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Preventing Heat Strokes: Lessons from Ahmedabad’s Heat Action Plan

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From UPSC perspective, the following things are important :

Prelims level: Heat stroke and related terminologies in news

Mains level: Heat stroke related mortality and preventive measures

Heat Stroke

Central Idea

  • The recent deaths of 14 people due to heat stroke in Navi Mumbai serves as a reminder of the dangers of heat waves, and with the IMD predicting a hotter summer this year, it’s essential that we take proactive steps to prevent heat-related deaths and illnesses. The Ahmedabad Heat Action Plan (HAP), launched in 2013, offers a blueprint that can be applied across India to combat heat stroke-related mortality and morbidity.

What is Heat Stroke?

  • Heat stroke is a severe and potentially life-threatening condition that occurs when the body’s temperature regulation system fails, leading to a dangerous increase in body temperature.
  • This can happen when a person is exposed to high temperatures and humidity for prolonged periods, leading to dehydration, loss of fluids and electrolytes, and an inability to cool down through sweating.
  • Symptoms of heat stroke include high body temperature, rapid heartbeat, rapid and shallow breathing, confusion, agitation, disorientation, seizures, and in severe cases, loss of consciousness and organ failure.
  • Heat stroke requires immediate medical attention, as it can be fatal if left untreated.

Facts for prelims: Heat related terminologies in news

Heat stroke: Heat stroke is a serious medical condition that occurs when the body’s temperature regulation system fails, and the body temperature rises to dangerous levels, usually above 104°F (40°C). It can lead to organ damage and even death if not treated promptly.

Heat cramps: Heat cramps are painful muscle contractions that can occur during physical activity in hot weather.

Heat wave: A heat wave is a prolonged period of excessively hot weather, which can be accompanied by high humidity levels. The World Meteorological Organization (WMO) defines a heat wave as when the daily maximum temperature of more than five consecutive days exceeds the average maximum temperature by 5°C, and the normal minimum temperature is also exceeded.

Heat index: It is the measure of how hot it feels when relative humidity is added to actual air temperature. The higher the heat index, the hotter it feels.

Thermal stress: It is the stress on the human body caused by high temperatures, humidity, and solar radiation.

Urban Heat Island: It refers to the phenomenon where urban areas experience higher temperatures than surrounding rural areas due to human activities like transportation, industrialization, and construction.

Wet bulb globe temperature: It is a measure of heat stress in direct sunlight, which takes into account temperature, humidity, wind speed, sun angle and cloud cover.

Diurnal temperature range: It is the difference between the maximum and minimum temperatures in a 24-hour period. A low diurnal temperature range indicates high humidity and poor air quality.

Heat Stroke

Features of Ahmedabad Heat Action Plan (HAP)

  • The Ahmedabad Heat Action Plan (HAP) includes five components that are designed to prevent heat stroke-related mortality and morbidity. These components are:
  1. Prediction and Alert System: The Indian Meteorological Department (IMD) predicts temperature levels for over 500 cities and all districts of India. Local governments can use historical temperature data to issue red, orange, and yellow alerts depending on the severity of the heat wave.
  2. Public Awareness: Raising public awareness about the actions to be taken during heat waves. Simple measures like carrying water while going out, avoiding direct exposure to sunlight, and taking frequent rests can prevent heat stroke.
  3. Provision of Water and Shade: Providing water and shade in public places and construction sites.
  4. Vulnerable Populations: Special attention should be given to vulnerable populations like the elderly and those with comorbidities. Those who work outside, such as traffic police, labourers, and street vendors, should be informed about ways to protect themselves from heat stroke.
  5. Annual Review: Each city and district should appoint a Heat officer to ensure that the HAP is implemented effectively. An annual review of the plan can help identify areas for improvement and ensure that the most vulnerable are protected from heat stroke-related mortality and morbidity.

Heat Stroke

Why India have not paid much attention to heat-related mortality and morbidity?

  • People accustomed to hot weather: Most people in India are accustomed to hot weather, and heat waves are not seen as a major threat. Traditionally, most cultures in India have words to describe heat stroke, and people know that it is a serious condition, so it has not been seen as a new or emerging issue.
  • Weak commitment to public health: The country is facing several other pressing issues and has a weak national commitment to public health in general.
  • Lack of awareness: Lack of awareness about the dangers of heat stroke and the need for preventive measures.
  • Overshadow effect: The focus on communicable diseases and other health issues has overshadowed the impact of heat waves on public health.
  • Limited research and data: Limited research and data on the extent of heat stroke-related morbidity and mortality in India.
  • Limited resources: Limited infrastructure and resources for managing heat waves and providing relief to affected populations.
  • Inadequate political will: Insufficient political will and resources to prioritize public health interventions related to heat waves.

Long-term measures that the government can take to combat the effects of heat waves

  • Increase green cover: Trees and plants can help to reduce the effects of heat waves by providing shade and absorbing carbon dioxide. The government can undertake afforestation drives and promote the planting of trees in cities, towns, and villages.
  • Promote cool roofs: Painting roofs white or using reflective roofing materials can help to reflect sunlight and reduce the absorption of heat. The government can promote the use of cool roofs in new construction and retrofitting of existing buildings.
  • Improve access to water: Access to safe drinking water is crucial during heat waves. The government can undertake initiatives to improve access to water in public places, especially for vulnerable populations.
  • Develop urban heat island mitigation strategies: Urban areas are more susceptible to the effects of heat waves due to the urban heat island effect. The government can develop strategies to mitigate the effects of urban heat islands, such as increasing green cover, promoting cool roofs, and improving ventilation in buildings.
  • Improve healthcare infrastructure: The healthcare system must be prepared to deal with the increased incidence of heat stroke during heat waves. The government can improve healthcare infrastructure by increasing the number of hospitals and clinics, providing adequate medical supplies and equipment, and training healthcare professionals to deal with heat stroke cases.
  • Improve public transport: The use of public transport can reduce the number of vehicles on the road, thereby reducing emissions and heat. The government can promote the use of public transport by improving the quality and availability of public transport services.
  • Promote energy efficiency: The government can promote energy efficiency by undertaking energy audits of public buildings and promoting the use of energy-efficient appliances.

Heat Stroke

Conclusion

  • The Heat Action Plan offers a simple, effective framework for preventing heat stroke-related deaths and illnesses. With interdepartmental coordination and top-level commitment, it is possible to protect vulnerable populations during heat waves. It is essential that all cities, districts, and villages in India prepare for heat waves and take proactive measures to prevent heat stroke-related mortality and morbidity.

Mains Question

Q. What do you understand by mean is Heat Stroke? India has witnessing high number of heat related mortality and morbidity. In light of this serious concern, illustrate how India can take measures to prevent heat stroke-related mortality and morbidity.

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