A record 512bn of work hours were lost around the world in 2023 because of the risk of heat exposure, says a new report from the Lancet Countdown on Health and Climate Change.
Agricultural workers in low-income countries were disproportionately affected, the authors say, costing countries around 8% of their GDP in 2023.
The findings are part of the ninth iteration of the annual report, which features indicators of climate change and human health, such as heat mortality, air pollution exposure and how countries are adapting.
The report highlights the many health inequalities in how energy is used around the world. According to the report, the number of deaths caused by fossil fuel-derived air pollution decreased by 7% over 2016-21 – mainly due to wealthy nations phasing out coal.
However, the vast majority of low-income countries still rely heavily on biomass and other “dirty” fuels in their homes. Dr Marina Romanello, lead author and executive director of the Lancel Countdown, added that women and children are usually in charge of sourcing and burning the fuel, making them particularly vulnerable.
The authors also call out governments and fossil fuel companies for “fuelling the fire” through continuing investment into oil and gas assets that are likely to push the world past key warming targets. The study notes that fossil fuel subsidies exceeded national health spending in 2022 for more than 20 countries around the world.
Romanello told journalists her “concern” that governments and companies “keep on promoting fossil fuel expansion, to the detriment of health and survival of people worldwide”.
Extreme heat
The impacts of extreme heat are “insidious”, Prof Ollie Jay, director of the Heat and Health Research Centre at the University of Sydney and author on the report, told a press briefing.
He explained that certain groups of people are more vulnerable to heat – including infants, the elderly, pregnant women and people with pre-existing medical conditions.
In 2023, infants and adults older than 65 faced a new record high of 14 days of heatwaves per person, the report finds. This value exceeds the previous record, set in 2022, by more than 20%.
The combination of a warming and ageing world is putting more people at risk, the report says. For example, in 2023, demographic changes alone would have driven a 65% increase in heat-related deaths among over-65s, compared to the 1990-99 average. The addition of global warming pushes this percentage up to 167% – the highest highest level recorded.
Across the whole population, the authors find that people were exposed to an average of 50 more “health-threatening heat days” in 2023 than they would have been in a world without climate change. (These are defined as days when the daily average temperature exceeds the 84.5th percentile of the 1986-2005 daily regional average.)
Beyond this global average figure, less-developed countries are much more likely to see such health-threatening days. For example, 31 such countries experienced at least 100 more days of health-threatening heat due to climate change.
The map below shows the average number of days with health-threatening temperatures attributable to climate change per year, over 2019-23, by country. Darker colours mean more health-threatening days.

Heat stress is particularly dangerous for outdoors workers, who are often directly exposed to the heat while undertaking manual labour. In 2023, around one-quarter of the world’s population worked outdoors.
The report finds that countries with the lowest human development index (HDI) – a measure of a country’s development – have the highest proportion of outdoors workers, largely due to their reliance on the agricultural sector.
The report measures the number of “potential work hours lost” due to heat exposure, by considering temperature, humidity and “typical metabolic rate of workers in specific economic sectors”.
It finds that heat exposure drove a record high of 512bn potential work hours lost in 2023 – around 1.5 times the 1990-99 average. Approximately two-thirds of this loss was in the agricultural sector, mainly in low and medium HDI countries. In total, the global potential loss of income due to extreme heat reached a record high of $835bn in 2023, the report says.
Wealthy countries were generally the least impacted by heat stress. Very high HDI countries only saw around 41 lost hours per worker due to heat, causing an economic loss of around 1% of their GDP. Meanwhile, low HDI countries lost more than 200 hours per worker, and saw almost an 8% loss in their GDP.
The graph below shows percentage GDP loss due to heat stress in low, medium, high and very high HDI countries, in agriculture (light green), construction (dark green), manufacturing (orange) and services (purple).

