Understanding Lightning as a Public Health Hazard: A Comprehensive Narrative Review
Keywords:
Awareness, community, disaster, preparednessess, Emergency, Disaster, Disaster Management, Disaster ResilienceAbstract
Introduction:
Lightning is a sudden natural electrical discharge that causes significant mortality and injury worldwide. In India, lightning has emerged as a major cause of weather-related deaths, especially among rural and agricultural communities. Climate change, deforestation, and urbanization have further increased the frequency and intensity of lightning events.
Methods:
This narrative review was conducted using information collected from online databases such as PubMed, Google Scholar, and ScienceDirect, along with reports from the National Disaster Management Authority (NDMA) and the India Meteorological Department (IMD). Studies published between 2000 and 2025 were included. The keywords used were “lightning injuries,” “lightning fatalities,” “thunderstorms,” “climate change,” “India,” and “public health.” The data were analyzed qualitatively and organized into key themes: mechanism of injury, epidemiology, impacts, and mitigation measures.
Results:
Lightning remains one of the leading causes of natural disaster-related deaths in India, accounting for a large share of rural fatalities. Most victims are outdoor workers such as farmers and laborers, and incidents are concentrated during the monsoon months. Environmental and socio-economic factors, including unsafe housing and limited awareness, contribute to high vulnerability. However, early warning systems, mobile applications like Damini and SACHET, and improved disaster preparedness have led to a noticeable decline in fatalities in recent years.
Discussion:
Despite growing awareness and technological interventions, lightning continues to pose a serious public health challenge. Strengthening community-based preparedness, promoting safe shelter practices, and integrating lightning safety into disaster management policies are essential to reduce future risks. Continued public education and coordinated policy action are key to building a lightning-resilient society.
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References
Yadava, P.K., Soni, M., Verma, S. et al. The major lightning regions and associated casualties over India. Nat Hazards 101, 217–229 (2020). https://doi.org/10.1007/s11069-020-03870-8
Jensen JD, Thurman J, Vincent AL. Lightning Injuries. [Updated 2023 Jul 17]. In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2025 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK441920/
Ritenour, A. E., Morton, M. J., McManus, J. G., Barillo, D. J., & Cancio, L. C. (2008). Lightning injury: a review. Burns, 34(5), 585-594.
Holle, R. L., & Cooper, M. A. (2019, June). Overview of lightning injuries around the World. In The 11th Asia-Pacific International Conference on Lightning (pp. 12-14).
2c. Selvi, S., & Rajapandian, S. (2016). Analysis of lightning hazards in India. International Journal of Disaster Risk Reduction, 19, 22-24.
2d. Mishra, M., Guria, R., Srivastava, S. et al. Analysis of lightning strikes and associated fatalities in Jharkhand, India, from 2000 to 2020. Nat Hazards 121, 8479–8499 (2025). https://doi.org/10.1007/s11069-025-07124-3
3.Biswas, A., Dalal, K., Hossain, J., Ul Baset, K., Rahman, F., & Rahman Mashreky, S. (2016). Lightning Injury is a disaster in Bangladesh? - Exploring its magnitude and public health needs. F1000Research, 5, 2931. https://doi.org/10.12688/f1000research.9537.1
14.National Disaster Management Authority. (2024). Lightning resilience in India. Government of India. https://ndma.gov.in/sites/default/files/NLJuly24/images/LIGHTNING-RESILIENCE-IN-INDIA.pdf
8.Selvi, S., & Rajapandian, S. (2016). Analysis of lightning hazards in India. International Journal of Disaster Risk Reduction, 19, 22-24.
9.Murty, O. P. (2007). Dramatic lightning injury with exit wound. Journal of forensic and legal medicine, 14(4), 225-227.
10.CN, S., & MP, P. K. (2015). Lightning death: a case report. Journal of Indian Academy of Forensic Medicine, 37(1), 93-95.
4.Mishra, M., Acharyya, T., Guria, R. et al. Lightning-related fatalities in India (1967–2020): a detailed overview of patterns and trends. Environ Dev Sustain (2024). https://doi.org/10.1007/s10668-024-05276-z
5.Shankar, A., Kumar, A. & Sinha, V. Incident of lightning-related casualties in Bihar, India: An analysis and vulnerability assessment. J Earth Syst Sci 133, 73 (2024). https://doi.org/10.1007/s12040-024-02277-4
6.Mishra, M., Guria, R., Srivastava, S. et al. Analysis of lightning strikes and associated fatalities in Jharkhand, India, from 2000 to 2020. Nat Hazards 121, 8479–8499 (2025). https://doi.org/10.1007/s11069-025-07124-3
7.Guntheti, B. K., & Singh, U. P. (2015). Profile and Analysis of Lightning Victims Brought to MGH, Khammam, Telangana State. Journal of Indian Academy of Forensic Medicine, 37(3), 258-262.
10a. Illiyas, F. T., Mohan, K., Mani, S. K., & Pradeepkumar, A. P. (2014). Lightning risk in India: Challenges in disaster compensation. Economic and political weekly, 23-27.
10b. Muehlberger, T., Vogt, P. M., & Munster, A. M. (2001). The long-term consequences of lightning injuries. Burns, 27(8), 829-833.
10c. Cooper, M. A. (1998, October). Disability, not death, is the main problem with lightning injury. In NWA Annual Meeting, October.
11.Holle, R. L., & Cooper, M. A. (2016). Lightning occurrence and social vulnerability. In Atmospheric hazards-Case studies in modeling, communication, and societal impacts. IntechOpen.
11a. An assessment of long-term changes in mortalities due to extreme weather events in India: A study of 50 years’ data, 1970–2019
11c. A shocking injury: A clinical review of lightning injuries highlighting pitfalls and a treatment protocol
11b. Pachur, T. (2024). The perception of dramatic risks: Biased media, but unbiased minds. Cognition, 246, 105736.
11a.a Harari YN. Homo Deus: A Brief History of Tomorrow. London: Harvill Secker; 2016.
13.National Disaster Management Authority. (2019). Guidelines for preparation of action plan – Prevention and management of thunderstorm & lightning, squall, dust/hailstorm and strong winds. Government of India. https://ndma.gov.in/sites/default/files/PDF/Guidelines/Guidelines-on-TSL-HSW.pdf
National Disaster Management Authority. (2024). Lightning resilience in India. Government of India. https://ndma.gov.in/sites/default/files/NLJuly24/images/LIGHTNING-RESILIENCE-IN-INDIA.pdf
12.Ministry of Health and Family Welfare. (2023). National strategy for prevention of unintentional injury. Directorate General of Health Services, Government of India.https://dghs.mohfw.gov.in/uploads/assets/TAaOO7nsx9I0v978vY8cWde6cO0NJBCWEE9s5DcD.pdf
13a. Alam, M., & Jain, R. (2024). Lightning strikes the health of low income workers in India. BMJ: British Medical Journal (Online), 386, q1718.
15.Sreekandan, V. K. (2024, July 9). The Victims of Natural Lightning Disaster (Compensation) Bill, 2024 (Bill No. 102 of 2024). Lok Sabha, Government of India.https://sansad.in/getFile/BillsTexts/LSBillTexts/Asintroduced/102%20of%202024%20AS89202445547PM.pdf?source=legislation
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