India is among the world lowest per capita greenhouse gas (GHG) emitters, but rapid increases are expected. At the same time, World Health Organization (WHO) estimates show that 424,000 die prematurely in Indian households each year from air pollution exposure due to solid fuel use. We analyze GHG emissions and health through three policy scenarios for household energy, using projections for population, income and urbanization. In policy scenarios called Business as Usual (BAU), Improved Health, and Green Future, projected per capita household GHG emissions in 2026 increase by 169%, 164% and 139%, respectively, compared to 2001, whereas household mortality rates decrease by 45%, 67% and 45%, respectively. Due to income growth and urbanization, an increase in GHG emissions is likely inevitable. but can be slowed. For health, in contrast, improvements are expected and can be expanded. (C) 2009 Elsevier Ltd. All rights reserved.