Climate change may directly affect human health through increases in average temperature. Such increases may lead to more extreme heat waves during the summer while producing less extreme cold spells during the winter. Rising average temperatures are predicted to increase the incidence of heat waves and hot extremes. In the United States, Chicago is projected to experience 25 percent more frequent heat waves and Los Angeles a four-to-eight-fold increase in heat wave days by the end of the century (IPCC, 2007). Particular segments of the population such as those with heart problems, asthma, the elderly, the very young and the homeless can be especially vulnerable to extreme heat.