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A "heat dome" is expected to bring triple-digit temperatures to portions of the Midwest, adding to the early onset temperatures already baking the Southwest. From California to Virginia, approximately 100 million Americans are under heat advisories, heat warnings or heat watches. St. Louis reported a record-high temperature of 100 degrees on Monday, and the heat index in parts of the Midwest neared 115 degrees. From Raleigh, North Carolina, to Chicago, actual temperatures are expected to reach near 100 degrees on Tuesday. (Guilfoil and Golembo, 6/14)

High temperatures enveloped a third of the U.S. population Tuesday, as wildfires in Arizona and California sparked during the heat wave there grew. Excessive heat watches, excessive heat warnings and heat advisories were in effect from the Upper Midwest to the Southeast, according to the National Weather Service. (Ansari and Azu, 6/14)

The Southwest Ohio Air Quality Agency has extended its Air Quality Alert to Wednesday for several counties. The alert will remain in effect all day Wednesday and includes Butler, Clermont, Clinton, Hamilton and Warren counties in Ohio; Boone, Campbell and Kenton counties in Kentucky and Dearborn County in Indiana. The agency initially issued the alert for Tuesday, saying ozone levels would be within the “unhealthy for sensitive groups” range on the Air Quality Index. (Moorwood, 6/14)

Ian Quattrocchi is a landscape worker, born and raised in St. Louis' summer heat and humidity, but the extreme heat has changed the way he and other outdoor laborers are working this week. The National Weather Service on Monday issued an excessive heat warning for the St. Louis region that lasts through Wednesday evening, as the area endures conditions that can feel as hot as 110 degrees. In 2015, Missouri had about 15 days with dangerous heat levels, according to a report from States at Risk, a project that shows how Americans experience climate change. By 2050, that number is expected to quadruple, the report says. (Anderson, 6/14)

A water line break in Odessa, Texas could leave nearly 165,000 people in and around the city with little to no water for 48 hours, according to city officials. The water main break occurred at around 6 p.m. Monday, with crews actively working around the clock to repair the 24-inch transmission water line. The city of Odessa has not yet released details regarding the cause of the break. (Franklin, 6/14)

As many look forward to the summer months and going into the water, beware of the germs lurking below that can cause water-borne infections and how to prevent them. During 2015 to 2019, the Centers for Disease Control and Prevention (CDC) said the majority of the reported outbreaks associated with recreational water were secondary to a parasite called Cryptosporidium discovered in public pools or the bacteria known as Legionella in hot tubs, according a 2021 Morbidity and Mortality Weekly Report. (Sudhakar, 6/14)

As rivers across south-central Montana spilled over their banks Monday, flooding into nearby communities, one of the roads overtaken by water leads to the new Livingston HealthCare facility. With the floodwater creeping closer and closer to the hospital, officials there were told at about 6:15 p.m. they had 45 minutes to evacuate the building. By 7 p.m., the patients were gone, on their way to Pioneer Medical Center in nearby Big Timber, with the Livingston hospital's staff close behind. At 8:15 p.m., the hospital was empty. “It was remarkable,” said Deb Anczak, Livingston HealthCare's chief executive officer. “An absolute demonstration of teamwork.” (Compton, 6/14)