This year’s report also introduces a new indicator assessing how night-time heat affects sleep loss. The authors estimate that high night-time temperatures led to 5% more sleep hours lost in 2019-23 than in 1986-2005.
The authors say that air conditioning is an “effective technology for reducing heat exposure”. However, they say that it can also be an example of “maladaptation”, as it is “expensive and energy-intensive, overwhelms energy grids on hot days, and can contribute to greenhouse gas emissions”.
They note that emissions from air conditioning increased by 8% over 2016-21. However, access to the technology is not universal. In 2021, 48% of households in very high HDI countries had air conditioning compared to only 5% of those in low HDI countries.
Malnutrition and disease
The report also unpacks how climate change is exacerbating food insecurity and malnutrition.
It finds that the total proportion of global land area affected by extreme drought for at least one month per year increased from 15% in 1951-60 to 44% in 2013-24.
The authors warn that “the higher frequency of heatwave days and drought months in 2022, compared with 1981-2010, was associated with 151 million more people experiencing moderate or severe food insecurity across 124 countries”.
This year, the authors also introduced a new indicator tracking changes in rainfall events. The authors divide up the world into 80km grid squares and monitor the number of rainfall events that exceed the 99th percentile of 1961-90 rainfall.
Over the last decade, extreme rainfall events increased in more than 61% of grid squares, the report finds. The authors warn that high rainfall can drive an increase in flooding, which can lead to a range of negative health incomes including outbreaks of certain diseases.
For example, Vibrio bacteria in coastal waters can cause “severe” gastrointestinal infections and “life-threatening sepsis”. The study finds that the length of coastlines with suitable conditions for the bacteria reached a new record high of more than 88,000km in 2023 – 32% above the 1990-99 average.
In addition, the total population living within 100km of coastal waters with conditions suitable for Vibrio transmission has reached a record high of 1.42 billion.
The authors also find that the climatic conditions for mosquitoes to transmit dengue, malaria and West Nile virus have increased between 1951-60 and 2014-23 as the world has warmed.
Fossil fuels
On energy use, the study notes that, “given the high greenhouse gas and air pollution emission intensity of coal, its phase-out is crucial to protect people’s health”.
Over 2016-21, very high HDI countries have seen a reduction in the share of energy that comes from coal. (The UK became the first G7 country to phase out coal power in September 2024.)
However, the report highlights that all low HDI countries are still very dependent on coal. Over 2016-21, the share of electricity that comes from coal in low HDI countries increased from less than 1% to 10%.
According to the report, the number of deaths caused by fossil fuel-derived air pollution – specifically, tiny particulate matter known as PM2.5 – decreased by 156,000 over 2016-21 – a drop of 7%. This is mainly due to reduced pollution from coal burning in high and very high HDI countries.
Dr Marina Romanello, the lead author of the report and executive director of the Lancet Countdown, told the press briefing that this an important result as it shows the “enormous potential of coal phase-out to improve health”.
However, the report also warns that biomass burning caused 1.24 million deaths in 2021 – an increase of 135,000 from 2016 levels.
For example, the report finds that 2.3bn people still cook using biomass. In low HDI countries, around 92% of countries use solid biomass for their household energy needs. Conversely, in very high HDI countries, this number is around 10%.
Romanello explained that biomass is “very unreliable, very unstable and particularly polluting”. She added:
“When households rely on biomass, it is often women and children that are in charge of sourcing the fuel, so it also generates disproportionate impacts on these groups.”
The authors also call out fossil fuel companies for “fuelling the fire”. One of the report’s indicators assesses the compatibility of fossil fuel company strategies with the Paris Agreement. It says:
“As of March 2024, the strategies of the 114 largest oil and gas companies have put them on track to exceed their share of greenhouse gas emissions consistent with limiting global heating to 1.5C by 189% in 2040, up from the 173% excess projected in March, 2023.”
