OPENPUBLICA · PUBLIC MEETING RECORD
Record of Proceedings

Community Health Committee Meeting: Heat Resilience, Asthma, and Aquifer Updates - April 23, 2026

Council CommitteesThursday, April 23, 2026
BodySan Antonio, Texas
SessionCouncil Committees
DateThursday, April 23, 2026
StatusFILED
Video Record
0:00 / 1:24:36

Transcript — Verbatim
0:05

All right.

0:06

Well, at 1032 a.m.

0:08

on April 23rd, 2026, we will officially call the community health meeting to order.

0:13

Madam Clerk, will you please call the roll?

0:15

Councilmember Castillo.

0:17

Councilmember Avarete Gavito.

0:20

Councilmember Mesa Gonzalez.

0:22

Councilmember White.

0:24

Chair Galvan.

0:26

Here.

0:26

Sir, we have a quorum.

0:28

Thank you so much.

0:28

First thing to do, we have to uh review the minutes.

0:31

Any uh changes to the minutes.

0:34

If not, can you get a motion to approve?

0:37

In a second.

0:39

All those in favor say aye.

0:41

Aye.

0:41

Any opposed?

0:42

Any abstentions?

0:44

Great.

0:44

Uh next to move into public comment.

0:46

Madam Clerk, do we have any public comment?

0:49

Great.

0:49

All right, then we'll move into item number two, the update on San Antonio's heat resilience playbook.

1:03

Committee, my name is Laura Patiño, and I'm the director for the Department of Resilience and Sustainability.

1:09

With me today is Doug Melnick, Assistant Director for our department, as well as many other partner departments as a key testament to the interdisciplinary nature of this work and heat management.

1:22

So this presentation comes.

1:27

Thank you.

1:28

This presentation comes following the council consideration requests from April 16th, 2025 for tracking and preventing heat related deaths.

1:38

So today's briefing provides an update on San Antonio's heat resilience playbook, its connection to the 2025 Council Consideration Request on Heat Rated Deaths, and the city's summer 2026 heat communications and response plans.

1:54

Briefly, I want to take the time to highlight the reasoning behind a heat resilience playbook.

2:00

San Antonio has experienced a series of records.

2:03

We are experiencing hotter and longer heat seasons with more frequent extreme heat days and documented increases in heat related illnesses.

2:14

This means a direct impact to public health.

2:17

On the slide depicted, published by San Antonio Metro Health Department in their heat related illnesses dashboard, we can see the number of heat related illnesses by month reported.

2:27

Since 2022, we have reported nearly 2400 heat related illnesses, categorized by dehydration, fainting, heat cramps, heat exhaustion, and heat stroke.

2:41

Those impacts are not evenly distributed.

2:45

Using Metro Health data as well as UTSA's heat vulnerability mapping, we can see that residents in hotter, lower canopy, and higher vulnerability areas face greater risk.

2:56

We utilize this map to understand where interventions need to go across the city of San Antonio.

3:03

So to take action, we have developed the city's first heat resilience playbook.

3:10

The heat resilience playbook is a city's implementation roadmap for extreme heat.

3:28

The playbook has 52 actions, and they're divided into new actions, existing actions, and improvements.

3:36

I'm happy to share that over 80% of these actions are ongoing.

3:43

All departments that are reflected in the implementation of these actions are depicted on this slide.

3:48

And we have identified specific leads as the work continues to move forward.

3:53

This is work that our departments are already implementing and built within their day-to-day operations.

3:59

This graphic depicts their contributions and further demonstrates the level of interdepartmental alignment and collaboration that needs to take place in order to advance extreme heat and that continues to advance this work.

4:12

Being prepared and resilient to extreme heat requires all of us.

4:18

So San Antonio's heat resilience playbook is comprised of two overarching goals, safe and prepared San Antonians, and cooler neighborhoods.

4:26

It has four objectives, 11 action areas that lead to 52 actions.

4:32

These are our organizing principles and allow us to focus on human-centric heat response and inference infrastructure-centric adaptation to the built environment.

4:44

Within our four objectives, we aim to increase awareness and outreach through approaches that ensure San Antonians are connected and equipped to navigate hot summers.

