13/EH/A/H/S/O Times OF India/New Delhi/08/11/07 Foul air makes Delhiites sick Blame It On Smog: Respiratory Infections Double Over Last Year TIMES NEWS NETWORK New Delhi: Manish Singhal, a 55-yearold businessman from Green Park in south Delhi, had never suffered from respiratory ailments in his life. That is, till he was taken to AIIMS last Sunday after he suddenly complained of trouble in breathing. Doctors diagnosed the problems of Singhal, a heart patient, as an asthma attack. Though it’s rare for a middle-aged person to be stricken with asthma, doctors in the capital will tell you that Singhal is not alone. The blanket of smog that has enveloped Delhi for the last many days has sent the number of respiratory tract infections and asthma cases spiralling. Doctors say the cases of asthma and wheezing being reported at present are roughly twice the number they received around the same time last year — when there was no smog. They say, early November generally sees a spurt in respiratory problems due to the change of season. But this year, it has been particularly bad because of the smog, with many patients being taken critically ill. Says Dr Randeep Guleria, department of medicine, AIIMS: ‘‘Smog is a form of air pollution. All persons are at risk of being affected by smog, especially children, elderly and those with pre-existing lung conditions. Even those with no previous history of respiratory tract infections can fall prey to it.’’ SHORT OF BREATH Problem: Respiratory infections — wheezing bronchitis, asthma attacks, pneumonia — on the rise. Heart patients at greater risk Symptoms: Shortness of breath, wheezing, coughing, pain while breathing and watery eyes Rx: Asthmatics must carry inhalers, and take prescribed medication. Wear a mask while stepping out Children are sitting ducks New Delhi: Doctors say early November generally sees a spurt in respiratory problems due to the change of season. But this year, it has been particularly bad because of the smog. “At AIIMS, we have had to admit some patients in casualty as well. There has been 10-15% increase just in the number of patients who are taken in the casualty for respiratory tract infections. The number of cases in the OPDs is much higher,’’ says Dr Randeep Guleria of AIIMS. Children are more likely to be affected by smog. ‘‘In the last few days, since Delhi came under a layer of smog, the number of children coming to my OPD has doubled. Most of them are presenting symptoms of what is known as wheezing bronchitis. Both allergic and infectious respiratory tract infections can be seen,’’says Dr Sanjeev Baghai, HOD, paediatrics, Rockland Hospital. Smog is formed when pollutants from vehicular and industrial emissions cars mix with each other in the presence of sunlight and heat. Besides being extremely harmful for the lungs and to those with respiratory problems, it also leads to nose, ear and throat irritation. ‘‘Smog causes several kinds of allergies as well. Middle-ear infections are very common in children and such cases have gone up in the last few days,’’ adds Dr Baghai. Smog isn’t always visible. An air layered with smog means there are chances of an increased level of carbon monoxide in the atmosphere which can also prove to be fatal for some people, including heart patients. ‘‘It instantly inflames the airways, causes pain while breathing and sends the respiratory tract in spasms. Heart patients should also be careful during days when there is smog. Cases of acute pneumonia has also risen and we have admitted many patients for all these conditions,’’ says Dr Sandeep Budhiraja, department of medicine, Max Healthcare. Shortness of breath, coughing, wheezing, painful breathing and watery eyes are symptoms of exposure to smog. Doctors also warn than those who exercise regularly and athletes might have difficulty. They should stop in case of breathing difficulty. Smog levels are highest on sunny days.