Air pollution in India, the urban poor bearing the most of its burden

 The pollution level in the Indian capital of New Delhi is reported to be 20 times higher 20 times higher than the safe level recommended by World Health Organisation.  The problem is very worrying and the issue, including the measures that followed afterwards, received huge attention, and rightly so, in the news media, within India and beyond.

The average trend of PM2.5 for the last 19 months Delhi has witnessed unhealthy and hazardous levels for most of the past year. Air pollution is determined by the level of atmospheric particulate matter (PM) https://www.health.ny.gov/environmental/indoors/air/pmq_a.htm. The finer the matter, the deeper it can reach in lungs and blood stream causing more harm.

The crisis has begun to open up avenues for local business, like this  ‘Oxygen Bar’, which offers a 15 minute oxygen session for just over five pounds ($7) offers a 15 minute oxygen session for just over five pounds ($7). If this business thrives, are people that desperate to get relief from polluted air that they are willing to pay for what should be freely available?

Pollution Problems

This blue sky engulfing pollution  has resulted in a rise rise of hospital visits for conditions related to respiratory and cardiac problems. During my recent research trip to Delhi this October, I asked one of my colleagues if they had ever see blue sky. Her response was “only a couple of times in a year, maybe after a heavy rainfall”. Though this has now become a usual case during the winter months, the first two weeks of November this year saw unusually higher-level air pollution. The major contributors contributors of this pollution are reported to have been agriculture and automobiles.

Figure 1. The hidden skyline of NOIDA across Yamuna, seen from Kalindi Kunj, Madanpur Khadar; Photo- Ramjee Bhandari

According to one study, Delhi has one of the highest rate of deaths attributable to outdoor air pollution Delhi has one of the highest rate of deaths attributable to outdoor air pollution. Compared to 1990 Compared to 1990, the proportion of total of deaths and disability associated to air pollution have risen significantly, for example, Ischaemic heart disease was the 5th leading cause in 1990, which now ranks number one. Likewise, chronic obstructive lung diseases (COPD) was in 13th position, and has now jumped up to 5th place.

At SHLC, we are currently exploring the relationship of neighbourhood attributes (such as perceived air pollution) and their health outcomes. The preliminary findings from an ongoing systematic review from the centre has so far found negative health consequences of perceived air pollution in the neighbourhoods.

Classic Case of Environmental Injustice for Delhi’s Poor and Marginalised

Who is more affected by this problem? Is ill health equally distributed or skewed towards a certain group? “Air pollution threatens us all, but the poorest and most marginalised people bear the brunt of the burden,” says Dr Tedros Adhanom Ghebreyesus, Director General of WHO Dr Tedros Adhanom Ghebreyesus, Director-General of WHO. When it comes to the health impacts of air pollution, children, elderly and the poorest populations are the most vulnerable most vulnerable.

Families living in poverty bear the double burden of indoor and ambient (outdoor) air pollution. The large use of ‘dirty fuels’ ‘dirty fuels’ such as coal, kerosene, dung and wood in the kitchen creates indoor air pollution and families with a poor socioeconomic status are those who have no other choices than to choose these dirty sources of fuel. In India, if these fuels were replaced by cleaner options, about 270,000 lives could be saved each year 270,000 lives could be saved each year. It is the low-income residents who bear the higher burden of outdoor air pollution, but they do not have the luxury  to travel by car—highlighting Delhi air pollution as a classic case of environmental injusticehighlighting Delhi air pollution as a classic case of environmental injustice.

Figure 2. It is someone who is on the street or in an open vehicle who gets higher exposure to the ambient air pollution; photo – Ramjee Bhandari

 

A Healthy Delhi, But at What Cost?

 

To mitigate pollution problems, the Delhi government has introduced odd/even rules on the street odd/even rules on the street to curb automobile emissions, are planning to distribute more than five million pollution masks five million pollution masks to the public and schools are closed schools are closed when the pollution level climbs dangerously high.

But, this has not helped much. This problem requires a multilevel and multi-dimensional response and may take years take years before considerable improvements can be felt. An emergency action to address the current crisis, particularly protecting vulnerable groups, and an extensive and sustained series of initiatives are crucial for creating a healthy Delhi free of suffocating air pollution.


 

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