5:00

This includes training, communications, and data, heat relief to provide access to resources for the most vulnerable, our indoor and outdoor workers, and the general population, our built environment to strengthen and adapt homes and buildings, and our parks and green spaces to provide cooling benefits and maximize quality of life through tree canopy and land resources.

5:22

To show how the playbook is moving into implementation, I wanted to highlight a few examples today.

5:29

So under Awareness and Outreach, we will be addressing two actions heat outreach to the most vulnerable and health dashboards for heat.

5:40

For heat outreach to the most vulnerable, the action consists of launching a coordinated heat risk awareness campaigns to reach San Antonio's most vulnerable residents.

5:50

Various departments are already conducting heat outreach to the unhoused, the elderly, children, and other vulnerable populations.

5:59

This effort will allow us to not only align our cross departments but also understand the outreach mechanisms that work best and provide those tool kits and skills to other departments.

6:11

To date, we have completed two surveys, one internal and one external to understand the barriers.

Discussion Breakdown — Share of Meeting
Environmental Protection█████████████████████████████████████████████48%
Public Health██████████████████████████████32%
Engineering And Infrastructure████████8%
Community Engagement████4%
Water And Wastewater Management████4%
Economic Development██2%
Transportation Safety1%
Parks and Recreation1%
Summary of Proceedings

Community Health Committee Meeting - April 23, 2026

The Community Health Committee of the San Antonio City Council met on April 23, 2026, from 10:32 AM to 11:58 AM. The meeting included updates on the San Antonio Heat Resilience Playbook, the SA Kids Breathe asthma program, and the Edwards Aquifer Protection Program. All agenda items were informational, with no formal votes taken beyond the approval of minutes.

Consent Calendar

  • Unanimous approval of the previous meeting's minutes.

Discussion Items

Update on San Antonio's Heat Resilience Playbook

  • Laura Patiño, Director of Resilience and Sustainability, presented the city's first Heat Resilience Playbook, a roadmap with 52 actions (over 80% ongoing) to address extreme heat. Key statistics: nearly 2,400 heat-related illnesses reported since 2022, 28 miles of cool pavement installed, over 600 cool roofs completed citywide since 2022, and over 11,000 new trees funded or committed for FY2026. The playbook focuses on awareness and outreach, heat relief, built environment, and parks/green spaces.
  • Councilmember Castillo (absent) sent a letter expressing full support for the direction and requesting expansion of the Cool Neighborhoods program to include extreme cold weather and integration of weatherization into city programs.
  • Councilmember Alvarete Gavito asked about partnership with DHS for unhoused outreach, efforts inside Loop 410, collaboration with VIA on bus shade structures, and tree planting for traffic calming. He expressed strong support for the program and urged a "bullish" approach to tree planting.
  • Councilmember White asked about tracking heat-related illnesses by location (zip code, job site). Metro Health responded that cases are assigned by residence, not incident location, and that they are in dialogue with other jurisdictions to improve methods.
  • Councilmember Mesa Gonzalez asked about design standards (cool roofs, reflective roofing), VIA bus stop pilot programs (solar fans), and partnerships with faith-based institutions. She requested a link on the city website listing city actions. The Climate Ready Neighborhood Network includes 18 members, with faith-based organizations invited to join.
  • Chair Galvan requested VIA provide council with capital needs for bus stops and requested dollar amounts for weatherization and retrofitting of city buildings. He also asked about the deconstruction program (answered offline).

Update on SA Kids Breathe Asthma Program

  • Marjorie White, Assistant Director for Community Health and Safety at Metro Health, presented the children's asthma program (SA Kids Breathe). The program has an annual budget of $827,702 and a staff of eight. In FY2025, 181 children were served; in FY2026 to date, 116 have been served. The program provides home visits, education, asthma action plans, and trigger reduction kits. Asthma Control Test (ACT) scores improved 37% from enrollment (16.6) to 12-month follow-up (22.8), with 89% of graduates well-controlled.
  • Council members expressed strong support for the program, with Chair Galvan noting its importance as a chronic asthmatic. No questions were raised during the limited time.

