CGHI
Climate & Global Health InitiativeA Duke Global Health Institute initiative

Regional Observatory

North Carolina

Investigating climate-health impacts across North Carolina’s diverse geographic, ecological, and demographic landscape.

Why North Carolina

North Carolina spans three distinct physiographic regions — the Coastal Plain, Piedmont, and Appalachian Mountains — each with unique climate-health dynamics. From increasing hurricane intensity and coastal flooding to urban heat island effects in the Piedmont and changing ecosystems in the mountains, the state presents a microcosm of climate-health challenges facing the broader Southeast United States.

As Duke’s home state, North Carolina offers an immediate context for developing and testing climate-health research methods, data pipelines, and community engagement approaches that can then be adapted for international observatory sites.

North Carolina coastal marsh landscape
North Carolina's coastal wetlands and marshes are increasingly affected by climate-driven sea level rise and storm intensity.

Research Context

Heat Exposure & Health

Investigating the relationship between rising temperatures, urban heat islands, and health outcomes including heat-related illness, cardiovascular events, and occupational health risks.

Extreme Weather Events

Studying the health consequences of increasingly severe hurricanes, flooding, and storm events across North Carolina's vulnerable coastal and inland communities.

Air Quality & Respiratory Health

Monitoring connections between climate-driven changes in air quality — including wildfire smoke, pollen seasons, and ozone — and respiratory disease burden.

Environmental Justice

Examining how climate-health impacts disproportionately affect historically marginalized communities, including rural, low-income, and communities of color across the state.

North Carolina wetland under blue sky

Data & Analytic Focus

The North Carolina observatory serves as the primary development and testing environment for CGHI’s climate data infrastructure — including data inventory, harmonization, and analytic tool development. Dense weather station networks, high-quality health surveillance data, and established research partnerships make it an ideal site for building reproducible workflows that scale to international contexts.

Weather monitoring station against a stormy sky
Weather station dataRemote sensing / satelliteHealth surveillanceAir quality monitoringDemographic dataLand use / land cover

Working in North Carolina?

We’re looking for collaborators — local researchers, institutions, government partners, and students interested in climate-health research.

Get in Touch

Other Observatories

Contact CGHI

Working in this region or interested in collaborating on climate-health research here? We welcome connections from local researchers, institutions, government partners, and students.

Contact CGHI

Most inquiries should start here so they can be routed consistently.

Contact CGHIGuide