Smart Surfaces and Lung Health

See how light-colored, reflective and green surfaces can combat extreme heat and create cooler, more livable communities.

Communities across the U.S. regularly experience extreme heat, floods and other disasters each year due to climate change. The American Lung Association is working on practical solutions like Smart Surfaces to address the impacts of climate change and improve the health of people across America.

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In urban areas, materials used for roads, roofs and parking lots can contribute to urban heat. Learn how creating smart surfaces can make a difference.

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The Problem: Extreme Heat in Cities

Two-thirds of the average U.S. city is made up of roads, parking spaces, sidewalks and roofs. Because these surfaces are typically dark and non-porous, they contribute to urban heat, flooding, increased air pollution and poor health.

Heat Islands

Cities Become Heat Islands

Illustration of rural, suburban, and city spaces with an overlaid line graph depicting the fluctuation in late afternoon temperature for each area.

Structures such as buildings, roads, and parking lots absorb the sun’s heat. Urban areas become "islands" of higher temperatures because they tend to have higher concentrations of these heat-absorbing structures and fewer trees and bodies of water. These "heat islands" experience higher temperatures than outlying areas. Daytime temperatures in urban areas are about 1-7°F higher than temperatures in outlying areas and nighttime temperatures are about 2-5°F higher. 

Causes of urban heat islands include dark non-porous (impermeable) surfaces (roads, parking lots, and roofs), reduced natural landscapes like trees and grass, heat generated from human activity, weather, and geography.

Health Impacts

Excessive Heat Impacts Health

Climate change has led to increased temperature, more regular occurrence of extreme weather like severe storms and flooding, and higher dew points (the temperature at which water vaporizes). This contributes to increased air pollution and negative health outcomes including respiratory illness, allergies, heat-related illness, infectious disease, and more.

Extreme temperature, both heat and cold, is trigger for individuals with asthma. Excessive heat increases the risk of an asthma exacerbations, asthma-related hospitalization, and asthma-related death. Children and females with asthma are especially at risk. 

Hot, humid air can cause asthma symptoms such as wheezing, coughing, and shortness of breath. Heat can trigger asthma symptoms because high temperatures and humidity cause air to not move, trapping pollutants that can irritate the airways. Humidity helps common asthma triggers, like dust mites and mold to thrive. Air pollution, ozone, and pollen also increase when the weather is hot and humid.  

Excess heat increases allergies. Excessive heat means plants produce and release more pollen. As areas with cooler weather warm, pollen-producing plants can now grow there. This may cause people with asthma may develop new allergies. Warmer temperatures make pollen season begin earlier and last longer. 

Urban heat and ozone impact lung health. Nitrogen oxides and volatile organic compounds (VOCs) from industry and other sources react with heat and sunlight to create ozone. Ozone causes swelling and irritation of the lungs — much like getting a sunburn on your lungs. Repeated exposure may lead to permanent lung damage.

Graphic showing pollution sources - truck, gas pump, industry and car - plus sun equals ozone equals lung healthNOx + heat and sunlight = Increased ozone = Reduced lung health

"State of the Air" is the American Lung Association's annual national air quality "report card." It uses the most recent air pollution data for the two most widespread types of pollution—ozone (smog) and particle pollution (PM2.5, also known as soot). The report grades counties and ranks cities and counties based on their scores for ozone, year-round particle pollution and short-term particle pollution levels.

Health Equity

Urban Heat Is a Health Equity Issue

Black, Indigenous, and people of color are more likely to be living in areas most impacted by urban heat and poor air quality. This is due to a history of discriminatory practices that consists of systematic denial of services such as mortgages, insurance loans, and other financial services to residents of certain areas based on their race or ethnicity and other means of limited political power within these communities. This history of disinvestment and redlining is linked to increased vulnerability of communities of color and those living under the federal poverty line to urban heat and ground-level ozone.  

Several factors make urban heat a health equity issue: 

  • Historically redlined communities are often hotter than other neighborhoods.
  • Access to cooling centers is more limited in some areas.
  • Energy costs and the costs of repairs limit the ability to afford air-conditioning.
  • Low-wealth residents often live in homes that provide less protection against extreme heat.
  • Certain populations are more vulnerable to extreme heat and have less access to healthcare.
  • Socially isolated individuals may have less access to cooling centers.
  • COVID-19 protocols reduced accessibility and effectiveness of cooling centers.
  • Disadvantaged populations are more at risk for heat-related illnesses during power outages. 

The Solution: Smart Surfaces to Reduce Heat in Cities

Smart Surfaces encompass a suite of cutting-edge technologies, including reflective (cool) roofs and pavements, green roofs, trees, solar photovoltaics (PV) and rain gardens. Designed to mitigate urban heat, enhance air quality and improve health, the addition of these transformative urban features can make cities more resilient and vibrant. Smart Surfaces can cool cities by 5°F, deliver large reductions in flooding and provide economic benefits to cities.

