A Visitor’s Health Crisis: The Real Cost of India’s Pollution

A Visitor’s Health Crisis: When India’s Pollution Overshadows Promise

Dutch software engineer Sacha Arbonel on X describing health issues from air pollution in India

How two months in India left a Dutch engineer grappling with a pollution crisis that affects millions

When Dutch software engineer Sacha Arbonel arrived in India two months ago for his wedding, he came expecting celebration. Instead, he found himself caught in something far more serious: a battle with his own health against persistent air pollution. His experience has sparked an important conversation about what people living and visiting India actually face daily.

Arbonel’s struggle goes beyond personal discomfort. His observations reflect a wider crisis affecting millions. For more details on how pollution impacts respiratory health across India, see our coverage on air pollution’s lifelong health consequences. The data is stark: the latest State of Global Air report documents how cities across India face severe air quality challenges during winter months.

A 2-Month Journey Through Pollution

Sacha Arbonel’s experience traces the impact of seasonal pollution patterns and personal health deterioration

Week 1-2: Arrival

Initial Impact

“I just want to be able to breathe and not have my throat burn.”

First signs of discomfort despite loving the food and culture. Mild respiratory irritation begins.

AQI: Moderate-High
Week 3-6: Deterioration

Health Decline

“I don’t remember the last time I was so sick for such a long time.”

Persistent respiratory illness develops. Mask becomes a constant companion, not occasional protection.

AQI: Very Unhealthy
Week 7-8: Crisis Point

The Breaking Point

“The kids of this country deserve better.”

Health remains compromised. Concern shifts to long-term vulnerability. Observation of children in pollution becomes deeply troubling.

AQI: Hazardous
Week 9-10: Reflection

The Pollution Tax

“Everyone living here is paying a hefty pollution tax.”

Recognition that tech salaries and cultural richness cannot offset the health cost of breathing polluted air daily.

AQI: Variable

What Pollution Does to Your Body

The physical toll experienced by Arbonel reflects documented health impacts of prolonged air pollution exposure

🫁

Respiratory System

Burning throat, persistent cough, and difficulty breathing. Symptoms worsen with continued exposure.

🤒

Prolonged Illness

Bodies struggle to recover. What might normally be a short cold extends into weeks of sustained illness.

😷

Mask Dependency

Masks become essential for any outdoor activity, not optional protection. Creates psychological burden alongside physical restriction.

💭

Mental Impact

Health concerns create frustration and worry. The inability to breathe freely affects quality of life and well-being.

“I love Indian food and the culture but I just want to be able to breathe and not have my throat burn. Been in India for the last two months for my Indian wedding and I don’t remember the last time I was so sick for such a long time. I’m tired of wearing a mask.”
— Sacha Arbonel, Dutch software engineer (Original Post on X)

How Indian Cities Compare

Arbonel’s experience in Pune reflects air quality patterns across major Indian urban centers

Winter months typically see the worst air quality across Indian cities. Real-time air quality monitoring data from India’s official tracking systems confirms seasonal severity peaks. Data for this table is sourced from the State of Global Air 2025 report and SAFAR.
City Typical Winter AQI Health Impact Main Sources
Pune (Arbonel’s location) Variable; sees episodic spikes
(Check SAFAR for current data)
Moderate to Unhealthy Vehicle emissions, construction
Delhi High, often hazardous peaks Very Unhealthy to Hazardous Vehicles, biomass burning, dust
Mumbai Elevated on bad days Moderate to Unhealthy Vehicles, coastal factors
Bangalore Moderately elevated Moderate Vehicles, industrial

Who Suffers Most?

Arbonel raised a crucial concern about India’s most vulnerable populations

Arbonel’s deepest concern was for children. “I see small kids walking on roads with their parents with pollution around them and cannot stop thinking how bad it must be for their young lungs. The kids of this country deserve better.” This observation points to a broader reality about who faces the greatest risk from prolonged air pollution exposure, a fact highlighted in health reports by the WHO.

