Pakistan’s climate defences under scrutiny amid Lancet warning

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Expert criticises Pakistan’s approach to disaster management, says preparations usually begin after disasters strike. —AFP
Expert criticises Pakistan’s approach to disaster management, says preparations usually begin after disasters strike. —AFP

• Ex-health officials slam country’s ‘too little, too late’ disaster response; demand climate-proof hospitals, early warnings, heat action plans
• Study calls for climate change to be declared global health emergency
• Heat-related deaths rise 36pc since Paris accord; economic losses estimated at over $1tr

ISLAMABAD: Health and environmental experts in Pakistan have called for urgent measures to address growing climate-related health risks after a Lancet report warned that rising heat-related deaths, floods, droughts and economic losses are outpacing global efforts to combat climate change.

The 2026 Lancet Countdown report, launched at the British Library in London, called for climate change to be recognised as a “global health emergency”, warning that climate-related health risks continue to worsen a decade after the Paris Agreement.

The report found that average annual heat-related deaths worldwide have risen 36 per cent since the Paris Agreement. In 2023, heat was linked to a record 710,000 deaths, with more than 70pc attributed to human-caused climate change. Meanwhile, heat-related economic losses reached an estimated $1.07 trillion in 2025.

Former Punjab health minister Professor Dr Javed Akram told Dawn that the warning was particularly urgent for Pakistan, where the devastating 2022 floods displaced communities, damaged health care infrastructure, disrupted access to essential medicines and increased the risk of waterborne diseases and malnutrition.

“Extreme heat further threatens vulnerable populations, particularly children, older adults, outdoor workers and people living with chronic illnesses,” he said.

Mr Akram criticised Pakistan’s disaster management approach, saying policies had historically been reactive rather than proactive, with preparations beginning only after disasters strike.

“Pakistan must strengthen heat-health action plans, establish effective early-warning systems, climate-proof hospitals, improve disease surveillance, and expand access to safe water and sanitation,” he said.

He urged federal and provincial governments to allocate dedicated funding for climate-resilient health care and called on international partners to provide predictable, grant-based climate finance.

Former special assistant to the prime minister on health Dr Zafar Mirza also warned that climate change had become a growing public health emergency in Pakistan.

“Extreme heat, flash floods, cloud bursts and worsening air quality cause illness and death, while disrupting healthcare, contaminating water, undermining nutrition and deepening poverty and psychological distress,” he told Dawn.

Dr Mirza said Pakistan needed climate-resilient health facilities, stronger disease surveillance, early-warning systems and coordinated action across health, climate, water, energy and finance.

Dr Muhammad Irfan Khan, professor of environmental science and former dean at International Islamic University, expressed concern that Lancet Countdown’s launch statement did not mention Pakistan despite its exposure to climate-related disasters. “Pakistan’s experience should inform global priorities, research and investment,” he said, citing Germanwatch’s Climate Risk Index 2025, which ranked Pakistan as the country most affected by extreme weather in 2022.

He urged international institutions to give greater visibility to vulnerable countries and ensure affected communities help shape climate responses.

Published in Dawn, October 30th, 2026

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