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The results are alarming: not just the number of people breathing in polluted air, but those breathing air contaminated with particulates that are multiple times over the level deemed safe — 10 micrograms of PM2.5 per cubic metre — by the World Health Organisation.The data show that more than 4.2bn people in Asia are breathing air many times dirtier than the WHO safe limit.Then every November, this heavy mix is exacerbated by millions of farmers in the states of Punjab and Haryana burning rice stubble after their harvests, a cheap way to dispose of otherwise worthless straw.Yet Ms Narain says New Delhi has taken “very significant steps to combat pollution”, albeit often under Supreme Court pressure in the past two years.

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But that appears to fly in the face of international studies that show that air pollution has a wide-ranging impact, including an elevated risk for heart attacks and strokes, increased risk of asthma, reduced foetal growth, stunted development of children’s lungs, and cognitive impairment.” asks Dr Kumar, who last week launched Doctors for Clean Air to raise awareness about the impact of air pollution. It’s an emergency.” The problem is most acute in India but it is not alone.The Financial Times collated Nasa satellite data of fine particulate matter (PM2.5) — a measure of air quality — and mapped it against population density data from the European Commission to develop a global overview of the number of people affected by this type of dangerous pollution.“They are not unaware but, despite being aware, they deny,” says Dr Kumar, “The corrective measures that would be needed are unpleasant, and might make them lose votes rather than gain votes.” But environmentalist Sunita Narain, director-general of New Delhi’s Centre for Science and Environment, says official attitudes have shifted since last winter’s catastrophic air emergency, when record pollution levels forced schools to close for several days.“That was a turning point,” says Ms Narain, who has battled India’s air pollution for decades.

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