; (x) Tribal, local, and community-based health interventions for climate-related health impacts; (xi) extreme heat and weather events; (xii) decreased nutritional value of crops; and (xiii) disruptions in access to routine and acute medical care, public health programs, and other supportive services for maintaining health. (c) Periodic assessment and revision Not later than 1 year after the date of first publication of the national strategic action plan, and annually thereafter, the Secretary shall periodically assess, and revise as necessary, the national strategic action plan, to reflect new information collected, including information on— (1) the status of and trends in critical environmental health indicators and related human health impacts; (2) the trends in and impacts of climate change on public health; (3) advances in the development of strategies for preparing for and responding to the impacts of climate change on public health