👶
Children

Developing lungs are more susceptible to permanent damage. Early exposure can reduce lifelong lung capacity, as noted by the WHO and UNICEF.

👵
Elderly People

Age-related lung function decline means increased vulnerability. Existing respiratory conditions worsen rapidly.

🏗️
Construction Workers

Daily outdoor exposure without respiratory protection. No escape from polluted air during work hours.

🏥
People with Existing Conditions

Asthma, bronchitis, and other conditions deteriorate significantly. Medication effectiveness decreases.

📍
Low-Income Communities

Limited access to healthcare or air purification. Less ability to relocate to less polluted areas.

👩‍🔬
Pregnant Women

Air pollution linked to pregnancy complications and developmental impacts on unborn children.

The Numbers Behind the Crisis

Data that contextualizes Arbonel’s experience within India’s broader air quality reality

~1.6M
Deaths annually in India attributed to air pollution according to recent Global Burden of Disease estimates.1
Several Years
Average life expectancy reduction in the most polluted parts of northern India.2
Over 100
Days per year with unhealthy air in several major Indian cities, as per CPCB monitoring.3
>95%
Of the global population breathes air exceeding WHO guideline levels.4
Significant
National economic burden from healthcare costs and lost productivity due to air pollution.5

Sources: 1Global Burden of Disease (IHME), 2Air Quality Life Index (AQLI), 3Central Pollution Control Board (CPCB) data, 4WHO analysis, 5Lancet Commission on pollution and health.

The Tech Paradox: Growth Without Solutions

Why economic development hasn’t translated to environmental protection

Arbonel identified a critical contradiction in India’s development story: “The tech scene of India is so good. Tech salaries as good as Europe. Food scene is great as well. But it all feels worthless with the amount of pollution the cities have.”

This observation reflects a real disconnect. India has become a global technology hub with salaries rivaling developed nations. Yet the infrastructure for environmental protection hasn’t kept pace with industrial growth. For understanding policy responses to this issue, explore the NITI Aayog’s environmental initiatives and see what accountability mechanisms currently exist for pollution control boards.

The “pollution tax” Arbonel described is real and is paid in health consequences by everyone. Research from institutions like the Institute for Health Metrics and Evaluation (IHME) quantifies this burden. When tech salaries match Europe but air quality falls far below standards, the quality of life—despite economic gains—remains compromised.

Explore the Evidence

Understanding India’s air pollution crisis requires engaging with official data sources and research institutions that document real-time conditions and long-term health impacts.

Related Coverage from KarmActive

Explore more stories on how India’s environmental challenges affect real people:

What Arbonel’s Experience Reveals

Sacha Arbonel’s two-month experience in India tells a story that millions living here could confirm. Air pollution in Indian cities has reached levels that compromise health, limit daily life, and particularly endanger children and vulnerable populations. His concern about children growing up in this environment points to a crisis affecting India’s future, a concern echoed by global health bodies.

Data from official sources like SAFAR and reports like the State of Global Air confirm what Arbonel experienced: winter pollution reaches hazardous levels across multiple cities. His observation about the “pollution tax”—the invisible cost paid by everyone breathing India’s air—reflects a documented economic and health burden affecting work productivity, healthcare costs, and life expectancy.

When technology sector growth and salary parity with Europe fail to translate into basic quality of life indicators like breathable air, the development story remains incomplete. Arbonel’s voice, as an outsider, amplifies what residents have been documenting for years. The crisis is real, documented by primary sources, and demands a response proportional to its scale.

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Govind Tekale

Embarking on a new journey post-retirement, Govind, once a dedicated teacher, has transformed his enduring passion for current affairs and general knowledge into a conduit for expression through writing. His historical love affair with reading, which borders on addiction, has evolved into a medium to articulate his thoughts and disseminate vital information. Govind pens down his insights on a myriad of crucial topics, including the environment, wildlife, energy, sustainability, and health, weaving through every aspect that is quintessential for both our existence and that of our planet. His writings not only mirror his profound understanding and curiosity but also serve as a valuable resource, offering a deep dive into issues that are critical to our collective future and well-being.

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