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Climate change, war and mismanagement are putting Iran’s water supply under major strain, experts have warned.

The Middle Eastern country has faced years of intense drought, which scientists have found was made more intense due to human-caused climate change.

In recent years, Iranian citizens have protested against the government’s management of water supplies, pointing the blame at decades of poor planning and shortsighted policies.

As water supplies run low, authorities warned last year that several of Iran’s major cities – including the capital, Tehran – could soon face “water day zero”, when a city’s water service is turned off and existing supplies rationed.

Meanwhile, recent air strikes on desalination plants in Iran and Bahrain are driving wider questions about how the war might exacerbate water insecurity across the Middle East.

One expert tells Carbon Brief the conflict is “straining an already-fragile [water] system” within Iran.

In this article, Carbon Brief looks at how conflict is combining with climate change and unsustainable use to place pressure on Iran’s water supplies.

How close are Iran’s major cities to a ‘water day zero’?

Iran is one of the most water-stressed countries in the world and is currently in the grips of an unprecedented, multi-year drought.

The country’s hot and dry climate means that freshwater is scarce. However, many Iranian citizens also blame decades of government mismanagement for the present-day water shortages.

In January, the Guardian explained that over multiple decades, Iranian officials abandoned the country’s “qanat aquifer system”, which consists of tens of thousands of tunnels dug into hillsides across the country that lead to underground water storage. This system has been “supplying [Iran’s] cities and agriculture with freshwater for millennia”, the newspaper said.

To replace the aquifer system, the government built dozens of dams over the second half of the 20th century, which together hold around a quarter of the country’s total water resource, according to the Guardian. However, it added:

“But by putting major dams on rivers too small to sustain them, the authorities brought short-term relief at the cost of longer-term water loss: evaporation from reservoirs increased while upland areas were deprived of water, now trapped behind the dams.”

Yale Environment 360 noted in December that “in the past half century, around half of Iran’s qanats have been rendered waterless through poor maintenance or as pumped wells have lowered water tables within hillsides”.

Agriculture is responsible for 90% of Iran’s water use. Over 2003-19, Iran lost around 211 cubic kilometres of groundwater – around twice the country’s annual water consumption – largely due to unregulated water pumping for farming.

The images below show how Lake Urmia in the north-west of the country – once the largest lake in the Middle East – has almost completely dried up since 2001 as water that feeds that lake has been diverted.

Lake Urmia has almost completely dried up since 2001 as water that feeds that lake has been diverted.

Towards the end of 2025, Iran’s Meteorological Organisation warned that the main dams supplying drinking water to major cities, such as Tehran, Tabriz and Mashhad, were close to “water day zero”.

The term “water day zero” has been used by academics, media and governments to describe the moment when a city or region’s municipal water supply becomes so depleted that authorities have to turn off taps and implement water rationing. It has been used to describe water crises in Cape Town, South Africa and Chennai, India.

In a televised national address in November, Iranian president Masoud Pezeshkian reportedly said the government had “no other choice” but to relocate the capital due to “extreme pressure” on water, land and infrastructure systems.

(This came after the government announced in January it would relocate its capital to the southern coastal region of Makran, citing Tehran’s enduring overpopulation, power shortages and water scarcity.)

Tehran is home to 10 million people and consumes nearly a quarter of Iran’s water supplies.

The water shortages have fuelled nation-wide protests, which have been often-violently suppressed by the government.

Prof Kaveh Madani, former deputy vice-president of Iran and the director of the UN University Institute for Water, Environment and Health, tells Carbon Brief that recent rainfall means the threat of “water day zero” has subsided in Iran in recent months.

However, he stresses that a combination of climate change and “local human factors” mean “many, many places in Iran are in ‘water bankruptcy’ mode”.

“Water bankruptcy” is when water systems have been overused to the point they can no longer meet demand without causing irreversible damage to the environment, according to Madani’s own research.

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What role is climate change playing?

Iran is currently facing its sixth year of consecutive drought conditions.

