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From Lost Wages to Rising Medical Bills: How Extreme Heat Is Already Costing India’s Economy

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Farmer sitting in a harvested wheat field during hot weather, highlighting the economic impact of extreme heat on agricultural workers in India.
A farmer takes a break in a harvested wheat field as rising temperatures affect outdoor work. Representational image. Image credit: Amiraimer/Pixabay

India’s scorching summer may have ended with the arrival of the southwest monsoon, but the economic impact of months of extreme heat is only beginning to surface. The costs are visible at every level—from workers earning less because they cannot stay on the job, to households paying more for healthcare and cooling, and ultimately to the country’s economy losing billions in productivity.

New report by Adelphi Global argues that this “double burden” of falling incomes and rising medical expenses is one of the least recognized economic consequences of climate change. In a country where nearly nine out of ten workers are employed in the informal sector and households continue to shoulder a large share of healthcare costs, the financial consequences are particularly severe.

When Heat Cuts Working Hours, Incomes Fall

Extreme heat affects the economy first through labour. Unlike machines, people cannot continue working safely under prolonged exposure to high temperatures. Workers slow down, take frequent breaks or stop working altogether to avoid heat stress. Recovery from heat-related illnesses can take weeks, while severe cases may permanently reduce a person’s ability to work.

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Representational image of an outdoor worker in the intense heat in India. Image credit: Nakib/Pexels

The impact is greatest in agriculture and construction, where work is physically demanding and carried out outdoors. According to the report, India already loses an average of 4.31% of annual working hours because of this. Under a moderate warming scenario, that could rise to 5.8% by 2030. In agriculture and construction, annual working-hour losses are projected to reach 9.04%, equivalent to nearly 22.5 working days each year.

For millions of workers paid by the day, fewer hours on the job mean less money taken home.

Informal Workers With Little Financial Protection

The losses are particularly severe because most Indian workers lack social protection. The report estimates that 90% of women workers and 86% of men work in the informal economy, where paid leave, health insurance and wage protection are rare. Missing work because of extreme heat often means losing income immediately.

Median daily earnings remain modest even before these disruptions. Women earn about USD 18.72 (PPP) per day, while men earn around USD 25.52 (PPP). Repeated income losses can quickly push vulnerable households deeper into financial distress.

The report warns that between 54% and 80% of informal workers globally already earn below median wages. In India, where nearly one-fourth of the population lives below the World Bank’s lower-middle-income poverty line, recurring heat-related work losses could push even more families into poverty.

Rising Temperatures Raising Household Expenses

The financial impact does not stop when workers leave the job site. Heat-related illnesses increase medical spending at a time when incomes are already falling. Although public spending on healthcare has increased, households still pay 44% of India’s total health expenditure directly from their own pockets.

Annual per capita out-of-pocket health expenditure reached USD 151 (PPP) in 2023—almost three times higher than in 2000. Extreme heat also raises everyday living costs.

Keeping homes cool becomes more expensive during hotter months. While wealthier households spend only around 0.2–0.25% of their total expenditure on air-conditioning, the poorest households may spend up to 8% of their household budget on electricity for cooling. Researchers describe this growing financial burden as “heat poverty”—where families struggle to afford adequate cooling despite rising temperatures.

Due to this, food prices are also expected to rise. Higher temperatures alone could increase global headline inflation by up to 1.18% and food inflation by as much as 3.23% by 2035. Together, these costs create a financial squeeze: households earn less while spending more.

The Bigger Economic Picture

The report argues that these household-level losses eventually add up to a national economic challenge. According to Lancet Countdown, India lost about USD 194 billion in potential income because of reduced labour capacity caused by extreme heat in 2024. That is equivalent to roughly 5% of the country’s GDP.

Globally, the economic impact is equally significant. Between 1981 and 2010, heat exposure resulted in the equivalent loss of 35 million full-time jobs and reduced global GDP by an estimated USD 280 billion. Between 1992 and 2013, climate-driven extreme heat caused economic losses estimated at USD 16–50 trillion worldwide.

The findings show that extreme heat is no longer only an environmental or public health concern. It is becoming a growing economic challenge, particularly for labour-intensive economies like India.

Rising Heat: Need for Economic Policy

Adapting to extreme heat requires more than emergency weather advisories.

It calls for stronger labour protections, income support for workers affected by heat, expanded social protection for informal workers and greater public investment in healthcare to reduce dependence on out-of-pocket spending. It also recommends increasing adaptation finance to address productivity losses and the economic consequences of heat-related illnesses.