The report analyses 86 countries that are collectively responsible for 93% of global CO2 emissions. They find that, in 2022, these countries awarded a record $1.2tn in fossil fuel subsidies. This funding exceeded 10% of national health spending in 47 countries and 100% in 23 countries.
Romanello shared her “concern” with the press briefing that “governments and companies keep fuelling the fire, keep on promoting fossil fuel expansion, to the detriment of health and survival of people worldwide”.
Adaptation
Finally, the report assesses countries’ preparedness for the health impacts of climate change. This section presents a mixed picture.
The report finds that, as of February 2024, fewer than half of the most recent country climate pledges made under the Paris Agreement mentioned a “health keyword”.
However, the report also finds areas of progress. For example, at the end of 2022, only four countries had put forward health national adaptation plans (HNAPs) outlining how they will plan for and adapt to the impacts of climate change on health. Just one year later, this number had jumped up to 40 countries.
Furthermore, the authors find that scientific engagement into the links between climate change and health is increasing. The number of scientific papers investigating the link between climate change and health reached a record high in 2023, with the vast majority of papers focusing on impacts, rather than mitigation or adaptation.
The graph below shows the number of academic papers published each year over 1990-2023 on climate change and health, focused on mitigation (orange), adaptation (green) and impacts (purple).

The report finds that some countries are already implementing successful adaptation measures. For example, it explains that countries with health early warning systems saw a 73% decrease in the number of people killed per extreme weather event between 2000-09 and 2014-23. In countries without such early warning systems, the decrease was only 21%.
The authors note that “the reduction cannot be directly attributed to the implementation of health early warning systems”, but suggest that countries that implement these systems likely have higher “engagement with climate change adaptation efforts”.
The positive news in this report is “not enough to tip the balance” or to “secure a healthy future”, Romanello told the press briefing. However, she said it is “meaningful progress” which can be “built on”.
Dr Jeremy Farrar served as chief scientist of the World Health Organisation, and was previously the director of the Wellcome Trust – the main funding body behind this report. He told journalists at the press briefing that despite the “incredible evidence base” available, the health community “have been too slow to make the case that climate change is a health crisis”.
However, he praised the intersectoral collaboration between health and climate experts, and said he hopes we are “turning a corner” on making sure that climate change is seen as a “health issue”.
The post More than half a trillion hours of work lost in 2023 due to ‘heat exposure’ appeared first on Carbon Brief.
More than half a trillion hours of work lost in 2023 due to ‘heat exposure’
Climate Change
What Is the Economic Impact of Data Centers? It’s a Secret.
N.C. Gov. Josh Stein wants state lawmakers to rethink tax breaks for data centers. The industry’s opacity makes it difficult to evaluate costs and benefits.
Tax breaks for data centers in North Carolina keep as much as $57 million each year into from state and local government coffers, state figures show, an amount that could balloon to billions of dollars if all the proposed projects are built.
Climate Change
GEF raises $3.9bn ahead of funding deadline, $1bn below previous budget
The Global Environment Facility (GEF), a multilateral fund that provides climate and nature finance to developing countries, has raised $3.9 billion from donor governments in its last pledging session ahead of a key fundraising deadline at the end of May.
The amount, which is meant to cover the fund’s activities for the next four years (July 2026-June 2030), falls significantly short of the previous four-year cycle for which the GEF managed to raise $5.3bn from governments. Since then, military and other political priorities have squeezed rich nations’ budgets for climate and development aid.
The facility said in a statement that it expects more pledges ahead of the final replenishment package, which is set for approval at the next GEF Council meeting from May 31 to June 3.
Claude Gascon, interim CEO of the GEF, said that “donor countries have risen to the challenge and made bold commitments towards a more positive future for the planet”. He added that the pledges send a message that “the world is not giving up on nature even in a time of competing priorities”.
Donors under pressure
But Brian O’Donnell, director of the environmental non-profit Campaign for Nature, said the announcement shows “an alarming trend” of donor governments cutting public finance for climate and nature.