An update posted in November by the National Iranian American Council quoted Mohsen Ardakani – managing director of Tehran Water and Wastewater Company – as saying:

“We are entering our sixth consecutive drought year. Since the start of the 2025-26 water year (about a month ago), not a single drop of rain has fallen anywhere in the country.”

The country’s most recent “water year”, which ran from September 2024 to September 2025, was one of the driest on record. Over the 12-month period, the country recorded 81% less rainfall than the historical average.

Meanwhile, temperatures in Iran can soar above 50C in the hot season, pushing the limits of human survivability and exacerbating water loss through evaporations from reservoirs of water.

Multiple attribution studies have shown that climate change is making the country’s hot and dry conditions more intense and likely.

In 2023, the World Wealth Attribution service (WWA) carried out an analysis on the drought conditions in Iran over 2020-23.

This study investigated agricultural drought, which focuses on the difference between rainfall amounts and levels of evapotranspiration from soils and plants.

The study explored how often a drought of a similar intensity would have occurred in a world without warming and how often it could occur in the climate of 2023. The researchers found that the drought would have been a one-in-80 year event without global warming, but a one-in-five year event in 2023’s climate.

They added that if the planet continues to heat, reaching a warming level of 2C above pre-industrial temperatures, Iran could expect a drought of 2023’s severity, on average, every other year.

The graphic below illustrates these results, where a pink dot indicates the number of years in every 81 with an event like the 2020-23 drought over Iran.

The box on the left shows how often such a drought would be expected in a pre-industrial climate, in which there is no human-driven warming. The box in the centre shows 2023’s climate, which has warmed 1.2C as a result of human-caused climate change. The box on the right shows a world in which the climate is 2C warmer than in the pre-industrial period.

Expected frequency of drought such as the 2020-23 drought in Iran, at different warming levels.
Expected frequency of drought such as the 2020-23 drought in Iran, at different warming levels. Source: WWA (2023)

Two years later, WWA carried out another study on drought in Iran, this time focusing on the five-year drought over 2021-25. The authors found an “even stronger impact” of climate change than their previous analysis.

A range of other attribution studies for Iran over the past five years have concluded that climate change made heatwaves and droughts over the region more intense and likely.

Meanwhile, the World Meteorological Organization’s (WMO’s) “state of the climate in the Arab region 2024” report warned about the impact of climate change on water security across the region.

In a statement, WMO secretary general Prof Celeste Saulo warned that “droughts are becoming more frequent and severe in one of the world’s most water-stressed regions”.

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What other factors are involved?

Climate change is not the only – or even the primary – driver of water scarcity in Iran.

Madani explains:

“We have both the human factors and the climatic factors…A lot of times, local human factors are much more important and significant than the global factors.”

For example, Madani says, the country has experienced large population growth, but its population is concentrated in “a very few large metropolitan” areas, meaning it can struggle to provide enough water to those places. He also points to inefficient agricultural practices and overreliance on technological solutions, including dams and desalination plants.

The vast majority of the country’s water stress comes from its agricultural sector, which accounts for more than 90% of Iran’s water use.

Dr Assem Mayar, an independent researcher focused on water resources and climate security, tells Carbon Brief that Iran’s arid climate means that it uses more water per unit area for cultivating crops than other countries. This issue is compounded by government policies promoting domestic agriculture, he says:

“[Iran’s] government tries to be self-reliant in [the] food sector, which consumes the most share of water in the country.”

Both of the country’s main water sources – surface water and groundwater – are overexploited, Mayar says.

A 2021 study on the drivers of groundwater depletion in Iran found that between 2002 and 2015, Iran’s aquifers were depleted by around 74 cubic kilometres – 1.6 times larger than the amount of water stored in Iran’s largest lake, Lake Urmia, at its highest recorded levels.

The study also found that some basins had experienced depletion rates of up to 2,600% in that timeframe.

Groundwater aquifers naturally “recharge” as water percolates down from the surface. However, a 2023 study also found that this rate of recharge has been declining since the early 2000s.