Update on Aquifer Protection Program

  • Grant Ellis, Natural Resources Manager for Parks and Recreation, presented the Edwards Aquifer Protection Program, which began in 2000. To date, 188,900 acres have been protected (over 95% via conservation easements). The program is funded by a 1/8-cent sales tax and currently $100 million over 10 years from the San Antonio Municipal Facilities Corporation (three years in). The program has leveraged over $34 million in partner funds. The Conservation Advisory Board, with nine members, oversees science-based property selection.
  • Councilmember Alvarete Gavito expressed strong support for the program, calling it a "generational investment."
  • Councilmember Mesa Gonzalez asked about the timeline of the current funding (halfway point in five years) and whether the city is looking at renewing. She also asked about efforts in Bexar County – staff noted that property values are higher there, so focus is on Medina and Uvalde counties for more cost-effective acquisitions, but Bexar County properties are always evaluated.
  • Chair Galvan asked for a map showing acquisitions over time, which was provided.

Key Outcomes

  • No formal votes were taken on the agenda items. Council members directed staff to continue work on the Heat Resilience Playbook, including improved coordination with VIA and development of capital needs information. Support was reaffirmed for the SA Kids Breathe asthma program and the Edwards Aquifer Protection Program. Staff will follow up on specific requests (e.g., VIA bus stop capital needs, faith-based outreach expansion, and tree planting coordination).

Meeting Transcript

All right. Well, at 1032 a.m. on April 23rd, 2026, we will officially call the community health meeting to order. Madam Clerk, will you please call the roll? Councilmember Castillo. Councilmember Avarete Gavito. Councilmember Mesa Gonzalez. Councilmember White. Chair Galvan. Here. Sir, we have a quorum. Thank you so much. First thing to do, we have to uh review the minutes. Any uh changes to the minutes. If not, can you get a motion to approve? In a second. All those in favor say aye. Aye. Any opposed? Any abstentions? Great. Uh next to move into public comment. Madam Clerk, do we have any public comment? Great. All right, then we'll move into item number two, the update on San Antonio's heat resilience playbook. Committee, my name is Laura Patiño, and I'm the director for the Department of Resilience and Sustainability. With me today is Doug Melnick, Assistant Director for our department, as well as many other partner departments as a key testament to the interdisciplinary nature of this work and heat management. So this presentation comes. Thank you. This presentation comes following the council consideration requests from April 16th, 2025 for tracking and preventing heat related deaths. So today's briefing provides an update on San Antonio's heat resilience playbook, its connection to the 2025 Council Consideration Request on Heat Rated Deaths, and the city's summer 2026 heat communications and response plans. Briefly, I want to take the time to highlight the reasoning behind a heat resilience playbook. San Antonio has experienced a series of records. We are experiencing hotter and longer heat seasons with more frequent extreme heat days and documented increases in heat related illnesses. This means a direct impact to public health. On the slide depicted, published by San Antonio Metro Health Department in their heat related illnesses dashboard, we can see the number of heat related illnesses by month reported. Since 2022, we have reported nearly 2400 heat related illnesses, categorized by dehydration, fainting, heat cramps, heat exhaustion, and heat stroke. Those impacts are not evenly distributed. Using Metro Health data as well as UTSA's heat vulnerability mapping, we can see that residents in hotter, lower canopy, and higher vulnerability areas face greater risk. We utilize this map to understand where interventions need to go across the city of San Antonio. So to take action, we have developed the city's first heat resilience playbook. The heat resilience playbook is a city's implementation roadmap for extreme heat. The playbook has 52 actions, and they're divided into new actions, existing actions, and improvements. I'm happy to share that over 80% of these actions are ongoing. All departments that are reflected in the implementation of these actions are depicted on this slide. And we have identified specific leads as the work continues to move forward. This is work that our departments are already implementing and built within their day-to-day operations. This graphic depicts their contributions and further demonstrates the level of interdepartmental alignment and collaboration that needs to take place in order to advance extreme heat and that continues to advance this work. Being prepared and resilient to extreme heat requires all of us. So San Antonio's heat resilience playbook is comprised of two overarching goals, safe and prepared San Antonians, and cooler neighborhoods.

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