A new study published in Environment International has uncovered the dangerous synergy between air pollution and extreme heat in India, highlighting their combined impact on daily mortality rates. Conducted by a global team of researchers, the study analyzed data from ten major Indian cities between 2008 and 2019, revealing that the combination of high levels of particulate matter (PM2.5) and extreme temperatures significantly increases the risk of death. The findings underscore the urgent need for policies targeting both air pollution and climate change to protect public health.
Key Findings: Pollution and Heat Amplify Mortality Risk

The study focused on PM2.5 (particulate matter with a diameter of less than 2.5 micrometers) and daily temperature levels, using advanced spatiotemporal models to estimate exposure levels across cities like Delhi, Mumbai, Kolkata, and Bangalore. Researchers identified approximately 3.6 million deaths during the study period and found that mortality rates increased dramatically when high air pollution coincided with extreme heat.
Heat Exacerbates Pollution’s Impact: The study revealed that the effect of PM2.5 on mortality became stronger at higher temperatures. For example, at the 99th percentile of temperature (extreme heat), a 10 μg/m³ increase in PM2.5 was associated with a 4.6% rise in mortality, compared to just 0.8% at lower temperatures.
Combined Effect is Deadly: When PM2.5 concentrations reached 100 μg/m³ during extreme heat conditions, the risk of daily mortality surged by a staggering 63.9%.
Heat Alone is Dangerous: Even without high pollution levels, an increase in temperature from the 75th to the 99th percentile led to a 22% rise in daily mortality risk.
These results highlight how air pollution and heat amplify each other’s effects, creating a deadly combination that disproportionately impacts vulnerable populations.
Why This Study Matters
India faces some of the highest levels of air pollution and extreme heat globally, making this research particularly relevant. According to previous studies, particulate matter air pollution is already one of the leading contributors to the global burden of disease, while extreme heat is responsible for significant weather-related deaths worldwide. However, this study is one of the first to quantify their combined impact on mortality in India—a country where these environmental extremes frequently overlap.
The findings are crucial for several reasons:
1. Public Health Implications: Understanding how air pollution and heat interact provides valuable insights for healthcare professionals and policymakers working to mitigate their combined effects.
2. Policy Guidance: The study emphasizes the need for integrated strategies that address both climate change and air pollution simultaneously. Reducing fossil fuel combustion—a major source of both greenhouse gases and particulate matter—could deliver dual benefits by lowering pollution levels and mitigating global warming.
3. Protecting Vulnerable Populations: The research highlights the disproportionate impact on low-income communities who often live in areas with poor air quality and limited access to cooling systems during heatwaves.
How Was This Study Conducted?
The researchers collected daily mortality data from municipal records across ten Indian cities representing diverse climate zones—from arid regions like Ahmedabad to tropical monsoon areas like Chennai. Using machine learning models, they estimated daily PM2.5 concentrations and temperature levels at high spatial resolution (1 km x 1 km grids). Statistical analyses were then performed to assess how these exposures influenced mortality rates.
The study employed cutting-edge methods such as generalized additive Poisson regression models to evaluate city-specific associations between air pollution, heat, and mortality. A meta-analysis was conducted to combine results across cities, providing robust evidence of the synergistic effects between these environmental stressors.
Call to Action: Addressing Dual Threats
The study’s findings underscore the urgent need for coordinated action against air pollution and climate change:
1. Reduce Fossil Fuel Use: Transitioning to cleaner energy sources can simultaneously lower greenhouse gas emissions and particulate matter levels.
2. Improve Urban Planning: Cities should implement measures like increasing green spaces, improving ventilation in buildings, and developing cooling centers to protect residents during heatwaves.
3. Strengthen Monitoring Systems: Expanding air quality monitoring networks can help identify high-risk areas where interventions are most needed.
4. Raise Awareness: Public education campaigns can inform citizens about the health risks associated with air pollution and extreme heat while promoting protective behaviors.
Looking Ahead
As India continues to experience rapid urbanization and rising temperatures due to climate change, addressing the dual threats of air pollution and extreme heat will be critical for safeguarding public health. This study provides compelling evidence that tackling these issues together—not separately—will yield far greater benefits.
By adopting integrated policies that reduce emissions while adapting to climate extremes, India can protect its citizens from the deadly consequences of environmental stressors while contributing to global efforts against climate change.
In conclusion, this research serves as a wake-up call for governments, businesses, and individuals alike. The time to act is now—before the combined effects of air pollution and heat claim even more lives in one of the world’s most vulnerable regions.