Migrant workers in the Gulf lack health and safety protection from the region’s extreme summertime heat and humidity now made worse by the climate crisis.
<a href="https://www.nepalitimes.com/editorial/labour-pains">Extreme heat exposure</a> can cause rash, cramps, heat exhaustion, or heat stroke, which can be fatal or have lifelong consequences.
Heat stress is also suspected to be one of the reasons behind what is now termed as ‘<a href="https://archive.nepalitimes.com/article/nation/disproportionate-number-of-deaths-of-Nepali-workers-in-Malaysia,2812">sudden death syndrome</a>’. Outdoor migrant workers mostly from South Asia engaged in construction and agriculture are disproportionately affected.
“Despite substantial scientific evidence on the devastating health impact of exposure to extreme heat, Gulf states’ protection failures are causing millions of migrant workers to face grave risks, including death,” says Michael Page, deputy Middle East director at Human Rights Watch (HRW).
He adds: “Gulf states should prioritise creating a comprehensive strategy to address occupational heat stress, and international organizations that claim to champion international labour rights should speak out about the issue.”
Read also: <a href="https://www.nepalitimes.com/editorial/labour-pains">Labour pains</a>
Between 2021 and 2023, Human Rights Watch interviewed 90 migrant workers from Bangladesh, India, Kenya, and Nepal about heat and health safety issues in Qatar, Saudi Arabia, and the United Arab Emirates (UAE).
Researchers found that workers were unable to sufficiently recuperate from the heat, in part due to a lack of sufficient rest areas, air-conditioned accommodations and water.
Workers were not always allowed to set a safe pace either. These conditions cumulatively often lead to serious consequences, including heat-related deaths.
The average daytime temperatures in the Gulf during summer months often exceeds 40°C with temperatures sometimes climbing to 55°C at over 80% humidity. All Gulf states apply a summer midday work ban that prohibits employers from continuing outdoor work during pre-defined times and months.
Qatar's 2021 legislation goes further, at least on paper, as it prohibits any outdoor work when the Wet Bulb Globe Temperature (WBGT) rises beyond 32.1°C.
<a href="https://www.nepalitimes.com/here-now/north-indian-heat-wave-hits-nepal">Wet bulb temperature</a>, the threshold temperature for what a healthy person can endure for several hours is estimated to be around 30°C and 31°C in warm humid environments.
While enforcement gaps remain, the 2021 Qatari legislation is a positive foundation because the wet-bulb temperature is a more accurate tool for monitoring heat stress risks, states HRW.
Other Gulf countries should adopt similar legislation because midday work bans have failed to protect workers.
“At work [in Qatar], we had to pour out sweat from our shoes,” says one former construction worker. “Our socks and t-shirts would become so soaked that we had to wring them out multiple times a day.”
Multiple studies focusing on heat exposure risks in Gulf states found a strong correlation between heat stress and deaths due to cardiovascular problems and indicated that extremely hot days are associated with higher mortality risk, with migrant workers disproportionately exposed.
<a href="https://oem.bmj.com/content/80/6/347">A study in Kuwait</a> has found a substantial increase in the risk of occupational injuries associated with extremely hot temperatures despite the midday work ban.
<a href="https://www.researchgate.net/publication/333293731_Assessment_of_Heat_Stress_Exposure_among_Construction_Workers_in_the_Hot_Desert_Climate_of_Saudi_Arabia">Another study</a> found that the highest heat intensity for workers in Saudi Arabia was from 9AM to noon, while the ban is in effect between noon and 3PM.
Says a UAE returnee: “While the company never tried to make us work during the summer afternoons, people would still fall ill or faint earlier in the mornings, between 10AM and 12 noon.”
Adds another: “[Even] excluding these three hours… the air is as hot as fire.”
<a href="https://www.nepalitimes.com/opinion/turning-on-the-heat">Climate change</a> has further exacerbated the problem. According to the United Nations Intergovernmental Panel on Climate Change, the Gulf’s ‘extreme wet-bulb temperatures are expected to approach, and possibly exceed, the physiological threshold for human adaptability (35°C).’
Governments have also failed to enforce the inadequate heat protections they have in place. Many workers said their companies violated the rules partially or fully.
