Impact of heatwaves on all-cause mortality in India: A comprehensive multi-city study

Background

 

Heatwaves are expected to increase with climate change, posing a significant threat to population health. In India, with the world’s largest population, heatwaves occur annually but have not been comprehensively studied. Accordingly, we evaluated the association between heatwaves and all-cause mortality and quantifying the attributable mortality fraction in India.

 

Methods

 

We obtained all-cause mortality counts for ten cities in India (2008–2019) and estimated daily mean temperatures from satellite data. Our main extreme heatwave was defined as two-consecutive days with an intensity above the 97th annual percentile. We estimated city-specific heatwave associations through generalised additive Poisson regression models, and meta-analysed the associations. We reported effects as the percentage change in daily mortality, with 95% confidence intervals (CI), comparing heatwave vs non-heatwave days. We further evaluated heatwaves using different percentiles (95th, 97th, 99th) for one, two, three and five-consecutive days. We also evaluated the influence of heatwave duration, intensity and timing in the summer season on heatwave mortality, and estimated the number of heatwave-related deaths.

 

Findings

 

Among ∼ 3.6 million deaths, we observed that temperatures above 97th percentile for 2-consecutive days was associated with a 14.7 % (95 %CI, 10.3; 19.3) increase in daily mortality. Alternative heatwave definitions with higher percentiles and longer duration resulted in stronger relative risks. Furthermore, we observed stronger associations between heatwaves and mortality with higher heatwave intensity. We estimated that around 1116 deaths annually (95 %CI, 861; 1361) were attributed to heatwaves. Shorter and less intense definitions of heatwaves resulted in a higher estimated burden of heatwave-related deaths.

 

Conclusions

 

We found strong evidence of heatwave impacts on daily mortality. Longer and more intense heatwaves were linked to an increased mortality risk, however, resulted in a lower burden of heatwave-related deaths. Both definitions and the burden associated with each heatwave definition should be incorporated into planning and decision-making processes for policymakers.

Read more

Climate Governance and Federalism in India

Summary

The chapter puts forward a synthetic account of the forces shaping climate governance in India’s federal architecture, building on descriptions of environmental federalism (Arora and Srivastava 2019; Chakrabarti and Srivastava 2015; Huang and Gupta 2014); state actions in climate policy (Dubash and Jogesh 2014; Jorgensen et al. 2015; Kumar 2018); and several recent policy moves by both the Centre and states. It describes India’s federal architecture and environmental governance processes before showing how the federal system is adapting to the climate challenge. The chapter also reflects on the inherent vulnerabilities of this form of climate governance.

The volume (Climate Governance and Federalism: A Forum of Federations Comparative Policy Analysis Cambridge University Press) brings together leading experts to explore whether federal or decentralised systems help or hinder efforts to mitigate and adapt to climate change. It reviews the opportunities and challenges federalism offers for the development and implementation of climate mitigation and adaptation policies and identifies the conditions that influence the outcomes of climate governance. Including in-depth case studies of 14 different jurisdictions, this is an essential resource for academics, policymakers and practitioners interested in climate governance, and the best practices for enhancing climate action.

Read more

National climate institutions complement targets and policies

Introduction

National climate institutions are a missing element in climate mitigation discussions. Yet institutions translate ambition to current action, guide policy development and implementation, and mediate political interests that can obstruct mitigation efforts. The landscape of relevant institutions is usefully categorized around ‘purpose-built’ institutions, ‘layering’ of responsibilities on existing institutions, and unintentional effects of ‘latent’ institutions. Institutions are relevant for solving three climate governance challenges: coordination across policy domains and interests, mediating conflict and building consensus, and strategy development. However, countries do not have a free hand in designing climate institutions; institutions are shaped by national context into four distinct varieties of climate governance. We suggest how countries can sequence the formation of climate institutions given the constraints of national politics and existing national political institutions.

Read more