The compounded effects of climate change disproportionately impact vulnerable populations, including low-income residents and Black New Yorkers, who face higher risks from extreme heat and related health issues. Legionnaires’ disease outbreaks, linked to warming water in cooling towers, are becoming more frequent but remain preventable with proper maintenance. Flooding and extreme weather events also pose risks to infrastructure and public health, potentially contaminating water supplies and crops. The isolation caused by extreme heat, particularly for older residents, highlights the social and mental health challenges associated with these climate changes. Without adequate intervention, these risks are expected to intensify.