Comprehensive Wisconsin Coverage
CARA provides risk assessments for 95 unique public health departments (101 total jurisdiction entries including multi-county secondary mappings) across the state of Wisconsin, organized into 7 Healthcare Emergency Readiness Coalition (HERC) regions.
- 84 local health departments
- 11 federally-recognized tribal nations
Each jurisdiction is assessed across 7 primary risk domains using the PHRAT quadratic mean formula to produce an overall risk score, with 2 supplementary domains (Utilities and Cybersecurity) presented for comprehensive planning context.
Data Sources
All risk calculations are grounded in publicly available, authoritative data sources. The table below lists every data source used, its refresh cadence, and what it provides.
| Data Source | Refresh Cadence | Used For |
|---|---|---|
| FEMA National Risk Index (NRI) | Annual (365-day cache) | Flood, tornado, winter storm exposure scores; health impact factors |
| CDC Social Vulnerability Index (SVI) | Annual (365-day cache) | 4 vulnerability themes integrated into EVR framework across all domains |
| Wisconsin DHS Respiratory Surveillance PDFs (p02346 series) | Weekly | Flu, COVID-19, RSV activity levels extracted via pypdf |
| County Health Rankings | Annual | Vaccination rates (flu, COVID, MMR, pediatric) |
| NOAA NCEI Storm Events Database | Weekly (scheduler cache) | County-level tornado, flood, winter storm, thunderstorm event counts, property damage, injuries, fatalities from bulk CSV data |
| OpenFEMA Disaster Declarations Summaries v2 | Weekly (scheduler cache) | Federal disaster declarations for Wisconsin counties; flood, tornado, winter storm, thunderstorm declaration counts |
| OpenFEMA NFIP Redacted Claims v2 | Weekly (scheduler cache) | National Flood Insurance Program claims by county; total payments and claim counts for flood risk |
| OpenFEMA Hazard Mitigation Assistance Projects v4 | Weekly (scheduler cache) | Hazard mitigation project data for Wisconsin counties; project counts and federal obligations |
| Census ACS Demographics | Annual | Population aged 65+ (%), mobile home %, population density for vulnerability calculations |
| Climate Projection Data (NOAA/IPCC AR6/WICCI/EPA) | Static | Climate zone multipliers in JSON data files for natural hazards and heat projections |
| Gun Violence Archive (GVA) 2023 | Static | Mass shooting incident data for active shooter risk |
| NCES SSOCS 2019-2020 | Static | School safety survey data for active shooter risk |
| Wisconsin Tribal Boundaries | Static | GeoJSON boundary data for 11 federally-recognized tribal nations, including reservation and off-reservation trust land polygons. County weights are pre-computed from a spatial area overlay (GeoPandas, EPSG:3174 Great Lakes Albers equal-area projection). |
| EPA AirNow API | Daily (scheduler cache) | Air quality index readings; cache-only mode populated by background scheduler |
| WI DHS EPHT (WEDSS) — lyme-county.csv, west-nile-data-county.csv | Weekly (scheduler cache) | County-level Lyme disease and West Nile Virus confirmed/probable case counts and crude rates per 100,000 for all 72 Wisconsin counties |
| WI DNR Dam Safety Database (ArcGIS FeatureServer, primary) / USACE NID (fallback) | Weekly (scheduler cache) | Wisconsin dam inventory; hazard classification, downstream population exposure for dam failure risk domain |
Overall Risk Score (PHRAT Quadratic Mean)
The overall risk score for each jurisdiction is calculated using the Public Health Risk Assessment Tool (PHRAT) quadratic mean formula. This approach prevents a high risk score in one domain from being diluted by low scores in others.
Overall Risk = √(w₁ × Risk₁² + w₂ × Risk₂² + ... + w₅ × Risk₅²)
Where wi are the domain weights and Riski are individual domain scores (0.0 to 1.0).
| Risk Domain | Weight | Rationale |
|---|---|---|
| Natural Hazards | 28% | Highest annualized expected losses in WI per FEMA NRI; covers 4 sub-types (flood, tornado, winter storm, thunderstorm) |
| Active Shooter | 18% | CDC/ASPR identifies as high-consequence threat requiring dedicated PHEP planning |
| Health Metrics (Infectious Disease) | 17% | Core CDC PHEP capability; respiratory disease surveillance and vaccination coverage |
| Air Quality | 12% | Growing impact from increasing wildfire smoke episodes (EPA); geographically uneven across WI |
| Extreme Heat | 11% | Leading weather-related cause of death nationally (NOAA); tempered by WI's northern latitude |
| Dam Failure | 7% | Standalone EVR domain using WI DNR/USACE NID dam inventory; downstream population inundation exposure |
| Vector-Borne Disease | 7% | Lyme disease and West Nile Virus; real county-level incidence rates from WI DHS EPHT with climate range expansion projections |
| Total | 100% |
config/risk_weights.yaml based on local hazard profiles and planning priorities.