When groundwater or other resources are extracted from the ground in high quantities, the land above the aquifer can compact and the aquifers themselves can collapse, leading to “subsidence” as the land surface sinks. Iran is one of the countries with the largest subsidence rates in the world, according to a 2024 study.

Women work in rice paddies near Masuleh, Iran.
Women work in rice paddies near Masuleh, Iran. Credit: Jim Keir / Alamy Stock Photo

In late 2025, BBC News reported that Iran had begun “cloud seeding” – injecting salt particles into clouds to promote condensation, in an effort to “combat the country’s worst drought in decades”.

The country has been employing the technique since 2008 and reports that rainfall increased by 15% in the targeted areas as a result.

However, this does little to address the root of the problem, experts tell Carbon Brief.

Prof Nima Shokri, director of the Institute of Geo-Hydroinformatics at Hamburg University of Technology, tells Carbon Brief:

“Iran’s water crisis stems primarily from decades of policy choices that prioritised ideological and geopolitical objectives over sustainable resource management. A costly foreign policy posture and prolonged international isolation have limited access to foreign investment, modern technology and diversified economic development.

“Domestically, this has translated into policies that encouraged groundwater-dependent agriculture, expanded irrigated land without enforceable extraction limits, maintained heavy energy and water subsidies and underinvested in wastewater reuse, leakage reduction and monitoring systems.”

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How could attacks on desalination plants impact water supplies in the Middle East?

A pair of attacks on desalination plants has led to significant media speculation around how the conflict might exacerbate freshwater supplies, both in Iran and across the Middle East.

On Saturday 7 March, Iran accused the US of attacking a desalination plant on Qeshm Island in the Strait of Hormuz.

Describing the attack on the critical water infrastructure as “blatant and desperate crime”, foreign minister Seyed Abbas Araghchi said water supply in 30 villages had been impacted.

The next day, Bahrain government said Iran had caused “material damage” to one of its desalination plants during a drone attack.

David Michel, senior fellow for water security at the Centre for Strategic and International Studies, told the Daily Mail that attacks on water plants in Gulf states by Iran could be designed to “impose costs” that push them to intervene or call for the end of the war.

There has been a boom in desalination across the Middle East in recent decades, as water-scarce countries have turned to the technology – which transforms seawater into freshwater – to boost freshwater supplies.

Collectively, the Middle East accounts for roughly 40% of global desalinated water production, producing 29m cubic metres of water every day, according to a 2026 review. This is shown in the chart below.

Operational desalination capacity worldwide.
Operational desalination capacity worldwide. Chart by Carbon Brief. Source: Hilal et al (2026)

Iran has more than 163 desalination plants. However, it is less reliant on these plants than smaller countries in the region with fewer water reserves.

In a 2022 policy paper, the Institut Français des Relations Internationales noted Kuwait, Qatar and Oman sourced 90%, 90% and 86% of drinking water from desalination plants, respectively.

In contrast, an official from Iran’s state-run water company told the Tehran Times in 2022 that just 3% of the country’s drinking water came from desalination plants. (Iran’s water supply is sourced primarily from groundwater and rivers and reservoirs.)

Shrokri says the ongoing conflict is “hitting water security” in Iran through “direct and indirect” attacks on critical infrastructure – including desalination plants, power stations and water networks. He adds:

“The conflict is straining an already fragile system inside Iran. The country entered the war with severe drought, depleted groundwater and shrinking reservoirs, so any disruption to energy systems, industrial facilities or supply chains can quickly cascade into water shortages.”

Shokri also highlights that attacks on desalination plants in the Gulf could have serious consequences for major cities – including Dubai, Doha and Abu Dhabi – “rely heavily” on desalinated seawater for drinking water. He says:

“Without desalination plants, large parts of the region’s modern urban system will struggle to exist. The ripple effects would extend far beyond drinking water. Sanitation systems would begin to fail, public health risks would rise and economic activity could slow dramatically.”

Experts have pointed out that attacks on electricity infrastructure could also impact provision of drinking water, given desalination plants are energy-intensive and often co-located with power plants.

