Context: A new report titled Under the Weather: India’s Climate-Health Intersections and Pathways to Resilience, published by the philanthropy organisation Dasra, identifies climate change as a critical “health-risk multiplier” in India.
Key Findings of Report on India’s Climate–Health Intersections
Altering Disease Geography
- Vector-Borne Diseases: Warmer temperatures are expanding the range of malaria and dengue into previously unaffected high-altitude regions like Shimla, parts of Jammu & Kashmir, and the Himalayan foothills.
- Water-Borne & Heat Risks: Floods are triggering outbreaks of cholera and hepatitis, while intense heatwaves are driving up cases of dehydration, heatstroke, and cardiovascular stress.
Impact on Maternal and Child Health
- Preterm Births: Extreme heat exposure is linked to a 16% increase in the odds of preterm births, with the risk rising for every 1°C increase in temperature.
- Pregnancy Complications: High levels of PM2.5 air pollution are associated with hypertensive disorders such as pre-eclampsia and increased gestational blood pressure.
- Child Vulnerability: Infants face higher risks of respiratory illnesses and dehydration due to a limited ability to regulate body temperature.
Economic and Labor Disruptions
- India lost an estimated 160 billion labor hours in 2021 alone due to extreme heat exposure.
- The burden falls disproportionately on informal and outdoor workers, rural populations, and women, deepening existing socio-economic inequalities.
Systemic Healthcare Challenges
Climate disasters physically damage health infrastructure and sever supply chains for essential medicines and vaccines.
- While initiatives like the National Action Plan on Climate Change and Human Health (NAPCCHH) and local Heat Action Plans are positive steps, significant hurdles remain.
- These include a lack of localized, disaggregated data and a funding gap where investment is skewed toward mitigation rather than health-centric adaptation.

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