In Fast Company

Young children, older adults and homeless people are especially at risk for contact burns, which can occur in seconds when skin touches a surface of 180 degrees Fahrenheit (82 C).

Since the beginning of June, 50 people have been hospitalized with such burns, and four have died at Valleywise Health Medical Center in Phoenix, which operates the Southwest’s largest burn center, serving patients from Arizona, New Mexico, Utah, Nevada, Southern California and Texas, according to its director, Dr. Kevin Foster. About 80% were injured in metro Phoenix.

Last year, the center admitted 136 patients for surface burns from June through August, up from 85 during the same period in 2022, Foster said. Fourteen died. One out of five were homeless.

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Thermal injuries were among the main or contributing causes of last year’s 645 heat-related deaths in Maricopa County, which encompasses Phoenix.

One victim was an 82-year-old woman with dementia and heart disease admitted to a suburban Phoenix hospital after being found on the scorching pavement on an August day that hit 106 degrees (41.1 C).

With a body temperature of 105 degrees (40.5 C) the woman was rushed to the hospital with second-degree burns on her back and right side, covering 8% of her body. She died three days later.

Moreno introduced the idea at the 2015 Paris climate conference and soon started advising Mayor Anne Hidalgo, who made the 15-minute city concept a pillar of her campaign for a second term. Hidalgo has pushed for fewer cars to reduce both the city’s carbon footprint and unhealthy air pollution. But the changes aren’t just about making it easier to bike or walk—it’s equally important that people have more options nearby, Moreno says. Proximity is a key part of sustainable transportation. And it’s also just a better way to live.

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The city is encouraging the redevelopment of buildings that were used only part of the time, like offices, into multiuse spaces. One former administrative building now contains a covered market, housing, offices, a community preschool, a hotel and youth hostel, restaurants, bars, an art gallery, a gym, and urban farming on the rooftop. Little-used parking garages and former industrial sites are becoming housing. A former maternity hospital is now a school with a library and playground that the public can access outside of school hours for open-air film screenings, shows, and book fairs. The city is also pushing to make sure that each neighborhood has access to more significant services, such as healthcare and coworking spaces.

During the presser, Nancy Marshall of Marketplace asked Powell, “How closely are you watching rent and housing prices as you elevate whether and when to cut rates? It seems like housing prices are not coming down as quickly as you expected.”

Standing at the podium, Powell responded [to hear for yourself, go to the 42-minute mark], saying that the Fed isn’t directly “targeting” home prices, and insinuated that the real culprit for elevated home prices is that “there hasn’t been enough housing built.”

Every city in the world is going through a learning curve, working hard to improve, albeit from very different starting points. It’s true that “better” is open to opinion and debate (including answering the really important question, “better for whom?”), and even when the difference between better and worse is well proven, some cities sadly are still doubling down on the wrong path (more freeways, anyone?). But I find even those cities with clear visions of what better means can easily struggle with the “how” part, and the fact that the path to success is often not a straight line.

Over many years working with cities at all points in that learning curve, I’ve developed a simple conversation starter that I call the “five steps toward better cities.” I’ve found it can help break the ice around how to improve, if people are really honest about where they’re starting from.