Even if we assume that this is a big problem, identifying it is the easy part, the harder part is coming up with a solution.
If you just think about this specific issue, then it seems obvious that the solution should be to change the syntax to accommodate what other C-like languages are doing, but if you look at the language as a whole will see all the other problems that get introduced, making this change less straight forward than it might seem initially.
My recommendation to the people that want to see this changed is to do the work to understand enough about Zig to be able to produce a proposal and see how that goes. There even are ~regular meetings where a guest can participate to present a proposal to the language design committee.
That said, here's my take (just to clarify, I'm not part of the language design committee): I think it's fine as is and the solution is to just use blocks the right way.
In other comments people showed the example of encapsulating a while loop in a block, but that's just an artificial example that I agree doesn't seem too convincing. The reality is that leaking a variable is not terribly bad per se, it only becomes bad when a function has a lot of things going on and also maybe multiple loops, like you mentioned here:
> Exposing 100 variables to a larger scope than they need to be sounds like a source of bugs to me.
My argument at this point is that if you have a function with multiple while loops and enough things going on that leaking a variable would be a problem, then you should have blocks in place already, which in other words means that it's not the while loop that needs to be artificially wrapped in a block to overcome a language limitation, but rather that the loop + its surrounding context should be wrapped in a very natural block regardless.
Of course having the ability to use a while loop to restrict the lifetime of its index would be better, but what I mentioned just now about wrapping each context makes me think that it's not that bad of a problem and, on the other hand, the design problem I mentioned in the beginning makes me think, given what I know currently, that this might very well be a sweetspot despite the "common sense" complaints that people have.