In response to extreme heat in 2024, the City of Phoenix launched heat relief initiatives that reduced heat-related deaths and emergency calls by 20%.. Key actions included extended hours at cooling centers, 24-hour respite centers, and hydration stations at public spaces. Over 35,000 people, mostly experiencing homelessness, were served, and 1,026 individuals were connected to shelter. The City distributed 1.2 million water bottles and awarded $330,000 in grants to support 36,000 people. These efforts demonstrate the impact of equity-driven strategies, with continued focus on heat as a public health issue.