Publisher Summary With massive hurricanes, earthquakes, volcanoes, and other violent displays of nature, it seems expected that people will remember and discuss them for months and years to come. An ice storm seems that it would be far less memorable. However, the Midwest ice storm of 2007 was one event that seems to be staying on the minds of those who experienced it. Winter storms can be deceptively hazardous. Small accumulations of ice can make roads impassable and bring down utilities. Low temperatures and cold winds can quickly cause injury on what may otherwise appear to be a pleasant day. Again, the impact is most severe among vulnerable populations such as the very young, elderly, and those with existing health issues. As with heat waves, winter weather morbidity and mortality may never be fully characterized because it can escalate existing conditions resulting in fatal outcomes that are not always attributed to the weather. What may be the biggest challenge of severe winter weather is the loss of essential services when roads may be impassable resulting in the isolation of vulnerable populations. The basic elements of a prepared community are achievable with the proper level of community awareness and the motivation of residents to look out for each other. A widespread loss of services during a major winter storm will quickly overwhelm available response resources and make neighbor to neighbor collaboration essential to reduce overall morbidity and mortality.