



She said doctors in recent days have been dealing with a 20 percent spike in emergency hospital admissions from people suffering heart and lung problems. And that's in a city, she said, where one in every three children already has compromised lungs.



Seema Upadhyaya, who heads a primary school, said she has never before witnessed so many children suffering from respiratory illnesses as she has this year. That has prompted changes to the curriculum.



"It's impacting everybody," she said.



Authorities have been taking extraordinary measures to try to mitigate the immediate crisis. They have temporarily closed schools and stopped most trucks from entering the city.



The government put off a decision for rationing car usage starting Monday as pollution levels started coming down in the city, said Kailash Gahlot, New Delhi's transport minister.



But everyone agrees such measures don't address the root causes, which remain hard to solve.



Roychowdhury said the city's pollution has been trapped this week by a lack of wind at ground level, colliding winds in the upper atmosphere, and cooling temperatures.



Air quality typically gets worse at this time of year as nearby farmers burn fields and people build street fires to keep warm. The conditions this week prompted the capital's top elected official, Arvind Kejriwal, to describe his city as a "gas chamber."



While crop burning has been banned in and around the capital, officials say it's hard to punish impoverished farmers for continuing traditional methods that have been handed down through the generations.



Pandey said it's part of a broader problem in India.



"Your water is not healthy, your food is not healthy, your vegetables are polluted, they are poisoned," he said. "I mean, everything is polluted right now."



Roychowdhury said she is encouraged there is rising awareness of the air quality problem, both among residents and the medical community. But she says authorities need to do more.



She said officials have been asking people this week to use more public transport, but at the same time the city doesn't have enough buses and hasn't bought any new ones in recent years.



"What we are saying, and the Supreme Court has already asked for it, is that there should be a comprehensive plan for all sources of pollution," she said.



Meanwhile, people like Pandey say they are going to have to suffer through, because New Delhi is where they need to be based for work opportunities and their families.



"We are India, right?" he said. "We just try to survive in whatever condition we are in. That is how it is."