Without A/C, tropical countries would not have developed to the extent they have, bringing millions out of poverty https://www.vox.com/2015/3/23/8278085/singapore-lee-kuan-yew...
I grew up in Sacramento. I know full well that hydration and shade are not nearly as effective as just staying inside an air-conditioned room. They're certainly important in those cases where you need to be out and about, but it's almost always better to just not be in that environment in the first place.
Roads started melting there from the 110+ degree heat this summer.
How many died because of the absence?
Survival is a poor metric.
... and clothes, shoes, agriculture, metal, etc etc. A/C is a luxury, yes, but humans have been without pretty much all artificial things for most of their existence.
And even today it is not really among the hottest places on Earth.
And they still do. It's ubiquitous in the US, but I assume only a tiny minority of people in the world use A/C, even in developed countries.
Look - we are all the children of survivors, and the correct counter factual are all our siblings and their lineages who didn't make it.