Dr Raha Hakimdavar, a hydrologist at Georgetown University, told Al Jazeera that attacks on desalination plants could also impact domestic food production in the long-term, if groundwater is diverted away from agriculture and towards households.

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What policies could help Iran avoid a ‘water day zero’?

Experts tell Carbon Brief that the conflict could make chronic water shortages in Iran more likely – even if hostilities are unlikely to directly force a “water day zero”.

Shokri says:

“The war could accelerate the timeline, but it didn’t create the risk of day zero. Iran’s water system was already under extreme pressure from long-term mismanagement and distorted policy priorities. Conflict simply reduces the margin for error.”

Mayar says the war is “unlikely to force day zero nationwide”, but could bring forward “localised day‑zero conditions in already stressed regions”. These effects could be felt most acutely in Iran’s islands and cities that are already “facing chronic shortages”, he continues.

Since agriculture is such a large contributor to the country’s water usage, potential solutions must focus on that sector, experts say.

Mayar says the government should “phase out subsidy policies that encourage overuse”.

In 2018, researchers at Stanford University released a “national adaptation plan for water scarcity in Iran”, as part of a programme looking at the country’s long-term sustainable development.

That report lays out two sets of adaptation actions: those that work to improve the efficiency of water use and those that end water-intensive activities. Among the specific actions recommended by the report are reusing treated wastewater, reducing irrigated farming and enhancing crop-growing productivity through technological solutions.

The adaptation report concludes:

“The underlying solution to address Iran’s water problem is obvious: consumption should be regulated and reduced, water productivity should be improved and wastewater should be treated and reused in the system.”

Meanwhile, Shokri argues that the “main obstacle” to water reform in Iran is not technical capacity, but “government-set national priorities”. He explains:

“Significant public resources are directed toward non-civil spending and external commitments, leaving limited room for sustained investment in water management and environment…Real progress will require shifting attention and resources toward water security, environmental protection and long-term economic resilience.”

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CCC: Heathrow expansion could push flights to ‘80% of UK emissions by 2050’

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Aviation is on track to be responsible for 80% of the UK’s carbon dioxide (CO2) emissions by 2050, according to the Climate Change Committee (CCC).

Emissions from flying have more than doubled since 1990 – driven by rising passenger numbers – even as the climate impact of every other sector in the UK economy has fallen.

The UK does not have “credible” policies in place to reverse this trend of rising emissions, says the CCC in new advice to the government on future aviation policy.

The government has signalled its support for expanding Heathrow, the nation’s largest airport, while relying on “techno-fixes” such as “sustainable aviation fuels” (SAFs) to cut emissions.

Yet, even without Heathrow expansion, the CCC says aviation emissions are on track to be higher in 2050 than they are today – reaching 38m tonnes of CO2 (MtCO2).

As the chart below shows, this would account for most of the remaining CO2 from the UK economy, all of which would need to be removed from the atmosphere in order to meet the legal target of net-zero emissions.

Expanding Heathrow would add another 2.4MtCO2 in 2050, amounting to around 5% of all the UK’s emissions. (This would increase to 4.5MtCO2 when expansion is complete in 2054.)

With a final decision on Heathrow expansion expected by 2029, the government asked the CCC for its advice on whether the plan is compatible with the UK’s climate targets.

The CCC has concluded that the UK simply lacks sufficient policies to reduce aviation emissions and “expanding Heathrow would compound the problem”. In a press briefing, CCC chair Nigel Topping told journalists:

“The UK does not currently have a credible plan to reduce [aviation emissions] in line with net-zero, so that creates a serious challenge for meeting our climate commitments.”

The “jet-zero strategy”, launched by the previous Conservative government in 2022, set out plans to cut aviation emissions. However, the Labour government has since accepted that the strategy’s expectations for SAFs, electric planes and fuel-efficiency improvements were unrealistic.

The CCC says a “credible and robust net-zero policy framework for aviation” should be set out in a revised strategy, which is planned for 2027. Only then could Heathrow expansion be aligned with the net-zero goal, adds the committee.