“Sometimes the employer made us continue the work [during summer ban hours] secretly. In such cases, we used to deploy some workers to guard if someone from the government or inspection department came,” says another UAE returnee.
Ironically, Gulf countries where migrant workers are exposed to heat stress are the world’s biggest exporters of fossil fuels and are <a href="https://www.nepalitimes.com/latest/oil-rich-gulf-turns-to-renewable-energy">major contributors to climate change</a>. The hotter it gets the more air conditioners are used, and these are powered by fossil-fueled thermal power plants.&nbsp;
“One day I fainted at work,” a worker in Saudi Arabia said. “Colleagues took me to the resting room … and poured water on my head. Within minutes I was conscious. I rested for a while and started working again because my colleagues told me this is very common.”
And yet, workers continue working because the <a href="https://www.nepalitimes.com/banner/migration-not-a-wish-but-necessity-for-nepalis">alternative is no income</a>. Self-pacing and maintaining work-rest schedules are useful heat mitigation strategies but it is nearly impossible under abusive supervisors or in time-bound employment projects.
Meanwhile, deaths not attributed to work-related causes, which exclude adverse health outcomes attributed to heat exposure, are not eligible for compensation under labour laws in the Gulf, and life insurance seldom covers deaths described as ‘acute heart failure due to natural death.’
Says Michael Page: “To knowingly put migrant workers in harm's way without substantial protections from heat is inhumane, and Gulf states need to act with urgency ahead of the scorching summer to address these problems.”

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Gulf workers need protection from heat

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114111152/63721e2f9c7e80680e0bd52fmp4.mp4" title="" alt=""/><figcaption>Source: TROPICAL TIDBITS.COM</figcaption></figure><figure><img width="1469" height="800" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114111152/63721e2f9c7e80680e0bd530jpeg.jpg" alt=""><figcaption>Source: SCOTT DUNCAN</figcaption></figure>This spring, northern India saw the hottest March since records started being kept 120 years ago, and this week people in the Indo-Gangetic plains are bracing themselves for maximum temperature to hit 50°C. All this hot air is also affecting next-door Nepal.After sweltering through record March heat, Kathmandu’s average temperature this week was at a 53-year record. Dharan registered 35.7°C in mid-March, another record. People in Nepal’s Tarai are used to heat waves, but not in March and April. All this makes Kim Stanley Robinson’s 2020 climate fiction <a href="https://www.amazon.com/Ministry-Future-Kim-Stanley-Robinson/dp/0316300136" target="_blank" rel="noopener noreferrer">The Ministry for the Future</a> prophetic. It starts with a town in northern India as it faces a deadly heat wave that kills most of its 200,000 inhabitants in a week. The facts of climate change induced heat stress are imitating fiction, and a dystopian narrative is becoming our new reality. “Heat, temperature and moisture combined will be the killers in South Asia, and if there is anything that will genuinely force people to respond to the climate crisis it is frequent heat waves, because unlike other episodic extreme events it is widespread and will impact everybody,” Ajaya Dixit of the Institute for Social and Environmental Transition (ISET) Nepal told us from New Delhi where the maximum temperature was 44°C on Tuesday. <figure><img width="1500" height="636" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114111152/63721e329c7e80680e0bd531jpeg.jpg" alt=""><figcaption>Graphs: BINOD POKHAREL, Data: DHM</figcaption></figure>A recent study from 2000-2019 found that over 5 million people around the world died each year in that time due to extreme temperatures, with some 2.6 million in Asia – with most of the fatalities in South Asia. <a href="https://www.nepalitimes.com/opinion/turning-on-the-heat/" target="_blank" rel="noopener noreferrer">Heatwaves</a> in 2010 killed more than 1,300 people from dehydration and stroke in Ahmedabad alone. Another severe heatwave in June 2015 during which the mercury hit 49.4°C caused the deaths of 2,500 people in northern India and 2,000 people across the border in Pakistan.Another heatwave in India and Pakistan in 2019 was the hottest and longest since the British started keeping temperature records, with the maximum at 50.8°C in Rajasthan. A similar but slightly less intensive heatwave in Europe in 2003 