New Delhi: India is "most likely" undercounting heat-related deaths due to a lack of robust data, but the government is now improving surveillance to minimise the impact of extreme conditions on health, former WHO chief scientist and health ministry advisor Soumya Swaminathan has said.
In an interview with PTI on the sidelines of TERI's World Sustainable Development Summit, she also stressed the urgent need for better tracking, preparedness and policy interventions as the country braces for another extreme summer.
Asked if India was undercounting heat-related deaths, the former director general of the Indian Council of Medical Research (ICMR) said, "Most likely. We do not really have a good record of every death in the country and so we have to make some estimations. We have to do some sort of calculations or modelling based on what is happening."
But recently, there have been several scientific papers that have actually tracked what are called excess deaths, Swaminathan said.
"When you look throughout the year, deaths every month will be the same in number in general. But then if you suddenly see a spike, like during COVID we saw a spike.
"So you are going along with your death rate every month fairly stable and then suddenly, in May-June, you see a spike. You can then attribute that the excess deaths are possibly due to heat," she explained.
India experienced brutal heat in last year's summer, recording 536 heatwave days, the highest in 14 years, according to the India Meteorological Department.
Official data showed that India recorded 41,789 suspected heat stroke cases and 143 heat-related deaths during one of its hottest and longest heat waves. Public health experts say the official number of heat deaths is an undercount as 20 to 30 per cent of heat stroke cases usually result in fatalities.
The IMD has forecast above-normal maximum and minimum temperatures over most parts of the country this summer season too.
While the health ministry has introduced surveillance for heat-related deaths, Swaminathan cautioned that fatalities represent only "the very tip of the iceberg".
"For every one death, there are probably 20 people who are suffering the impact of heat by high blood pressure or exacerbation of their cardiac disease or heat exhaustion and not being able to go to work," she added.
"There is a lot of productivity loss and economic loss which is happening, which may not be a death, but it is definitely having a big impact on families. That is where we need to really focus our attention because we need to make sure that people remain comfortable and productive," Swaminathan told PTI.
She added, "And of course we have to minimize deaths. We do not want anyone to die of heat stroke, but we also want them to be in thermal comfort."
She also warned of mental health consequences.
"If you do not get any relief from heat for a prolonged period, then we know, for example, suicides go up, psychiatric illnesses get worse, and domestic violence increases," Swaminathan added.
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Indore (PTI): The ASI has told the Madhya Pradesh High Court that a massive structure dating back to the Paramara kings' rule existed at the disputed Bhojshala temple-Kamal Maula mosque complex, and the current structure was built from the remains of temples.
The Archaeological Survey of India (ASI) made the claim on Tuesday based on its 98-day scientific survey and over 2,000-page report.
The Hindu community considers Bhojshala a temple dedicated to Vagdevi (Goddess Saraswati), while the Muslim side claims the monument as the Kamal Maula Mosque. The disputed complex is protected by the ASI.
During the hearing before Justices Vijay Kumar Shukla and Alok Awasthi of the HC's Indore bench, Additional Solicitor General Sunil Kumar Jain, representing the ASI, presented a detailed account of the scientific survey conducted two years ago at the complex.
Referring to the ASI's survey report, he said, "Retrieved architectural remains, sculptural fragments, large slabs of inscriptions with literary texts, Nagakarnika inscriptions on pillars, etc, suggest that a large structure associated with literary and educational activities existed at the site. Based on scientific investigations and archaeological remains recovered during the investigations, this pre-existing structure can be dated to the Paramara period."
It can be said that the existing structure was made from the parts of earlier temples, based on scientific investigations, survey and archaeological excavations conducted, study and analysis of retrieved finds, study of architectural remains, sculptures, and inscriptions, art and sculptures, Jain said quoting the report.
Summarising the report, he also drew the court's attention to the fact that the archaeological study identifies that many architectural components, such as pillars and beams, were originally part of temple structures before being repurposed for a mosque.
"The evidence of this transition includes Sanskrit and Prakrit inscriptions that were damaged or hidden, alongside sculptures of deities and animals that were often mutilated or defaced," Jain contended.
The report also states that "all Sanskrit and Prakrit inscriptions are older than the Arabic and Persian inscriptions, indicating that users or engravers of the Sanskrit and Prakrit inscriptions occupied the place earlier".
In light of the Muslim side's earlier objections, the bench wanted to know why there were some discrepancies in the ASI's responses regarding the status of the disputed complex in the cases filed over the years.
The Additional Solicitor General argued that earlier studies of the complex involved only officials, while the current survey involved scientists and the use of advanced technologies such as Ground Penetrating Radar (GPR).
The hearing in the Bhojshala case will continue on Wednesday.
The high court has been regularly hearing four petitions and one writ appeal regarding the religious nature of the Bhojshala temple-Kamal Maula mosque complex since April 6.
