A key strategy in societal adaptation to climate change is the use of alert systems to reduce the adverse health impacts of extreme heat events by prompting preventative action. In this work, we investigate reinforcement learning (RL) as a tool to optimize the effectiveness of such systems. Our contributions are threefold. First, we introduce a novel RL environment enabling the evaluation of the effectiveness of heat alert policies to reduce heat-related hospitalizations. The rewards model is trained from a comprehensive dataset of historical weather, Medicare health records, and socioeconomic/geographic features. We use variational Bayesian techniques to address low-signal effects and spatial heterogeneity, which are commonly encountered in climate & health settings. The transition model incorporates real historical weather patterns enriched by a data augmentation mechanism based on climate region similarity. Second, we use this environment to evaluate standard RL algorithms in the context of heat alert issuance. Our analysis shows that policy constraints are needed to improve the initially poor performance of RL. Lastly, a post hoc contrastive analysis provides insight into scenarios where our modified heat alert-RL policies yield significant gains/losses over the current National Weather Service alert policy in the United States.

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