Why quadratic mean? Unlike a simple weighted average, the quadratic mean (root mean square) gives greater emphasis to higher-risk domains. A jurisdiction with one domain at 0.9 risk will score meaningfully higher than one where all domains sit at 0.4, even if the weighted averages would be similar.
Residual Risk Formula (EVR Framework)
Individual risk domains are calculated using the Exposure-Vulnerability-Resilience (EVR) framework. This formula is applied consistently across natural hazards, utilities, and extreme heat domains.
Residual Risk = (Exposure × Vulnerability) × (2.0 - Resilience) × Health Impact Factor
Component Definitions
- Exposure (0–1): Hazard likelihood based on historical data and geographic factors
- Vulnerability (0–1): Population and infrastructure susceptibility; incorporates CDC SVI themes and Census demographics
- Resilience (0–1): Community adaptive capacity; acts as an amplifier rather than a simple divisor
- Health Impact Factor (0.8–1.5): Derived from FEMA NRI data; adjusts for health consequences of the specific hazard
Resilience as Amplifier
The (2.0 - Resilience) term means:
- Low resilience (0.1) → 1.9× amplifier
- Medium resilience (0.5) → 1.5× amplifier
- High resilience (0.9) → 1.1× amplifier
This ensures that resilience never fully eliminates risk, but communities with lower resilience face meaningfully amplified risk scores.
Risk Level Categories
Natural Hazards Domain (28% of Overall)
The natural hazards score is the equal-weighted average of four hazard types, each calculated using the EVR framework described above.
| Flood | Tornado | Winter Storm | Thunderstorm |
|---|---|---|---|
| 25% | 25% | 25% | 25% |
EVR Components by Hazard
- Exposure: FEMA NRI hazard scores with climate change projection multipliers from
data/climate/natural_hazard_climate_projections.json - Vulnerability: All 4 CDC SVI themes with hazard-specific calibrated weights, plus Census ACS demographics (population aged 65+ (%), mobile home %, population density)
- Resilience: Socioeconomic capacity and infrastructure factors
SVI Vulnerability Weights by Hazard Type
| Factor | Flood | Tornado | Winter Storm | Thunderstorm |
|---|---|---|---|---|
| SVI: Housing/Transportation | 30% | 25% | 20% | 25% |
| SVI: Socioeconomic Status | 20% | 15% | 10% | 10% |
| SVI: Household Composition | 15% | 10% | 15% | 10% |
| SVI: Minority Status | 10% | 10% | 5% | 5% |
| Census: Population Aged 65+ (%) | 15% | 10% | 20% | 10% |
| Census: Mobile Home % | 10% | 25% | 5% | 10% |
| Census: Population Density | — | 5% | — | — |
| Power Grid Vulnerability | — | — | 15% | — |
| Rural Isolation | — | — | 10% | — |
| Flood Susceptibility | — | — | — | 15% |
| Tree Coverage | — | — | — | 15% |
Climate Change Projections
Wisconsin is divided into 3 climate zones (Southern, Central, Northern) with RCP4.5/SSP2-4.5 scenario projections applied as exposure multipliers:
| Hazard Type | Projected Change Range | Source |
|---|---|---|
| Flood | +15% to +25% | NOAA/WICCI |
| Tornado | +8% to +15% | NOAA/IPCC AR6 |
| Winter Storm | +5% to +12% | NOAA/IPCC AR6 |
| Thunderstorm | +12% to +22% | EPA/NOAA |
data/climate/thunderstorm_severity_by_county.json, rather than being derived from tornado data.
Health Metrics / Infectious Disease Domain (17% of Overall)
Health metrics risk is based on respiratory disease surveillance data from Wisconsin DHS and vaccination coverage from County Health Rankings.
| Component | Weight | Data Source |
|---|---|---|
| Influenza Activity | 30% | Wisconsin DHS Respiratory Surveillance PDFs |
| COVID-19 Activity | 30% | Wisconsin DHS Respiratory Surveillance PDFs |
| RSV Activity | 20% | Wisconsin DHS Respiratory Surveillance PDFs |
| Vaccination Rate | 20% | County Health Rankings |
Calculation Method
- Disease activity: Risk scores are calculated from
cases_per_100kusing sigmoid normalization, producing a 0–1 score that responds proportionally at low case counts and saturates at high counts. - Vaccination coverage: Uses a strategic framework weighting flu vaccination (30%), COVID vaccination (30%), MMR (25%), and pediatric vaccination (15%). Lower coverage yields higher risk.