killed between 35,000-70,000 people.The World Health Organisation (WHO) Climate and Health country profile for Nepal predicts that under a <a href="https://www.nepalitimes.com/latest/nepal-doubles-its-carbon-footprint/" target="_blank" rel="noopener noreferrer">high carbon emission</a> scenario, heat-related deaths in people above 65 years are projected to increase to about 53 deaths per 100,000 by 2080 compared to the estimated baseline of approximately 4 deaths per 100,000 annually. <figure><img width="1222" height="735" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114111152/63721e359c7e80680e0bd532jpeg.jpg" alt=""><figcaption></figcaption></figure>While dry heat is still bearable because the body cools with perspiration, it is humid heat that is more lethal. And climate change is not just making the world hotter, but also wetter. For every 1°C rise in temperature, there is 7% more moisture in the atmosphere.This is called ‘<a href="https://www.nepalitimes.com/banner/the-heat-is-killing-us/" target="_blank" rel="noopener noreferrer">wet-bulb temperature</a>’ that measures both ambient air temperature and humidity level to determine how hot it actually feels. For example, if it is 30°C with high humidity, it will feel much warmer. A wet-bulb temperature of 35°C is considered the maximum limit of heat and humidity that humans can handle. Beyond that, the body can no longer effectively cool itself via perspiration. A couple of hours of exposure to this without artificial cooling will mean that people will start dying of heatstroke and dehydration, with children and the elderly being the most at risk.“The climate crisis in the Himalaya is <a href="https://www.nepalitimes.com/editorial/women-and-water/" target="_blank" rel="noopener noreferrer">the water crisis</a>. Heat stress is manageable as long as there is access to water, but that is not the case for the poorest in the Tarai,” says climate scientist Binod Pokharel. “Luckily, this week’s heat wave is mostly dry heat with lower humidity.”The rain that is forecast for Nepal from Thursday will cool things down, but it will also increase the humidity.  <figure><img width="1500" height="527" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114111152/63721e389c7e80680e0bd533jpeg.jpg" alt=""><figcaption></figcaption></figure>The other factor making heatwaves more intense are densely populated cities of vehicle exhaust, concrete and asphalt which form what are called ‘<a href="https://www.nepalitimes.com/opinion/preparing-for-kathmandus-heat-waves/" target="_blank" rel="noopener noreferrer">urban heat islands</a>’.  Ironically, the air conditioners city dwellers use to cool themselves indoors, is making it hotter still outside. There is a significant temperature gradient between the outskirts and Kathmandu’s city centre even in winter, which means the Valley does not have its characteristic winter fog anymore. On any given day, there is a temperature difference of 1.5°C  between Chobhar and Teku, even though the two places are only 3km apart.As more and more <a href="https://www.nepalitimes.com/here-now/kathmandu-loses-its-open-spaces/" target="_blank" rel="noopener noreferrer">open spaces</a> are built over and the greenery disappears, Kathmandu’s ‘heat bubble’ is going to get bigger. Warns Dixit: “The fast pace of urbanisation in South Asia is a serious threat and we are a witness to an unfolding disaster. Business as usual means higher cost of response, both financially and institutionally.”  <figure><img width="1500" height="568" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114111152/63721e3a9c7e80680e0bd534jpeg.jpg" alt=""><figcaption>Photographic evidence of ice loss in Mt Everest, taken in 1921 and 2007 by George Mallory and David Breashers respectively.</figcaption></figure>He says the only solution is to start designing climate smart cities that restore open spaces and <a href="https://www.nepalitimes.com/banner/building-back-better-and-stronger-with-bamboo/" target="_blank" rel="noopener noreferrer">building houses with insulating material</a> and use or block sunlight, reducing the need for energy-intensive heating or cooling.The impact of increased heat in the Tarai, city centres and now even in the high Himalayan valleys is not limited to public health but will have consequences for agriculture, energy generation, <a href="https://www.nepalitimes.com/banner/nepal-must-prepare-for-climate-migration/" target="_blank" rel="noopener noreferrer">migration</a> and the glaciers.The hot and dry conditions this week have already fanned wildfires across the Indian Himalaya and in western Nepal. Although not as <a href="https://www.nepalitimes.com/banner/wildfires-ravage-nepal-mountains/" target="_blank" rel="noopener noreferrer">bad as last year</a>, Kathmandu has been shrouded in smoke haze for more than a month.  <figure><img width="1118" height="531" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221114111152/63721e3d9c7e80680e0bd535jpeg.jpg" alt=""><figcaption>Open spaces have been replaced with concrete jungle in Kathandu. Photo: AMIT MACHAMASI</figcaption></figure>Having a good <a href="https://www.nepalitimes.com/here-now/nepal-needs-weather-stations-in-the-himalaya/" target="_blank" rel="noopener noreferrer">forecasting system</a> in place will help with preparedness, and save lives. But Nepal does not yet have its own standards to determine heat or cold waves, and relying only on the World Meteorological Organisation has limitations when it comes to localised projections.“Nepal needs to study its historical heat and cold waves and come up with its own standards and adjust it for the changing climate for better forecasting and preparedness at local levels,” says Pokharel. The Department of Hydrology and Meteorology (DHM) in Kathmandu is monitoring the heat wave this week, and despite projections of higher solar intensity <a href="https://www.nepalitimes.com/banner/how-weather-elevates-air-pollution-in-kathmandu/" target="_blank" rel="noopener noreferrer">the smoke haze</a> has also been filtering the sunlight, lowering the maximum temperature slightly. “The heat wave conditions in the Indian plains this week is affecting us, and we expect more and more extreme heat events and anomalies made worse by the climate crisis,” says Archana Shrestha at the DHM.She adds, “Average temperatures will continue to rise and we have no other recourse than to be prepared. This means we have to rethink our <a href="https://www.nepalitimes.com/opinion/cars-vs-people-in-kathmandu/" target="_blank" rel="noopener noreferrer">development pathways</a>, I’m genuinely worried about how concrete structures are coming, this is turning our cities into hot spots. We must prepare this and future generations for even hotter summers. This means the the health, finance, agriculture ministries should all be prepared, not just the environment ministry.”

North Indian heat wave hits Nepal

<figure><img width="3600" height="2400" src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221109101156/636b7a0f9c7e80680e06473bjpeg.jpg" alt=""/><figcaption>Photo: RSS</figcaption></figure>Nepal’s <a href="https://www.nepalitimes.com/banner/nepal-goes-into-lockdown-for-a-week/" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/banner/nepal-goes-into-lockdown-for-a-week/&amp;source=gmail&amp;ust=1585288027108000&amp;usg=AFQjCNGBOO6fdVYDFD5e3Wnptm9tyX6YWA">one week lockdown</a> is supposed to go on till 31 March, but that appears to be an attempt by the government to convey the bad news to the public in small doses. It is likely to be extended at least till the Nepali New Year on 13 April, to match the duration of the Indian curfew.Such a prolonged shutdown forces us to look beyond the present need for containment to plan for the crises that are sure to manifest themselves in the near future — food shortages, economic hardship, social unrest and political instability. The virus and its response have exposed and exacerbated existing socio-economic inequities in Nepali society, exclusion and injustice. A post this week by an Indian doctor about the class dimension of physical distancing is as applicable to Nepal: ‘Social distancing is a privilege. It means you live in a house large enough to practise it. Hand washing is a privilege too. It means you have access to running water. Hand sanitisers are a privilege. It means you have money to buy them. Lockdowns are a privilege. It means you can afford to be at home. A disease spread by the rich as they flew around the globe will now kill millions of the poor.’ As has been underlined by Nepal’s civil society, a caring government will not just lock down the whole country to defeat the virus, but also lay down a <a href="https://www.nepalitimes.com/opinion/nepal-locked-down-now-what/" target="_blank" rel="noopener">social safety net for those most affected by the economic standstill</a>  Businesses and factories may need a stimulus package so jobs are not lost, but it is those who depend on day-to-day earnings who need urgent assistance. Developing countries are not known for efficient service delivery and good governance at the best of times. But this crisis demands that they step up to the challenge of quickly finding a mechanism to rescue the most vulnerable with cash grants if necessary.Even Europe and North America have been caught unprepared to deal with the scope and spread of this pandemic. It is now the urban poor in the Global South where new COVID-19 infection clusters will hit hardest, exposing pre-existing disparities in access to medical care and food.The global nature of this pandemic has hit Nepal’s economy hard because of our overwhelming reliance on foreign worker remittances and tourism. Many <a href="https://www.nepalitimes.com/latest/nepalis-quarantined-in-qatar/" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/latest/nepalis-quarantined-in-qatar/&amp;source=gmail&amp;ust=1585288027108000&amp;usg=AFQjCNF2C1eR8lFlajr8lavY2n7GELTl2A">Nepali workers are stranded</a> in Malaysia, the Gulf, or in Indian cities, and need to be rescued, Citizens cannot be prevented from entering their own country. With the curfew likely to be extended by two more weeks at least, the High-level Task Force must now turn its attention to ensuring adequate supply of food and other essentials. Kathmandu cannot micromanage all ground level problems, local governments must be given the authority and the resources to act. Medical care workers need <a href="https://www.nepalitimes.com/here-now/protecting-those-who-protect-us-from-the-epidemic/" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/here-now/protecting-those-who-protect-us-from-the-epidemic/&amp;source=gmail&amp;ust=1585288027108000&amp;usg=AFQjCNFWbAJJAHz83hStB-54Mp8vYHLKCg">personal protective equipment (PPE),</a> we need more ventilators and isolation wards so that they do not have to risk their lives while saving the lives of the sick.It is just four days into the curfew, and for a lot of people it is finally sinking in that the world as we knew it has been turned upside down. One-third of the world’s population is in lockdown, the global economy is shattered, and even though the virus afflicts rich and poor alike, it is the poorest in the poor countries who are most vulnerable to the economic aftershocks of the pandemic.It feels like a nightmare, and it is hard to remember the pre-Corona days when all we had to worry about was <a href="https://www.nepalitimes.com/here-now/the-climate-connection-to-covid-19/" data-saferedirecturl="https://www.google.com/url?q=https://www.nepalitimes.com/here-now/the-climate-connection-to-covid-19/&amp;source=gmail&amp;ust=1585288027108000&amp;usg=AFQjCNHViUDV7mR5rozFrP3sY7BaScggMw">climate change</a>. Maybe one day when this virus is vanquished, there will be a new way of thinking and living. Let us hope that we mitigate the cause of the climate emergency with the same global resolve as we did this crisis. The projected number of deaths just from heat stress due to global heating in the next decades is going to run into tens of millions. The COVID-19 lockdowns confine people to their homes, but as sea levels rise many will not have homes. And the climate crisis itself will unleash new kinds of pestilence.   And just like with the climate, there are countries which are still in denial about the pandemic, or leaders who have acted too late and let their citizens pay the price with their lives. A teleconference of G-7 foreign ministers was deadlocked on Wednesday over the United States passing all the blame of the pandemic on China. Yet, we have also seen unprecedented international resolve. The World Health Organisation has coordinated national responses so that most countries are in shutdown at least till mid-April. It now needs to pay special attention to poorer countries, and the poorest who live in them.		
			<h2>10 years ago this week</h2>		
		10 years ago this week <a href="http://archive.nepalitimes.com/issue/495" data-saferedirecturl="https://www.google.com/url?q=http://archive.nepalitimes.com/issue/495&amp;source=gmail&amp;ust=1585288027108000&amp;usg=AFQjCNGV3NKmG6nDjGkiiV6bNiEWgJDYqQ">Nepali Times #495 of 26 March-1 April 2010</a> examined the fallout of the death of Nepali Congress leader and Prime Minister Girija Prasad Koirala who was responsible for bringing a dramatic political shift in Nepal was often termed as a ‘National Guardian’. An excerpt: Throughout the last week, the media has been abuzz with the passing of former prime minister and president of the Nepali Congress. The weight of commentary has now shifted from the late Koirala’s achievements and failings to the political vacuum that has been created at this critical juncture in Nepali politics.               But it is not just about who is going to succeed to the NC presidency: Sher Bahadur Deuba, Ram Chandra Paudel or Sushil Koirala.

