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Dasra Report on India’s Climate–Health Intersections: Key Findings

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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