Wisconsin DHS PDFs are extracted weekly via pypdf, providing statewide activity levels that inform county-level risk estimates.
Vector-Borne Disease Domain (7% of Overall)
Vector-borne disease risk covers Lyme disease and West Nile Virus (WNV) using real county-level incidence data from Wisconsin DHS, supplemented by environmental and climate range expansion factors.
| Component | Weight | Data Source |
|---|---|---|
| Lyme Disease Incidence Rate | 40% | WI DHS EPHT — lyme-county.csv; crude rate per 100,000 |
| West Nile Virus Incidence Rate | 20% | WI DHS EPHT — west-nile-data-county.csv; crude rate per 100,000 |
| Environmental Risk Factors | 25% | Habitat suitability, deer density, land cover (forested/rural proportion) |
| Climate Range Expansion | 15% | NOAA/IPCC AR6 projections for tick and mosquito range northward shift by 2050 |
Data Refresh
WI DHS EPHT CSV files (lyme-county.csv, west-nile-data-county.csv) are downloaded automatically each week by the background scheduler. These files cover all 72 Wisconsin counties with confirmed and probable case counts sourced from WEDSS (Wisconsin Electronic Disease Surveillance System) as published on the DHS Environmental Public Health Tracking portal. All 72 counties are represented; counties with zero reported cases receive a rate of 0.0 rather than a fallback estimate.
Active Shooter Domain (18% of Overall)
The active shooter domain evaluates population-level environmental and social indicators correlated with elevated risk conditions. This framework is intended for public health preparedness planning, not individual threat assessment.
| Sub-Domain | Weight |
|---|---|
| Historical Incident Density | 25% |
| School & Youth Vulnerability | 20% |
| Social & Community Fragility | 20% |
| Mental & Behavioral Health Risk | 20% |
| Access to Lethal Means | 15% |
Data Sources: Gun Violence Archive (GVA), FBI Crime Data API, NCES SSOCS 2019-2020, Census ACS, CDC SVI.
View detailed Active Shooter methodology →
Extreme Heat Domain (11% of Overall)
Extreme heat risk combines the EVR residual risk calculation with wet bulb temperature and climate trend adjustments.
Five Components
- Exposure: Historical heat event frequency and geographic heat island factors
- Vulnerability: CDC SVI themes, population aged 65+ (%), outdoor worker density
- Resilience: Cooling center access, healthcare capacity, community preparedness
- Wet Bulb Temperature: Humidity-adjusted temperature danger thresholds
- Climate Trend: Long-term warming trajectory for the jurisdiction
Heat Risk = calculate_residual_risk(exposure, vulnerability, resilience)
adjusted by wet_bulb_factor and climate_trend_factor
Climate Adjustments (NOAA/IPCC)
- 40% increase in heat event frequency by 2050 (RCP4.5)
- 2–4°F warming projected for Wisconsin by 2050
- 60% increase in heat wave duration (IPCC AR6)
Data Sources: NOAA climate summaries, EPA heat island reports, CDC SVI, WICCI 2021 Assessment.
Utilities Domain (Supplementary Assessment)
- Exposure proxies: County geographic position, population density (Census ACS 2022), and utility service territory maps (WI PSC)
- Vulnerability proxies: CDC SVI housing/transportation and socioeconomic themes; Census ACS poverty rate and percentage of population aged 65+
- Resilience proxies: County urbanization level (Census) as proxy for redundant infrastructure and restoration capacity
Four components are assessed, each using the EVR framework:
| Component | Weight |
|---|---|
| Electrical Outage Risk | 30% |
| Utilities Disruption Risk | 30% |
| Supply Chain Risk | 20% |
| Fuel Shortage Risk | 20% |
Exposure, vulnerability, and resilience for each component are modeled based on county infrastructure characteristics, population density, geographic factors, and SVI vulnerability themes.
