India has refused to sign the COP28 Declaration on Climate and Health, The report also states the India cited the lack of practicality in curbing greenhouse gases use for cooling in the health sector, as the reason. 

• The Health Day also did not see any participation from the Indian Health Ministry delegation even though India extended support to the ministerial hosted by the COP28 Presidency, the World Health Organisation and the UAE Ministry of Health and Prevention
• The declaration calls for climate action to achieve "benefits for health from deep, rapid, and sustained reductions in greenhouse gas emissions, including from just transitions, lower air pollution, active mobility, and shifts to sustainable healthy diets".
• The declaration has been signed by 124 countries till now with the US and India, which are among the top greenhouse gas emitters, absent from the list of signatories.