As climate change makes India’s summers hotter and longer, the true cost of extreme heat will be reflected in shrinking pay packets, rising household expenses and slower economic growth.

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Wayanad Landslide Death Toll Rises to Five; Search Continues for Missing Workers

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Mud and large boulders block a road after the Wayanad landslide near Kalladi in Meppadi
A road blocked by mud and boulders following a landslide in a hilly, forested landscape. The image is for illustrative purposes only. Representational image. Image credit: Nha van/ Pexels

The death toll in the landslide that struck a tunnel construction site at Kalladi near Meppadi in Kerala’s Wayanad district has risen to five, with rescue teams recovering two more bodies from the debris today. Search operations are continuing to locate the remaining missing workers amid challenging weather conditions and unstable slopes.

The landslide occurred on 7 July after heavy monsoon rain triggered a slope failure at the construction site of the Anakkampoyil–Kalladi–Meppadi tunnel road project. According to officials, around 18 workers were present at the site when the hillside gave way, burying workers, machinery and temporary site facilities. Nine workers were rescued with injuries and shifted to nearby hospitals, while emergency teams continue to search for those still trapped.

Wayanad Landslide: Rescue operation enters critical phase

Personnel from the National Disaster Response Force (NDRF), Kerala Fire and Rescue Services, Police and other emergency agencies are leading the rescue effort. Teams are focusing on identified high-probability zones using earth-moving equipment and sniffer dogs, but intermittent rainfall and unstable debris continue to slow the operation. Authorities have also evacuated nearby areas as a precaution against further slope failures.

Questions raised over construction practices

The incident has renewed concerns over infrastructure development in the ecologically sensitive Western Ghats. The Kerala government has ordered an inquiry into the landslide, including whether excavation activities or the dumping of excavated earth from the tunnel project contributed to the slope collapse. The construction company has denied the allegations, maintaining that the landslide originated from a natural hillside above the project site.

The latest tragedy comes less than two years after the Mundakkai–Chooralmala landslides of July 2024, Kerala’s deadliest landslide disaster. The recurrence of landslides in the Meppadi region has intensified calls for stricter geological assessments, improved monitoring of infrastructure projects, and stronger safeguards for workers and communities living in landslide-prone areas.

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Super El Niño Can’t Explain Mumbai’s Deluge, But Climate Change Can

Climate change is intensifying Mumbai’s rainfall, making downpours shorter and more extreme. Experts explain why El Niño alone cannot explain the floods.

Dipin Damodharan

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Mumbai Climate change rainfall is intensifying Mumbai's rainfall, making downpours shorter and more extreme. Experts explain why El Niño alone cannot explain the floods.
In the first seven days of July alone, the Mumbai saw four separate spells of triple-digit rainfall. Image credit/Special arrangement via V Jadhav

Mumbai Climate Change Rainfall: Mumbai’s recent deluge reflects a changing monsoon shaped by climate change as much as El Niño. Experts say warming oceans and a hotter atmosphere are driving fewer rainy days but far more intense downpours, exposing the city’s ageing drainage systems and growing vulnerability to urban flooding.

For most of June, the story of India’s monsoon was one of delay and deficit. A strengthening El Niño in the Pacific was pushing the Southwest Monsoon back, and by the end of the month the country was staring at a 40 percent rainfall shortfall. Then, within days, the sky flipped. As the monsoon shifted into an active phase, Mumbai and the rest of India’s west coast were hit by rain so intense that the national deficit collapsed from 40 percent to 20 percent in less than a week, as of July 6.

The whiplash has revived a debate among climate scientists that goes beyond this one season: it is no longer only about how much rain a city gets, but how that rain arrives.

A new briefing from Climate Trends lays out the case that a warmer atmosphere and rapidly heating oceans are loading the air with more moisture than before, which means fewer rainy days overall but far more violent bursts when the rain does come. El Niño, in this reading, still controls the timing and broad strength of the monsoon — but climate change is increasingly writing its character, turning downpours shorter, sharper, and more likely to overwhelm drains built for a gentler era.

Mumbai Climate Change Rainfall Intensifies Monsoon Extremes

Mumbai’s own numbers make the point. In the first seven days of July alone, the city saw four separate spells of triple-digit rainfall. The Colaba observatory logged 791 mm between July 1 and 7 — more than its entire climatological average for the whole month of 768.5 mm. Santa Cruz recorded 879 mm in the same window, brushing up against its monthly normal of 919.9 mm.

