Heat stress and inadequate toilet access at work places in India – a potential hazard to working women in a changing climate

In the past few decades, increasingly blistering heat due to climate change has created more illnesses and claimed more lives worldwide, an issue mostly ignored because it's an invisible hazard and hard-to-document disaster. Victims are usually vulnerable populations, including workers exposed on a daily basis to heat, who not only suffer from heat illnesses but also from an exacerbation of existing health problems aggravated by heat and dehydration. Research has proved that heat is a higher risk for female workers, who are affected far more often than their male counterparts. India’s informal economy is dominated by the female workforce and many informal workplaces have minimal welfare facilities including toilets. One of the modifiable factors that influence workplace psychology is the lack of access to a private toilet. To avoid embarrassment or harassment, many women refrain from drinking water during the day in order to limit their trips to the toilet, a potentially deadly strategy during hot seasons which has adverse health consequences. A global trend especially in developing nations evidences a higher number of women entering the workforce. With this trend and rising temperatures, the issue is expected to escalate to significant proportions unless workplace interventions and policy level actions are taken at a national level to protect women workers.