Cities must prepare properly. In India, Ahmedabad, in the western state of Gujarat, is best equipped. In 2010 an unusually severe heat wave killed an estimated 1,344 people in the city. Officials drew up a “heat action plan”—the first in south Asia—which launched in 2013 and has been updated frequently. An early-warning system alerts residents to coming heatwaves and tells health workers to prepare for an increase in admissions. If temperatures are high enough, it compels authorities to keep gardens and parks open for shade, install water dispensers and set up extra medical centres. Through the news media, text messages and billboards, residents are told how to cope with the heat and when to seek medical treatment. Since 2017 the local government has co-ordinated with schools and businesses helping staff who work outdoors to move their shifts to the cooler parts of the day.
One study suggests that the plan prevented around 2,400 deaths in the summers of 2014 and 2015 when there were several severe heatwaves. Several other Indian cities have since created their own plans at the behest of the national government. Improvements are often hampered by a lack of resources and the difficulty of getting different departments to work together. Cities that already have mechanisms to cope with natural disasters, such as those in Odisha, a state on the cyclone-prone eastern coast, tend to prepare best.
More preventative work is needed. Some building materials retain more heat than others, a problem that is particularly prevalent in India’s packed and poorly ventilated slums. Simple changes, such as painting roofs with solar-reflective paint, can lower indoor temperatures by several degrees. The government and several non-profit organisations are urging cities to do this after a successful pilot in Ahmedabad.