The effects of climate change are expected to be worse in poorer countries, partly because they don’t have the money and infrastructure necessary to deal with extreme heat waves. According to a 2018 study by the World Bank, climate change could sharply diminish living conditions for up to 800 million people across South Asia, one of the world’s poorest regions.
In India, where summer heat waves have become commonplace, 66 million Indians live in extreme poverty (about 5 percent of India’s total population of 1.4 billion). More than 200 million citizens don’t have access to electricity, and untold numbers of others couldn’t afford air conditioning even if they did.
Kamal, a woman who lives in India’s largest city, Delhi, says that “only by 4 a.m., when it cools down, can we sleep.” Her husband, a day laborer, suffered heatstroke this year, missed a week’s work and, with it, a week’s pay.
Across town, construction workers this summer said they faced so many ailments, including skin rash, dry mouth, nausea, and headaches, that every 10 to 15 days, they had to skip a day of work and lose a day’s wages.
Meanwhile, paramedics in neighboring Pakistan struggled to treat scores of heatstroke victims as temperatures in the rural farming town of Nawabshah soared as high as 122 degrees in April. Hospitals and clinics were overrun with patients, and there weren’t enough beds or medical staff.
“We tried our best to provide medical treatment,” says Raees Jamali, a paramedic. “But because of the severity of the heat, there was unexpected rush and it was really difficult to deal with all patients.”
Local governments are trying to find ways to help people cope with the heat. In Ahmedabad, India, city-funded vans distribute free water during the hottest months. The government has also slathered white reflective paint over several thousand tin-roofed shanties, bringing down indoor temperatures.
These short-term solutions are necessary, says Sujata Saunik, who served as a senior official in the Indian Ministry of Home Affairs and is now a fellow at the Harvard University School of Public Health. Otherwise, she says, “these cities are going to become unlivable.”