“Wealthy nations pledged to increase international nature finance, and yet we are seeing cuts and lower contributions. Investing in nature prevents extinctions and supports livelihoods, security, health, food, clean water and climate,” he said. “Failing to safeguard nature now will result in much larger costs later.”
At COP29 in Baku, developed countries pledged to mobilise $300bn a year in public climate finance by 2035, while at UN biodiversity talks they have also pledged to raise $30bn per year by 2030. Yet several wealthy governments have announced cuts to green finance to increase defense spending, among them most recently the UK.
As for the US, despite Trump’s cuts to international climate finance, Congress approved a $150 million increase in its contribution to the GEF after what was described as the organisation’s “refocus on non-climate priorities like biodiversity, plastics and ocean ecosystems, per US Treasury guidance”.
The facility will only reveal how much each country has pledged when its assembly of 186 member countries meets in early June. The last period’s largest donors were Germany ($575 million), Japan ($451 million), and the US ($425 million).
The GEF has also gone through a change in leadership halfway through its fundraising cycle. Last December, the GEF Council asked former CEO Carlos Manuel Rodriguez to step down effective immediately and appointed Gascon as interim CEO.
Santa Marta conference: fossil fuel transition in an unstable world
New guidelines
As part of the upcoming funding cycle, the GEF has approved a set of guidelines for spending the $3.9bn raised so far, which include allocating 35% of resources for least developed countries and small island states, as well as 20% of the money going to Indigenous people and communities.
Its programs will help countries shift five key systems – nature, food, urban, energy and health – from models that drive degradation to alternatives that protect the planet and support human well-being by integrating the value of nature into production and consumption systems.
The new priorities also include a target to allocate 25% of the GEF’s budget for mobilising private funds through blended finance. This aligns with efforts by wealthy countries to increase contributions from the private sector to international climate finance.
Niels Annen, Germany’s State Secretary for Economic Cooperation and Development, said in a statement that the country’s priorities are “very well reflected” in the GEF’s new spending guidelines, including on “innovative finance for nature and people, better cooperation with the private sector, and stable resources for the most vulnerable countries”.
Aliou Mustafa, of the GEF Indigenous Peoples Advisory Group (IPAG), also welcomed the announcement, adding that “the GEF is strengthening trust and meaningful partnerships with Indigenous Peoples and local communities” by placing them at the “centre of decision-making”.
The post GEF raises $3.9bn ahead of funding deadline, $1bn below previous budget appeared first on Climate Home News.
GEF raises $3.9bn ahead of funding deadline, $1bn below previous budget
Climate Change
Marine heatwaves ‘nearly double’ the economic damage caused by tropical cyclones
Tropical cyclones that rapidly intensify when passing over marine heatwaves can become “supercharged”, increasing the likelihood of high economic losses, a new study finds.
Such storms also have higher rates of rainfall and higher maximum windspeeds, according to the research.
The study, published in Science Advances, looks at the economic damages caused by nearly 800 tropical cyclones that occurred around the world between 1981 and 2023.
It finds that rapidly intensifying tropical cyclones that pass near abnormally warm parts of the ocean produce nearly double – 93% – the economic damages as storms that do not, even when levels of coastal development are taken into account.
One researcher, who was not involved in the study, tells Carbon Brief that the new analysis is a “step forward in understanding how we can better refine our predictions of what might happen in the future” in an increasingly warm world.
As marine heatwaves are projected to become more frequent under future climate change, the authors say that the interactions between storms and these heatwaves “should be given greater consideration in future strategies for climate adaptation and climate preparedness”.
‘Rapid intensification’
Tropical cyclones are rapidly rotating storm systems that form over warm ocean waters, characterised by low pressure at their cores and sustained winds that can reach more than 120 kilometres per hour.
The term “tropical cyclones” encompasses hurricanes, cyclones and typhoons, which are named as such depending on which ocean basin they occur in.
