Rising temperatures and increasing heat stress are emerging as critical drivers of health impacts and distress migration in rural India. Of particular concern is the growing incidence of extreme humid heat, where wet-bulb temperatures approach 35 °C – a physiological threshold beyond which the human body can no longer effectively cool itself, even at rest. In rural settings characterized by outdoor labor, limited access to cooling, and weak health infrastructure, prolonged exposure to such conditions reduces agricultural labor productivity, exacerbates acute and chronic health conditions, and increases heat-related morbidity and mortality. As work capacity declines and health risks rise, rural households experience income loss and growing insecurity, compelling migration not as a choice but as a survival strategy. This talk focuses on practical, low-cost, and scalable interventions that can reduce heat exposure, protect health, and help prevent distress migration.