Abstract: Climate change is not only a future problem and an urgent identification of the population, assessing the health risk, and planning appropriate adaptation and mitigation policies is a must to protect human health. Malaysia experienced extreme hot temperatures with 40.1°C in Chuping Perlis in 1998, while the lowest temperature was 15.7°C in 2014. The Ministry of Health reported about 200 cases of heat-related illness with two cases of mortality in Johor and Kedah as a result of El-Nino in 2016. Furthermore, due to the high heat, the government temporarily closed more than 250 schools during that period. Besides that, the year 2019 also saw a lot of heat waves because of the El-Nino phenomenon. On March 5th to 8th, 2019, Chuping, Perlis had a heatwave with a high temperature of between 37.1°C and 37.7°C.