Lockdown Fallout

<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/2022110814110/636a52e69c7e80680e05231fjpeg.jpg" alt="" width="1826" height="507"/><figcaption>Lhotse glacier, Chukung village to the far left. Photo: ALTON C BYERS</figcaption></figure>Most of the recent talk within the UN Framework Convention on Climate Change (UNFCCC) process and elsewhere has focused on <a href="https://www.nepalitimes.com/opinion/decarbonise-now/" target="_blank" rel="noopener">cutting greenhouse gas emissions</a> to reduce the impact of <a href="https://www.nepalitimes.com/banner/weather-warning-for-climate-meeting/" target="_blank" rel="noopener">climate change</a>.<a href="https://www.nepalitimes.com/here-now/from-playing-victim-to-proactive-leadership-on-climate/" target="_blank" rel="noopener">Mitigation</a> was the buzzword, and any mention of adaptation was avoided because for some it meant accepting defeat. But today, driven largely by the concerns of developing countries, which bear the brunt of the climate emergency, adaptation is the key issue. But since adapting to <a href="https://www.nepalitimes.com/editorial/climate-damage/" target="_blank" rel="noopener">climate change is so closely linked with issues of power, governance and politics</a>, it is not well understood. Successfully adapting to climate change is often based on how individuals, households and communities switch and improve livelihoods.Given Nepal’s geographical, climate and ecosystem diversity from plains to mountains, the question is: what do people actually adapt to? Is it <a href="https://www.nepalitimes.com/opinion/turning-on-the-heat/" target="_blank" rel="noopener">rising temperatures and heat</a>, erratic rains, droughts, <a href="https://www.nepalitimes.com/editorial/flood-of-recrimination/">floods</a>, forest fires or increased rates of diseases?Read also: <a href="https://www.nepalitimes.com/banner/living-below-nepals-melting-mountains/" target="_blank" rel="noopener">Living below Nepal's melting mountains</a>, Alton C Byers <a href="https://www.nepalitimes.com/opinion/look-whats-cooking-in-nepal/" target="_blank" rel="noopener">Look what's cooking in Nepal</a>, Anil ChitrakarFamilies in <a href="https://www.nepalitimes.com/banner/a-terrifying-assessment-of-himalayan-melting/" target="_blank" rel="noopener">high mountain valleys</a> may not have to worry about floods, but are affected when roads are blocked, severing access to markets. Those in the mid-mountains may be badly impacted by landslides, <a href="https://www.nepalitimes.com/opinion/nepals-silent-emergency-springs-going-dry/" target="_blank" rel="noopener">drying springs</a>, or declining agriculture production due to droughts.An adaptation strategy that works in an isolated mountain settlement will not work in Kathmandu. Though <a href="https://www.nepalitimes.com/editorial/climate-climax/" target="_blank" rel="noopener">climate change</a> is a global problem, its impacts are very local and different. National-level attempts to adapt will thus be unsuccessful, yet global conversations and the resultant aid flows continue to ignore sub-national differences.In 2001, the UNFCCC established a program for least developed countries that included financial and technical support to prepare National Adaptation Plans of Action (NAPA) to meet ‘immediate and urgent’ adaptation needs. Today the conversation has moved to National Adaptation Plans (NAP) that focus on integrating climate risks into development planning and implementation.Nepal was late in preparing its NAPA, which turned out to be a temporary blessing in disguise. Using additional donor funding, the Ministry of Science Technology and Environment prepared a NAPA 'Plus' in 2009, which included a more consultative process to capture local nuances. In 2011, Nepal formulated a LAPA framework and also promulgated a climate policy stipulating that 80% of resources earmarked for the climate crisis would be allocated to local levels.Donor support was available and the country implemented LAPA programs in a few selected regions. But we still don’t know if the resources were really spent in rural areas, or if they made any difference.There are three major challenges for successful adaptation to <a href="https://www.nepalitimes.com/banner/on-thin-ice-in-the-khumbu/" target="_blank" rel="noopener">climate impacts</a>. First is attribution: a localised weather event cannot be directly linked to climate change. Second relates to how people and institutions respond to new climate shocks, usually by <a href="https://www.nepalitimes.com/banner/living-below-nepals-melting-mountains/" target="_blank" rel="noopener">local people meeting local needs</a>.Finally, individual adaptation strategies are most successful and enduring when people have access to drinking water, <a href="https://www.nepalitimes.com/opinion/look-whats-cooking-in-nepal/" target="_blank" rel="noopener">clean energy</a>, information, finances and alternative sources of income, as well as the right to organise, express their voices and access political outlets.Given the rapid spread of the climate emergency, it is clear that existing project-based efforts cannot add up at scale. Our current understanding of adaptation offers very little by way of solutions for the scale of transformative shifts necessary now and into the future for Nepal and elsewhere. Based on the polluter pays principle, the developed world should indeed bear the cost of adaptation in developing countries to make up for historical emissions. But when our springs dry up, having more money may not be of much help.Even without climate change, Nepal faced challenges managing disasters and development. The climate emergency is a <a href="https://www.nepalitimes.com/opinion/life-in-the-time-of-tornadoes/" target="_blank" rel="noopener">threat multiplier</a> that will seriously strain our socio-economic, political and ecological futures.Ajaya Dixit is Executive Director of Kathmandu based ISET-Nepal. His monthly column Climate for Change deals with the impact of global warming in Nepal.