Cybersecurity Domain (Supplementary Assessment)
- Threat proxies: Population size (Census ACS 2022) as proxy for target visibility; institutional presence from WI Blue Book (government, healthcare, finance)
- Vulnerability proxies: County per-capita revenue (WI DOR 2022) as proxy for IT modernization budget; urban/rural classification (Census); CDC SVI socioeconomic theme
- Capability proxies: County government staffing levels (WI DOR 2022) and urbanization as proxy for access to IT security specialists
The cybersecurity risk score models the relative exposure of public health infrastructure to cyber threats based on three components:
- Threat Landscape (35%): County population size and institutional presence as proxy for target visibility
- Vulnerability (40%): County fiscal resources as proxy for IT infrastructure age, adjusted by CDC SVI socioeconomic factor (up to 25% increase for more vulnerable jurisdictions)
- Capability (25%): County staffing and urbanization as proxy for organizational security readiness (inverted: higher capability = lower risk)
config/risk_weights.yaml and can be set to 0.0 to disable SVI influence entirely.
This domain is included to support comprehensive preparedness planning. Jurisdictions seeking detailed cyber risk assessments should consult CISA resources and conduct dedicated cybersecurity evaluations.
Air Quality Domain (12% of Overall)
Air quality risk combines current EPA AirNow data with strategic climate projections to assess long-term environmental health planning needs.
Components
- Current AQI Baseline: EPA AirNow API data, retrieved via background scheduler and served from cache
- Climate Projections: 40% ozone increase and 110% wildfire smoke increase projected by 2050
- Strategic Assessment: 5-year historical baseline patterns integrated with forward-looking projections
Dam Failure Domain (7% of Overall)
Dam failure risk is a standalone EVR domain assessing the probability and downstream consequence of dam failure for each Wisconsin county.
EVR Components
- Exposure: Dam count, hazard class (High/Significant/Low per USACE/WI DNR classification), and dam condition ratings for dams within or upstream of the jurisdiction
- Vulnerability: Downstream population exposure within modeled inundation zones; population density (Census ACS); CDC SVI housing/transportation theme
- Resilience: Emergency Action Plan (EAP) availability, dam inspection recency, and watershed management capacity
Data Sources
| Source | Role | Refresh |
|---|---|---|
| WI DNR Dam Safety ArcGIS FeatureServer | Primary dam inventory (name, hazard class, condition, EAP status) | Weekly (scheduler cache) |
| USACE National Inventory of Dams (NID) ArcGIS FeatureServer | Fallback when WI DNR unavailable | Weekly (scheduler cache) |
| Census ACS / CDC SVI | Downstream population and vulnerability inputs | Annual |
| FEMA NRI Flood Data | Supplementary inundation zone context | Annual |
CDC Social Vulnerability Index (SVI) Integration
The CDC/ATSDR Social Vulnerability Index is integrated throughout CARA as a core component of vulnerability assessment.
Four SVI Themes
- Socioeconomic Status — poverty, unemployment, housing cost burden, education, health insurance
- Household Composition & Disability — age 65+, age 17 and under, disability, single-parent households
- Minority Status & Language — racial/ethnic minority, limited English proficiency
- Housing Type & Transportation — multi-unit housing, mobile homes, crowding, no vehicle, group quarters
How SVI Is Used
- Natural Hazards: Integrated directly into the EVR vulnerability component with hazard-specific calibrated weights (see Natural Hazards section)
- Air Quality: SVI housing/transportation and socioeconomic themes applied as a combined multiplier (capped at 1.5x) to the base score before PHRAT
- Dam Failure: SVI housing/transportation theme applied as a multiplier (up to 1.2x) to the base EVR score before PHRAT
- Vector-Borne Disease: SVI socioeconomic theme applied as a multiplier (up to 1.15x) to the base EVR score before PHRAT
- Active Shooter and Extreme Heat: SVI themes integrated as weighted inputs within sub-component calculations
SVI data is sourced from the CDC/ATSDR SVI API with a 365-day cache, providing county-level percentile rankings for each theme.
Temporal Framework (BSTA)
CARA provides a Baseline-Seasonal-Trend-Acute (BSTA) temporal framework as a complementary analytical lens for each risk domain. BSTA decomposes domain risk into four time-horizon components to support strategic planning context. It is displayed alongside the primary PHRAT score but does not modify the PHRAT calculation directly. Temporal factors such as long-term storm event trends, climate projections, and seasonal patterns are embedded within each domain's underlying data inputs. The BSTA display shows how those temporal dimensions break down for each hazard type.
