{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,9]],"date-time":"2026-10-09T21:32:16Z","timestamp":1791581536540,"version":"4.3.4"},"reference-count":53,"publisher":"Ubiquity Press, Ltd.","issue":"1","license":[{"start":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T00:00:00Z","timestamp":1775001600000},"content-version":"unspecified","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["89"],"abstract":"<jats:p>This study investigates the cascading impacts of recurrent cyclones on the physical and mental health, livelihoods, infrastructure, well-being, and long-term development of communities in the Indian Sundarbans, one of the world\u2019s most climate-vulnerable regions. Semi-structured interviews were conducted with community members, frontline public health workers government officials, NGO leaders, mental health counselors, and non-licensed village doctors.\nWe aimed to identify the ecological, geographic, and socioeconomic conditions exacerbating the region\u2019s vulnerability to cyclones; examine the intersecting short-term and long-term health, economic, and social impacts; characterize existing response systems; identify structural barriers impeding long-term recovery and development; and propose stakeholder-informed recommendations to strengthen disaster preparedness and promote lasting resilience and recovery.\nFindings reveal that these communities remain entrapped in a recurring cycle of disaster and inadequate recovery marked by saline water intrusion, collapsed infrastructure, displacement to overcrowded shelters, loss of agricultural land, infectious outbreaks, disruptions to healthcare delivery and child education, life-threatening health emergencies, damage to livelihoods, food insecurity, and rising gender inequity, trauma, and depression. These vulnerabilities and impacts are perpetuated by chronic underinvestment and a lack of responsive policy.\nParticipants called for solutions such as the following: (1) pre-positioning food, water, and medicines to strengthen disaster preparedness; (2) digitizing educational certificates to mitigate school dropout; (3) expanding insurance coverage, compensation schemes, vocational training, and employment opportunities to mitigate income losses; (4) establishing mangrove reforestation programs for livelihood diversification and bolstering natural ecological defense; and (5) increasing investment in resilient infrastructure, especially hospitals, roads, and homes. Policy reforms and tax incentives could mobilize private sector investment.\nThe lived experiences captured in this study illuminate the daily struggle for basic security, income, health, education, and survival in the Indian Sundarbans and the urgent need for policies that uphold health equity and dignity in the face of accelerating climate threats.<\/jats:p>","DOI":"10.5334\/aogh.5074","type":"journal-article","created":{"date-parts":[[2026,4,1]],"date-time":"2026-04-01T09:33:31Z","timestamp":1775036011000},"page":"28","source":"Crossref","is-referenced-by-count":2,"title":["Frontlines of Climate Change and Global Health Inequity: How Recurring Cyclones Undermine Health, Livelihoods, and Development in the Indian Sundarbans"],"prefix":"10.5334","volume":"92","author":[{"given":"Pranay","family":"Narang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monalisha","family":"Sahu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Monalisa","family":"Datta","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nilanjana","family":"Ghosh","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Shilpa","family":"Mondal","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Indrani","family":"Bhattacharya","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gaurab","family":"Basu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"3285","published-online":{"date-parts":[[2026,4,1]]},"reference":[{"key":"key20260401093326_r1","unstructured":"CDC. 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Weather\u2011Related Loss Events in 2019 and 2000-2019. Germanwatch"},{"key":"#cr-split#-key20260401093326_r12.2","unstructured":"2021. Accessed January 26, 2025. https:\/\/www.developmentaid.org\/api\/frontend\/cms\/file\/2021\/03\/Global-Climate-Risk-Index-2021_1.pdf."},{"key":"key20260401093326_r13","unstructured":"XDI Cross Dependency Initiative. Gross domestic climate risk ranking of 2,600+ territories. Published 2024. Accessed July 17, 2025. https:\/\/archive.xdi.systems\/gross-domestic-risk-dataset\/."},{"key":"key20260401093326_r14","first-page":"101476","article-title":"Effect of landfall location and coastal topography on surge response in the Northern Bay of Bengal","volume":"40","year":"2020","journal-title":"Reg Stud Mar Sci"},{"key":"key20260401093326_r15","unstructured":"Tropical cyclones in the Indian ocean. Climate Research Lab @ IITM. Published 2022. 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