Climate-Proofing India’s Health System
In India, this crisis is already unfolding. An assessment by the Centre for Science and Environment found that in the first nine months of 2025, India saw a 48 percent increase in deaths caused by extreme weather events compared to the previous four years. Extreme weather events were recorded on 270 of 273 days, including heat and cold waves, lightning and storms, heavy rain, floods and landslides, claiming over 4,064 lives. Disparities existed across states, with Himachal Pradesh worst affected, experiencing 217 days of extreme weather events and 380 deaths, followed by Kerala, which recorded 147 days of extreme weather and 114 deaths, and Madhya Pradesh, which experienced 144 days and a staggering 532 deaths. Another study estimated that the temperature-attributable fraction of mortality in India was 7.29 percent, with 6.8 percent of all‑age medical deaths attributable to cold temperatures and 0.5 percent to heat over the period 2001–2013. There has also been a sharp increase in disasters over the past two decades.