In strategic planning mode, long-term structural risks receive the highest emphasis.
| Component | Weight | Description |
|---|---|---|
| Baseline | 60% | Long-term structural risks (1–10 year horizon) |
| Seasonal | 25% | Predictable cyclical variations |
| Trend | 15% | Medium-term directional changes calculated from real data: NOAA Storm Events (event frequency trends over 10-20 years), OpenFEMA NFIP claims, NOAA/WICCI/IPCC climate projections, and Census ACS demographic aging trends. Not applicable to infectious disease (see Acute). |
| Acute | 0% / 15% | 0% weight for most domains in strategic planning mode. Exception: Infectious disease uses 15% acute weight based on WI DHS respiratory surveillance data (flu, COVID-19, RSV activity levels and vaccination coverage). |
Seasonal Patterns by Hazard
| Hazard | Peak Season |
|---|---|
| Flood | Spring (March–May) |
| Tornado | Late Spring / Summer (May–August) |
| Winter Storm | Winter (November–March) |
| Thunderstorm | Summer (June–August) |
| Extreme Heat | Summer (June–September) |
| Respiratory Illness | Fall / Winter (October–March) |
| Air Quality (Wildfire Smoke) | Summer / Early Fall (June–October) |
CDC Public Health Emergency Preparedness (PHEP) Capabilities Integration
CARA aligns with the CDC's Public Health Emergency Preparedness (PHEP) Cooperative Agreement 2024-2028. All risk assessment results, action plans, and preparedness recommendations support the following PHEP capabilities:
- Community Preparedness — Building community resilience through risk-informed planning
- Community Recovery — Supporting recovery operations for public health systems
- Emergency Operations Coordination — Establishing effective incident command structures
- Emergency Public Information and Warning — Facilitating timely information exchange
- Information Sharing — Maintaining situational awareness across partners
- Responder Safety and Health — Protecting public health workforce
- Medical Countermeasure Dispensing and Administration
- Medical Materiel Management and Distribution
- Medical Surge — Supporting healthcare systems during crises
- Nonpharmaceutical Interventions — Implementing community mitigation strategies
- Public Health Laboratory Testing — Identifying biological and chemical threats
- Public Health Surveillance and Epidemiological Investigation
PHEP Capability Implementation in Risk Assessment and Action Planning
For each risk type, specific PHEP capabilities are identified and integrated into a three-phase implementation approach:
| Implementation Phase | Timeframe | PHEP Capability Focus |
|---|---|---|
| Immediate | 0–30 days |
|
| Short-term | 1–3 months |
|
| Long-term | 3–12 months |
|
Tribal Nation Risk Assessment Methodology
CARA supports all 11 federally-recognized tribal nations in Wisconsin as distinct health jurisdictions, each with its own dashboard, risk scores, and action plans. Because tribal land bases span multiple counties and include both reservation land and off-reservation trust land, a simple single-county mapping would produce inaccurate risk scores. CARA uses a geometric area-weighted approach to resolve this.
County Weight Computation
County weights for each tribal jurisdiction are derived from a spatial area overlay (using GeoPandas in EPSG:3174, Great Lakes Albers equal-area projection) between two authoritative GeoJSON datasets:
- Wisconsin tribal boundary polygons sourced from the U.S. Census Bureau TIGER/Line files, which include both reservation polygons and off-reservation trust land polygons as separate features.
- Wisconsin county boundary polygons (72 counties) from the same TIGER/Line source.
For each tribe, the intersection area between tribal features and each county polygon is computed. Weights are assigned proportionally to intersection area, normalized so all county weights for a tribe sum to 1.0. Counties that contribute less than 0.5 percent of a tribe's total land area are excluded to avoid incorporating boundary slivers or mapping artifacts.
Trust Land Inclusion
Off-reservation trust lands are included in the area-weighted calculation. This has a material effect on several jurisdictions:
- Ho-Chunk Nation: approximately 78.5 percent of total tribal land area is off-reservation trust land distributed across 12 counties (Adams, Clark, Crawford, Eau Claire, Jackson, Juneau, Marathon, Monroe, Shawano, Trempealeau, Vernon, Wood). Omitting trust lands would have reduced the county count from 13 to 5 and would have systematically overweighted Sauk County (which contains the main reservation) to 74 percent.
- Forest County Potawatomi Community: approximately 15.9 percent trust land, including parcels in Fond du Lac and Milwaukee counties that are absent from reservation-only mappings.
- St. Croix Chippewa Indians of Wisconsin: approximately 16.2 percent trust land, concentrated in Burnett County and adding a small Polk County component.
- Bad River Band: trust land in Forest County (1.1 percent of total area) adds to the reservation's primary Ashland County base.
Tribes with no trust land features in the source GeoJSON (Lac du Flambeau, Sokaogon) are represented by reservation-only weights.
Risk Score Aggregation
For each risk domain, county-level risk scores are multiplied by the corresponding county area weight and summed to produce the tribal composite score. This is equivalent to a weighted mean where the weights reflect the geographic distribution of the tribe's land base.
Known Limitations
Last Updated: March 2026