Types of Smart Surfaces

There Are Many Types of Smart Surfaces

Below explains different kinds of Smart Surfaces and the benefits they provide over conventional surfaces.

light-colored pavement surrounded by trees and shrubsLight colored roads reflect more sunlight than dark asphalt. This leads to reduced pavement temperature, cooler streets and neighborhoods, and greater pedestrian and resident comfort. Light colored, cool roads increase pavement lifespan, reduce street lighting requirements while providing greater visibility resulting in fewer car accidents. 

Cinder blocks stackedConcrete is responsible for 8% of global carbon emissions. New concrete materials are available that make it carbon neutral or even carbon negative. 

porous paversPorous pavements allow rain to absorb into the ground, reducing pollution, stormwater runoff, and flood risk. Porous pavements can lower temperatures through evaporative cooling. Porous pavements act as a filter for water, being cleaned as it passes through the soil into groundwater. Porous pavements decrease the likelihood of stormwater overflowing into sewers and bodies of water. Types of porous pavements include porous asphalt, concrete, permeable pavers, and porous grid pavers with turf or gravel. 

Two men wearing yellow vests and white hard hats installing a solar panel.Solar photovoltaic cells, also called Solar PV, converts sunlight into renewable energy, helping cities reduce their reliance on fossil fuels. Solar reduces energy demand from non-renewable power plants, reducing greenhouse gas emissions, and improving air quality. Solar panels also provide shade for buildings, sidewalks, and other public areas.

Rooftop in city covered with trees and grassGreen roofs are living, breathing entities that absorb rainwater, reduce heat absorption, and improve air quality. Green roofs cool buildings, reduce storm water runoff, and provide urban wildlife habitats. With green and light-colored roofs, less heat is transferred into buildings and into the city air. Cool roofs reduce energy consumption and costs. The plants on a green roof reduce carbon dioxide, nitrogen dioxide, and particulate matter in the air. Another benefit of a green roof is that they have longer effective life spans than traditional dark and impervious roofs.

Tree lined sidewalk in cityUrban greening is the practice of planting trees, shrubs, and native grasses throughout the city, including parking lots, along streets, and in vacant lots. Urban trees provide shade which reduces temperature at the street level. Urban trees and greenscapes can reduce the temperature by up to 7°F during the day and 22°F at night. Greenscapes turn carbon dioxide into oxygen, remove pollutants from the air, and reduce flood risk. Urban greenscapes also reduce water pollution caused by runoff during heavy rains. Trees reduce the flood risk because trees absorb water during heavy rains. 

Close up of a bioswale filled with grass alongside a sidewalk.Rain gardens and bioswales both collect rainwater runoff, filter stormwater pollutants from the water, and allow water to be reabsorbed into the soil. Bioswales are similar to rain gardens but are much larger and can capture more runoff from larger surfaces like streets and parking lots. Rain gardens and bioswales assist in cooling the air temperature and provide a habitat for native plants and wildlife. 

Health Benefits of Urban Greenspace

Greenspaces Can Improve Health

Ozone levels are highest in cities in part because of the increased temperatures from heat absorbed by roads and roofs. Incorporating trees, green roofs and parks in urban settings can reduce temperatures and improve health. 

Here are just a few benefits of greenspaces:

Combined Smart Surfaces

Combining Smart Surfaces Increases Impact

For example, a green roof + solar panels can generate clean energy, reduce building energy use, manage storm water runoff, and filter air pollutants. 

Illustration of a city scape showing numbers 1-6 on different surfaces which depict the differences in sun's reflection.

When smart surfaces are combined:

  1. Overall temperature feels ~15-20⁰F cooler.
  2. Ambient air temperature is ~5-10⁰F cooler
  3. Reduced heat radiance from more reflective surfaces—feels ~5⁰F cooler. Less of sun’s energy is absorbed and radiated as heat.
  4. Shade feels ~10⁰F cooler.
  5. Cool roof reflects sunlight, reducing building energy use and reducing radiation of sunlight as heat into city air.
  6. Solar PV reduces reliance on polluting power plants and shades buildings. Less smog and better air quality—feels ~1-3⁰F cooler.

Policymakers and individuals can make our communities more livable, reduce heat and air pollution, and improve our lung health with smart surface choices. 

How to talk to your elected and appointed officials about Smart Surfaces to reduce excessive heat.

School Guide to Smart Surfaces Case Study

Chariho Regional School District, Rhode Island
Access the Case Study
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Building Healthier Schools: The Smart Surfaces Solution

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Hello, my name is Dan Fitzgerald. I serve the American Lung Association as Director of Advocacy and co-lead our Smart Surfaces initiative, which is supported by the Smart Surfaces Coalition. Here at the American Lung Association, we know that when you cannot breathe, nothing else matters.

