Heat Action Plan

🤖 AI-generated summary of the sources below · 🔎 Last verified

This overview was generated with AI from the public sources listed below and checked against them before publication. It has not had a complete human fact-check — treat it as a starting point and follow the sources.

How this atlas is made · What “last verified” means

After a May 2010 heat wave that peaked at 46.8°C and left an estimated 1,344 excess deaths, Ahmedabad wrote what the peer-reviewed literature calls South Asia's first heat-health action plan. The India Meteorological Department sends the municipal corporation probabilistic maximum-temperature forecasts up to seven days ahead; a forecast of 41–42.9°C triggers a yellow alert, 43–44.9°C an orange one, and 45°C or above a red one. A nodal officer in the AMC health department converts each band into named actions — heat wards and oral rehydration corners in municipal hospitals and urban health centres, staff training, altered work and school hours.

Live 📅 since 2013

📊 Impact

A pre/post evaluation published in 2018 compared 2007–2010 with 2014–2015 and found the all-cause mortality rate ratio at 47°C fell from 2.34 (95% CI 1.98–2.76) before the plan to 1.25 (95% CI 1.02–1.53) after it, estimating 1,190 (95% CI 162–2,218) annualised deaths avoided. The design is ecological: it cannot separate the plan from everything else that changed in those years, and the authors call it a pilot evaluation.

🎓 Lesson

The plan bought almost no sensing. What it built was an addressee — a forecast, a numbered threshold, and one official whose job is to act on it. Cities that buy the measurement and leave the last step unassigned end up with a reading nobody owns.

Sources

↗ Azhar et al., PLOS ONE (peer-reviewed)Carries the 2010 death toll and the peak temperature. Verbatim: '4,462 all-cause deaths occurred, comprising an excess of 1,344 all-cause deaths', 'an estimated 43.1% increase when compared to the reference period', and 'the temperatures reached a high of 46.8°C'. NOTE for future editors: the widely quoted '4,462 deaths' is the total for May 2010, NOT the excess — the excess is 1,344.
↗ Knowlton et al., Int. J. Environ. Res. Public Health (peer-reviewed)Development and implementation of the plan; the paper's own title describes it as 'South Asia's First Heat-Health Action Plan', which is why the entry attributes the superlative to the literature rather than asserting it.
↗ Hess et al., Journal of Environmental and Public Health (peer-reviewed)Carries the alert thresholds and the mortality result. Verbatim: yellow alert 'forecasted Tmax 41–42.9°C', orange '43–44.9°C', red 'forecasted Tmax of 45°C or higher'; 'RR of 2.34 (95% CI 1.98–2.76)' pre-HAP versus 'RR of 1.25 (1.02–1.53)' post-HAP; 'An estimated 1,190 (95%CI 162–2,218) average annualized deaths were avoided in the post-HAP period'. A nodal officer in the city health department coordinates the alerts.
📎 Cite this project

1001 Smart Cities (2026). “Heat Action Plan” — Ahmedabad, India. The Smart City Atlas. https://1001smartcities.org/projects/ahmedabad-heat-action-plan/ (last verified 2026-08-06). Data: CC BY 4.0.

The underlying data is free to reuse with attribution — see the open data page.

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