Mahesh Palawat, Vice President of Meteorology and Climate Change at Skymet Weather, pointed to a pile-up of weather systems as the immediate trigger. “Monsoon is presently in an active phase, with several weather systems prevailing across the country,” he said, noting a depression over Odisha and a cyclonic circulation over Maharashtra keeping both arms of the monsoon active, while continuous moisture from the Arabian Sea kept regenerating cloud cover over the state.

Dr Raghu Murtugudde, Emeritus Professor at the University of Maryland and a retired professor at IIT-Bombay, went further, arguing that the two forces driving this monsoon can no longer be pulled apart. “El Niño just cannot be separated from global warming anymore,” he said, describing how both the Arabian Sea and the Bay of Bengal were firing at once, feeding moisture into the core monsoon zone that eventually rides the Western Ghats and dumps over Mumbai.

Rewriting the Monsoon’s Rulebook

Palawat said the shift is structural, not a one-off. Weather systems that form in the Bay of Bengal, he explained, have started tracking west instead of northwest, while the Arabian Sea’s record warming has added extra moisture to the mix, keeping clouds regenerating for days on end wherever a weather system parks itself.

Dr K J Ramesh, former Director General of the India Meteorological Department, framed it as a break from the monsoon India used to know. “We know that the character of the monsoon has changed forever due to global warming,” he said. “Rains will be in the form of short duration and high intensity, whether there is an El Niño or no El Niño.” He pointed to Rajasthan, Gujarat and West Madhya Pradesh, where Western Disturbances alone can no longer explain the volume of rain now falling — an added moisture feed from the Arabian Sea, he said, has changed the pattern across the region.

Research cited in the briefing backs this up on a larger scale: the Middle East has been warming almost twice as fast as the rest of the inhabited world, and that heating has been linked to nearly half — 46 percent — of the intensified rainfall over Northwest India and Pakistan between 1979 and 2022, by pushing moisture northward out of the Arabian Sea.

The Long-term Drift

Zoom out from any single storm and the trend holds. Comparing 1981–2000 with 2001–2024, average monsoon rainfall has climbed by nearly 15 percent in Mumbai and 23 percent in Pune, according to data from the Council on Energy, Environment and Water (CEEW).

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Looking ahead, a separate report — Indian Coastal Region: Climate Projections 2021–2040 — suggests suburban Mumbai and parts of coastal Maharashtra and Gujarat should expect almost an additional week of heavy rain during the Southwest Monsoon in the coming years, alongside a projected 18 percent rise in the region’s already-massive 1,749 mm monsoon baseline. The same projections point to rising temperatures across the board, including a 1.3°C increase in both summer wet-bulb and winter minimum temperatures.

When Rain meets a City That isn’t Ready

Climate change, though, is only half the story of why Mumbai floods. The briefing frames urban flooding as a climate-plus-exposure problem — extreme rainfall colliding with a city whose drains, floodplains and green cover haven’t kept pace.

Ramesh was blunt about what that means on the ground. “It is no longer a matter of warnings anymore as substantial warnings have been issued well in time. It is now a preparedness and response issue,” he said, calling for full desilting of drains ahead of every monsoon and blaming unchecked concretisation for leaving trees with no room for their roots to breathe.

Dr Vishwas Chitale, a Fellow at CEEW, described the immediate toll of the past week’s rain — an orange alert in Mumbai and a red alert in Pune, both signalling rainfall heavy enough to disrupt daily life. He pointed to early warning systems and structured flood-resilience plans, like the one CEEW helped develop with the Thane Municipal Corporation, as the kind of groundwork cities now need. “We need to come out with some practical solutions on the ground to be able to manage urban flooding better,” he said.

Aarti Khosla, Director of Climate Trends, put the challenge in starker terms: extreme rainfall is no longer a possibility to plan around but a near-certainty to plan for. “The question is no longer whether extreme rainfall events will occur, but whether our cities are prepared to withstand them,” she said, calling for climate-resilient drainage, nature-based flood defences and urban planning that treats risk as a starting assumption rather than an afterthought.

The briefing’s broader point is a simple one: urban flooding happens when saturated drainage meets any of several triggers — torrential rain, storm surge, sea-level rise, groundwater seepage, or simply a city with too little permeable ground left to absorb water. Global warming is intensifying the rainfall trigger, and dense, paved-over cities are amplifying what happens next.

As one line from the briefing puts it, cities designed for yesterday’s climate are struggling to cope with today’s extremes — and, if the projections hold, tomorrow’s will demand even more.

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Domestic Wastewater Overtakes Garbage as Kerala’s Biggest Waste-Sector Emitter, Report Finds

Kerala’s waste sector emissions are dominated by domestic wastewater, which accounts for 96% of emissions, according to the latest greenhouse gas inventory report.