Today, I'll be sharing some practical solutions that can help mitigate excessive heat and ultimately work toward creating healthier and more resilient school environments.

So, to kick off, let's chat briefly about the problem at hand: excessive heat.

We know that two-thirds of cities across the United States are made up of roads, parking spaces, sidewalks, and roofs. These surfaces are typically dark and non-porous, or impermeable. These solid, dark surfaces contribute to urban heat, increased air pollution, flooding, and poor health.

Heat islands are areas that experience higher temperatures than outlying areas. Structures such as schools and other buildings, roads, and infrastructure absorb and re-emit the sun's heat more than natural landscapes such as forests and bodies of water. Urban areas where these structures are highly concentrated and greenery is limited become islands of higher temperatures relative to outlying areas.

We know that daytime temperatures in urban areas are about 1 to 7°F higher than temperatures in outlying areas. At nighttime, those temperatures are about 2 to 5°F higher. As you can see in this graphic, excessive heat doesn't just impact the urban core; it also permeates surrounding areas across a metropolitan region.

Now that we've talked a little bit about the problem of excessive heat, let's chat about the impact on our health.

It may be hard to imagine that pollution can be invisible, but ozone began that way. As ozone concentrates and mixes with other pollutants, we often call it by its older, more common name: smog. It's currently one of the least well-controlled pollutants in the United States, and it's also one of the most dangerous.

Increased levels of heat, like those in urban cities, create dangerous ground-level ozone. Scientists have studied the effects of ozone on our health for decades and have confirmed that ozone harms people at levels currently found in the United States. It can also be deadly. When ozone is inhaled, it damages the tissue of our respiratory tract, causing irritation and inflammation similar to a sunburn of the lungs.

In addition to the negative health impacts of air pollution, we know that observed changes to our climate — such as increased temperatures, more frequent extreme weather events, and higher pollen levels — are negatively impacting our health. More extreme heat and air pollution are directly tied to numerous poor health outcomes, including but not limited to respiratory illness, allergies, heat-related illness and death, cardiovascular disease, stroke, and more.

We also know that excessive heat increases allergies. In fact, between 1995 and 2011, warmer temperatures caused the pollen season to be around 11 to 27 days longer each year.

Now that we've talked a little bit about the problem of excessive heat and its impact on our health, let's talk about some practical solutions that can help us work toward building healthier and more resilient schools and communities.

Smart surfaces encompass a suite of cutting-edge technologies, including reflective or cool roofs and pavements, green roofs, trees, solar PV, and rain gardens. They are designed to mitigate urban heat, enhance air quality, and improve public health. The addition of these transformative features to our built environment can make our schools more resilient and vibrant.

Smart surfaces have been found to cool cities by up to 5°F, deliver large reductions in flooding, and provide economic benefits to cities. They can do the same for your school district. They also have the potential to address structural and racial inequalities and advance environmental justice.

Let’s move forward and start talking about some of these smart surface solutions.

Cool roofs are light-colored so they can reflect sunlight and reduce the heating of air. Traditionally, dark-colored roofs absorb more light, radiating heat onto the building and surrounding air, increasing cooling costs and energy consumption while decreasing comfort.

Cool roads and parking lots reflect more light than dark asphalt. They reduce pavement temperature and can increase pavement lifespan.

Our next smart surface is porous pavement, which allows rain to recharge groundwater, reducing polluted stormwater runoff and flood risk. Technologies may include porous asphalt and concrete, permeable pavers, and porous grid pavers with turf or gravel added. Porous pavement can lower temperatures through evaporative cooling and acts as a filter for water, cleaning it as it passes through the soil into groundwater.

By limiting paved areas, we can improve drainage and lower surface-level heat. Concrete is responsible for around 8% of global carbon emissions, so new concrete materials are available that are carbon neutral or even carbon negative. When pavement is needed, it is better to use low- or zero-carbon concrete. Looking for opportunities to limit paving altogether can further improve drainage and reduce heat.

Green roofs are living systems that absorb rainwater, reduce heat absorption, and improve air quality. They can cool buildings, reduce stormwater runoff, and provide wildlife habitats. In fact, they often have a longer effective lifespan than traditional dark, impervious roofs.

Solar PV converts sunlight into renewable energy. It provides shade for buildings, sidewalks, and other public areas and can help schools reduce their reliance on fossil fuels.

Shade structures and sun sails prevent heat by blocking direct sunlight. Shade structures near buildings can reduce indoor temperatures by shading windows and reducing the need for air conditioning. Shade structures over outdoor playgrounds and recreational areas create more comfortable environments.

