[Correspondence] Health-care system adaptability during wildfire disasters: crucial insights from LA County

The increasing frequency and severity of environmental disasters necessitate robust health-care system adaptation strategies. Recent wildfire events in and around Los Angeles County, CA, USA, are reported to be the most destructive in regional history, burning more than 50 000 acres, destroying over 15 000 structures, and resulting in 29 fatalities, as of Feb 4, 2025.1,2 We used critical observations and recommendations derived from this experience to examine institutional resilience and response mechanisms within a complex metropolitan health-care network.