When they make landfall, these storms can cause major damage. They accounted for six of the top 10 disasters between 1900 and 2024 in terms of economic loss, according to the insurance company Aon’s 2025 climate catastrophe insight report.
These economic losses are largely caused by high wind speeds, large amounts of rainfall and damaging storm surges.
Storms can become particularly dangerous through a process called “rapid intensification”.
Rapid intensification is when a storm strengthens considerably in a short period of time. It is defined as an increase in sustained wind speed of at least 30 knots (around 55 kilometres per hour) in a 24-hour period.
There are several factors that can lead to rapid intensification, including warm ocean temperatures, high humidity and low vertical “wind shear” – meaning that the wind speeds higher up in the atmosphere are very similar to the wind speeds near the surface.
Rapid intensification has become more common since the 1980s and is projected to become even more frequent in the future with continued warming. (Although there is uncertainty as to how climate change will impact the frequency of tropical cyclones, the increase in strength and intensification is more clear.)
Marine heatwaves are another type of extreme event that are becoming more frequent due to recent warming. Like their atmospheric counterparts, marine heatwaves are periods of abnormally high ocean temperatures.
Previous research has shown that these marine heatwaves can contribute to a cyclone undergoing rapid intensification. This is because the warm ocean water acts as a “fuel” for a storm, says Dr Hamed Moftakhari, an associate professor of civil engineering at the University of Alabama who was one of the authors of the new study. He explains:
“The entire strength of the tropical cyclone [depends on] how hot the [ocean] surface is. Marine heatwave means we have an abundance of hot water that is like a gas [petrol] station. As you move over that, it’s going to supercharge you.”
However, the authors say, there is no global assessment of how rapid intensification and marine heatwaves interact – or how they contribute to economic damages.
Using the International Best Track Archive for Climate Stewardship (IBTrACS) – a database of tropical cyclone paths and intensities – the researchers identify 1,600 storms that made landfall during the 1981-2023 period, out of a total of 3,464 events.
Of these 1,600 storms, they were able to match 789 individual, land-falling cyclones with economic loss data from the Emergency Events Database (EM-DAT) and other official sources.
Then, using the IBTrACS storm data and ocean-temperature data from the European Centre for Medium-Range Weather Forecasts, the researchers classify each cyclone by whether or not it underwent rapid intensification and if it passed near a recent marine heatwave event before making landfall.
The researchers find that there is a “modest” rise in the number of marine heatwave-influenced tropical cyclones globally since 1981, but with significant regional variations. In particular, they say, there are “clear” upward trends in the north Atlantic Ocean, the north Indian Ocean and the northern hemisphere basin of the eastern Pacific Ocean.
‘Storm characteristics’
The researchers find substantial differences in the characteristics of tropical cyclones that experience rapid intensification and those that do not, as well as between rapidly intensifying storms that occur with marine heatwaves and those that occur without them.
For example, tropical cyclones that do not experience rapid intensification have, on average, maximum wind speeds of around 40 knots (74km/hr), whereas storms that rapidly intensify have an average maximum wind speed of nearly 80 knots (148km/hr).
Of the rapidly intensifying storms, those that are influenced by marine heatwaves maintain higher wind speeds during the days leading up to landfall.
Although the wind speeds are very similar between the two groups once the storms make landfall, the pre-landfall difference still has an impact on a storm’s destructiveness, says Dr Soheil Radfar, a hurricane-hazard modeller at Princeton University. Radfar, who is the lead author of the new study, tells Carbon Brief:
“Hurricane damage starts days before the landfall…Four or five days before a hurricane making landfall, we expect to have high wind speeds and, because of that high wind speed, we expect to have storm surges that impact coastal communities.”
They also find that rapidly intensifying storms have higher peak rainfall than non-rapidly intensifying storms, with marine heatwave-influenced, rapidly intensifying storms exhibiting the highest average rainfall at landfall.
