{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T06:09:45Z","timestamp":1789711785209,"version":"4.0.1"},"reference-count":51,"publisher":"Frontiers Media SA","license":[{"start":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T00:00:00Z","timestamp":1789689600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"funder":[{"DOI":"10.13039\/100010269","name":"Wellcome Trust","doi-asserted-by":"publisher","award":["226740\/Z\/22\/Z"],"award-info":[{"award-number":["226740\/Z\/22\/Z"]}],"id":[{"id":"10.13039\/100010269","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["frontiersin.org"],"crossmark-restriction":true},"short-container-title":["Front. Pediatr."],"abstract":"<jats:p>Heat health responses for young children constitute a unique public health challenge and Oral Rehydration Solution (ORS) have emerged as a key intervention in various advisories and heat action plans HAPs). ORS is an extraordinarily impactful first-line therapeutic intervention in reducing mortality and morbidity on account of dehydration and dyselectrolytemia in children caused by acute diarrheal diseases and is backed by state health and non-health agencies the world over. The reconstitution of ORS into a solution for oral rehydration therapy relies on the packaging instructions and frontline health workers; systematic reviews highlight low levels of knowledge and understanding of these aspects. Most of these HAPs and advisories are conspicuously silent on reconstitution and dosages. We have drawn upon available global literature and Indian evidence to shape this discourse across three strands \u2013 policy perspectives, clinical evidence and critiques on inappropriate usage of ORS and mislabeling of rehydration fluids to shape our arguments. It is imperative that only WHO formulated ORS is used for this purpose. Heat Action Plans need to specify age- and weight-specific ORS guidance, in line with the UNICEF advisory. India\u2019s linguistic diversity calls for multilingual and pictorial instructions for correct preparation by caregivers, Capacity building of first responders and frontline health workers to correctly administer ORS for children\u2019s HRIs is also an urgent imperative.<\/jats:p>","DOI":"10.3389\/fped.2026.1895976","type":"journal-article","created":{"date-parts":[[2026,9,18]],"date-time":"2026-09-18T05:39:20Z","timestamp":1789709960000},"update-policy":"https:\/\/doi.org\/10.3389\/crossmark-policy","source":"Crossref","is-referenced-by-count":0,"title":["Shaping the discourse on rehydrating children in heat stress: expositions from India"],"prefix":"10.3389","volume":"14","author":[{"given":"Rajib","family":"Dasgupta","sequence":"first","affiliation":[{"name":"Centre of Social Medicine and Community Health, School of Social Sciences, Jawaharlal Nehru University","place":["New Delhi, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shreya","family":"Pujari","sequence":"additional","affiliation":[{"name":"Environmental and Resource Economics Unit, Institute of Ecohnomic Growth","place":["Delhi, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Purnamita","family":"Dasgupta","sequence":"additional","affiliation":[{"name":"Environmental and Resource Economics Unit, Institute of Ecohnomic Growth","place":["Delhi, India"]}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"1965","published-online":{"date-parts":[[2026,9,18]]},"reference":[{"key":"B1","year":""},{"key":"B2","year":""},{"key":"B3","year":"2025"},{"key":"B4","year":"2025"},{"key":"B5","year":"2019"},{"key":"B6","year":""},{"key":"B7","first-page":"482","article-title":"Heat-related illnesses","volume":"99","author":"Gauer","year":"2019","journal-title":"Am Fam Physician"},{"key":"B8","doi-asserted-by":"publisher","first-page":"102378","DOI":"10.1016\/j.jdeveco.2019.102378","article-title":"Heat, infant mortality, and adaptation: evidence from India","volume":"143","author":"Banerjee","year":"2020","journal-title":"J Dev Econ"},{"key":"B9","doi-asserted-by":"publisher","first-page":"312","DOI":"10.1186\/s12889-016-2984-2","article-title":"Theory-based formative research on oral rehydration salts and zinc use in Lusaka, Zambia","volume":"16","author":"Greenland","year":"2016","journal-title":"BMC Public Health"},{"key":"B10","doi-asserted-by":"publisher","first-page":"e0325386","DOI":"10.1371\/journal.pone.0325386","article-title":"Maternal perception, barriers, and facilitators regarding oral rehydration salt solution in diarrhoeal disease: a qualitative study in Bangladesh","volume":"20","author":"Islam","year":"2025","journal-title":"PLoS One"},{"key":"B11","doi-asserted-by":"publisher","first-page":"e827","DOI":"10.1002\/hsr2.827","article-title":"Understanding the use of oral rehydration therapy: a narrative review from clinical practice to main recommendations","volume":"5","author":"Aghsaeifard","year":"2022","journal-title":"Health Sci Rep"},{"key":"B12","doi-asserted-by":"publisher","first-page":"e70138","DOI":"10.1002\/cpz1.70138","article-title":"Navigating the scholarly literature: a practical guide to searching effectively (without too much stress)","volume":"5","author":"Kohn","year":"2025","journal-title":"Curr Protoc"},{"key":"B13","doi-asserted-by":"publisher","first-page":"463","DOI":"10.1016\/j.sapharm.2024.01.009","article-title":"Back to the basics: guidance for designing good literature searches","volume":"20","author":"Gionfriddo","year":"2024","journal-title":"Res Soc Adm Pharm"},{"key":"B14","year":"2015"},{"key":"B15","doi-asserted-by":"publisher","DOI":"10.1002\/14651858.CD002847","article-title":"Cochrane infectious diseases group. 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