Hong Kong’s most vulnerable residents, its homeless population, are facing a deepening health crisis as the city grapples with increasingly extreme weather patterns. A local non-governmental organization, ImpactHK, has sounded the alarm, reporting that the relentless cycle of record-breaking heat and torrential downpours is creating ideal breeding grounds for disease-carrying pests, while simultaneously leaving individuals exposed to the life-threatening dangers of heatstroke.
The stark reality for those living on the streets is a daily battle against a hostile environment exacerbated by climate change. The NGO’s findings, released on a recent Sunday, paint a grim picture of overcrowded, unsanitary conditions that have become breeding havens for mosquitoes, midges, cockroaches, and rats. These unwelcome companions not only disrupt sleep and cause physical discomfort but also pose significant risks of disease transmission and secondary infections.

A Scourge of Pests in Unsanitary Conditions
ImpactHK conducted a comprehensive 15-day monitoring and sampling initiative between July and August, targeting four key locations where Hong Kong’s unhoused population congregates. The study involved meticulous environmental assessments and pest collection, complemented by over 60 questionnaires administered to individuals experiencing homelessness. The data collected reveals a disturbing prevalence of insect and rodent activity across these sites.
The Cherry Street Pedestrian Subway in Tai Kok Tsui emerged as the epicenter of the pest problem, recording an astonishing 348 insects during the sampling period. This translates to an average of 23.2 pests per day, a figure compounded by the location’s high relative humidity, which averaged 87.9 percent. Such conditions are a perfect storm for insect proliferation. Tung Chau Street Park in Sham Shui Po, another significant gathering point, also registered a high density, with 135 pests captured over nine monitoring days, averaging 15 per day.

The survey data also highlighted a stark contrast in living conditions, with respondents reporting significantly more severe pest issues when living on the streets compared to utilizing temporary hostel accommodations. Common complaints included infestations of cockroaches, rats, midges, and fleas.
ImpactHK’s statement detailed the alarming infestation rates: “Infestation rates of cockroaches and rats reached 79 [to] 83 per cent at parks, tunnels and footbridges, while 100% of respondents at the [Tsim Sha Tsui] Cultural Centre reported midge problems.” These figures underscore the pervasive nature of the issue, affecting nearly every individual surveyed in these public spaces.
The Torment of Extreme Heat and Sleep Deprivation

Beyond the immediate physical discomfort and disease risks posed by pests, the escalating heatwaves present an equally dire threat to the health and well-being of the homeless. The survey revealed that a staggering 62 percent of respondents experienced severe sleep disruption during periods of heat warnings. More critically, over 37 percent reported experiencing symptoms consistent with heatstroke, including dizziness, headaches, and nausea. These are not mere inconveniences; they are life-threatening conditions for individuals lacking access to adequate shelter and hydration.
The compounded effect of pest bites and extreme heat has a devastating impact on sleep, a fundamental human need crucial for physical and mental recovery. Three-quarters of the respondents reported severely disrupted sleep due to pests, leading to skin inflammation and, in some cases, secondary infections. For some, the financial burden of managing these issues is an added strain, with 18 percent of those surveyed admitting to spending money on mosquito repellent, a luxury many cannot afford.
A poignant account from a man surnamed Chow, who has lived on the streets in Causeway Bay for over five years, vividly illustrates the severity of the situation. He described the pests as making sleep "impossible" and implored the government to open air-conditioned heat shelters daily throughout the summer. His plea highlights a critical gap in current policy, where shelters are often activated only when official "Very Hot Weather Warnings" are issued, typically above 33 degrees Celsius, leaving many vulnerable to dangerous temperatures for extended periods.

Calls for Urgent Government Intervention and Enhanced Support
In response to these alarming findings, ImpactHK has issued a series of urgent recommendations directed at Hong Kong authorities. The NGO is advocating for the immediate implementation of measures to mitigate the dual health risks faced by the homeless population.
Key Recommendations:

- Continuous Access to Cooling Shelters: ImpactHK is urging the government to keep air-conditioned heat shelters open throughout the entire summer period, not just during official warnings. They propose that these shelters should be strategically located within a 15-minute walking distance of known homeless encampments to ensure accessibility. This proactive approach aims to prevent heat-related illnesses before they become critical.
- Extended Public Bathhouse Hours: Recognizing that personal hygiene is a significant challenge for the unhoused, the NGO recommends extending the operating hours of public bathhouses. The survey indicated that nearly half of the respondents struggled to find suitable facilities for bathing, exacerbating both hygiene issues and the discomfort caused by heat and pest bites.
- Enhanced Medical Outreach and Pest Prevention: The NGO calls for the more frequent deployment of medical outreach teams equipped with pest prevention supplies. This would provide immediate assistance and supplies to those most in need.
- Prioritization at District Health Centres: ImpactHK suggests designating homeless individuals as a priority group for services at the city’s District Health Centres. This would ensure they receive timely medical attention and access to health resources.
The Shadow of Climate Change
The escalating challenges faced by Hong Kong’s homeless population are intrinsically linked to the broader issue of climate change. The Intergovernmental Panel on Climate Change (IPCC) has consistently warned of the increasing intensity and frequency of heatwaves globally, a direct consequence of human-induced climate change. The accumulation of greenhouse gases, such as carbon dioxide, traps heat in the atmosphere, leading to rising global surface temperatures and more prolonged, severe heat events.
Scientific research underscores the severity of Hong Kong’s situation. Studies indicate that the city has already experienced a warming of 1.7 degrees Celsius since the Industrial Revolution. Projections suggest that by the end of the century, Hong Kong could face protracted periods where heat and humidity reach lethal levels, rendering outdoor environments uninhabitable for extended durations. This grim outlook necessitates urgent action to protect vulnerable populations from the immediate and future impacts of a changing climate.

The plight of the homeless in Hong Kong serves as a stark reminder of how climate change disproportionately affects those with the fewest resources. The convergence of pest infestations and extreme heat creates a double burden of suffering, highlighting the urgent need for compassionate and effective public policy to ensure the safety and dignity of all residents, regardless of their housing status. The current situation demands a shift from reactive measures to proactive, comprehensive strategies that address both the immediate humanitarian crisis and the underlying environmental challenges.