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Wastewater flowing from a drainage pipe into a polluted water body with plastic waste and debris, illustrating Kerala's wastewater pollution and waste-sector greenhouse gas emissions.
Wastewater and plastic waste accumulate near a drainage outlet, highlighting the hidden environmental challenges associated with untreated wastewater and improper waste disposal. Representational image. Image credit: Lisa/Pexels

The biggest waste-related climate threat in Kerala isn’t the garbage piling up in bins or the plastic littering its streets. It’s the wastewater flowing out of millions of homes every day. The state’s latest Greenhouse Gas Inventory Report shows that domestic wastewater accounts for more than 96% of greenhouse gas emissions from Kerala’s waste sector, making it the state’s largest waste-related emitter.

According to the report, 96.14% of waste-sector greenhouse gas emissions in 2023 came from domestic wastewater. This includes wastewater generated from everyday household activities such as toilets, bathrooms, kitchens, laundry and cleaning. When the organic matter present in this wastewater breaks down in oxygen-poor conditions, it releases methane, a greenhouse gas far more effective at trapping heat in the atmosphere than carbon dioxide.

While domestic wastewater dominates the sector’s emissions, other sources contribute much less. Municipal solid waste disposal accounted for just 1.7%, while industrial wastewater contributed 2.16%. Together, Kerala’s waste sector emitted 1.92 million tonnes of carbon dioxide equivalent (MtCO₂e) in 2023.

The findings reveal a sharp contrast between Kerala’s visible waste challenges and the hidden sources driving climate emissions. While garbage remains the most noticeable part of the waste problem, wastewater has emerged as the state’s biggest climate concern within the sector.

Wastewater
Improper wastewater management allows untreated sewage to flow into natural water bodies, polluting ecosystems and increasing greenhouse gas emissions. Image credit: Equalstock IN/Pexels

Wastewater: The Emissions We Don’t See

Unlike overflowing garbage bins or plastic waste on roadsides, wastewater remains largely invisible once it leaves households. However, the systems used to manage this wastewater play a major role in determining how much methane is released.

According to the inventory, Kerala’s sanitation systems are still dominated by decentralised methods. Pit latrines account for 74.06% of sanitation systems, septic tanks account for 24.62%, while piped sewer systems make up only 0.26%.

Individually, a single septic tank or pit latrine may appear insignificant. But across millions of households, these systems collectively become the largest source of waste-sector greenhouse gas emissions.

The report highlights that improving sanitation infrastructure is not only a public health priority but also an important climate action measure. Better wastewater treatment can reduce methane emissions while improving water quality and sanitation outcomes.

Why Waste Reforms Haven’t Reduced Emissions

Over the past decade, Kerala has invested significantly in improving solid waste management. Programmes focused on source segregation, composting, waste collection and initiatives such as Haritha Karma Sena have helped reduce open dumping and improve municipal waste handling.

However, these improvements have not translated into a major decline in waste-sector greenhouse gas emissions. The report estimates that emissions from the sector were 1.94 MtCO₂e in 2005 and 1.92 MtCO₂e in 2023, showing only a marginal reduction over nearly two decades.

The reason is that Kerala’s waste management progress has mainly focused on solid waste, while wastewater systems continue to generate methane emissions on a daily basis. The findings suggest that reducing garbage alone will not be enough to achieve significant emission reductions.

Why Solid Waste Still Matters

Although municipal solid waste contributes a relatively small share of current emissions, it remains an important part of Kerala’s waste challenge. The report notes that, based on Kerala State Pollution Control Board data, the inventory assumes that no municipal solid waste has been disposed of in dumpsites since 2017.

However, old dumpsites continue to release methane because organic waste buried decades ago can keep decomposing for years. This means some of today’s emissions are linked to past disposal practices, while domestic wastewater continues to create new emissions every day.

Together, these factors explain why Kerala’s overall waste-sector emissions have remained largely unchanged despite improvements in solid waste management.

A New Focus for Kerala’s Climate Action

The inventory points to a shift in how Kerala approaches waste and climate action. Efforts to collect, segregate and process solid waste remain essential for reducing pollution and protecting public health. But the state’s emissions data show that wastewater management must become a larger part of the climate conversation.

Expanding sewage treatment networks, improving septage management and strengthening sanitation infrastructure could play a crucial role in reducing emissions from the sector.

Kerala’s waste story has long been shaped by measures to reduce plastic waste, garbage collection and dumping. But, addressing wastewater will be key to achieving meaningful reductions in the state’s waste-sector greenhouse gas emissions.

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