Massachusetts's NOAA outage-event mix is led by thunderstorm wind (3,279 events), high wind (1,239), and strong wind (1,193) over the 2005-2024 analysis window — severe wind and winter storms dominate the practical outage record, not coastal hurricane surge. Riverine flooding adds a secondary driver across the Merrimack, Connecticut, and Quaboag river corridors.
Middlesex County (emPOWER: 6,938) and Worcester County (5,675) are the state's strongest BPI counties in both storm frequency and medical-backup sensitivity. Together they account for over 31% of the state's 40,363 electricity-dependent Medicare beneficiaries. Worcester County sits in the Central Plateau terrain zone where ice storms accumulate fastest and restoration crews have the longest travel distances from major dispatch points.
The Cape and Islands carry genuine hurricane surge exposure — a direct tropical strike on Buzzards Bay or Nantucket Sound would affect electricity infrastructure from Cape Cod through southeastern Massachusetts. But for the vast majority of Massachusetts households, the planning model should be sized for a multi-day nor'easter or ice storm rather than a Gulf Coast-style extended hurricane outage.