The health status of livelihood assets is an important aspect for pastoralists’ sustainable and viable livelihood. Pastoralists throughout the world are facing a socio-ecological dynamic in their habitat which makes the pastoralists vulnerable to several diseases. Socio-ecological dynamics took place in the Western Himalayas which gives birth to the environment of disease; this study thus tries to investigate the diseases among the Western Himalayan pastoralists. For this, a case study of Bakarwal pastoralists of Western Himalaya has been taken to investigate the occupational health among the Western Himalaya pastoralists. The study used verbal autopsy whereas 239 households were interviewed. The findings of the study stated that Bakarwal livestock and labourer are frequently affected due to diseases, they possess ethnobotanical knowledge also used magic and religious practices to cope with the diseases.