The charts below show the mean sustained wind speed in knots (top) and the mean rainfall in millimetres per hour (bottom) for the tropical cyclones analysed in the study in the five days leading up to and two days following a storm making landfall.
The four lines show storms that: rapidly intensified with the influence of marine heatwaves (red); those that rapidly intensified without marine heatwaves (purple); those that experienced marine heatwaves, but did not rapidly intensify (orange); and those that neither rapidly intensified nor experienced a marine heatwave (blue).

Dr Daneeja Mawren, an ocean and climate consultant at the Mauritius-based Mascarene Environmental Consulting who was not involved in the study, tells Carbon Brief that the new study “helps clarify how marine heatwaves amplify storm characteristics”, such as stronger winds and heavier rainfall. She notes that this “has not been done on a global scale before”.
However, Mawren adds that other factors not considered in the analysis can “make a huge difference” in the rapid intensification of tropical cyclones, including subsurface marine heatwaves and eddies – circular, spinning ocean currents that can trap warm water.
Dr Jonathan Lin, an atmospheric scientist at Cornell University who was also not involved in the study, tells Carbon Brief that, while the intensification found by the study “makes physical sense”, it is inherently limited by the relatively small number of storms that occur. He adds:
“There’s not that many storms, to tease out the physical mechanisms and observational data. So being able to reproduce this kind of work in a physical model would be really important.”
Economic costs
Storm intensity is not the only factor that determines how destructive a given cyclone can be – the economic damages also depend strongly on the population density and the amount of infrastructure development where a storm hits. The study explains:
“A high storm surge in a sparsely populated area may cause less economic damage than a smaller surge in a densely populated, economically important region.”
To account for the differences in development, the researchers use a type of data called “built-up volume”, from the Global Human Settlement Layer. Built-up volume is a quantity derived from satellite data and other high-resolution imagery that combines measurements of building area and average building height in a given area. This can be used as a proxy for the level of development, the authors explain.
By comparing different cyclones that impacted areas with similar built-up volumes, the researchers can analyse how rapid intensification and marine heatwaves contribute to the overall economic damages of a storm.
They find that, even when controlling for levels of coastal development, storms that pass through a marine heatwave during their rapid intensification cause 93% higher economic damages than storms that do not.
They identify 71 marine heatwave-influenced storms that cause more than $1bn (inflation-adjusted across the dataset) in damages, compared to 45 storms that cause those levels of damage without the influence of marine heatwaves.
This quantification of the cyclones’ economic impact is one of the study’s most “important contributions”, says Mawren.
The authors also note that the continued development in coastal regions may increase the likelihood of tropical cyclone damages over time.
Towards forecasting
The study notes that the increased damages caused by marine heatwave-influenced tropical cyclones, along with the projected increases in marine heatwaves, means such storms “should be given greater consideration” in planning for future climate change.
For Radfar and Moftakhari, the new study emphasises the importance of understanding the interactions between extreme events, such as tropical cyclones and marine heatwaves.
Moftakhari notes that extreme events in the future are expected to become both more intense and more complex. This becomes a problem for climate resilience because “we basically design in the future based on what we’ve observed in the past”, he says. This may lead to underestimating potential hazards, he adds.
Mawren agrees, telling Carbon Brief that, in order to “fully capture the intensification potential”, future forecasts and risk assessments must account for marine heatwaves and other ocean phenomena, such as subsurface heat.
Lin adds that the actions needed to reduce storm damages “take on the order of decades to do right”. He tells Carbon Brief:
“All these [planning] decisions have to come by understanding the future uncertainty and so this research is a step forward in understanding how we can better refine our predictions of what might happen in the future.”
The post Marine heatwaves ‘nearly double’ the economic damage caused by tropical cyclones appeared first on Carbon Brief.
Marine heatwaves ‘nearly double’ the economic damage caused by tropical cyclones
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