The Heatwave Action Plan aims to provide a framework for implementation, coordination and evaluation of extreme heat response activities in cities/town in India that reduces the negative impact of extreme heat. The Plan’s primary objective is to alert those populations at risk of heat-related illness in places where extreme heat conditions either exist or are imminent, and to take appropriate precautions, which are at high risk. Preventive heat management and the administrative action need to be taken by the concerned ministries/departments are enumerated in Table 5. All cities can learn from their experience and develop a plan to deal with Heatwave in their specific cities/town and thus reduce the negative health impacts of extreme heat. In addition the State Governments should also prepare a comprehensive plan to combat heat wave.