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

Investigating the relationship between rising temperatures, urban heat islands, and health outcomes including heat-related illness, cardiovascular events, and occupational health risks.
Studying the health consequences of increasingly severe hurricanes, flooding, and storm events across North Carolina's vulnerable coastal and inland communities.
Monitoring connections between climate-driven changes in air quality — including wildfire smoke, pollen seasons, and ozone — and respiratory disease burden.
Examining how climate-health impacts disproportionately affect historically marginalized communities, including rural, low-income, and communities of color across the state.

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.

We’re looking for collaborators — local researchers, institutions, government partners, and students interested in climate-health research.
Get in TouchWorking in this region or interested in collaborating on climate-health research here? We welcome connections from local researchers, institutions, government partners, and students.
You study or work in one of our observatory regions and have relevant data, expertise, or partnership interest.
You work on climate-health questions and want to connect on methods, data, or joint research.
You're in government, public health, or an NGO and want to explore how climate data can support your work.
You're a student looking for research opportunities, mentorship, or training in climate-health work.
Most inquiries should start here so they can be routed consistently.