As part of this new strategy, the CCC says the “aviation sector needs to take responsibility for its emissions”. It says policies should be designed based on the “polluter pays” principle, requiring the aviation industry to fund its own SAFs and CO2 removal.

Specifically, the committee says funding will be needed for “engineered removal” technologies, such as direct air carbon capture and storage (DACCS).

These technologies are currently “not yet available at the scale required”, but are vital for the kind of permanent CO2 removal needed to mop up aviation emissions, says the CCC.

(“Natural solutions” such as tree planting are the other main way CO2 is expected to be removed from the atmosphere. However, the CCC envisages these removals offsetting the remaining methane emissions from livestock agriculture in the UK, whereas it says “engineered removals” would be required to remove and store CO2 from flights.)

The CCC acknowledges that placing decarbonisation costs on airlines would likely lead to higher ticket prices. It estimates that this could mean an increase, in 2024 prices, of around £150 for a return trip to Alicante, Spain, and £400 for a return trip to New York by 2050.

However, it says this is preferable to a public spending approach, which would result in the roughly 50% of the population who do not fly paying for flight-related CO2 removals.

In addition, the committee notes that higher costs would help to manage demand for flights, which would otherwise be expected to increase considerably over the coming decades.

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International trade linked to 20% of global emissions – but imports ignored

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A fifth of the world’s greenhouse gas emissions are linked to international trade in goods and services, a new tracker shows, spotlighting a little-studied issue that researchers say should be tackled by the UN climate process.

Currently, as part of the Paris Agreement, every country is responsible for counting and reducing the planet-heating emissions that are produced within its territory. Manufacturing countries, for example, may have high emissions even if what they make is exported for consumption elsewhere.

But new analysis from the European Climate Foundation (ECF) and climate consultancy Matière, based on the tracker’s data, shows that some countries have a high footprint of “imported emissions” from goods and services they ship in. These emissions are often ignored in the places where the products are consumed because they are not formally counted under greenhouse gas inventories.

In the European Union, for example, while domestic emissions have declined since 2015, imported emissions have remained unchanged, the analysis shows. In some countries, like Austria or Sweden, they are as high as the country’s entire annual carbon footprint.

    Former EU lead climate negotiator Jacob Werksman said that under the Paris Agreement, these traded emissions are accounted for in the countries where they are originally produced, but importing countries can also take responsibility for their consumption.

    “It starts with a wide recognition by many jurisdictions around the world that we need to know the carbon content of these products, and we then need to agree what is a fair, effective, transparent and relatively easy-to-implement way of measuring that carbon in traded products,” he told a launch event for the trade emissions tracker, which contains data for different countries, sectors and gases.

    Trade and its role in addressing climate change has become a higher priority at UN climate talks after a push led by emerging economies including China, India and South Africa led to the first trade and climate change dialogue held this year at the mid-year session in Bonn.

    At the upcoming COP31 UN summit in Antalya, some voluntary initiatives like the Brazil-led Integrated Forum on Climate Change and Trade are expected to continue, but the issue does not feature in Türkiye’s Action Agenda of climate initiatives and formal negotiations are not scheduled on the topic.

    China: the world’s top emissions exporter

    As a manufacturing powerhouse, China ranks first in the new tracker as the world’s top-emitting country, but the data shows that a large chunk of the country’s carbon emissions – an amount larger than Brazil’s entire annual carbon footprint – are linked to products that are exported and consumed abroad.

    Russia, Brazil, the US and the EU rank as the top destinations for Chinese trade-related emissions, which are mostly linked to components for power generation, basic metals like copper and lead, and non-metallic minerals like graphite and phosphorus.

    Yet China is also the world’s top emissions importer, related mostly to agricultural products, fossil fuels and minerals brought from the US, the EU, Japan and India, among others. The US ranks second by a close margin, with both countries importing about 1.6 billion tonnes of CO2 equivalent.

