- In India, climate change is making people sicker by spreading more diseases, but its serious effects on health are often ignored.
About Climate Change
- Meaning: Climate change is the long-term alteration of global and regional climate patterns, including temperature, rainfall, and wind changes.
- Health Impact: It threatens clean air, safe water, nutritious food, and shelter, especially in countries like India, requiring health systems to adapt to new disease patterns and extreme weather events.
Climate Change Risk
- Double Threat: Heatwave days may double (2030) & 80% districts face extreme heat & rainfall risks.
- Sea-Level Rise: Mumbai could lose 22% land by 2100, threatening 170 million residents.
- Health Burden: Heat-related deaths increased by 55%; malaria/dengue range expanding.
- Agro Impact: Rainfed rice yields may drop 20% and wheat yields 19% by mid-century.
- Economic Loss: Without adaptation, climate change could cost 3–10% of GDP annually by 2100 (DTE).
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Key Drivers of Climate Change
- Natural Causes: Sun cycles and events like El Niño slightly change temperatures, and volcanic eruptions like Mount Pinatubo in 1991 temporarily cooled Earth.
- Earth’s Orbit Changes: Milankovitch cycles drive past ice ages, but minimal effect on current warming.
- Fossil Fuels: Burning fossil fuels produces 73% of global greenhouse gases, making the planet hotter.
- Deforestation & Agriculture: India lost 2.33 million ha of forests, and farming adds 18% of India’s GHGs through livestock and fertilisers.
- Cities & Waste: Cities like Delhi are 3–5°C hotter than rural areas, and India’s 62 million tonnes of waste releases potent methane.
Climate Change and Its Impacts on Human Health
- Climate change is increasingly affecting human health, food security, and the spread of diseases, posing complex socio-economic challenges across India.
Expanding Disease Risk
- Rising Infections: Shifting seasons expand disease windows, increasing infections, allergies, and vector-borne diseases across new regions.
- Mosquito-Borne Spread: Warmer temperatures extend mosquito habitats, altering dengue patterns. E.g., Delhi-NCR cases now peak in November instead of September.
- Malaria Expansion: Malaria, once limited to the Gangetic Plains and central India, is emerging in cooler regions like Himachal Pradesh.
Health Impacts
- Respiratory Risks: Rising PM2.5 from energy use causes lung inflammation, asthma, & Chronic Obstructive Pulmonary Disease (COPD). E.g., Delhi-NCR often exceeds 150 µg/m³ in the summer.
- Cardiovascular Strain: Heat and pollution increase hypertension, heart attack, and stroke risks, especially for outdoor workers. E.g., Odisha, Telangana, Vidarbha report rising heat-stroke deaths.
- Kidney Damage: Chronic exposure to fine particulates impairs kidney function, reduces filtration efficiency, and worsens chronic kidney disease.
- Infant Vulnerability: Extreme heat and pollution raise preterm births and low birth weight risks. E.g., Mumbai and Delhi report increasing neonatal health concerns.
Food Security Impacts
- Crop Disruption: Extreme weather and unseasonal rains reduce agricultural output, causing food shortages. E.g., the delayed monsoon in 2023 affected kharif crops in Maharashtra.
- Nutrition Decline: Heat and climate stress reduce crop nutrient quality, increasing hidden hunger and micronutrient deficiencies in children.
- Livestock Stress: Rising temperatures cause heat stress in cattle, lowering milk production and compromising child nutrition. E.g., Heatwaves in Rajasthan reduced milk yields by 10–15%.
- Health Vulnerability: Food insecurity weakens immunity, making children and the elderly more prone to disease, compounding public health risks.
Key Government Initiatives Addressing Climate Change and Health
- National Action Plan on Climate Change (NAPCC): Includes a dedicated mission on human health to integrate climate resilience into public health planning.
- Heat Action Plans: Reduce heat-related mortality via early warning systems & public guidance.
- National Clean Air Programme (NCAP): Mitigate air pollution to prevent climate-exacerbated respiratory and cardiovascular diseases.
- NPCCHH Programme: The National Program on Climate Change & Human Health (NPCCHH) strengthens health systems & raises awareness about climate-sensitive diseases like dengue & malaria.
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Structural Challenges in Climate-Linked Health
- Governance Fragmentation: Poor coordination among health, environmental, and disaster agencies delays climate crisis response, as seen during Delhi-NCR’s 2025 dengue surge.
- Infrastructure Deficit: Hospitals lack the capacity to handle heatwaves, vector-borne outbreaks, or climate emergencies. E.g., Odisha 2024–25 heatwave overwhelmed local hospitals.
- Surveillance Gaps: Weak real-time disease monitoring prevents early warnings and proactive interventions. E.g., Malaria spread in Himachal Pradesh went undetected initially due to limited monitoring.
- Urban Vulnerability: Inadequate sanitation and drainage exacerbate disease transmission following floods and waterlogging.
Way Forward
- Climate-Resilient Health System: Invest in climate-informed disease surveillance and early warning systems for heatwaves and vector-borne diseases. E.g., heat‑ready hospitals and mobile clinics.
- Green Cities: Incorporate green spaces and reflective surfaces to reduce urban heat by up to 4°C and minimise flooding.
- Data Integration: Develop robust data platforms linking climate, environmental and health datasets to inform policy and emergency responses
- Policy Coherence: Integrate climate‑health priorities into the National Action Plan on Climate Change (NAPCC) & State Action Plans, aligning with SDG targets for health (SDG3) and climate action (SDG13).
“Climate change is no longer a distant threat but a pressing public health crisis in India.“ Urgent, transformative action on resilient health systems, green infrastructure, and integrated policies is essential.
Reference: The Hindu
PMF IAS Pathfinder for Mains – Question 627
Q. Climate change is no longer a distant threat but a current public health crisis in India. Critically examine its multi-dimensional health risks and suggest strategies to strengthen India’s climate-health resilience. (250 Words) (15 Marks)
Approach
- Introduction: Write a brief introduction about climate change and its impact on health.
- Body: Write key drivers of climate change, highlighting the multi-dimensional health risks and suggest strategies to strengthen India’s climate-health resilience.
- Conclusion: Emphasis on climate-resilient health systems, green policies to safeguard public health and ensure sustainable development.
Answer of this question