The climate threat multiplier

https://youtu.be/rWChxjpei0AAn increasing number of Nepali workers in the Persian Gulf and Malaysia are dying of heat stress, and experts warn that the fatality rate could go up as the <a href="https://www.nepalitimes.com/editorial/act-globally-think-locally/" target="_blank" rel="noopener">global average temperature</a> rises in coming decades.<a href="https://www.karger.com/Article/Pdf/500853" target="_blank" rel="noopener">A recent study</a> published in the journal <a href="https://www.karger.com/Article/Abstract/500853" target="_blank" rel="noopener">Cardiology</a> presents a strong correlation between average monthly afternoon heat levels and mortality among Nepali workers in Qatar. Of the total fatalities due to cardiovascular disease (CVD) among Nepalis, 58% occurred during the summer months and 22% in winter, mostly caused by heat stress. This is much higher than the global average of 15% of total deaths in the 25-35 age group being due to CVD.Read also: <a href="https://www.nepalitimes.com/?p=30850&amp;preview=true" target="_blank" rel="noopener">His last journey home to Nepal</a>, Shankar Dahal‘There was a strong correlation between average monthly afternoon heat levels and cardiovascular disease mortality. It is likely that a large proportion of these CVD deaths during hot months were due to serious heat stroke,’ the report states.Nepali climate expert Ngamindra Dahal agrees: “<a href="https://nepalitimes.atavist.com/nepalis-killed-in-the-line-of-duty" target="_blank" rel="noopener">Deaths of Nepali migrant workers</a> in the Gulf due to excessive heat is not new, but the climate crisis has made working conditions outdoors hotter and more humid.”Read also: <a href="https://www.nepalitimes.com/?p=30810&amp;preview=true" target="_blank" rel="noopener">LABOUR PAINS</a>, Editorial<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52419c7e80680e0522e4jpeg.jpg" alt="" width="1400" height="778"/><figcaption>HEAT AND STRESS: Bishnu KC’s brother-in-law Keshar Khatri in his home village of Okharkot in Piuthan district preparing the cremation by the Jhimruk recently. KC died of heat stroke while working in Qatar. Pic: SHANKAR DAHAL</figcaption></figure>A <a href="https://www.nature.com/articles/nclimate2833" target="_blank" rel="noopener">study of high-resolution climate models</a> published in the journal Nature Climate Change projected that much of the Gulf region will be uninhabitable before the end of the century. The Persian Gulf is the fastest warming sea on the planet due to its shallowness, a process that is increasing humidity, making the mugginess worse.Ironically, the part of the world that is exporting most fossil-fuel energy will now feel the brunt of the greenhouse warming caused by carbon emissions.Climate simulations show that by 2090 average ‘wet bulb temperature’ – a combination of temperature and humidity – in cities like Dubai and Doha will exceed the threshold of human adaptability of 35°C, the temperature beyond which the human body is unable to survive more six hours at 70% humidity.A recent <a href="https://insideclimatenews.org/news/23072019/military-heat-death-illness-climate-change-risk-security-global-warming-benning-bragg-chaffee" target="_blank" rel="noopener">investigative report</a> by Inside Climate News and NBC News showed that at least 17 US soldiers have died of heat exposure during exercises at US military bases since 2008.Many Nepali migrant workers in the Gulf are exposed to similar conditions since they work in construction, which requires them to be outdoors all day. Many of them are not properly briefed about the dangers of dehydration, and at the end of the work day return to chilly air-conditioned rooms.Read also: <a href="http://archive.nepalitimes.com/article/nation/disproportionate-number-of-deaths-of-Nepali-workers-in-Malaysia,2812" target="_blank" rel="noopener">Dying to work in Malaysia,</a> Sonia AwaleBishnu KC from Okharkot village in Piuthan went to work in the Gulf 10 months ago. He often told his sister back home how difficult it was to work on the high scaffolding in the heat. KC came home in a coffin recently, just another of the 7,000 Nepalis who have died working overseas in the past 10 years. Others return with kidney problems, and need dialysis or transplants.Says Dahal: “This problem is going to get worse. Pre-departure orientation for workers should emphasise how to cope with heat stress, and the importance of keeping hydrated.”