Personal Safety

In India, summer heat could soon be unbearable. Literally.

In India, summer heat could soon be unbearable. Literally.

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A man cycles past a facade with rows of air conditioners on a hot summer afternoon in New Delhi. Photo: New York Times
New Delhi: On a sweltering Wednesday in June, a rail-thin woman named Rehmati gripped the doctor’s table with both hands. She could hardly hold herself upright, the pain in her stomach was so intense.
She had traveled for 26 hours in a hot oven of a bus to visit her husband, a migrant worker here in the Indian capital. By the time she arrived, the city was an oven too: 44 degrees Celsius by lunchtime, and Rehmati was in an emergency room.
The doctor, Reena Yadav, did not know exactly what had made Rehmati sick, but it was clearly linked to the heat. Yadav suspected dehydration, possibly aggravated by fasting during Ramadan. Or it could have been food poisoning, common in summer because food spoils quickly.
Rehmati, in pink, sits in the emergency ward of a New Delhi hospital where she arrived with symptoms of heat stroke last month. Photo: New York Times
Yadav put Rehmati, who is 31 and goes by one name, on a drip. She held her hand and told her she would be fine. Rehmati leaned over and retched. Advertisement
Extreme heat can kill, as it did by the dozens in Pakistan in May . But as many of South Asia’s already-scorching cities get even hotter, scientists and economists are warning of a quieter, more far-reaching danger: Extreme heat is devastating the health and livelihoods of tens of millions more.
If global greenhouse gas emissions continue at their current pace, they say, heat and humidity levels could become unbearable, especially for the poor.
It is already making them poorer and sicker. Like the Kolkata street vendor who squats on his haunches from fatigue and nausea. Like the woman who sells water to tourists in Delhi and passes out from heatstroke at least once each summer. Like the women and men with fever and headaches who fill emergency rooms. Like the outdoor workers who become so weak or so sick that they routinely miss days of work, and their daily wages.
People play with water in a fountain on a hot summer afternoon at India Gate in New Delhi. Photo: New York Times
“These cities are going to become unlivable unless urban governments put in systems of dealing with this phenomenon and make people aware,” said Sujata Saunik, who served as a senior official in the Indian Ministry of Home Affairs and is now a fellow at the Harvard University School of Public Health. “It’s a major public health challenge.”
Indeed, a recent analysis of climate trends in several of South Asia’s biggest cities found that if current warming trends continued, by the end of the century wet bulb temperatures – a measure of heat and humidity that can indicate the point when the body can no longer cool itself – would be so high that people directly exposed for six hours or more would not survive.
In many places, heat only magnifies the more thorny urban problems, including a shortage of basic services, like electricity and water.
For the country’s National Disaster Management Agency, alarm bells rang after a heatwave struck the normally hot city of Ahmedabad, in western India, in May 2010, and temperatures soared to 48 degrees: It resulted in a 43 per cent increase in mortality compared to the same period in previous years, a study by public health researchers found.
Since then, in some places, local governments, aided by the Natural Resources Defence Council, an advocacy group, have put in place simple measures. In Ahmedabad, for instance, city-funded vans distribute free water during the hottest months. In the eastern coastal city of Bhubaneswar, parks are kept open in afternoons so outdoor workers can sit in the shade. Occasionally, elected officials post heat safety tips on social media. Some cities that had felled trees for construction projects are busy trying to plant new ones.
Across the region, a recent World Bank report concluded, rising temperatures could diminish the living standards of 800 million people.
Worldwide, among the 100 most populous cities where summer highs are expected to reach at least 35 degrees by 2050, according to estimates by the Urban Climate Change Research Network, 24 are in India.
Field workers survey New Delhi locals on how they cope with the heat wave. Photo: New York Times
Rohit Magotra, deputy director of Integrated Research for Action and Development, is trying to help the capital, Delhi, develop a plan to respond to the new danger. The first step is to quantify its human toll.
“Heat goes unreported and underreported. They take it for granted,” Magotra said. “It’s a silent killer.”
On a blistering Wednesday morning, with the heat index at 48 degrees, he and a team of survey takers snaked through the lanes of a working-class neighbourhood in central Delhi. They measured temperature and humidity inside the brick-and-tin apartments. They spoke to residents about how the heat affects them. Loading
