A Health Warning on Heat

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(Source: The Indian Express, Editorial Page)

Also Read: The Indian Express Editorial Analysis: 28 June 2025
Also Read: The Hindu Editorial Analysis: 28 June 2025

Topic: GS Paper 3: Environment, Disaster Management, Public Health
Context
  • In the wake of unprecedented heatwaves across India in 2025, the editorial emphasizes the pressing need to treat extreme heat as a public health emergency rather than merely a meteorological anomaly.

  • Temperatures crossing 45°C in Delhi, Rajasthan, Bihar, and other states have resulted in increased fatalities due to heatstroke, dehydration, and systemic failure of health preparedness.

India’s Heatwave Crisis: A Public Health Emergency

Rising Temperatures, Rising Toll

  • In summer 2025, multiple Indian states recorded temperatures above 45°C, pushing both humans and infrastructure to their limits.

  • Deaths from heatstroke and dehydration have surged, overwhelming hospitals and primary health centers, especially in vulnerable regions.

  • Urban poor, daily wage workers, elderly citizens, and children are particularly at risk.

Systemic Shortfalls in Heat Preparedness

1. Inadequate Heat Action Plans (HAPs)

  • Only a few cities (e.g., Ahmedabad, Nagpur) have functional Heat Action Plans.

  • Most states either lack HAPs or have poor implementation and enforcement mechanisms.

2. Health Systems Underprepared

  • Healthcare workers lack training in managing heat-related illnesses like heat exhaustion, heatstroke, and dehydration.

  • No clear protocols for triage or emergency care specific to heat emergencies.

3. Infrastructure Deficit

  • Public areas largely lack cooling shelters, water dispensers (ATMs), shaded bus stops, and mobile health units.

  • Poorly ventilated and overcrowded housing in urban slums amplifies heat vulnerability.

Recommendations for Reform

A. Recognize Heatwaves as Disasters

  • Include heatwaves explicitly under the Disaster Management Act, 2005.

  • This will enable better coordination, funding, and response frameworks.

B. Strengthen Heat Action Plans

  • Develop localized, city-specific HAPs that factor in topography, humidity, population density, and infrastructure gaps.

  • Focus on early warning systems, inter-agency coordination, and real-time communication with the public.

C. Climate-Resilient Urban Design

  • Promote green infrastructure like tree-lined streets, urban forests, and green roofs.

  • Encourage heat-reflective building materials, better insulation, and design innovations in housing.

D. Health Sector Preparedness

  • Train ASHA workers, nurses, and PHC doctors in heat illness diagnosis and first aid.

  • Stockpile ORS, IV fluids, fans, and coolers in high-risk zones.

  • Ensure 24×7 availability of emergency transport for heatstroke patients.

E. Community Engagement & Awareness

  • Conduct public awareness campaigns on:

    • Symptoms of heatstroke and dehydration.

    • Importance of hydration, light clothing, and avoiding peak sun hours.

    • Adjusting work hours for outdoor laborers.

Way Forward: Long-Term Climate Resilience

  • Integrate climate adaptation into Smart Cities Mission and AMRUT.

  • Introduce heat-resilient zoning laws and building codes.

  • Mobilize local governments to prioritize heat health surveillance and early response systems.

Practice Question: (GS-3 | 15 Marks | 250 Words)
Heatwaves are increasingly becoming lethal due to climate change. How should India reform its disaster preparedness and public health systems to address this growing threat?

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