The India Climate Observatory

Commentary, action and research on climate and development in India

Health now part of PM’s Council on Climate Change

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ICP_20150721

The Prime Minister’s Council on Climate Change has included a new Mission on Climate Change and Health. A National Expert Group on Climate Change and Health has been constituted by the Ministry of Health and Family Welfare to address the issues related to adverse effects of climate change on human health.

According to the Ministry of Health and Family Welfare, there is increasing concern in India over the effects of climate change on human health. Climate change affects the social and environmental determinants of health and weather events such as storms, floods, cyclones amplify the spread of vector-borne diseases, and the spread of food- and water-borne diseases.

There are complex interactions between both causes and effects. Ecological processes, such as impacts on biodiversity and changes in disease vectors, and social dynamics, can amplify these risks. Graphic: Lancet

There are complex interactions between both causes and effects. Ecological processes, such as impacts on biodiversity and changes in disease vectors, and social dynamics, can amplify these risks. Graphic: Lancet

Work under this new mission is expected to complement running initiatives such as the National Programme for Prevention and Control of Cancer, Diabetes, Cardiovascular Diseases and Stroke (NPCDCS). This programme focuses on prevention through awareness generation, behavior and life-style changes, early diagnosis and treatment of persons with high levels of risk factors and their referral to higher facilities for appropriate management. Funding is provided for human resources, infrastructure, early screening, and treatment as well as for Information, Education & Communication (IEC) activities.

India and China suffer over USD 1.89 trillion annually in terms of the value of lives lost and ill health caused from air pollution, according to a major recent report which has underlined how climate change threatens to undermine half a century of progress in global health.

An overview of the links between greenhouse gas emissions, climate change, and health. Social responses also ameliorate some risks through adaptive actions. Graphic: Lancet

An overview of the links between greenhouse gas emissions, climate change, and health. Social responses also ameliorate some risks through adaptive actions. Graphic: Lancet

The analysis by the Lancet Commission on Health and Climate Change concluded that the benefits to health resulting from slashing fossil fuel use are so large that tackling global warming also presents the greatest global opportunity to improve people’s health in the 21st century. The Commission’s work was supported by the UN World Health Organisation.

The current trajectory, of average global temperature warming by 4 Celsius has very serious and potentially catastrophic effects for human health and human survival. The Commission said this must be seen as a medical emergency. The comprehensive analysis sets out the direct risks to health, including heatwaves, floods and droughts, and indirect – but no less deadly – risks, including air pollution, spreading diseases, famines and mental ill-health. A rapid phase-out of coal from the global energy mix is among the commission’s top recommendations, given the millions of premature deaths from air pollution this would prevent.

“The effects of climate change are being felt today, and future projections represent an unacceptably high and potentially catastrophic risk to human health,” said the report. “The implications of climate change for a global population of 9 billion people threatens to undermine the last half century of gains in development and global health. The direct effects of climate change include increased heat stress, floods, drought, and increased frequency of intense storms, with the indirect threatening population health through adverse changes in air pollution, the spread of disease vectors, food insecurity and under-nutrition, displacement, and mental ill health.”

Holding our breath in India’s cities

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On the PM 2.5 scale, India's cities are easily amongst the world's riskiest places in which to live

On the PM 2.5 scale, India’s cities are easily amongst the world’s riskiest places in which to live

The findings by the World Health Organisation on the quality of air in India’s cities are the strongest signal yet to our government (old and new, for the results of the 2014 general election will become known on 16 May) that economic ‘growth’ is a weapon that kills citizens through respiratory tract diseases and infections.

Amongst the 124 Indian cities in the new WHO database on urban air quality worldwide, one city only is at the WHO guideline for PM2.5 and one city only is just above the guidelines for PM10. As a bloc, the quality of air in India’s cities are at alarmingly high levels above the guidelines, above Asian averages (poor as they are, and even considering China’s recklessly poor record) and above world averages.

This is not a singular matter. Already, the WHO has warned that India has a high environmental disease burden, with a significant number of deaths annually associated with environmental risk factors. The Global Burden of Disease for 2010 ranked ambient air pollution as the fifth largest killer in India, three places behind household air pollution. Taken cumulatively, household and ambient air pollution constitute the single greatest risk factor that cause ill health -leading to preventable deaths – in India.

The WHO database contains results of ambient (outdoor) air pollution monitoring. Air quality is represented by ‘annual mean concentration’ (a yearly average) of fine particulate matter (PM10 and PM2.5, which means particles smaller than 10 or 2.5 microns). The WHO guideline values are: for PM2.5 – 10 micrograms/m3 annual mean; for PM10 – 20 micrograms/m3 annual mean. The two charts show just how dangerously above the WHO guidelines the air quality of our cities are.

Without urgent and stringent curbs on the consumption of fuel, Indian cities' PM 10 measures will worsen

Without urgent and stringent curbs on the consumption of fuel, Indian cities’ PM 10 measures will worsen

Half of India’s urban population lives in cities where particulate pollution levels exceed the standards considered safe. A third of this population breathes air having critical levels of particulate pollution, which is considered to be extremely harmful. “We are also running out of ‘clean’ places. Small and big cities are now joined in the pain of pollution,” commented Down To Earth, the environment magazine.

Typically, the official Indian response was to question the WHO findings (these were carried out in the same way in 91 countries, and we don’t hear the other 90 complaining) and to reject them. The reason is easy to spot. Global offender Number One for air pollution amongst world cities is New Delhi, a city that has been pampered as the showcase for what the Congress government myopically calls “the India growth story”.

Hence government scientists are reported to have quickly said that WHO overestimated air pollution levels in New Delhi. “Delhi is not the dirtiest… certainly it is not that dangerous as projected,” said A B Akolkar, a member secretary of the Central Pollution Control Board.

The same recidivist line was parroted by Gufran Beig, chief project scientist at the Indian Institute of Tropical Meteorology (which otherwise does good work on the monsoon and on climate change). He is reported as having said that New Delhi’s air quality was better than Beijing’s, and that pollution levels in winter are relatively higher in New Delhi because of extreme weather events. Beig said: “The value which has been given in this (WHO) report is overestimating (pollution levels) for Delhi … the reality is that the yearly average is around 110 (micrograms).”

The WHO database has captured measurements from monitoring stations located in urban background, residential, commercial and mixed areas. The world’s average PM10 levels by region range from 26 to 208 micrograms/m3, with a world average of 71 micrograms/m3.

PM affects more people than any other pollutant. The major components of PM are sulfate, nitrates, ammonia, sodium chloride, black carbon, mineral dust and water. It consists of a complex mixture of solid and liquid particles of organic and inorganic substances suspended in the air. The most health-damaging particles are those with a diameter of 10 microns or less, which can penetrate and lodge deep inside the lungs. Chronic exposure to particles contributes to the risk of developing cardiovascular and respiratory diseases, as well as of lung cancer.

Central and state governments show no inclination to join the obvious dots. These are, that with more fuels being burned to satisfy the electricity and transport needs of a middle class now addicted to irresponsible consumption, the ‘India growth story’ is what we are choking to death on.