“Only by 4 am, when it cools down, can we sleep,” a woman named Kamal told him. Her husband, a day labourer, suffered heatstroke this year, missed a week’s work, and, with it, a week’s pay.
A shopkeeper named Mohammed Naeem said that while he managed to stay cool in his ground-floor space, his father’s blood pressure rose every summer, as he sweltered in their top floor apartment all day.
Through the narrow lanes all morning, young men hauled stacks of paper to a printing plant that operated on the ground floor of one house. A tailor sat cross-legged on the floor, stitching lining onto a man’s suit. A curtain of flies hung in the air.
A woman named Abeeda told Magotra that she helped her husband cope during the summer by stocking glucose tablets in the home at all times. Her husband works as a house painter. Even when he is nauseous and dizzy in the heat, he goes to work, she said. He cannot afford not to.
A woman carries bricks at a construction site on a hot summer evening in New Delhi. Photo: New York Times
Across town, workers covered their faces with bandannas as they built a freeway extension for Delhi’s rapidly growing number of cars. The sky was hazy with dust. Skin rash, dry mouth, nausea, headaches: These were their everyday ailments, the construction workers said. So debilitating did it get that every 10-15 days, they had to skip a day of work and lose a day’s pay.
Ratnesh Tihari, a 42-year-old electrician, said he felt it getting hotter year by year. And why would that be surprising? He pointed his chin at the freeway extension he was helping to build. “It’s a fact. You build a road, you cut down trees,” he said. “That makes it hotter.”
Worldwide, by 2030, extreme heat could lead to a $US2 trillion loss in labour productivity, the International Labor Organisation estimated.
Delhi’s heat index, a metric that takes average temperatures and relative humidity into account, has risen sharply by 0.6 degrees in summer and 0.55 degrees during monsoons per decade between 1951 and 2010, according to one analysis based on data from 283 weather stations across the country.
Some cities are getting hotter at different times of year. The average March-to-May summertime heat index for Hyderabad had risen by 0.69 degrees per decade between 1951 and 2010. In Kolkata, a delta city in the east, where summers are sticky and hot anyway, the monsoon is becoming particularly harsh: The city’s June-September heat index climbed by 0.26 degrees per decade.
Joyashree Roy, an economist at Jadavpur University in Kolkata, found that already most days in the summer are too hot and humid to be doing heavy physical labour without protection, with wet-bulb temperatures far exceeding the thresholds of most international occupational health standards.
Workers carry sacks of spices on a hot summer morning in the old quarter of Delhi. Photo: New York Times
And yet, walk through the city on a stifling hot day in June, and you will find people pedalling bicycle rickshaws, hauling goods on their heads, constructing towers of glass and steel. Only a few people, like herself, Roy pointed out, are protected in air-conditioned homes and offices. “Those who can are doing this. Those who can’t are becoming worse,” she said. “The social cost is high in that sense.”
Researchers are tinkering with solutions.
In Ahmedabad, city funds have been used to slather white reflective paint over several thousand tin-roofed shanties, bringing down indoor temperatures.
In Hyderabad, a similar effort is being tested. A pilot project by a team of engineers and urban planners covered a handful of tin-roofed shacks with white tarpaulin. It brought down indoor temperatures by at least two degrees, which was enough to make the intolerable tolerable. Now they want to expand their cool-roof experiment to a square-kilometre patch of the city, installing cool roofs, cool walls and cool sidewalks, and planting trees. Their main obstacle now: funding.
Rajkiran Bilolikar, who led the cool-roof experiment, has a personal stake in the project. As a child, he would visit his grandfather in Hyderabad. There were trees all over the city. It was known for its gardens. He could walk, even in summer.
Now a professor at the Administrative Staff College of India in the city, Bilolikar can’t walk much. There are fewer trees. Air-conditioners have proliferated but they spew hot air outside.
Bilolikar says it’s hard to persuade policymakers, even the public, to take heat risk seriously. It has always been hot in Hyderabad. It is getting hotter slowly, almost indiscernibly. Heat, he says, is “a hidden problem”.
At home, he had resolved not to use his air-conditioner. Through his open windows, though, his neighbour’s machine blew hot air into his apartment. His three-year-old daughter became so overheated that her skin was hot to touch. Reluctantly, he shut his windows and turned his machines on.
New York Times

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