Something as simple as curtains can also help prevent heat from accumulating inside. White and light-colored curtains reflect sunlight and heat better than dark curtains. Thermal curtains with liners can reduce heat loss in colder months. Layering curtains can increase insulation. Studies show that medium-colored draperies with white plastic backings can reduce heat gain by around 33%.

Increasing green space by planting trees, shrubs, and native grasses — around parking lots, along streets, and near playgrounds — provides shade, reduces temperatures, and decreases water pollution caused by runoff during heavy rains. Trees reduce flood risk by absorbing water during storms.

Trees also convert carbon dioxide into oxygen and remove pollutants from the air. Urban greening brings numerous benefits to school environments.

Rain gardens and bioswales collect rainwater and improve drainage. They can add cooling effects to school environments as well.

Ozone levels are highest in cities because of increased temperatures from heat absorbed by roads and roofs. By incorporating trees, green roofs, and parks into school campuses, we can reduce temperatures and improve health at the same time.

For best results, we encourage exploring the combined effects of multiple smart surfaces. This could include shade structures, urban greening and tree planting, reflective window coverings, solar PV, and porous surfaces across campus.

That was a lot of information in a short amount of time. We would like to make this as easy as possible for your school district. The American Lung Association has created a School Guide to Smart Surfaces that explores these practical solutions through the lens of application within a school campus.

Through this guide, you'll learn ways to encourage student participation, gain a better understanding of health impacts and benefits, and discover low-cost or cost-neutral improvements during regularly scheduled maintenance. This guide, alongside many other tools, can be found at lung.org/smart-surfaces.

On that same page, we encourage you to hear from a fellow school district. We partnered with the Chariho Regional School District in southern Rhode Island, which has piloted several smart surface solutions. In this case study, also found at lung.org/smart-surfaces, you can hear firsthand about the impacts of reflective windows, shade structures, and tree planting on a school campus.

In this case study, we found that on an 82°F day prior to shade structure installation, surrounding surfaces were far hotter. Dark rubber, plastic, and other materials absorb heat from the sun. Metal amplifies heat dramatically. No shade means continuous direct sun exposure. Additionally, humidity — common in Rhode Island summers — increases perceived heat.

An unshaded Rhode Island playground in summer often feels dangerously hot, with surface temperatures 30 to 60°F hotter than the air. Even on an 82°F day, equipment can exceed 130°F — hot enough to cause burns and heat stress.

I’ll read a portion of a quote from representatives of the Chariho Regional School District:

“The outdoor shade structures installed at Charleston Elementary School have quickly become some of the most valuable spaces on our grounds. They provide cool, reliable protection from direct sun, allowing students to learn, gather, and play outdoors even on the warmest days. We hope this will leave students less fatigued after spending time in shaded areas and show our district's commitment to creating healthier outdoor environments. Together, these upgrades have strengthened our district's mission to provide safe, healthy, and supportive learning environments. We're proud of the measurable impacts in heat reduction and the positive effects on student wellness, and we view these enhancements as essential investments in the future of our school community.”

We hope this case study, alongside the School Guide to Smart Surfaces, will be helpful tools for your school community as you work to mitigate excessive heat through smart surfaces.

You can also find additional resources at lung.org, including a short animated video explaining smart surfaces and their health benefits, fact sheets, guidance on speaking with elected officials, and actions communities can take to mitigate excessive heat.

Before we wrap up, I’d like to briefly share another initiative for schools offered by the American Lung Association. By participating in the Clean Air School Challenge, schools can work toward improving indoor air quality.

The Clean Air School Challenge meets schools where they are in their indoor air quality and energy management journey. Participating schools receive support and guidance as they move through the three program phases: assess, plan, and act.

The program provides structured paths and support for adopting an energy-efficient indoor air quality management plan. These plans are effective tools schools can use to proactively address air quality risks, optimize building performance, achieve cost savings, and protect the health and well-being of students, staff, and visitors.

The Clean Air School Challenge is designed to meet schools where they are, whether they have experience addressing indoor air quality issues or not. Schools may start in different phases based on current progress and advance once key milestones are achieved.

Participating schools receive training, recognition, and technical assistance. They gain education and exclusive training about school-specific indoor air quality challenges, building capacity to address issues and develop management plans. The Lung Association provides technical assistance and recognition for leadership in improving indoor air quality.

Schools also have the opportunity to work with peer mentors, access other Lung Association programs and services such as lung health navigators, participate in learning collaborative cohorts, and apply for grants. Schools are eligible for up to $9,500 each, and districts can receive up to $95,000.

To sign your school up, please visit lung.org/casc to learn more about the Clean Air School Challenge.

Thank you so much for spending your time with me today to learn about practical solutions and resources that can help build healthier and more resilient schools. I hope you visit us at lung.org to learn more. Thank you.


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Actions schools can take to reduce the impact of excessive heat.

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