A 43-year-old female social worker, Nilofar (name changed), who lives in a slum settlement of Bhopal,  has consistently faced hardship every summer for the last 16 years. The temperature increases yearly, and her home is not built to withstand it.  The impact of this heat on her life is severe. 

"I experience a lot of anxiety during the rising heat," says Nilofar, "I need to sleep on the terrace because the inside of our house gets suffocating. A few years back, sprinkling water on the terrace used to cool down the house enough to sleep, but that has stopped working. The terrace has its issues, like mosquitoes and insects," she sighs. 

Nilofar feels that her productivity decreases significantly during summer and worries that it may cost her her job. "I sometimes miss out on my work due to the heat. My work involves a lot of travel, and doing that after not having rested the night before is terrible. I develop headaches, which worsen when I travel some of the longer routes." 

Another 43-year-old  vegetable vendor, Raj (name changed), describes how he copes with the extreme heat: "There's just a small window in my shop for airflow, and with such limited space, it gets tough. I cover my head with a handkerchief to manage the heat, and on the tin roof, I spread old jute sacks and sprinkle water over them to try and cool down the inside of the shop."

These experiences from Bhopal reflect a broader pattern seen across urban poor settlements in India. Despite being situated in the middle of the capital city of Madhya Pradesh, the condition of these settlements is still subpar. No regular water supply, inadequate waste management practices, and rising temperatures in these areas cause health impacts, which translate into socioeconomic burdens and deleterious health effects.

Heat vulnerability framework

In the context of climate change, vulnerability refers to how likely a population or system is to be negatively affected by environmental stressors. This concept, widely used across public health, climate science, and disaster studies, is shaped by resource limitations and socioeconomic disadvantages.

As such, it is a well-known fact that rising heat disproportionately affects marginalized populations with socioeconomic disadvantages. But there is a need to clearly define the problem and study the main components that increase a population's vulnerability to heat. This will then allow us to identify the populations at risk and devise tactics to mitigate them.

The 'Heat Vulnerability Framework' is a concept that helps in this analysis. It comprises three elements: Exposure, Sensitivity, and Adaptive Capacity. Exposure is the degree of physical contact with heat amplified by poor urban infrastructure, like tin roofs and a lack of ventilation.