daily stresses socially vulnerable residents
face can also make recovery and adaptation more
diffi cult. For example, residents living in an area
without a grocery store may have less access to
healthy food. In such areas, classifi ed as “food
deserts,” residents may face challenges to eating
healthily on a daily basis as well as acquiring
adequate food supplies for sheltering in place
in a climate event. Boston’s food deserts include
the Seaport, Roslindale, East Boston, Roxbury, and
West Roxbury.
49
OLDER ADULTS CHILDREN PEOPLE OF COLOR
PEOPLE WITH LIMITED
ENGLISH PROFICIENCY
47
LOW-TO
NO-INCOME
DISABILITY MEDICAL ILLNESS
48
COMMUNITY TOTAL POPULATION # % # % # %
# % # % # % # %
Allston/ Brighton 75,000 6,100 8% 4,600 6% 25,400 34%
9,700 13% 21,000 28% 6,200 8% 29,200 n/a
Back Bay/ Beacon Hill 22,600 2,800 12% 1,900 8% 3,600 16%
600 3% 2,600 11% 1,000 5% 9,500 n/a
Charlestown 16,400 1,800 11% 3,300 20% 4,000 24%
1,600 10% 4,200 25% 1,500 9% 6,500 n/a
Dorchester 87,400 8,500 10% 21,000 24% 62,500 72%
35,100 40% 26,600 30% 12,400 14% 31,800 36%
Downtown 30,000 4,100 14% 2,000 7% 9,400 31%
4,000 13% 6,800 23% 2,600 9% 12,400 n/a
East Boston 40,500 4,100 10% 8,700 21% 25,500 63%
17,400 43% 13,700 34% 5,200 13% 14,800 n/a
Fenway/ Kenmore 44,300 2,100 5% 600 1% 14,400 33%
3,700 8% 11,200 25% 2,700 6% 16,000 n/a
Harbor Islands - - - - - - -
- - - - - - - -
Hyde Park 32,300 4,200 13% 7,000 22% 23,200 72%
4,600 14% 5,700 18% 3,800 12% 12,500 n/a
Jamaica Plain 42,100 4,100 10% 6,300 15% 19,200 46%
4,900 12% 14,500 34% 4,200 10% 16,400 n/a
Mattapan 33,700 3,900 11% 9,600 29% 32,100 95%
5,800 17% 11,900 35% 6,000 18% 12,500 n/a
Roslindale 37,700 3,800 10% 7,100 19% 16,700 44%
5,400 14% 6,800 18% 4,100 11% 12,500 n/a
Roxbury 71,600 5,800 8% 16,700 23% 59,200 83%
11,400 16% 27,700 39% 10,400 15% 24,000 n/a
South Boston 31,800 3,200 10% 4,900 15% 7,100 22%
2,600 8% 8,200 26% 3,000 9% 13,500 n/a
South End 38,600 3,300 9% 4,900 13% 16,500 43%
5,800 15% 11,600 30% 4,300 11% 12,800 n/a
West Roxbury 30,400 5,400 18% 6,100 20% 8,100 27%
3,000 10% 3,500 11% 3,000 10% 12,400 n/a
Boston Total 634,400 63,200 104,700 327,300
98,200 176,100 70,700 236,900
Percent of Boston 100% 10% 17% 52%
15% 28% 11% 37%
47
“People with limited English profi ciency” = ACS survey respondents who indicated
they speak English less than “very well.”
48
Health data at the local level in Massachusetts not available beyond zip codes. EASI
modeled the health statistics for the U.S. population based upon age, sex, and race
probabilities using U.S. Census Bureau data. The probabilities are modeled against the
census and current-year and fi ve-year forecasts. “Medical illness” is the sum of asthma
in children, asthma in adults, heart disease, emphysema, bronchitis, cancer, diabetes,
kidney disease, and liver disease. A limitation is that these numbers may be over-
counted as the result of people potentially having more than one medical illness. These
statistics refl ect the number of incidences of each illness, not the number of residents.
Neighborhood percentages are not available due to potential for over-counting.
49
Food deserts are areas located greater than one mile away from a grocery store.
Source: “Food Access Research Atlas.” USDA Economic Research Service.