<h2>Dignity in life and death</h2><figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52459c7e80680e0522e5jpeg.jpg" alt="" width="1400" height="990"><figcaption> </figcaption></figure>Appalled by the sloppy <a href="https://nepalitimes.atavist.com/home-they-bring-the-workers-dead" target="_blank" rel="noopener">treatment of dead overseas workers</a>, Nepali activists petitioned the Supreme Court two years ago to demand autopsies to determine cause of death, and to provide a more dignified return home at Kathmandu airport.The NGOs, <a href="https://pourakhi.org.np/home/" target="_blank" rel="noopener">Pourakhi Nepal</a> and Law and Policy Forum for Social Justice, filed the public interest litigation writ demanding the right of migrant workers to a post-mortem and more respectful handover of bodies in a separate section at the airport. They won the case, but implementing agencies have been slow to act.“We are heavily <a href="https://www.nepalitimes.com/editorial/remit-for-remittances/" target="_blank" rel="noopener">dependent on remittance</a> from <a href="https://www.nepalitimes.com/banner/paying-an-arm-and-a-leg/">migrant workers</a> but where is our respect for the individuals who make it happen?” asks Manju Gurung of Pourakhi Nepal. “We do not care for their working conditions, we mistreat them and we do not even respect them after they have died. The cause of death goes uninvestigated and their bodies are unmanaged.”Activists claim that doctors in the destination countries are aware of the actual causes of the majority of these fatalities, but are often bribed by employers to pass them off as ‘natural deaths’.In addition, many workplaces do not meet even the most basic standards of safety and minimum working conditions, they say, which often leads to occupational hazards that can result in death. If the real cause of death is revealed, employers are liable to pay hefty compensation and hence to try and cover up the true causes. Most deaths are described as ‘heart failure’, ‘natural’, or ‘cardio-vascular disease’.<figure><img src="https://superdesk-pro-c.s3.amazonaws.com/sd-nepalitimes/20221108131156/636a52489c7e80680e0522e6jpeg.jpg" alt="" width="1250" height="417"><figcaption> </figcaption></figure>Rising average temperatures in the Gulf region due to climate change have also increased the incidence of heat stress among those who have to work outdoors. Experts say many of the deaths of Nepali workers are due to heart failure cause by heat and overwork.Apart from the daily average 2-3 migrant workers who arrive at Kathmandu airport in coffins, many others remain in morgues in the Gulf and Malaysia. Some are workers who ran away from their first employers after being dissatisfied with their pay and working conditions. Under the kafala system, they lacked passports and became undocumented workers. Without legal documents to verify their identity, the bodies have not made it back home. No one has an exact figure of such cases.Lately, the Foreign Employment Board has updated its mandatory pre-departure orientation for migrant workers, making them more country-specific and relevant. They now include information on legal issues, working conditions and pay, cultural sensitivities and heat stress and the need to keep hydrated.Gurung blames a lack of political will for the continued apathy, because it is ordinary citizens who are affected.  She adds: “It is the poorest who suffer, so it is not a <a href="https://www.nepalitimes.com/editorial/bargaining-power/" target="_blank" rel="noopener">priority for the government</a> and our embassies in destination countries. Workers should be cared for, even after death.”

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