{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,11,1]],"date-time":"2026-11-01T02:55:38Z","timestamp":1793501738559,"version":"4.5.0"},"reference-count":87,"publisher":"Oxford University Press (OUP)","issue":"10","license":[{"start":{"date-parts":[[2024,8,26]],"date-time":"2024-08-26T00:00:00Z","timestamp":1724630400000},"content-version":"vor","delay-in-days":2,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"name":"Joint South Africa and Swiss Chair in Global Environmental Health"},{"name":"Marie Sklodowska-Curie grant through the SSPH+ Global PhD Fellowship Programme in Public Health Sciences (GlobalP3HS) of the Swiss School of Public Health","award":["801076"],"award-info":[{"award-number":["801076"]}]},{"name":"Joint South Africa and Swiss Chair in Global Environmental Health"},{"name":"Marie Sklodowska-Curie grant through the SSPH+ Global PhD Fellowship Programme in Public Health Sciences (GlobalP3HS) of the Swiss School of Public Health","award":["801076"],"award-info":[{"award-number":["801076"]}]}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":[],"published-print":{"date-parts":[[2024,11,14]]},"abstract":"<jats:title>Abstract<\/jats:title>\n               <jats:p>There is growing evidence that climate change adversely affects human health. Multiple diseases are sensitive to climate change, including cardiovascular diseases (CVDs), which are also the leading cause of death globally. Countries such as India face a compounded challenge, with a growing burden of CVDs and a high vulnerability to climate change, requiring a co-ordinated, multi-sectoral response. In this framework synthesis, we analysed whether and how CVDs are addressed with respect to climate change in the Indian policy space. We identified 10 relevant national-level policies, which were analysed using the framework method. Our analytical framework consisted of four themes: (1) political commitment; (2) health information systems; (3) capacity building; and (4) cross-sectoral actions. Additionally, we analysed a subset of these policies and 29 state-level climate change and health action plans using content analysis to identify health priorities. Our analyses revealed a political commitment in addressing the health impacts of climate change; however, CVDs were poorly contextualized with most of the efforts focusing on vector-borne and other communicable diseases, despite their recognized burden. Heat-related illnesses and cardiopulmonary diseases were also focused on but failed to encompass the most climate-sensitive aspects. CVDs are insufficiently addressed in the existing surveillance systems, despite being mentioned in several policies and interventions, including emergency preparedness in hospitals and cross-sectoral actions. CVDs are mentioned as a separate section in only a small number of state-level plans, several of which need an impetus to complete and include CVD-specific sections. We also found several climate-health policies for specific diseases, albeit not for CVDs. This study identified important gaps in India\u2019s disease-specific climate change response and might aid policymakers in strengthening future versions of these policies and boost research and context-specific interventions on climate change and CVDs.<\/jats:p>","DOI":"10.1093\/heapol\/czae076","type":"journal-article","created":{"date-parts":[[2024,8,24]],"date-time":"2024-08-24T01:05:14Z","timestamp":1724461514000},"page":"1109-1124","source":"Crossref","is-referenced-by-count":3,"title":["A review of climate change and cardiovascular diseases in the Indian policy context"],"prefix":"10.1093","volume":"39","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9647-7855","authenticated-orcid":false,"given":"Shreya S","family":"Shrikhande","sequence":"first","affiliation":[{"name":"Epidemiology and Public Health Department, Swiss Tropical and Public Health Institute , Kreuzstrasse 2, Allschwil CH-4123,","place":["Switzerland"]},{"name":"Faculty of Science, University of Basel , Perersplatz 1, Basel, Basel stadt 4001,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ravivarman","family":"Lakshmanasamy","sequence":"additional","affiliation":[{"name":"Department of Health and Family Welfare Services, Government of Puducherry , Victor Simonel Street, Puducherry 605001,","place":["India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Martin","family":"R\u00f6\u00f6sli","sequence":"additional","affiliation":[{"name":"Epidemiology and Public Health Department, Swiss Tropical and Public Health Institute , Kreuzstrasse 2, Allschwil CH-4123,","place":["Switzerland"]},{"name":"Faculty of Science, University of Basel , Perersplatz 1, Basel, Basel stadt 4001,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohamed","family":"Aqiel Dalvie","sequence":"additional","affiliation":[{"name":"Centre for Environmental and Occupational Health Research, School of Public Health and Family Medicine, University of Cape Town , Observatory, Cape Town, Western Cape 7925,","place":["South Africa"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"J\u00fcrg","family":"Utzinger","sequence":"additional","affiliation":[{"name":"Epidemiology and Public Health Department, Swiss Tropical and Public Health Institute , Kreuzstrasse 2, Allschwil CH-4123,","place":["Switzerland"]},{"name":"Faculty of Science, University of Basel , Perersplatz 1, Basel, Basel stadt 4001,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gu\u00e9ladio","family":"Ciss\u00e9","sequence":"additional","affiliation":[{"name":"Epidemiology and Public Health Department, Swiss Tropical and Public Health Institute , Kreuzstrasse 2, Allschwil CH-4123,","place":["Switzerland"]},{"name":"Faculty of Science, University of Basel , Perersplatz 1, Basel, Basel stadt 4001,","place":["Switzerland"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"286","published-online":{"date-parts":[[2024,8,24]]},"reference":[{"key":"2024112604365895500_R1","doi-asserted-by":"crossref","first-page":"35","DOI":"10.1161\/CIRCULATIONAHA.122.061832","article-title":"Associations between extreme temperatures and cardiovascular cause-specific mortality: results from 27 countries","volume":"147","author":"Alahmad","year":"2023","journal-title":"Circulation"},{"key":"2024112604365895500_R2","doi-asserted-by":"crossref","first-page":"1271","DOI":"10.1161\/CIRCULATIONAHA.119.044860","article-title":"Cardiovascular mortality and exposure to heat in an inherently hot region: implications for climate change","volume":"141","author":"Alahmad","year":"2020","journal-title":"Circulation"},{"key":"2024112604365895500_R3","doi-asserted-by":"crossref","first-page":"1694","DOI":"10.1289\/EHP203","article-title":"A difference-in-differences approach to assess the 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