    China’s industrial engine starts to break its fossil fuel habit

    Richard Baron, ECF’s industrial policy and trade director, said Chinese clean energy products are key for reducing emissions around the world, adding that Europe is “not able to do without those technologies” for its energy transition.

    “China has an emissions trading system that counts CO2 differently there. But if China and the EU were to agree on some kind of translation mechanism to say ‘this is how we measure it’, and companies can understand the protocol to navigate both markets, that would set the tone for a lot of other conversations,” he said at the platform’s launch event last week.

    The analysis suggests that if the EU and China aligned their climate requirements for products, the resulting standards could influence trade flows representing about 7% of global emissions.

    Baron said there’s “a plethora” of multilateral spaces to hold these discussions, including the climate and trade dialogue at the UN climate talks or the Climate Club at the Organisation for Economic Co-operation and Development (OECD), which seeks to cut industrial emissions.

    Trade breaks into agenda of UN climate talks – but will it have teeth?

    Controversial trade measures

    Instruments like the Europe’s Carbon Border Adjustment Mechanism (CBAM) – a recent piece of legislation that penalises emissions-heavy imported products – are one tool that could be used to address trade-related emissions, said Antoine Oger, executive director at the Institute for European Environmental Policy.

    He said a significant portion of imported emissions in Europe are already covered by CBAM, as it includes sectors like cement, iron and steel, fertilisers and aluminium. This then allows the EU “to engage in constructive dialogue with our trade partners”, he added.

    An employee of Dirostahl, a medium-size forging steel firm that produces large parts, works on a glowing steel element that has been heated in a classic natural gas-fired furnace to 1,200C in Remscheid, Germany, June 30, 2025. (Photo: REUTERS/Thilo Schmuelgen)

    An employee of Dirostahl, a medium-size forging steel firm that produces large parts, works on a glowing steel element that has been heated in a classic natural gas-fired furnace to 1,200C in Remscheid, Germany, June 30, 2025. (Photo: REUTERS/Thilo Schmuelgen)

    But across diplomatic summits, including at UN climate talks, emerging economies have pushed back heavily against the CBAM and other trade measures. The most recent BRICS declaration adopted on Saturday by 11 such countries – including China, India and Russia – condemns “protectionism under the guise of environmental objectives”.

    The declaration calls for the “elimination of such unlawful measures”, which they argue have “far-reaching negative implications for the human rights, including the rights to development, health and food security” of vulnerable communities.

    “The question of responsibility is a political question,” Oger said. “These emissions exist – they are emitted somewhere to make a product that will be consumed elsewhere. So you can debate responsibility but the idea is for the two parts to recognise there’s a problem.”

    The aim, he added “is not to point fingers, but to accept this is a reality of our emissions profiles and ask what we can do about it”.

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    Revealed: England’s June 2026 heatwave sparked record demand for ambulances

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    All the ambulance services in England experienced some of their busiest-ever days during this summer’s record-breaking June heatwave, according to data obtained by Carbon Brief.

    In June, temperatures climbed past 37C in parts of the country as authorities declared only the second ever “red” extreme heat warning.

    Four out of 10 NHS ambulance services, including London’s, responded to unprecedented numbers of life-threatening emergencies on at least one day from 23-27 June.

    Another two services – in the south-west and east of the country – received their highest volume of 999 calls on record.

    Ambulance services provided data on their busiest days since records began, in response to freedom-of-information (FOI) requests from Carbon Brief.

    The results show how demand during the June heatwave exceeded levels seen during the traditionally busy winter season in other years – and even the height of the Covid-19 pandemic – for many services.

    Heat demand

    Extreme heat ramps up the risk of numerous life-threatening conditions, including heart disease and respiratory problems.

    England experienced record-breaking temperatures at the end of June, with the whole country covered by amber or red “heat health alerts” from the government.

    A red alert, which was issued for the entire Midlands and south of England, indicates “significant risk to life for even the healthy population”. This was only the second time such an alert has been triggered.

