02618nas a2200157 4500000000100000008004100001260003600042100001400078700001400092700001200106700004400118245003800162856007500200300000900275520217600284 2024 d bThe Leprosy Mission Trust India1 aGoswami S1 aYadavar S1 aSarah N1 aThe Leprosy Mission (TLM) Trust India 00aLeprosy and its climate dimension uhttps://drive.google.com/file/d/1Aj4bSdb-r_hVDYJWYcxcLtX6GVCxmQJd/view a1-503 a

Extreme weather events impacts different people differently. This is true for persons affected by leprosy and other disabling health conditions. Unlike the general population, they get exposed to additional risks. While economic and material deprivations caused by extreme weather events and other climate anomalies are well documented and reported globally, the reportage often does not capture the complex interplay of diverse determinants of vulnerability.

Four a country such as India, which is working towards addressing challenges like low Human Development Index and high climate vulnerability, it is important to untangle the intersection of climate change, disease, and economic deprivation.

To do that, we need to ask the right questions. For example, how do extreme climate events affect those who are already jeopardised by a range of vulnerabilities: disease, disability, income uncertainty, geographical remoteness, etc.? What does climate threat mean for the population living in climate-vulnerable areas and in multidimensional poverty? How disproportionate is the impact of climate change on families that require frequent access to treatments? How to climate anomalies shape people's vulnerability experiences?

The aim of this report is to answer these crucial questions, which can be a meaningful beginning towards developing responsive policies and resilient communities. The report delved into the determinants of vulnerability of people affected by Leprosy and other disabilities and their lived experiences during extreme climate events. It also explores the Issues that exclude them from the mainstream support system and make climate change impact more profound.

This report is a synthesis of the latest research into these questions, complemented by on-ground interviews with people affected by Leprosy and other disabilities in two highly climate-vulnerable states: West Bengal and Bihar. All the findings point to a need for a multi-dimensional assessment of vulnerability in leprosy endemic areas while making efforts towards health systems strengthening and climate adaptation and mitigation.