    Researchers calculated that there were nearly 3,000 heat-related deaths in the UK this summer. There has also been unprecedented demand for A&E departments and some ambulance services.

    To investigate the strain facing ambulances, Carbon Brief sent FOI requests to the 10 NHS ambulance trusts in England, asking for lists of their busiest days.

    This covered both the total volume of 999 calls and “category 1” responses – referring to incidents involving “life-threatening injuries and illnesses”, such as heart attacks.

    The chart below shows the busiest days on record for England’s ambulances, including both total calls and category 1 responses. Most services were able to provide records back to the 2010s. (See: Methodology.)

    The five-day period from 23-27 June is overrepresented in these results, with at least two heatwave days ranking in the top 20 for every service in the country.

    Ambulance services in England experienced record demand during the June heatwave. Days on which total call volume or “category 1” responses involving life-threatening emergencies were in the top 20 busiest days for each service. A map shows high demand across regions from June 23-27. Source: Ambulance NHS trust FOI responses. (Alt text generated by Google Gemini)
    The top 20 rankings for services across England cover different periods of time. See Methodology for more details.

    This trend is especially pronounced in the south and east of England, where June temperatures exceeded 36C and even approached 38C in some regions.

    London, South East Coast, South Central and North East ambulance services all reported daily records for responding to life-threatening emergencies during the heatwave.

    For the South East Coast and South Central services – which cover a region stretching from Oxfordshire to Kent – 25, 26 and 27 June all saw unprecedented numbers of category 1 callouts.

    South Western and East of England services both saw record numbers of 999 calls on 26 June, the same day the highest-ever June UK temperature was reported in Norfolk.

    It is worth noting that demand for ambulance services – including category 1 calls – has been growing for many years, driven by factors such as an ageing population, more complex health conditions and growing mental-health pressures.

    This helps to explain why dates from before the 2020s are rare in the top rankings provided to Carbon Brief.

    Beyond the heatwave, 2026 as a whole is on track to be a record year for ambulance demand.

    ‘Stifling heat’

    On 26 June, the busiest day of the heatwave, ambulances across England responded to 4,084 life-threatening emergencies.

    The average daily volume of such incidents is normally around 2,500 during the summer months.

    Stu Holliday, head of emergency preparedness, resilience and response at North East Ambulance Service, tells Carbon Brief:

    “During periods of hot weather, we typically see an increase in calls from people affected by dehydration, heat exhaustion and heatstroke, as well as those whose existing health conditions, particularly heart and respiratory illnesses, can be made worse by prolonged high temperatures.

    “Older people, young children and pregnant people can be especially vulnerable.”

    Ambulance teams are generally busier in the winter because cold weather and seasonal illnesses drive up the number of severe medical emergencies.

    However, the data from June shows that extremely hot days are starting to match or even edge out cold ones as the busiest days. This is a trend seen across the healthcare system.

    While not every service provided records back to 2019, the data broadly shows that ambulances were busier during the heatwave than at the height of the Covid-19 pandemic.

    As well as patients, heatwaves put pressure on ambulance workers. The UNISON union has warned of crews facing “stifling heat with faulty or no air conditioning” and “back-to-back callouts” due to increased demand.

    Methodology

    Carbon Brief requested data on the top 50 busiest days for England’s 10 main ambulance services.

    These are: London; South East Coast; South Central; South Western; West Midlands; East Midlands; East of England; North East; Yorkshire; and North West.

    Data was requested for as far back as service records go. Most were able to provide records going back to some point in the 2010s, with the exception of North East and South Central, which only had records from 2021 and 2022 onwards, respectively.

    Rising annual demand for ambulance services means that most of the busiest days for ambulances have been in the 2020s. For example, all but four of the busiest days for category 1 emergencies reported to Carbon Brief were in the 2020s.

    Carbon Brief requested data on ambulance demand for all the UK nations. In Scotland and Northern Ireland – where temperatures are cooler – services did not see call volumes reach the top 50 rankings during the June heatwave. The Welsh Ambulance Service did not respond to Carbon Brief’s request.

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